Shasta County Probation (2023-2024 inspection cycle)

February 12, 2024 Traci Neal, Chief Probation Officer Shasta County Probation Department 2684 Radio Lane Redding, CA 96001 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SHASTA COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Neal: The 2023-2024 Comprehensive Inspection of the Shasta County Probation Department has been completed. A pre-inspection briefing was held on Thursday, July 27, 2023, and the following facilities were inspected between Tuesday, September 26, 2023 and Friday, September 29, 2023: FACILITY NAME BSCC # FACILITY TYPE Shasta County Juv Rehab 7621 JH Facility Shasta Secure Youth Treatment 7623 SYTF Facility Rivers Edge Academy 7622 CAMP 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. Chief Probation Officer Tracie Neal Page 2 No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity. Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified, and no areas of noncompliance were noted. An Exit Briefing with your staff was held on Friday, September 29, 2023; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at forrest.coleman@bscc.ca.gov or call (916) 508-7559 if you have any questions. Sincerely, FORRREST COLEMAN Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Shasta County Juvenile Court* Chair, Juvenile Justice Commission, Shasta County* Chair, Board of Supervisors, Shasta County* County Administrator, Shasta County* Division Director (Juvenile Hall), Shasta County *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7621+ Shasta County Probation CAMP JH SYTF LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7621 FACILITY NAME: Shasta County Juv Rehab Facility (JRF) FACILITY TYPE: Juvenile Hall PERSON(S) INTERVIEWED: Division Director, Carla Stevens; SJDO, Danielle Goodwine (Kitchen Supervisor); JDO III, Justin Whitmore; Therapist, Brianne Fulton; RN, Tiffany Nelson; Executive Director of Student Programs, Carie Webb; Teacher, Anders Bonit; Victor Community Support Services, Mike Smith; 1 Female Youth; 2 Male Youth; random youth T FIELD REPRESENTATIVE: Forrest Coleman DATE: September 29th, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION This inspection was conducted in late OF BUILDING AND GROUNDS October of the first year of the 2023-2024 inspection cycle. Therefore, BSCC staff On an annual basis, or as otherwise required by law, requested that the Shasta County Juvenile each juvenile facility administrator shall obtain a Rehabilitation Facility (SCJRF) provide all documented inspection and evaluation from the "County Inspections and Evaluation of following: Grounds" inspection reports that occurred within a year of the current inspection date. In addition, BSCC requested dates of pending annual reports that shall occur following the BSCC inspection up to December 31, 2023. County inspections and evaluations of the grounds were performed by authorized persons and agencies per Title 15 Regulation. (A) County building inspection by agency designated by 2023: the Board of Supervisors to approve building safety; ☐ Completed on February 21, 2023, and ☒ ☐ completed by Tom Fuller, Department of Public Works. (B) Fire authority having jurisdiction, including a fire Policy 9.2.7: Fire Safety Plan and clearance as required by Health and Safety Code Emergency Procedures Section 13146.1 (a) and (b); ☐ ☐ ☒ 2023: Completed on March 29, 2023, and conducted by Keith Hard, Department of Forestry and Fire Protection. 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. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 1 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with 2023: Health and Safety Code Section 101045; Medical Mental Health: Completed on November 6, 2023, and conducted by Zack Hale, LVN, TJ Carvajal, Public Health Nurse, and Don Austri. ☐ ☐ Nutrition: Completed on December 20, ☒ 2023, and conducted by Mary Messier, RD, Public Health Nutritionist. Environmental Health: Completed on October 11, 2023, and conducted by Nathan Moore, Senior Environmental Health Specialist. (D) County superintendent of schools on the adequacy Education for the Shasta County Juvenile of educational services and facilities as required in Rehabilitation Facility (SCJRF) is provided Section 1370; by the Shasta County Office of Education. 2023: Completed on November 27, 2023, and ☐ ☐ conducted by Nick Catomerisios, Senior ☒ Director Alternative Education, Butte County Office of Education; Janis Delgado, Principal, BCOE. There were no areas of noncompliance discovered during the educational services inspections. (E) Juvenile court as required by Section 209 of the Welfare and Institutions Code 2023: Completed on September 22, 2023, and ☐ ☐ conducted by Molly Biglow, Presiding Judge. ☒ There were no areas of noncompliance discovered during the Juvenile Court inspection. (F) Juvenile Justice Commission as required by Section 2023: 229 of the Welfare and Institutions Code or Probation Completed on October 10, 2023, conducted Commission as required by Section 240 of the by Commissioner Troy Foster and members Welfare and Institutions Code. of the Shasta County Juvenile Justice ☐ ☐ Commissioner, and presiding Judge Molly ☒ Bigelow There were no areas of noncompliance discovered during the Juvenile Justice Commission inspections. 1320 APPOINTMENT AND QUALIFICATIONS An Appointment and Qualification Letter, BSCC Note: Compliance with this section is dated September 14, 2023, was received determined by receipt of the Chief Probation Officer’s from Chief Probation Officer (CPO) Tracie certification letter confirming that all elements of Neal certifying all appointments of Shasta probation staff are pursuant to the regulation are met. applicable laws including minimum (a) Appointment ☐ ☐ standards from BSCC, Penal Code 6035. ☒ In each juvenile facility there shall be a superintendent, Further, all staff who are present at the director or facility manager in charge of its program and facility meet all required qualifications and clearances including contract personnel, employees. Such superintendent, director, facility volunteers, and other non-employees. manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications ☒ ☐ ☐ Each facility shall: 7621 Shasta County Juv Rehab Facility JH PRO 23-24 2 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) recruit and hire employees who possess The elements of this regulation are knowledge, skills and abilities appropriate to confirmed in the CPO Appointment and their job classification and duties in accordance ☒ ☐ ☐ Qualification Letter on September 14, 2023. with applicable civil service or merit system rules; (2) require a medical evaluation and physical The elements of this regulation are examination including tuberculosis screening confirmed in the CPO Appointment and test and evaluation for immunity to contagious ☒ ☐ ☐ Qualification Letter on September 14, 2023. illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the The elements of this regulation are selection and training requirements adopted by confirmed in the CPO Appointment and the Board pursuant to Section 6035 of the Penal Qualification Letter on September 14, Code; and 2023. ☒ ☐ ☐ The Board of State and Community Corrections (BSCC) Standards and Training for Corrections (STC) Division report that the Shasta County Probation Department follows Title 15 regulatory training requirements. (4) conduct a criminal records review, on each new The elements of this regulation are employee, and psychological examination in ☒ ☐ ☐ confirmed in the CPO Appointment and accordance with Section 1031 et seq. of the Qualification Letter on September 14, 2023. Government Code. (c) Contract personnel, volunteers, and other non- Probation completes all clearances for all employees of the facility, who may be present at the non-probation staff per Policy 13.1, facility, shall have such clearance and qualifications Volunteer Vendor and Support Staff as may be required by law, and their presence at the Orientation facility shall be subject to the approval and control of ☒ ☐ ☐ Volunteers and vendors must also complete the facility manager. a Shasta County-approved facility orientation. The Education Department provides independent training for education staff. 1321 STAFFING Policy 3.1.0 Staffing Standards Each juvenile facility shall: ☒ ☐ ☐ The policy identifies all expectations and responsibilities of the Title 15 Regulation minimum standards. a) have an adequate number of personnel sufficient to Policy 3.1.0 Staffing Standards, Section II carry out the overall facility operation and its (A) programming, to provide for safety and security of youth and staff, and meet established standards and The facility director ensures that each shift is staffed with enough youth supervision staff regulations; to guarantee that no required services are denied to a youth. ☒ ☐ ☐ BSCC staff reviewed the above policies and procedures, as well as the agency’s Organization Chart, random weekly staff schedule, and daily unit schedule covering two consecutive weeks in July, August, and September of 2023. In addition, we made personal observations. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 3 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) ensure that no required services shall be denied Policy 3.1.0 Staffing Standards because of insufficient numbers of staff on duty Rivers Edge Academy (REA) is a Camp absent exigent circumstances; commitment facility within the SCJRF juvenile hall complex. Both facility’s staff are cross-trained and abide by the same policies and procedures under the SCJRF. When needed Juvenile Detention Officer (JDO) staff and or supervisors may be deployed to work in either location. At the time of the inspection, the Shasta ☒ ☐ ☐ County Juvenile Rehabilitation Facility staffing consisted of: • 1 Division Director/ Superintendent • 3 Supervising Probation Officers • 5 Supervising Juvenile Detention Officers • 1 Supervising Juvenile Detention Officer (REA) • 35 Juvenile Detention Officers (approx. nine for extra help) c) have a sufficient number of supervisory level staff to Policy 3.1.0 Staffing Standards, Section I ensure adequate supervision of all staff members; (A)(1) Per policy, the facility Director or designee is responsible for ensuring that each shift has enough supervisory-level staff to provide adequate supervision over all JDOs and staff members. Through our review of the above policy, visual observations, a review of work schedules for July, August, and September 2023, as well as a review of the unit programming documentation, ☒ ☐ ☐ BSCC staff determined that SCJRF regularly ensures that the staffing levels are adequate. Section (A)(2), In the absence of a supervisory level staff, an Officer in Charge (OIC) shall be designated who shall meet the requirements outlined for supervisory level staff. BSCC observed that a Supervising Juvenile Detention Officers (SJDO) or, in the absence of the JDO, a JDO III/Officer in Charge (OIC) is always on-site in the facility. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 4 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS d) have a clearly identified person on duty at all times Policy 3.1.0 Staffing Standards who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Section (A)(2), In the absence of a Course and PC 832 training; supervisory level staff, an Officer in Charge (OIC) shall be designated who ☒ ☐ ☐ shall meet the requirements outlined for supervisory level staff. BSCC observed that a Supervising Juvenile Detention Officer (SJDO) or, in the absence of the JDO, a JDO III/Officer in Charge (OIC) is always on-site in the facility. e) have at least one staff member present on each Policy 3.1.0 Staffing Standards living unit whenever there are youth in the living unit; Through personal observations, as well as through interviews with staff and youth ☒ ☐ ☐ housed at the facility, we determined that SCJRF regularly ensures that there is always a staff present in the unit or where a youth is present. Youth are never left unsupervised. f) have sufficient food service personnel relative to the Policy 3.1.0 Staffing Standards number and security of living units, including staff qualified and available to: plan menus meeting Youth eat all meals in the living units. Meals nutritional requirements of youth; provide kitchen are prepared in the facility kitchen and are delivered to the units on carts. Staff serve supervision; direct food preparation and servings; the youth their meals in the unit. conduct related training programs for culinary staff; and maintain necessary records; or, a facility may ☒ ☐ ☐ A SCJRF supervisor (SJDO) works as the serve food that meets nutritional standards prepared Kitchen Manager and is assigned to oversee by an outside source; kitchen operations and food service personnel. Kitchen staff consists of three full- time cooks. The kitchen manual was updated in November of 2021 and again in June of 2022. g) have sufficient administrative, clerical, recreational, Policy 3.1.0 Staffing Standards medical, dental, mental health, building maintenance, transportation, control room, facility Current support staff utilized by the Camp security and other support staff for the efficient and the SCJRF consists of: management of the facility, and to ensure that youth • 2 Clerks supervision staff shall not be diverted from • 1 Therapist supervising youth; and, • 1 Nurse (plus one vacancy) BSCC staff interviewed medical services ☒ ☐ ☐ personnel, education services, and detention staff. We also made personal observations over the course of the inspection week. The agency is fortunate to have such a significant base of collaborative partners and support staff. The SCJRF, SYTF and Camp hires outside agencies to provide pro-social programming. The Mental Health clinician provides a skills group and a Moral Reconation Therapy (MRT) group daily. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 5 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS h) assign sufficient youth supervision staff to provide Policy 3.1.0 Staffing Standards continuous wide-awake supervision of youth, subject to temporary variations in staff assignments to meet BSCC staff interviewed JDO staff and special program needs. Staffing shall be in ☒ ☐ ☐ reviewed housing unit logs, programming schedules, and employee daily schedules. compliance with a minimum youth-staff ratio for the The Shasta County JRF regularly provides following facility types: staffing levels that enable the facility to meet the minimum standards for this regulation. (1) Juvenile Halls (minimum youth-staff ratio) Policy 3.1.0 Staffing Standards (A) during the hours that youth are awake, one wide- awake youth supervision staff member on duty for In a review of housing unit video surveillance each 10 youth in detention; recordings, housing unit logs, the daily staff schedule, as well as, through personal observation, the SCJRF ensures that “One ☒ ☐ ☐ wide-awake” JDO staff is present and that staffing ratios are consistently in compliance with Title 15 minimum standards for this regulation. At the time of the inspection, there were 38 youths housed at the Shasta JRF. (B) during the hours that youth are confined to their Policy 3.1.0 Staffing Standards room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each In a review of housing unit video surveillance 30 youth in detention; recordings, housing unit logs, and the daily ☒ ☐ ☐ staff schedule, the SCJRF ensures that “One wide-awake” JDO staff is present and that staffing ratios are consistently in compliance with Title 15 minimum standards for this regulation. (C) at least two wide-awake youth supervision staff Policy 3.1.0 Staffing Standards members on duty at all times, regardless of the number of youth in detention, unless an In a review of housing unit video surveillance ☒ ☐ ☐ arrangement has been made for backup support recordings, housing unit logs, and the daily staff schedule, the SCJRF ensures at least services which allow for immediate response to two wide-awake youth supervision staff emergencies; and, members are always on duty. (D) at least one youth supervision staff member on duty Policy 3.1.0 Staffing Standards who is the same gender as youth housed in the facility. Through interviews with youth and staff, a ☒ ☐ ☐ review of the daily staff schedule, as well as through personal observation, we determined that there is always a male and a female Probation staff on duty. (E) personnel with primary responsibility for other duties Policy 3.1.0 Staffing Standard such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or The above policy clearly identifies the roles ☒ ☐ ☐ maintenance shall not be classified as youth and responsibilities of staff who are not deemed youth supervision staff. Only youth supervision staff positions. supervision staff provide supervision of the youth. (2) Special Purpose Juvenile Halls (minimum Shasta County JRF is not a Special Purpose youth-staff ratio) Juvenile Hall. Therefore, A through E of this (A) during hours that youth are awake, one wide-awake ☐ ☐ ☒ section is not applicable to this inspection youth supervision staff member is on duty for each report. 10 youth in detention; 7621 Shasta County Juv Rehab Facility JH PRO 23-24 6 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the ☐ ☐ ☒ number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, ☐ ☐ ☒ academic or trade instruction, clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (minimum youth -staff ratio) Shasta County JRF is not a Camp. (A) during the hours that youth are awake, one wide- ☐ ☐ ☒ Therefore, A through F of this section is not awake youth supervision staff member on duty for applicable to this inspection report. each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the ☐ ☐ ☒ number of youth in residence, unless arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the function of ☐ ☐ ☒ the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, farm, forestry, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 7 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1322 YOUTH SUPERVISION STAFF Policy 8.2: New Hire Orientation ORIENTATION AND TRAINING The elements of this regulation are (a) Prior to assuming any responsibilities each youth confirmed in the Appointment and Qualifications Letter provided by Shasta supervision staff member shall be properly oriented County Chief Probation Officer (CPO) Tracie to their duties, including: Neal and dated September 14, 2023. The letter certifies that SCJRF Probation Officers and Juvenile Detention Officers (JDO) have ☒ ☐ ☐ been appointed with applicable provisions of law. According to the Board of State and Community Corrections’ Standards and Training for Corrections (STC) Division, Shasta County JRF meets Title 15 minimum standards regarding staff training and orientation. (1) youth supervision duties; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (2) scope of decisions they shall make; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (3) the identity of their supervisor; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (4) the identity of persons who are responsible to Policy 8.2: New Hire Orientation them; ☒ ☐ ☐ Every Juvenile Detention Officer (JDO) receives 40 hours of orientation and training that includes this section of the regulation. (5) persons to contact for decisions that are beyond Policy 8.2: New Hire Orientation ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. Policy 8.2: New Hire Orientation The assigned supervisor ensures that newly ☒ ☐ ☐ hired detention staff and non-sworn staff are properly trained with the elements of this regulation. (b) Prior to assuming any responsibility for the Policy 8.2: New Hire Orientation supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of All new full-time and temporary employees facility-specific orientation, including: receive 40 hours of Introductory Training. According to the Board of State and ☒ ☐ ☐ Community Corrections’ Standard and Training for Corrections (STC) Division, Shasta County JRF ensures each youth supervision staff member shall receive a minimum of 40 hours of facility-specific orientation training (1) individual and group supervision techniques; Policy 8.2: New Hire Orientation ☒ ☐ ☐ New hire training documentation shows the new hire’s acknowledgments of training and supervisory review. (2) regulations and policies relating to discipline and Policy 8.2: New Hire Orientation rights of youth pursuant to law and the provisions of this chapter; BSCC staff were impressed with the JDO ☒ ☐ ☐ Staff Orientation/Training which is very detailed and captures the elements of all sections of this regulation. (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Policy 8.2: New Hire Orientation 7621 Shasta County Juv Rehab Facility JH PRO 23-24 8 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) suicide prevention and response to suicide Policy 8.2: New Hire Orientation attempts The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter. ☒ ☐ ☐ In addition, detention staff receive suicide prevention training as part of their initial training as well as annual suicide prevention training updates. (5) policies regarding use of force, de-escalation Policy 8.2: New Hire Orientation techniques, chemical agents, mechanical and physical restraints; ☒ ☐ ☐ New hire training documentation shows the new hire’s acknowledgments of training and supervisory review. (6) review of policies and procedures referencing Policy 8.2: New Hire Orientation trauma and trauma-informed approaches; ☒ ☐ ☐ New hire training documentation shows the new hire’s acknowledgments of training and supervisory review. (7) procedures to follow in the event of Policy 8.2: New Hire Orientation ☒ ☐ ☐ emergencies; (8) routine security measures, including facility Policy 8.2: New Hire Orientation perimeter and grounds; ☒ ☐ ☐ The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter. (9) crisis intervention and mental health referrals to Policy 8.2: New Hire Orientation mental health services; ☒ ☐ ☐ Staff receive initial training in addition to an annual suicide prevention update. (10) documentation; and ☒ ☐ ☐ Policy 8.2: New Hire Orientation (11) fire/life safety training Policy 8.2: New Hire Orientation The assigned supervisor ensures that newly hired detention staff are properly trained with ☒ ☐ ☐ the elements of this regulation. BSCC staff confirmed that detention staff also receive annual emergency procedures training. (c) Prior to assuming sole supervision of youth, each Policy 8.2: New Hire Orientation youth supervision staff member shall successfully complete the requirements of the Juvenile The elements of this regulation are Corrections Officer Core Course pursuant to Penal ☒ ☐ ☐ confirmed in the CPO letter. Code Section 6035. Staff complete CORE within the first year of the assignment. (d) Prior to exercising the powers of a peace officer Policy 8.2: New Hire Orientation youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal The elements of this regulation are identified Code. in and confirmed in Tracie Neal’s ☒ ☐ ☐ Appointment and Qualifications Letter dated September 14, 2023. Staff complete PC 832 within the first year of assignment. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 9 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1323 FIRE AND LIFE SAFETY Policy 9.2.7: Fire Safety Plan and Emergency Procedures, Section II, Staff Whenever there is a youth in a juvenile facility, there shall Training be at least one wide awake person on duty at all times who meets the training standards established by the All staff shall receive Fire and Life Safety ☒ ☐ ☐ Board for general fire and life safety which relate Training either through CORE training or specifically to the facility. other certified providers. The elements of this regulation are confirmed in the CPO letter dated September 14, 2023. 1324 POLICY AND PROCEDURES MANUAL Policy and Procedure Manual Orientation and Use Section 1.1 and Section 1.2.2 (a): All facility administrators shall develop, publish, and implement a manual of written policies and procedures The Division Director does well with reviewing and making updates when that address, at a minimum, all regulations that are necessary. applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, New staff are required to review Policy and and shall be administratively reviewed at a minimum Procedure as part of training and orientation every two years, and updated, as necessary. Those expectations. records relating to the standards and requirements set forth in these regulations shall be accessible to the Board ☒ ☐ ☐ As a new policy is released or as the current on request. policy is updated, staff are required to read The manual shall include: and sign acknowledging their understanding of new and or updated policies and procedures. A letter written by Division Director, Carla Stevens, acknowledges that the Policies and Procedures manual was last updated on May 1, 2023. The Policy and Procedures manual continues to be reviewed on a biennial basis or as needed. (a) table of organization, including channels of • Policy 2.1.4: Facility Organizational communications and a description of job Chart classifications; • 2.1.5: Roles and Responsibilities of ☒ ☐ ☐ Facility Administration • 2.1.6: Roles and Responsibilities of Juvenile Detention Officers • Policy 3.1.1: Chain of Command 7621 Shasta County Juv Rehab Facility JH PRO 23-24 10 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) responsibility of the probation department, purpose • Policy 2.1.1: Legal Origin, of programs, relationship to the juvenile court, the Establishment and Purpose Juvenile Justice/Delinquency Prevention • 2.2.3: Roles of Probation Staff Commission or Probation Committee, probation • Policy 2.3: Shasta County Office of staff, school personnel and other agencies that are Education involved in juvenile facility programs; • Policy 2.3: Roles of Other Agencies-Relationship to the Juvenile Court Judge • Policy 2.3: Roles of Other Agencies-Juvenile Justice Commission • Policy 5.7.4: Social Awareness Program ☒ ☐ ☐ In a review of reports submitted, per Title 15 regulations, Section 1313 County Inspections and Evaluation of Building and Grounds, and through interviews with the probation staff, school personnel, and other agencies, BSCC staff concluded that all collaborative partners have a clear and articulable understanding of their roles and expectations as they relate to the relationship, responsibilities, and purpose of programs outlined by the Shasta County JRF’s policy and procedure manual. (c) responsibilities of all employees; • 2.1.5: Roles and Responsibilities of Facility Administration ☒ ☐ ☐ • 2.1.6: Roles and Responsibilities of Juvenile Detention Officers (d) initial orientation and training program for The minimum Title 15 requirements for this employees; regulation are confirmed in the CPO letter dated September 14, 2023. ☒ ☐ ☐ • Policy 8.2: New Hire Orientation • Policy 13.1: Volunteer, Vendor and Support Staff Orientation (e) initial orientation, including safety and security issues Policy 13.1: Volunteer, Vendor, and Support and anti-discrimination policies, for support staff, Staff Orientation contract employees, school, mental/behavioral health and medical staff, program providers and Prior to initial entry to the facility, the SCJRF ensures new support staff, contractors, and volunteers; ☒ ☐ ☐ or volunteers undergo a safety/security briefing and must complete the vendors’ and volunteers’ initial orientation training. BSCC staff observed that areas of the initial orientation are specifically geared toward non-probation staff that are identified in this section of the regulation. (f) maintenance of record-keeping, statistics and Policy 2.1.5(D): Roles and Responsibilities of ☒ ☐ ☐ communication system to ensure: Facility Administration 7621 Shasta County Juv Rehab Facility JH PRO 23-24 11 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) efficient operation of the juvenile facility; Policy 2.1.5(D)(1): Roles and Responsibilities of Facility Administration In part, a case management system, ☒ ☐ ☐ handwritten tracking forms, Housing unit logbooks, housing unit programming forms, and shift activity schedules are the main means of record keeping of day-to-day programming and facility operations. (2) legal and proper care of youth; Policy 2.1.5(D)(2): Roles and ☒ ☐ ☐ Responsibilities of Facility Administration (3) maintenance of individual youth's records; Policy 2.1.5(D)(3): Roles and ☒ ☐ ☐ Responsibilities of Facility Administration (4) supply of information to the juvenile court and Policy 2.1.5(D)(4): Roles and those authorized by the court or by the law; and, Responsibilities of Facility Administration ☒ ☐ ☐ The agency utilizes a case management system for communication and record keeping with the courts, juvenile probation, and statistical data collection. (5) release of information regarding youth. Policy 2.1.5(D)(5): Roles and ☒ ☐ ☐ Responsibilities of Facility Administration (g) ethical responsibilities; ☒ ☐ ☐ Policy 3.3.1: Ethics Policy (h) trauma-informed approaches; Policy 3.3.10: Trauma-Informed Approaches to Working with Youth. In addition to following expectations to the above policy, as part of the annual review training, all Shasta County JRF detention staff participate in training that includes but is not limited to, the trauma- informed ☒ ☐ ☐ approaches below: a. Child Trauma/Adverse Childhood Experiences (ACEs) b. Trauma Informed Care and Protective Factors c. Effects of trauma on child development d. Resiliency (i) culturally responsive approaches; Policy 3.3.9: Cultural and Gender Responsivity, Section (I) All JRF Staff will be trained in Cultural Diversity as part of the Probation Department Training Plan. ☒ ☐ ☐ The SCJRF acknowledges and embraces the customs and traditions of diverse populations. This is partially accomplished through their Fine Arts Therapy Program which serves as an outlet to express thoughts and feelings through creative writing/poetry, music, drawing, and painting. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 12 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (j) gender responsive approaches; Policy 3.3.9: Cultural and Gender Responsivity Policy 5.2.6 Transgender and Intersex Residents As part of annual review training, all SCJRF detention staff participated in training that included but was not limited to gender- responsive approaches. For example, the facility has gender-specific programming ☒ ☐ ☐ such as Boys Council and Girls Circle. Also, staff are trained on policy and procedure with working with transgender and intersex youth. We were impressed with the partnerships and collaborative efforts the SCJRF has with Planned Parenthood, Nurse-Family Partnership, and Commercially Sexually Exploited Children (CSEC) outreach programs. (k) a non-discrimination provision that provides that all Policy 5.2.7: Non-Discrimination youth within the facility shall have fair and equal access to all available services, placement, care, In a review of a thorough inspection of the treatment, and benefits, and provides that no person above policy, Shasta County JRF follows minimum standards for this regulation. shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group BSCC staff reviewed the above policy and identification, ancestry, national origin, immigration ☒ ☐ ☐ orientation packets and interviewed youth to status, color, religion, gender, sexual orientation, conclude that the SCJRF meets compliance gender identity, gender expression, mental or with the elements of this regulation. physical disability, or HIV status, including restrictive housing or classification decisions based solely on Youth indicated that they were being treated any of the above mentioned categories; fairly. Detention staff and non-detention staff are required to take non-discriminatory training. (l) storage and maintenance requirements for any Policy 9.1.2: Armory Operations chemical agents related security devices, and Policy 6.3: Chemical Agents: weapons and ammunition, where applicable; IV. STORAGE, ISSUE and DISPOSAL of OC SPRAY CANISTERS A. Types of OC Spray Canisters in use in the facility. • MK 4 sizes of cans • OC Stream or Gel Units ☒ ☐ ☐ • OC Foam • MK9 Fogger Units The policy has clear and concise expectations regarding the storage and maintenance of OC Spray. Also, any law enforcement staff are responsible to store their weapons or equipment in the sallyport lockers prior to entering the facility. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 13 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (m) establishment of procedures for collection of Medi- Policy 10.32: Medi-Cal Eligibility and Cal eligibility information and enrollment of eligible Enrollment of Youth ☒ ☐ ☐ youth; and, (n) establishment of a policy that prohibits all forms of Policy 5.10.1: PREA sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to In interviewing multiple youth housed at preventing, detecting and responding to such ☒ ☐ ☐ SCJRF, during the intake process youth are made aware of PREA and provided multiple conduct and any retaliation for reporting such outlets for reporting any form of sexual conduct, as well as a provision for reporting such abuse, assault, and or sexual harassment. conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy 9.2.7: Fire Safety Plan and Emergency Procedures The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the ☒ ☐ ☐ Based on the documentation provided, the facility meets compliance with the elements State Fire Marshal, in developing a plan for fire safety contained in this section of the Title 15 which shall include, but not be limited to: regulations. a) a fire prevention plan to be included as part of the Policy 9.2.7: Fire Safety Plan and manual of policy and procedures; ☒ ☐ ☐ Emergency Procedures b) monthly fire and life safety inspections by facility Policy 9.2.7: Fire Safety Plan and staff with two- year retention of the inspection Emergency Procedures record; Policy 9.1.3: Emergency Equipment Inspection and Testing BSCC staff requested a review of monthly Fire and Life Safety facility inspections since the prior June 21, 2022, BSCC. ☒ ☐ ☐ The facility documents monthly Fire and Life Safety inspections on a Monthly Workplace Safety Checklist. The facility has responded well in developing a comprehensive and well-detailed checklist. Documentation shows that the inspections are completed every month per Title 15 regulations. c) fire prevention inspections as required by Health Policy 9.2.7: Fire Safety Plan and and Safety Code Section 13146.1(a) and (b); Emergency Procedures. SCJRF ensures Fire Prevention inspections are performed per Title 15 Regulations. The ☒ ☐ ☐ inspection is required on a biennial basis. The annual fire prevention inspection was completed by the Department of Forestry and Fire Protection on May 3, 2022, and completed by Keith Hard. d) an evacuation plan; Policy 9.2.7: Fire Safety Plan and Emergency Procedures Evacuation signs are posted throughout the ☒ ☐ ☐ facility. SCRF provides ongoing training to new and existing staff by conducting frequent fire drills. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 14 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS e) documented fire drills not less than quarterly; Policy 9.2.7: Fire Safety Plan and Emergency Procedures BSCC staff reviewed all quarterly fire drills that were conducted since the prior June 21, 2022, BSCC inspection. Fire drills during some periods exceed required Title 15 regulation requirements. ☒ ☐ ☐ Further, Shasta County JRF does well in training staff for fire drills and tracking staff who have participated in the Fire Drill training. However, BSCC staff discussed favorable outcomes when the fire drill documentation includes elements of a fire drill that include participating personnel, a confirmation of head counts for youth, staff, support staff, visitors, lessons learned, etc. f) a written plan for the emergency housing of youth in Policy 9.2.9: Evacuation the case of fire; and, The above Policy identifies evacuating youth to the local Veteran’s Hall as the emergency evacuation location. It was explained that the Veteran’s Hall location is a temporary location. Further, there exists an unwritten “agreement with Butte County” to assist with ☒ ☐ ☐ the housing of youth in the event of a long- term evacuation, if needed. BSCC staff provided technical assistance to add specificity to the procedure that provides guidance to staff as it relates to the housing of youth who require a higher level of secure housing. g) development of a fire suppression pre-plan in Policy 9.2.7: Fire Safety Plan and cooperation with the local fire department. Emergency Procedures In a letter dated October 4, 2021, written by Assistant Fire Marshal, Ryan Materson, the ☒ ☐ ☐ City of Redding Fire Department approved Shasta JRF Fire Suppression Pre-Plan. 1326 SECURITY REVIEW Policy 2.1.5: roles and Responsibilities Administration Each facility administrator shall develop policies and procedures to annually review, evaluate, and document Annual Security Reviews are inspected by a security of the facility. The review and evaluation shall designee and reviewed by the SCJRF include internal and external security, including, but not Director, Carla Stevens. An Annual Security limited to, key control, equipment, and staff training. ☒ ☐ ☐ Review was completed on February 28, 2023. All aspects of the facility were inspected and reported to the facility administration. When and if deficiencies are discovered repair requests are immediately submitted. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 15 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1327 EMERGENCY PROCEDURES Policy 9.2.7: Fire Safety Plan and Emergency Procedures The facility administrator shall develop facility-specific Policy 9.1.1 policies and procedures for emergencies that shall include, but not be limited to: ☒ ☐ ☐ BSCC staff were provided with and reviewed a Completions of Emergency Procedures document that shows all staff that have reviewed emergency procedures from September 14, 2023, through September 30, 2023. (a) escape, disturbances, and the taking of hostages; Policy 9.2.4: Escape: ☒ ☐ ☐ Policy 9.2.5: Disturbances: Policy 9.2.6: Hostages: (b) civil disturbance, active shooter and terrorist attack; Policy 9.2.11: Civil Disturbance: ☒ ☐ ☐ Policy 9.2.10: Active Shooter or Terrorist Attack (c) fire and natural disasters; Fire: 9.2.7 ☒ ☐ ☐ Natural Disaster: 9.2.8 (d) periodic testing of emergency equipment; Policy 9.1.3: Emergency Equipment ☒ ☐ ☐ Inspection and Testing (e) emergency evacuation of the facility; and Policy 9.1.4: Emergency Release of Residents Policy 9.2.9: Evacuation ☒ ☐ ☐ The facility does well with conducting various types of emergency drills to keep JDO staff well-versed with procedures for short-term emergency evacuation of the facility. (f) a program to provide all youth supervision staff with Policy 9.1.1: Training and Review of an annual review of emergency procedures. Emergency Procedures Each staff receives policies and procedures governing emergency procedures annually ☒ ☐ ☐ via an online training provider, Target Solutions. The assigned supervisor monitors and verifies the employee has reviewed the emergency procedures training. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 16 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS Policy 5.2.2: Room Safety Checks The facility administrator shall develop and implement BSCC staff reviewed random Safety Checks policy and procedures that provide for direct visual over the inspection cycle. In addition, we observation of youth at a minimum of every 15 minutes, specifically reviewed safety checks for the at random or varied intervals during hours when youth months of July, August, and September are asleep or when youth are in their rooms, confined in 2023. We also reviewed housing unit holding cells or confined to their bed in a dormitory. surveillance video recordings. Supervision is not replaced, but may be supplemented Safety Checks are documented in logbooks by, an audio/visual electronic surveillance system identified as the “Watch Tour” logbook. The designed to detect overt, aggressive or assaultive Supervisor conducts random visits to behavior and to summon aid in emergencies. All safety housing pods’ (PREA Checks) daily to checks shall be documented with the actual time the review safety check required documentation. check is completed. In addition, supervisors assigned to a particular pod conduct periodic safety check ☒ ☐ ☐ audits. As part of the audit, the supervisor compares room check entries in the logbook to safety checks shown on the surveillance video recordings system. BSCC staff provided technical assistance to maintain compliance, it is important that JDO staff are consistent with accurately documenting when youth are in or out of their respective rooms. BSCC staff also discussed the best outcomes when the names of staff working a pod and conducting the safety checks are legibly identified at the header/ top of each safety check page or at the beginning of each shift. Further, to encourage a standard format of documentation that is consistent amongst JDO staff. 1329 SUICIDE PREVENTION PLAN Policy 5.12: Suicide Prevention The facility’s Suicide Prevention Plan is a The facility administrator, in collaboration with the collaboration with Probation and Behavioral healthcare and behavioral/mental health Health to ensure youth at risk or identified as administrators, shall plan and implement written policies ☒ ☐ ☐ at risk are supervised appropriately and and procedures which delineate a Suicide Prevention provided with necessary services. Plan. The plan shall consider the needs of youth experiencing past or current trauma. Suicide prevention We reviewed suicide ideation reports that responses shall be respectful and in the least invasive occurred since the prior June 2022 manner consistent with the level of suicide risk. The inspection. plan shall include the following elements: (a) Suicide prevention training as required in Section Policy 5.12: Suicide Prevention 1322, Youth Supervision Staff Orientation, and Policy 8.2: New Hire Orientation Training and the Juvenile Corrections Officer Core Course. ☒ ☐ ☐ The elements of this regulation are confirmed in the CPO Appointment and Qualification Letter on September 14, 2023. Annual training is included in the SCJRF Suicide Prevention Training Plan. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 17 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and Policy 5.12: Suicide Prevention Precautionary Protocols Policy 5.3.4 Booking Procedure, Section IX (1) All youth shall be screened for risk of (A) suicide at intake and as needed during detention. The booking officer communicates with the arresting officer, facility staff, family members, and medical and mental health personnel as part of the screening process ☒ ☐ ☐ for suicide risk. Screening and assessment forms completed at intake include: Massachusetts Youth Screening Instrument (MAYSI 2), Suicide Screening Questionnaire, Suicide Disposition form. Intake staff also communicate with the arresting officer and communicate with the youth’s parent/guardian. (2) All youth supervision staff who perform Policy 5.12: Suicide Prevention intake processes shall be trained in Policy 3.3.10: Trauma-Informed Approaches screening youth for risk of suicide. to Working with Youth ☒ ☐ ☐ The elements of this regulation are confirmed in the CPO Appointment and Qualification Letter on September 14, 2023. Annual training is included in the SCJRF Suicide Prevention Training Plan. (3) All youth who have been identified during Policy 5.12: Suicide Prevention the intake screening process to be at risk of Policy 3.3.10: Trauma-Informed Approaches suicide shall be referred to to Working with Youth behavioral/mental health staff for a suicide risk assessment. The Shasta County Health and Human ☒ ☐ ☐ Services Clinician is on site for the intake screening process from 12:00 pm to 9:00 pm, Monday through Friday. If the Clinician is not present in the facility, the supervisor completes the screening questions and contacts the on-call mental health staff for direction. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 18 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Precautionary protocols shall be developed Policy 5.12: Suicide Prevention to ensure the youth’s safety pending the behavioral/mental health assessment. The SCJRF incorporates a mental health clinician referral process. Precautionary protocols include, but are not limited to, the following: • Enhanced Observation (7-minute to 10-minute safety checks) • Suicide Watch-Safety Room ☒ ☐ ☐ Placement • Wrap Restraint • Develop a safety plan for the resident • Develop a plan for staff response to include signs to be aware of possible suicidal ideations or self-harm. • Create a communication chain to inform of crisis, and short-term and long-term follow-up for crisis prevention. (c) Referral process to behavioral/mental health staff Policy 5.12: Suicide Prevention for assessment and/or services. BSCC staff reviewed suicide attempts and/or suicide ideations from the prior June 2022 inspection to the current inspection. We also interviewed Behavioral Health staff. ☒ ☐ ☐ The Shasta County Health and Human Services Clinician is on site for the intake screening process from 12:00 pm to 9:00 pm, Monday through Friday. If the Clinician is not present in the facility, the supervisor completes the screening questions and contacts the On-Call mental health staff for directions. (d) Procedures for monitoring of youth identified at risk Policy 5.12: Suicide Prevention for suicide. Policy 5.2.2 Room Safety Checks To monitor youth at risk for suicide, the facility utilizes the necessary suicide watch precautions. In a review of incident reports, when a youth ☒ ☐ ☐ is exhibiting suicide ideation behaviors, staff utilize the “Observation Sheet” to observe and document the youth’s behaviors in 5-to- 15-minute intervals. The Observation Sheet is reviewed every 4 hours by the Officer in Charge (OIC) and medical staff. Depending on the severity, a youth may be placed on Enhanced Observation, Suicide Watch, or placed in the Safety Room. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 19 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Safety Interventions Policy 5.12: Suicide Prevention (1) Procedures to address intervention protocols for youth identified at risk for The facility has a comprehensive and well- suicide which may include, but are not ☒ ☐ ☐ detailed suicide classification and limited to: supervision system that identifies youth who are actively suicidal, recently suicidal, and or have a prior history of suicidal activities. A. Housing consideration Policy 5.12: Suicide Prevention Housing monitoring is based on the status or level of risk. Youth placed on: • Suicide risk may be placed in the general population. • Suicide Watch will be housed in the safety room. ☒ ☐ ☐ • Step-up will be monitored in accordance with medical/mental health instructions. Enhanced Observation status youth will be housed in the general population and monitored in accordance with medical/mental health instructions B. Treatment strategies including Policy 5.12: Suicide Prevention trauma-informed approaches Policy 3.3.10: Trauma-Informed Approaches to Working with Youth The SCJRF incorporates a mental health clinician referral process. As part of the process, follow-up on all residents placed on Enhanced Observation or Suicide Watch shall include the following: ☒ ☐ ☐ • Develop a safety plan for the resident, • Develop a plan for staff response to include signs to be aware of possible suicidal ideations or self-harm. • Create a communication chain to inform of crisis, and short-term and long-term follow-up for crisis prevention. (2) Procedures to instruct youth supervision Policy 5.12: Suicide Prevention staff how to respond to youth who exhibit ☒ ☐ ☐ suicidal behaviors. Detention staff are provided initial and ongoing suicide prevention training. (f) Communication Policy 5.12: Suicide Prevention (1) The intake process shall include Policy 5.3.4 Booking Procedure, Section IX communication with the arresting officer (A) and family guardians regarding the youth’s ☒ ☐ ☐ past or present suicidal ideations, behaviors The booking officer shall communicate with or attempts. the arresting officer, facility staff, family members, and medical and mental health personnel in relation to suicide risk. (2) Procedures for clear and current Policy 5.12: Suicide Prevention information sharing about youth at risk for ☒ ☐ ☐ suicide with youth supervision, healthcare, and behavioral/mental health staff. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 20 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Debriefing of Critical Incidents Related to Suicides Policy 5.12: Suicide Prevention or 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 Policy 5.12: Suicide Prevention ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Policy 5.12: Suicide Prevention ☒ ☐ ☐ youth. (h) Documentation Policy 5.8.4: Reports and Documentation (1) Documentation processes shall be developed to ensure compliance with this Reporting and monitoring documentation is regulation as follows: ☒ ☐ ☐ • Incident Report • Medical Notification • Mental Health Suicide Watch Custody Notification • Observation Sheet Youth identified at risk for suicide shall not be denied Policy 5.12: Suicide Prevention the 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 Policy 2.1.5: Roles and Responsibilities of Facility Administration Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions At the time of this inspection, there were no of confinement, filed against persons or legal entities pending legal actions. responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy 9.2.12: Death or Serious Illness or OF A YOUTH WHILE DETAINED Injury of a Youth while Detained. (1) Death of a Youth. At the time of this inspection, there were no reports of Death or serious illness or injury (a) The facility administrator, in cooperation with the of a youth while detained at the Shasta health administrator and the behavioral/mental ☒ ☐ ☐ JRF pending legal actions. health director, shall develop written policies and procedures in the event of the death of a youth In the event of a death, the Facility Director while detained, which include notifications to or Chief Probation Officer would contact the necessary parties, which may include the Juvenile Juvenile Court Judge, the attorney of record, Court, the parent, guardian or person standing in and the youth’s parent or guardian. loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the Policy 9.2.12: Death or Serious Illness or facility administrator, shall develop written policies Injury of a Youth while Detained 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. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 21 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) The administrator of the facility shall provide to the Policy 9.2.12: Death or Serious Illness or Board a copy of the report submitted to the Attorney Injury of a Youth while Detained General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy 9.2.12: Death or Serious Illness or the administrator, the Board may within 30 calendar Injury of a Youth while Detained. 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 Policy 9.2.12: Death or Serious Illness or (a) The facility administrator, in cooperation with the Injury of a Youth while Detained. health administrator, shall develop written policies and procedures for the notification to necessary At the time of this inspection, there were no reports of death or serious illness of a parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis ☒ ☐ ☐ youth while detained at the Shasta JRF. and the youth’s attorney of record in the case of a In the event of serious injury, the Facility serious illness or injury of a youth. Director or Chief Probation Officer would contact the Juvenile Court Judge, the attorney of record, and the youth’s parent or guardian. 1342 POPULATION ACCOUNTING Policy 2.1.5: Roles and Responsibilities of Facility Administration Each juvenile facility shall submit required population ☒ ☐ ☐ and profile survey reports to the Board within 10 Profile survey Reports are submitted as working days after the end of each reporting period, in required. a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY Policy 2.1.5: Roles and Responsibilities of Facility Administration When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than The Shasta JRF has not exceeded its rated ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility capacity for more than fifteen (15) calendar administrator shall provide a crowding report to the days in a month, since the prior June 2022, Board in a format provided by the Board. BSCC inspection. The rated capacity for SCJRF is 58. 1350 ADMITTANCE PROCEDURES Policy 5.3.4: Booking Procedures Policy 3.3.10: Trauma-Informed Approaches The facility administrator shall develop and implement to Working with Youth written policies and procedures for admittance of youth BSCC staff reviewed the 10 most recent that emphasize respectful and humane engagement youth admission packets completed. with youth, and reflect that the admission process may ☒ ☐ ☐ be traumatic to youth who may have already Further, through a combination of a variety of experienced trauma. Policies shall be trauma-informed, documentation reviews, interviews with youth culturally relevant, and responsive to the language and housed at the facilities, interviews with literacy needs of youth. In addition to the requirements detention staff, and interviews with medical of Sections 1324 and 1430 of these regulations: health partners, BSCC staff confirmed compliance. (a) the admittance process shall include: Policy 5.3.4: Booking Procedures (1) Access to two free phone calls within one hour of admittance in accordance with the provisions BSCC staff reviewed documentation and of Welfare and Institution Code Section 627; ☒ ☐ ☐ interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers required phone calls at intake utilizing the booking Face Sheet. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 22 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Offer of a shower; Policy 5.3.4: Booking Procedures BSCC staff reviewed documentation and ☒ ☐ ☐ interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers a shower during the intake process. (3) Documented secure storage of personal Policy 5.3.7: Resident Property Storage belongings; For denominations totaling less than $25.00, the property envelope may be placed in the ☒ ☐ ☐ resident’s property bin in the property room. For denominations totaling $25.00 or greater, the booking officer will notify the Supervisor/OIC, and the money will be stored in the evidence locker. (4) Offer of food upon arrival; Policy 5.3.4: Booking Procedures ☒ ☐ ☐ The youth interviewed reported they were offered food during the intake process. (5) Screening for physical and behavioral health Policy 5.3.4: Booking Procedures and safety issues, intellectual or developmental disabilities; SCJRF utilizes a form titled Vulnerability Assessment Instrument (VAI) to help make screening determinations for behavioral ☒ ☐ ☐ health, and intellectual or developmental disabilities. A resident is Medically Cleared for booking when it is determined by the booking officer that there are no apparent health conditions. In part, this is determined by utilizing the Medical Pre-Screening Questionnaire. (6) Screening for physical and developmental Policy 5.3.4: Booking Procedures disabilities in accordance with Sections 1329, ☒ ☐ ☐ 1413, and 1430 of these regulations; All youth have a full medical exam within 96 hours of intake (7) Contact with Regional Center for the Policy 5.3.4: Booking Procedures, Section Developmentally Disabled for youth that are (C )(11) suspected of or identified as having a developmental disability, pursuant to Section ☒ ☐ ☐ Contact Far Northern Regional Center for the Developmentally Disabled for youth who are 1413; and, suspected of or identified as having a developmental disability, pursuant to Section 1413. (8) Procedures consistent with Section 1352.5. Policy 5.3.4: Booking Procedures ☒ ☐ ☐ (b) juvenile hall administrators shall establish written Policy 5.3.4: Booking Procedures, Section criteria for detention that considers the least (A)(2) restrictive environment. We observed documentation showing that all ☒ ☐ ☐ youth are screened by utilizing a classification form that assesses the housing unit placement of the youth based on the criminal sophistication of the youth. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 23 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) juvenile camps and post-dispositional programs in Policy 5.3.4: Booking Procedures 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 Policy 5.3.4: Booking Procedures procedures that advise any committed youth of the estimated length of his/her stay. During the booking process, the booking officer will discuss with the resident the maximum term of confinement associated ☒ ☒ ☐ with their charges, what a furlough is and how it works, the pertinent filing deadlines for their charges, as well as deadlines for the youth to appear in court. 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy 5.10.1: PREA ABUSE Policy 5.3.4: Booking Procedures The facility administrator shall develop and implement BSCC staff reviewed the 10 most recent youth intake screening packet examples to written policies and procedures to reduce the risk of confirm compliance with screening for the sexual abuse by or upon youth. The policy shall require risk of sexual victimization. We observed that facility staff to assess each youth within 72 hours of the agency screens all youth admitted to the admission based on the following information: Shasta County Juvenile Rehabilitation Facility per Title 15 requirements. ☒ ☐ ☐ During the intake process, youth are provided with a Sexual Abuse Orientation Acknowledgement Form that offers information on sexual abuse prevention, protection, and reporting. It also appears that through multiple points of contact, the youth may also receive portions of screening that relate to screening for the risk of sexual victimization. (a) Prior sexual victimization or abusiveness; Policy 5.3.4: Booking Procedures 10.1: PREA ☒ ☐ ☐ SCJRF utilizes a form titled “Vulnerability Assessment Instrument” to aid in evaluating possible history of victimization and to make referral determinations. (b) Gender nonconforming appearance or manner; or Policy 5.10.1: PREA identification as lesbian, gay or bisexual, Policy 5.3.4: Booking Procedures transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Policy 5.10.1: PREA (d) Age; ☒ ☐ ☐ Policy 5.10.1: PREA (e) Level of emotional and cognitive development; ☒ ☐ ☐ Policy 5.10.1: PREA (f) Physical size and stature; ☒ ☐ ☐ Policy 5.10.1: PREA (g) Mental illness or mental disabilities; ☒ ☐ ☐ Policy 5.10.1: PREA (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Policy 5.10.1: PREA (i) Physical disabilities; ☒ ☐ ☐ Policy 5.10.1: PREA (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Policy 5.10.1: PREA 7621 Shasta County Juv Rehab Facility JH PRO 23-24 24 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) Any other specific information about the individual Policy 5.10.1: PREA youth that may indicate heightened needs for ☒ ☐ ☐ Policy 5.3.6: Classification and Housing supervision, additional safety precautions, or Assignments separation from certain other youth. Staff shall ascertain this information through Policy 5.10.1: PREA 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 Policy 5.10.1: PREA 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 Policy 5.3.8: Release Procedures and Transition Planning The facility administrator shall develop and implement Compliance with this regulation is confirmed written policies and procedures for release of youth based on a review of facility policies and from custody which provide for: ☒ ☐ ☐ procedures. In addition, BSCC staff reviewed the 10 most recent examples of completed youth release packets/forms. We also conducted interviews with collaborative partners, as well as interviews with detention staff and youth housed at the facility. (a) verification of identity/release papers; Policy 5.3.8: Release Procedures and ☒ ☐ ☐ Transition Planning (b) return of personal clothing and valuables; ☒ ☐ ☐ Policy 5.3.7: Resident Property Storage (c) notification to the youth's parents or guardian; Policy 5.3.8: Release Procedures and ☒ ☐ ☐ Transition Planning (d) notification to the facility health care provider in Policy 5.3.8: Release Procedures and accordance with Sections 1408 and 1437 of these Transition Planning regulations, for coordination with outside agencies; and, BSCC staff interviewed the health care provider who confirmed that probation ☒ ☐ ☐ provides timely notification of a youth’s pending release. The medical provider provides the youth with information on pharmacy and medication refill information. (e) notification of school staff; Policy 5.3.8: Release Procedures and Transition Planning ☒ ☐ ☐ BSCC staff interviewed the school staff who confirmed that probation provides timely notification of a youth’s pending release. (f) notification of facility mental health personnel. Policy 5.3.8: Release Procedures and Transition Planning ☒ ☐ ☐ BSCC staff interviewed the mental health personnel who confirmed that probation provides timely notification of a youth’s pending release. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 25 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall develop and implement Policy 5.3.8: Release Procedures and policies and procedures for post-disposition youth to Transition Planning coordinate the provision of transitional and reentry services including, but not limited to, medical and SCJRF conducts a Child and Family Team Meeting prior to release. At the meeting, a behavioral health, education, probation supervision and transition plan for the youth will be community-based services. formulated. We were impressed with the Transition Passport form that is provided to youth upon release. The form identifies programs, health services, medication prescription information, wrap-around services, and relevant contact information to aid in a youth’s successful transition from custody. Also, Victor Community Support Services (VCSS) ☒ ☐ ☐ provides some wrap-around services for youth from Shasta and Tehama Counties. The SCJRF may house out-of-county youth. BSCC staff thought well of the facility having a Probation Officer that serves as the “Out of county liaison”. However, we provided guidance to ensure that out-of-county youth are offered and or provided with the same transition release services as Shasta County youth including, but not limited to, the Transition Passport form. BSCC staff acknowledges that a youth’s out-of-county Probation Officer has a responsibility to coordinate local services for the youth being released. The facility administrator shall develop and implement Policy 5.3.8: Release Procedures and written policies and procedures for the furlough of youth ☒ ☐ ☐ Transition Planning from custody. 1352 CLASSIFICATION Policy 5.3.6: Classification and Housing Assignments The facility administrator shall develop and implement written policies and procedures on classification of Compliance with this regulation is confirmed youth for the purpose of determining housing placement based on a review of facility policies and ☒ ☐ ☐ in the facility. procedures, and a review of the 10 most recently completed youth classification Such procedures shall: documents. BSCC staff also conducted interviews with collaborative partners, as well as interviews with detention staff and youth housed at the facility. (a) provide for the safety of the youth, other youth, Policy 5.3.6: Classification and Housing facility staff, and the public by placing youth in the Assignments appropriate, least restrictive housing and program settings. Housing assignments shall consider the Through a review of the above policy, ☒ ☐ ☐ interviews with supervisory staff, and need for single, double or dormitory assignment or admission documentation, BSCC staff location within the dormitory; determined that the SCJRF meets compliance with the elements of this regulation. (b) consider facility populations and physical design of Policy 5.3.6: Classification and Housing ☒ ☐ ☐ the facility; Assignments 7621 Shasta County Juv Rehab Facility JH PRO 23-24 26 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) provide that a youth shall be classified upon Policy 5.3.6: Classification and Housing admittance to the facility; classification factors shall Assignments include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ The above policy indicates that the initial classification system provides the basis for legal status, public safety considerations, unit housing placement and programming medical/mental health considerations, gender and decisions. gender identity of the youth; (d) provide for periodic classification reviews, including Policy 5.3.6: Classification and Housing provisions that consider the level of supervision and Assignments the youth's behavior while in custody; and, ☒ ☐ ☐ BSCC staff observed that classification reviews are completed periodically, or as needed by the facility Director or an assigned supervisor. (e) provide that facility staff shall not separate youth Policy 5.3.6: Classification and Housing from the general population or assign youth to a Assignments, single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, The facility intake staff completed the classification form that identifies specific ancestry, national origin, color, religion, gender, criteria to determine housing classifications. sexual orientation, gender identity, gender ☒ ☐ ☐ In addition, the intake staff asks the expression, mental or physical disability, or HIV necessary questions of the youth, and the status. This section does not prohibit staff from arresting officer, and makes visual placing youth in a single occupancy room at the observations of the youth. youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy 5.2.6: Transgender and Intersex transgender, questioning or intersex identification or Residents status as an indicator of likelihood of being sexually abusive. Through a review of the above policy, ☒ ☐ ☐ interviews with supervisory staff, and admission documentation, BSCC staff determined that the SCJRF meets compliance with the elements of this regulation. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy 5.2.6: Transgender and Intersex Residents The facility administrator shall develop written policies ☒ ☐ ☐ and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The policies shall provide that: (a) Facility staff shall respect every youth’s gender Policy 5.2.6: Transgender and Intersex identity and shall refer to the youth by the youth’s Residents preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the The elements of this regulation are ☒ ☐ ☐ accomplished, in part, through new staff’s use of gang or slang names or names that initial orientation and training that otherwise compromise facility operations as encapsulates multiple policies and determined by the facility manager or designee, procedures that ensure ongoing compliance and shall document any decision made on this with this regulation. basis. (b) Facility staff shall permit youth to dress and present Policy 5.2.6: Transgender and Intersex themselves in a manner consistent with their Residents ☒ ☐ ☐ gender identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 27 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Facility staff shall house youth in the unit or room Policy 5.2.6: Transgender and Intersex that best meets their individual needs and promotes Residents their safety and well-being. Staff may not automatically house youth according to their Through a review of the above policy, admission documentation, and interviews external anatomy and shall document the reasons ☒ ☐ ☐ with detention and supervisory staff, BSCC for any decision to house youth in a unit that does staff determined that the SCJRF meets not match their gender identity. In making a housing compliance with the elements of this decision, staff shall consider the youth’s regulation. preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that Policy 5.2.6: Transgender and Intersex transgender and intersex youth have access to Residents medical and behavioral health providers qualified to ☒ ☐ ☐ provide care and treatment to transgender and BSCC staff interviewed medical and intersex youth. behavioral health staff to conclude compliance with this regulation. (e) Consistent with the facility’s reasonable and Policy 5.2.6: Transgender and Intersex necessary security considerations and physical Residents plant, facility staff shall make every effort to ensure ☒ ☐ ☐ the safety and privacy of transgender and intersex All youth have single rooms with their own toilets. All youth shower in the unit in private youth when the youth are using the bathroom or showers. shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 5.2.6: Transgender and Intersex youth for the purpose of determining the youth’s Residents ☒ ☐ ☐ 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 Policy 5.3.9: Resident Orientation Policy 5.3.4: Booking Procedures The facility administrator shall develop and implement written policies and procedures to orient a youth prior to BSCC staff reviewed the youth handbook, placement in a living area. Both written and verbal interviewed detention staff, and interviewed information shall be provided and supplemented with youth housed at the facility to help determine video orientation if feasible. Provision shall be made to compliance. We also reviewed 10 orientation provide accessible orientation information to all packets that were signed by youth detained youth including those with disabilities, limited acknowledging viewing the facility orientation ☒ ☐ ☐ video and receiving written and verbal literacy, or English language learners. Orientation shall information that included but was not limited include information that addresses: to, expectations, treatment, rules, and youth rights. In a review of the youth handbook, provides a summary of policies, and guidance of behaviors, sets expectations, and allows for dialogue if a youth is unclear on a specific topic. (a) facility rules including contraband and searches Policy 5.3.9: Resident Orientation and disciplinary procedures; Orientation packets show youths’ provided ☒ ☐ ☐ signatures acknowledging viewing the facility orientation video and receiving written and verbal information that included but was not limited to contraband, searches, and disciplinary procedures. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 28 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) facility’s system of positive behavior interventions Policy 5.3.9: Resident Orientation 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 Policy 5.3.9: Resident Orientation facility’s policy prohibiting sexual abuse and sexual During the intake and orientation process, harassment and how to report incidents or each youth is provided with a well-detailed Resident Handbook. The Resident suspicions of sexual abuse or sexual harassment; Handbook provides youth with information ☒ ☐ ☐ and guidance for reporting any form of sexual abuse, sexual harassment, and or suspensions of sexual abuse and harassment. (d) identification of key staff and their roles; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (e) the existence of the grievance procedure, the steps Policy 5.3.9: Resident Orientation that must be taken to use it, the youth’s right to be The grievance procedure is outlined in the free of retaliation for reporting a grievance, and the resident handbook. Youth sign and acknowledge that they have been provided name of the person or position designated to ☒ ☐ ☐ with, that the handbook information has been resolve the issue; explained to him/her, and that the youth understand the information contained within the handbook. (f) access to legal services and information on the Policy 5.3.9: Resident Orientation ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental Policy 5.3.9: Resident Orientation health care; BSCC staff interviewed youth and intake ☒ ☐ ☐ staff to help in determining that SCJRF complies with this regulation. On each pod, youth have access to medical and mental health requests for services slips. (h) access to education, religious services, and Policy 5.3.9: Resident Orientation ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (j) opportunity for personal hygiene and daily showers Policy 5.3.9: Resident Orientation including the availability of personal care items ☒ ☐ ☐ BSCC staff interviewed youth and intake staff to help in determining that SCJRF complies with this regulation. (k) rules and access to correspondence, visits and Policy 5.3.9: Resident Orientation ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Policy 5.3.9: Resident Orientation ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Policy 5.3.9: Resident Orientation chemical agents and room confinement; ☒ ☐ ☐ BSCC staff interviewed youth and intake staff to help in determining that SCJRF complies with this regulation. (n) immigration legal services; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (o) emergencies including evacuation procedures; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation 7621 Shasta County Juv Rehab Facility JH PRO 23-24 29 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (p) non-discrimination policy and the right to be free Policy 5.3.9: Resident Orientation from physical, verbal or sexual abuse and harassment by other youth and staff; ☒ ☐ ☐ BSCC staff interviewed youth and intake staff to help in determining that SCJRF complies with this regulation. (q) availability of services and programs in a language Policy 5.3.9: Resident Orientation other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy 5.3.9: Resident Orientation education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 5.3.9: Resident Orientation information regarding the youth’s stay in the facility that at a minimum includes answers to frequently The Parent handbook is provided to all parents with frequently asked questions and asked questions and provides contact information ☒ ☐ ☐ provides contact information for the facility, for the facility, medical, school and mental health; medical, school, mental health, and other and, pertinent information regarding the youth’s stay. (t) a process by which youth may request access to Policy 5.3.9: Resident Orientation Title 15 Minimum Standards for Juvenile Facilities. The resident handbook indicates that Title 15 Regulations are available on each housing ☒ ☐ ☐ unit/Pod. We also interviewed youth and staff who acknowledged youths’ access to Title 15 Regulations. 1354 SEPARATION Policy 5.3.6.1: Separation ☒ ☐ ☐ The facility administrator shall develop and implement written policies and procedures that address: (a) separation of youth for reasons that include, but are Policy 5.3.6.1: Separation not be limited to, medical and mental health conditions, assaultive behavior, disciplinary The facility incorporates the following types consequences and protective custody. of Separations: • Administrative Separation due to extreme risk due to assaultive behavior to other youth or staff and all least restrictive options to control the youth’s behavior have been ☒ ☐ ☐ exhausted. • Maximum Security Risk due to charges or assaultive or threatening behavior resulting in extreme risk to youth and staff. • Protective Custody for residents who request protective custody. • Self-Separation if a resident refuses to participate in facility programming or activities and remains in their respective room. (b) consideration of positive youth development and Policy 5.3.6.1: Separation ☒ ☐ ☐ trauma-informed care. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 30 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) separated youth shall not be denied normal Policy 5.3.6.1: Separation privileges available at the facility, except when necessary to accomplish the objective of BSCC staff reviewed Separation Policy separation. 5.3.6.1, programming logs, and the only three reported Administrative Separation (AD-Sep) incident reports for youth being placed on AD-Sep. We also interviewed youth detained at the facility, staff, and supervisors. ☒ ☐ ☐ SCJRF had done well in implementing a Reintegration Plan Log for both the AD-Sep and MSR Reintegration Plans. The Reintegration plan provides a “Programming Requirement Audit” to be performed each shift or every 4 hours. The Separation policy indicates that within 24 hours of a youth being placed on Ad-Sep status, an Ad-Sep Reintegration Plan must be completed. (d) when the objective of the separation is discipline, Policy 5.3.6.1: Separation Title 15 Section 1390 shall apply. BSCC staff observed a program identified as the Alternative Program (A/P) in the facility’s Policy 5.8.3, Discipline. Verbiage within the use of the program indicates that during ☒ ☐ ☐ different times of day, the youth on (A/P) may program separately from other youths. BSCC staff discussed adding and or referencing the AP program to the Separation policy while also keeping it in the Discipline policy. (e) when separation results in room confinement, the Policy 5.3.6.1: Separation separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy 5.3.6.1: Separation of separated youth to determine if separation ☒ ☐ ☐ remains necessary. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 31 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354.5 ROOM CONFINEMENT Policy 5.8.7: Temporary Room Restriction and Reintegration Planning (a) The facility administrator shall develop and implement written policies and procedures A Temporary Room Restriction (TRR) / addressing the confinement of youth in their room (room confinement) is placing youth in a that are consistent with Welfare and Institutions locked room for a short period of time to Code Section 208.3. The placement of a youth in cool off or de-escalate behaviors but may room confinement shall be accomplished in lead to room confinement of up to 4 hours if accordance with the following guidelines: behaviors cause safety and or security concerns. ☒ ☐ ☐ Restriction (TRR) Policy 5.8.7 and reviewed the five reported TRR/ room confinement incident reports. We also interviewed youth detained at the facility, JDO staff, and supervisors. In review, the (TRR) /room confinement incidents that occurred were generally justifiable and compliant. (1) Room confinement shall not be used before Policy 5.8.7: Temporary Room Restriction other, less restrictive, options have been and Reintegration Planning attempted and exhausted, unless attempting ☒ ☐ ☐ those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Policy 5.8.7: Temporary Room Restriction purposes of punishment, coercion, and Reintegration Planning convenience, or retaliation by staff. BSCC staff discussed removing the word “Restriction” from the TRR logs and ☒ ☐ ☐ documentation as it relates to room confinement. Since room confinement shall not be used for punishment, using the word restriction in identifying the room confinement process may create misleading assumptions. (3) Room confinement shall not be used to the Policy 5.8.7: Temporary Room Restriction extent that it compromises the mental and ☒ ☐ ☐ and Reintegration Planning physical health of the youth. (b) A youth may be held up to four hours in room Policy 5.8.7: Temporary Room Restriction confinement. After the youth has been held in room and Reintegration Planning confinement for a period of four hours, staff shall do ☒ ☐ ☐ one or more of the following: There were no incidents reported having occurred resulting in over 4 hours of room confinement. (1) Return the youth to general population. Policy 5.8.7: Temporary Room Restriction and Reintegration Planning JDO staff are required to make counseling ☒ ☐ ☐ efforts to de-escalate the resident so that he/she may rejoin the group. These counseling efforts shall be no less than every 15 minutes and documented in the Temporary Room Restriction Log (TRR). (2) Consult with mental health or medical staff. Policy 5.8.7: Temporary Room Restriction ☒ ☐ ☐ and Reintegration Planning 7621 Shasta County Juv Rehab Facility JH PRO 23-24 32 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Develop an individualized plan that includes the Policy 5.8.7: Temporary Room Restriction goals and objectives to be met in order to and Reintegration Planning reintegrate the youth to general population. ☒ ☐ ☐ SCJRF’s policy indicates that after one hour of a TRR has elapsed, a Reintegration Plan for the youth shall be completed. (4) If room confinement must be extended beyond Policy 5.8.7: Temporary Room Restriction four hours, staff shall do each of the following: and Reintegration Planning ☒ ☐ ☐ There were no incidents reported having occurred resulting in over 4 hours of room confinement. (A) Document the reasons for room Policy 5.8.7: Temporary Room Restriction confinement and the basis for the and Reintegration Planning extension, the date and time the youth was ☒ ☐ ☐ first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that Policy 5.8.7: Temporary Room Restriction includes the goals and objectives to be met and Reintegration Planning ☒ ☐ ☐ in order to integrate the youth to general population. (C) Obtain documented authorization by the Policy 5.8.7: Temporary Room Restriction facility superintendent or his or her ☒ ☐ ☐ and Reintegration Planning designee every four hours thereafter. (5) This section is not intended to limit the use of Policy 5.8.7: Temporary Room Restriction single-person rooms or cells for the housing of and Reintegration Planning ☒ ☐ ☐ youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards Policy 5.8.7: Temporary Room Restriction ☒ ☐ ☐ in court holding facilities or adult facilities. and Reintegration Planning (7) Nothing in this section shall be construed to Policy 5.8.7: Temporary Room Restriction conflict with any law providing greater or ☒ ☐ ☐ and Reintegration Planning additional protections to youth. (8) This section does not apply during an Policy 5.8.7: Temporary Room Restriction extraordinary emergency circumstance that and Reintegration Planning 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. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 33 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (9) This section does not apply when a youth is Policy 5.8.7: Temporary Room Restriction placed in a locked cell or sleeping room to treat and Reintegration Planning and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not ☒ ☐ ☐ required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 5.7.1: Resident Case Plan The facility administrator shall develop and implement We reviewed random Institutional Case written policies and procedures for assessment and Plans covering the duration of 2023. We also case planning. interviewed youth detained at the facility, JDO staff, and supervisors. ☒ ☐ ☐ To generate the Institutional Assessment and Case Plan, the SCJRF booking officer utilizes a Pre-Pact assessment tool that helps determine the appropriate programs suited for a youth’s program and behavioral needs. (a) Assessment: Policy 5.7.1: Resident Case Plan The assessment is based on information collected during the admission process with periodic review, The results of the Pre-Pact assessment are which includes the youth's risk factors, needs and shared with the casework Probation Officer ☒ ☐ ☐ and the information is included in the PACT strengths including, but not limited to, identification Assessment and Case plan. PACT (Positive of substance abuse history, educational, Achievement Change Tool) is an evidence- vocational, counseling, behavioral health, based, risk/needs assessment tool. consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Policy 5.7.1: Resident Case Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created The SCJRF Deputy Probation Officers ☒ ☐ ☐ within 40 days of admission. (DPO) are assigned to complete Institutional Case Plans with bi-weekly follow up with the youth. (2) The institutional plan shall include, but not be Policy 5.7.1: Resident Case Plan ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution Policy 5.7.1: Resident Case Plan ☒ ☐ ☐ of problems identified in the assessment; (B) a plan for meeting the objectives that Policy 5.7.1: Resident Case Plan includes a description of program resources needed and individuals responsible for ☒ ☐ ☐ The facility has made great improvements in assuring that the plan is implemented; ensuring that out-of-county youth are assessed and evaluated just as local youth are. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 34 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) periodic evaluation of progress towards meeting Policy 5.7.1: Resident Case Plan the objectives, including periodic review and discussion of the plan with the youth; A review of case plans shows consistency with documenting the periodic review of a youth’s case plan progress and objectives ☒ ☐ ☐ toward meeting those goals. However, to maintain ongoing compliance, BSCC staff provided technical assistance to ensure that the DPO, on a consistent basis, documents that the periodic reviews were conducted with the youth. (4) a transition plan, the contents of which shall be Policy 5.7.1: Resident Case Plan subject to existing resources, shall be Policy 5.3.8: Release Procedures and developed for post dispositional youth in Transition Planning accordance with Section 1351; and, We were impressed with a Transition ☒ ☐ ☐ Passport form that is provided to youth upon release. The form identifies programs, health services, medication prescription information, wrap-around services, and relevant contact information to aid in a youth’s successful transition from custody. (5) in as much as possible and if appropriate, the Policy 5.7.1: Resident Case Plan plan, including the transition plan, shall be developed with input from the family, supportive Per policy, and confirmed via NSCC staff adults, youth, and Regional Center for the review, transitional and re-entry services is the responsibility of the case-carrying Deputy Developmentally Disabled. Probation Officer and the Juvenile Detention Officer assigned to the Juvenile Probation ☒ ☐ ☐ Supervision Unit. Services may include the following but are not limited to: a. Youth and Family Team Meeting(s) b. Multidisciplinary Team Meeting(s) c. Family Reunification Visits d. “Passport” meeting for the purpose of scheduling out-of-custody continuum of care 1356 COUNSELING AND CASEWORK SERVICES Policy 5.7.7: Counseling and Casework Services The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: (a) youth will receive assistance with needs or Policy 5.7.7: Counseling and Casework concerns that may arise; Services ☒ ☐ ☐ BSCC staff observed that via the case management system, the JDO documents counseling sessions conducted with the youth. (b) youth will receive assistance in requesting contact Policy 5.7.7: Counseling and Casework with parents, other supportive adults, attorney, Services ☒ ☐ ☐ clergy, probation officer, or other public official; and, All JDO staff are assigned to a youth for ongoing guidance. (c) youth will be provided access to available Policy 5.7.7: Counseling and Casework resources to meet the youth’s needs. ☒ ☐ ☐ Services Behavioral Health staff are on site Monday through Friday from 1:00 PM to 9:00 PM. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 35 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1357 USE OF FORCE Policy 6.1: Use of Force The facility administrator, in cooperation with the BSCC staff requested to review the 10 most responsible physician, shall develop and implement recent Use of Force (UOF) Incident reports. written policies and procedures for the use of force, We also interviewed youth housed at the ☒ ☐ ☐ which may include chemical agents. Force shall never facility and detention staff. We also be applied as punishment, discipline, retaliation or interviewed collaborative partners to gain treatment. further insight to confirm compliance with this regulation. (a) At a minimum, each facility shall develop policies and procedures which: (1) restricts the use of force to that which is deemed Policy 6.1: Use of Force reasonable and necessary, as defined in Section ☒ ☐ ☐ 1302 to ensure the safety and security of youth, In review, or reports and interviews with staff, others and the facility. youth, JDO staff use force that is deemed reasonable and necessary. (2) outline the force options available to staff Policy 6.1: Use of Force including both physical and non-physical options and define when those force options are SCRJF detention staff receive an initial 32- appropriate. ☒ ☐ ☐ hour defensive tactic training and policy review outlining both physical and non- physical de-escalation options. An additional 4 hours of refresher training in force options occur on a quarterly basis. (3) describe force options or techniques that are Policy 6.1: Use of Force expressly prohibited by the facility. SSCJRF force options that are allowed include, but are not limited to, the below: ☒ ☐ ☐ • Command Presence and Dialog Control and Search Techniques • Soft Hands • Oleoresin Capsicum (OC) • Defensive Tactics • Mechanical Restraints • Deadly Force (4) describe the requirements of staff to report any Policy 6.1: Use of Force inappropriate use of force, and to take ☒ ☐ ☐ affirmative action to immediately stop it. (5) define a standardized reporting format that Policy 6.1: Use of Force includes time period and procedure for documenting and reporting the use of force, Detention staff must complete use-of-force including reporting requirements of Incident Reports prior to ending his/her shift. Supervisory reviews are conducted prior to management and line staff and procedures for the end of the shift that the incident occurred. reviewing and tracking use of force incidents by ☒ ☐ ☐ Reviews and debriefings were clearly supervisory and or management staff, which documented in Incident Reports. 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 Policy 6.1: Use of Force for investigating unreasonable use of force. SCJRF management team schedules a ☒ ☐ ☐ monthly Use of Force Administrative Review to ensure compliance by all personnel and to address possible work performance deficiencies. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 36 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) define the role, notification, and follow-up Policy 6.1: Use of Force procedures required after use of force incidents for medical, mental health staff and parents or ☒ ☐ ☐ BSCC staff interviewed supervisory, legal guardians. detention, and medical staff to help determine compliance with the elements of this regulation. (8) describe the limitations of use of force on Policy 6.1: Use of Force pregnant youth in accordance with Penal Code ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force ☒ ☐ ☐ Policy 6.1: Use of Force option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize Policy 6.3: Chemical Agents chemical agents in the facility and the type, size and the approved method of deployment for ☒ ☐ ☐ SCJRF detention staff shall satisfactorily complete the department’s eight-hour, STC- those chemical agents. approved Chemical Agents course prior to being approved to carry OC spray. (2) mandate that chemical agents only be used Policy 6.3: Chemical Agents when there is an imminent threat to the youth’s safety or the safety of others and only when de- ☒ ☐ ☐ In a review of the Incident Reports, in most cases, chemical agents were used to de- escalation efforts have been unsuccessful or are escalate youth-on-youth mutual physical not reasonably possible. combat. (3) outline the facility’s approved methods and Policy 6.3: Chemical Agents timelines for decontamination from chemical BSCC staff interviewed medical personnel, agents. This shall include that youth who have ☒ ☐ ☐ youth housed at the facility, JDO staff, and been exposed to chemical agents shall not be supervisors. Compliance was confirmed. 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 Policy 6.3: Chemical Agents 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 Policy 6.3: Chemical Agents of use of chemical agents, including the reasons for which it was used, efforts to de- Incident Reports reviewed meet the Title 15 escalate prior to use, youth and staff involved, ☒ ☐ ☐ minimum standards for this regulation. the date, time and location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 37 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Facilities shall develop policies and procedure Policy 6.1: Use of Force (UF) which require that agencies provide initial and regular training in use of force and chemical agents The Shasta Secure Youth Treatment Facility (SSYTF) and the River’s Edge Academy when appropriate that address: (REA) are commitment program facilities within the Shasta County Juvenile Rehabilitation Facility (SCJRF) complex. All three facilities abide by the same appointments, Training, and requirements as identified in policy and procedure and in the CPO’s letter identified below. ☒ ☐ ☐ A letter, dated September 14, 2023, was received from Chief Probation Officer Tracie Neal, certifying that all appointments of the Shasta County Juvenile Rehabilitation Facility staff are trained pursuant to the applicable laws and that all staff present at the facility meet all required qualifications and clearances. This includes Core Training and annual updates for the use of force for all detention staff. (1) known medical and behavioral health Policy 6.2: Use of Force Policy 6.3: Chemical Agents conditions that would contraindicate certain types of force; The referenced policy and curriculum for ☒ ☐ ☐ defensive tactics and verbal de-escalation techniques include knowing of any pre- existing medical and/or behavioral health conditions that would limit or restrict certain UF techniques. (2) acceptable chemical agents and the methods Policy 6.3: Chemical Agents of application. Shasta SYTF detention staff and supervisors are trained and have available to them, the following types of OC Spray Canisters: ☒ ☐ ☐ • MK 4 sizes of cans • OC Stream or Gel Units • OC Foam, Gel, or stream Unit • MK9 Fogger Units (3) signs or symptoms that should result in Policy 6.2: Use of Force ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Policy 6.2: Use of Force ☒ ☐ ☐ Use of Force. Training occurs in defensive tactics annually. (5) physical training force options that may require Policy 6.2: Use of Force the use of perishable skills. The elements of this regulation are identified ☒ ☐ ☐ in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter dated September 14, 2023. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 38 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) timelines the facility uses to define regular Policy 6.2: Use of Force training. ☒ ☐ ☐ The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter dated September 14, 2023. 1358 USE OF PHYSICAL RESTRAINTS Policy 6.2: Mechanical Restraints The facility administrator, in cooperation with the responsible physician and mental health director, shall Shasta SYTF youth and Shasta JRF youth develop and implement written policies and procedures are housed together in Housing Pod 900. for the use of restraint devices. Restraint devices ☒ ☐ ☐ BSCC staff reviewed Incident Reports of the include any devices which immobilize a youth's 10 most recent use of physical restraints extremities and/or prevent the youth from being Incident Reports that occurred on pod 900. ambulatory. We also interviewed youth housed at the facility and facility detention staff. Physical restraints may be used only for those youth Policy 6.2: Mechanical Restraints who present an immediate danger to themselves or others, who exhibit behavior which results in the In a review of Incident Reports, and destruction of property, or reveals the intent to cause ☒ ☐ ☐ interviews with youth, staff, and medical self-inflicted physical harm. Physical restraints should personnel, BSCC staff observed that all be utilized only when it appears less restrictive instances of use of physical restraints were alternatives would be ineffective in controlling the justifiably used and when less restrictive youth’s behavior. alternatives were exhausted. In no case shall restraints be used as punishment or Policy 6.2: Mechanical Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through ☒ ☐ ☐ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy 6.2: Mechanical Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy 6.2: Mechanical Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a The JDO staff maintains direct visual ☒ ☐ ☐ physician. Reasons for continued retention in restraints observation of the youth. A supervisor or JDO III/OIC was generally present and shall be reviewed and documented at a minimum of provided authorization for the use of every hour. mechanical restraints. A medical opinion on the safety of placement and Policy 6.2: Mechanical Restraints retention shall be secured as soon as possible, but no later than two hours from the time of placement. The BSCC staff interviewed medical staff to help youth shall be medically cleared for continued retention ☒ ☐ ☐ confirm that medical staff provide ongoing review and assessment while a youth is in at least every three hours thereafter. mechanical or any type of restraint. We also reviewed incident reports that detail when notifications are made to medical personnel. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 39 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A mental health consultation shall be secured as soon as Policy 6.2: Mechanical Restraints possible, but in no case longer than four hours from the time of placement, to assess the need for mental health BSCC staff interviewed mental health staff to ☒ ☐ ☐ treatment. help confirm that medical staff provide ongoing review and assessment while a youth is in mechanical or any type of restraint. Continuous direct visual supervision shall be conducted Policy 6.2: Mechanical Restraints to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. Through documentation review and Observations of the youth's behavior and any staff interviews with detention and medical staff, interventions shall be documented at least every 15 ☒ ☐ ☐ BSCC staff were able to confirm that the youth remained under constant supervision minutes, with actual time of the documentation recorded. until the restraint were removed. Typically, staff were able to remove mechanical restraints within 15 to 30 minutes of placement. In addition to the requirements above, policies and ☒ ☐ ☐ procedures shall address: (a) documentation of the circumstances leading to an Policy 6.2: Mechanical Restraints ☒ ☐ ☐ application of restraints. . (b) known medical conditions that would contraindicate Policy 6.2: Mechanical Restraints ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. Policy 6.2: Mechanical Restraints The Shasta SYTF in conjunction with the SCJRF utilize the following approved Restraints: ☒ ☐ ☐ • Handcuffs • Shackles • Belly Chains • The WRAP Handcuffs were utilized most prevalently. We found no incidents of utilizing the Wrap during this inspection cycle. (d) signs or symptoms which should result in Policy 6.2: Mechanical Restraints ☒ ☐ ☐ immediate medical/mental health referral. (e) availability of cardiopulmonary resuscitation Policy 6.2: Mechanical Restraints ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Policy 6.2: Mechanical Restraints 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. ☒ ☐ ☐ Policy 6.2: Mechanical Restraints (h) exercising of extremities. ☒ ☐ ☐ Policy 6.2: Mechanical Restraints 7621 Shasta County Juv Rehab Facility JH PRO 23-24 40 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR Policy 4.3.3: Resident Movement MOVEMENT AND TRANSPORTATION WITHIN THE BSCC staff reviewed incident reports for this FACILITY. regulation, mostly involving mutual physical combat between youth. In all cases, mechanical restraints were used to move a The Facility Administrator, in cooperation with the combative youth to his/her room. The responsible physician and behavioral/mental health observations and documentation were director, shall develop and implement written policies ☒ ☐ ☐ complete. and procedures for the use of restraint devices when the purpose is for movement or transportation within the Handcuffs and the Wrap are approved facility that shall include the following: devices for use within the facility. SCJRF meets Title 15 minimum standards for the elements of this regulation, describes the incident, and justifies the use of restraints for each application of restraints used. (a) identification of acceptable restraint devices, staff Policy 4.3.3: Resident Movement approved to utilize restraint devices and the required training. ☒ ☐ ☐ The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter dated September 14, 2023. (b) the circumstances leading to the application of ☒ ☐ ☐ Policy 4.3.3: Resident Movement restraints must be documented. (c) an individual assessment of the need to apply Policy 4.3.3: Resident Movement 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, Policy 4.3.3: Resident Movement 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 Policy 4.3.3: Resident Movement ☒ ☐ ☐ accordance with Penal Code Section6030(f) and Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Policy 5.3.3: Safety Room (a) The facility administrator, and where applicable, in Shasta JRF has a Safety Room, however, it cooperation with the responsible physician, shall has not been used during this inspection develop and implement written policies and cycle. procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☒ ☐ ☐ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 7621 Shasta County Juv Rehab Facility JH PRO 23-24 41 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) include provisions for administration of Policy 5.3.3: Safety Room necessary nutrition and fluids, access to a ☒ ☐ ☐ toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or Policy 5.3.3: Safety Room designee, before a youth is placed into a safety ☒ ☐ ☐ room; (3) provide for continuous direct visual supervision Policy 5.3.3: Safety Room and documentation of the youth's behavior and any staff interventions every 15 minutes, with Per policy, youth who are placed in the ☒ ☐ ☐ actual time recorded; safety room are under continuous direct visual supervision. (4) provide that the youth shall be evaluated by the ☒ ☐ ☐ Policy 5.3.3: Safety Room facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Policy 5.3.3: Safety Room where appropriate, or an assessment at the ☒ ☐ ☐ next daily sick call; and, The Observation Sheet includes a review by medical staff at a minimum of every 4 hours. (6) provide a process for documenting the reason Policy 5.3.3: Safety Room for placement, including attempts to use less ☒ ☐ ☐ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ Policy 5.3.3: Safety Room accomplished in accordance with the following: (1) safety room shall not be used before other less Policy 5.3.3: Safety Room 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 Policy 5.3.3: Safety Room of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) safety room shall not be used to the extent that Policy 5.3.3: Safety Room it compromises the mental and physical health ☒ ☐ ☐ of the youth. (c) A youth may be held up to four hours in the safety Policy 5.3.3: Safety Room room. After the youth has been held in the safety room for a period of four hours, staff shall do one or ☒ ☐ ☐ The Observation Sheet includes a review by more of the following: each supervisor and medical staff at a minimum of every 4 hours. (1) return the youth to general population. ☒ ☐ ☐ Policy 5.3.3: Safety Room (2) consult with mental health or medical staff, Policy 5.3.3: Safety Room Per policy, when a youth is placed in the Safety Room, the shift supervisor completes ☒ ☐ ☐ a medical notification form documenting the time, date, and name of medical personnel notified. The medical personnel complete the Medical Notification form with a review/ recommendation. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 42 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) develop an individualized plan that includes the Policy 5.3.3: Safety Room goals and objectives to be met in order to reintegrate the youth to general population. A Mental Health Suicide Watch Custody ☒ ☐ ☐ Notification form is provided by Mental Health personnel. The notification gives the JRF detention staff direction pertaining to levels of suicide watch and contingency planning. (d) If confinement in the safety room must be extended Policy 5.3.3: Safety Room 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 Policy 4.4: Searches of Residents Policy 4.3.5: Facility Searches The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures governing the search of BSCC staff observed that no strip search of youth, the facility, and visitors. Policies and procedures youth was approved and occurred during shall provide that: 2023. (a) Searches shall be conducted to ensure the safety Policy 4.4: Searches of Residents ☒ ☐ ☐ and security of the facility, public, visitors, youth, and staff. (b) Searches shall be conducted in a manner that Policy 4.4: Searches of Residents preserves the privacy and dignity of the person being searched and shall not be conducted for BSCC staff interviewed a youth housed at ☒ ☐ ☐ the Shasta JRF who confirmed the search harassment or as a form of discipline or process conducted by detention staff during punishment. booking, is done with dignity and preserves the privacy of the youth being searched. (c) Strip searches and visual or physical body cavity Policy 4.4: Searches of Residents searches shall comply with Penal Code Section 4030. The facility maintains expectations for strip ☒ ☐ ☐ searches pursuant to PC 4030, for pre- detention youth and post-detention youth. All strip searches will be approved in advance of the search and are logged in the Strip Search Log. (d) Physical body cavity searches shall only be Policy 4.4: Searches of Residents conducted by a medical professional. ☒ ☐ ☐ SCJRF detention staff do not perform cavity searches. (e) Any youth held after a detention hearing shall only Policy 4.4: Searches of Residents 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 Policy 4.4: Searches of Residents comply with Section 1352.5. Policy 5.2.6: Transgender and Intersex ☒ ☐ ☐ Residents Transgender youth will be searched by an officer of the gender requested. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 43 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Cross-gender pat-down searches and strip Policy 4.4: Searches of Residents searches are prohibited except in exigent ☒ ☐ ☐ circumstances or when conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy 5.9: Grievances The facility administrator shall develop and implement We reviewed grievances and monthly written policies and procedures whereby any youth may grievance logs covering 2023. Grievances appeal and have resolved grievances relating to any were written in February, March, August, and condition of confinement, including but not limited to September. BSCC staff also interviewed health care services, classification decisions, program ☒ ☐ ☐ youth housed at the facility, as well as participation, telephone, mail or visiting procedures, detention staff. The facility uses monthly food, clothing, bedding, mistreatment, harassment or grievance logs to track grievances by Pod. Grievance resolutions were timely and violations of the nondiscrimination policy. There shall be provided supervisory review. 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 Policy 5.9: Grievances grievance, which includes provisions for the youth to have free access to the form; We interviewed multiple youths who indicated that during the intake and orientation process, the grievance procedure ☒ ☐ ☐ was clearly explained. During our physical inspection, we observed that grievances were readily available to youth. In addition, grievance lock boxes were in the housing pods to allow youth to confidentially submit a grievance if needed. (b) the youth shall have the option to confidentially file Policy 5.9: Grievances the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ The youth were aware of the grievance procedures, the location of the grievances, and the grievance lockbox to confidentially file a grievance if needed. (c) resolution of the grievance at the lowest appropriate Policy 5.9: Grievances staff level; ☒ ☐ ☐ Depending on the circumstances, generally, grievances are first addressed at the JDO level. (d) provision for a prompt review and initial response to Policy 5.9: Grievances 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 Policy 5.9: Grievances his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led The youth interviewed indicated that during to the grievance. the intake and orientation process, the grievance procedure was clearly explained. (2) Provision for a staff representative approved by ☒ ☐ ☐ Policy 5.9: Grievances the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy 5.9: Grievances which includes the reasons for the decisions; ☒ ☐ ☐ A review of grievances shows that SYTF detention staff provide responses that explain the reason for decisions made. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 44 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) a system which provides that any appeal of a Policy 5.9: Grievances 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 Policy 5.9: Grievances (10) business days unless circumstances dictate a longer time frame. The youth shall be notified of Prior to leaving at the end of their shift, the any delay; and, Supervisor/OIC on duty checks the grievance lockboxes on each pod, logs the ☒ ☐ ☐ grievance in the grievance log, and assigns the grievance a tracking number. The documentation as well as interviews show that detention staff respond to grievances in a timely fashion. (h) the policy shall provide multiple internal and Policy 5.9: Grievances, IV Reporting Sexual external methods to report sexual abuse and sexual Abuse and Sexual Harassment (A) (1): harassment. “Residents who are victims of or have knowledge of sexual misconduct should ☒ ☐ ☐ immediately report the incident either verbally or in writing to a staff member (Juvenile Detention Officer, Probation Officer, supervisor, teacher, mental health therapist, psychologist, nurse, or any other adult in the building).” Whether or not associated with a grievance, concerns Policy 5.9: Grievances 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 Policy 5.8.4: Reports and Documentation A written report of all incidents which result in physical Throughout the inspection process, various harm, use of force, serious threat of physical harm, or forms of documentation were requested and death of an employee, youth or other person(s) shall be ☒ ☐ ☐ received. Shasta JRF forms provide the maintained. Such written record shall be prepared by the required fields and tracking per 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 Policy 6.4: Use of Reasonable Force to DNA SPECIMENS, SAMPLES, IMPRESSIONS Collect Specimens, Samples, and Impressions, Section I (A), General (a) Pursuant to Penal Code Section 298.1 authorized Information: law enforcement, custodial, or corrections personnel including peace officers, may employ The facility staff do not collect DNA. If ☐ ☐ ☒ reasonable force to collect blood specimens, saliva ordered by the Court, the assigned PO samples, and thumb or palm print impressions from collects the sample. Per policy, DNA individuals who are required to provide such collection is conducted in Juvenile Division offices. Therefore, this section is marked as samples, specimens or impressions pursuant to not applicable to this facility. Penal Code Section 296 and who refuse following written or oral request. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 45 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) For the purpose of this section, the “use of 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 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 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 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. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 46 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM Policy 11.1: School Programs (a) School Programs In part, Title 15 Regulation 1313, County Evaluation of Building and Grounds, states The County Board of Education shall provide for the that each juvenile facility administrator shall administration and operation of juvenile court schools in obtain a documented inspection and conjunction with the Chief Probation Officer, or designee evaluation from the county superintendent pursuant to applicable State laws. The school and facility of schools on the adequacy of educational administrators shall develop and implement written policy services and facilities as required in Section and procedures to ensure communication and 1370. SCJRF follows compliance with this coordination between educators and probation staff. regulation. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education Per Title 15, Section 1313 County Inspection and Evaluation of Building and staff should collaborate with the facility administrator to Grounds (d), the Education Program was use technology to facilitate learning and ensure safe ☒ ☐ ☐ evaluated on November 27, 2023, and technology practices. The facility administrator shall completed by, Nick Catomerisios, Sr. request an annual review of each required element of the Director Alternative Education, Butte County program by the Superintendent of Schools, and a report OE, and Janis Delgado, Principal, Butte or review checklist on compliance, deficiencies, and County OE. corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be BSCC staff interviewed the Shasta County delegated to the principal or any other staff of any Office of Education’s, Executive Director of juvenile court school site. The Superintendent of Schools Student Programs. BSCC staff also shall conduct this review in conjunction with a qualified interviewed youth detained at the facility. outside agency or individual. Upon receipt of the review, We also physically inspected the the facility administrator or designee shall review each classrooms. item with the Superintendent of Schools and shall take Youth in detention are afforded Common whatever corrective action is necessary to address each Core classroom instruction. deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Policy 11.2: Educational Program Required Elements The facility school program shall comply with the State Education Code and County Board of Education policies, In part, compliance was confirmed as part of all applicable federal education statutes and regulations the required annual, Title 15, Section 1313 and provide for an annual evaluation of the educational County Inspection and Evaluation of Building program offerings. As stated in the 2009 California and Grounds evaluation. The facility was Standards for the Teaching Profession, teachers shall evaluated on November 27, 2023, and establish and maintain learning environments that are conducted by Nick Catomerisios, Senior physically, emotionally, and intellectually safe. Youth Director Alternative Education, Butte County shall be provided a rigorous, quality educational program ☒ ☐ ☐ Office of Education; Janis Delgado, Principal, BCOE. that responds to the different learning styles and abilities of students and prepares them for high school To further confirm compliance, BSCC staff graduation, career entry, and post-secondary education. interviewed the Shasta County Office of Education, Executive Director of Student Programs, as well as youth detained at the facility. We also physically inspected classrooms. As a result, we found that the learning environment and the quality of educational programming meet the minimum standards for this regulation. All youth shall be treated equally, and the education Policy 11.2: Educational Program Required program shall be free from discriminatory action. Staff Elements ☒ ☐ ☐ shall refer to transgender, intersex and gender- nonconforming youth by their preferred name and gender. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 47 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) The course of study shall comply with the State Policy 11.2: Educational Program Required Education Code and include, but not be limited Elements to, courses required for high school graduation. ☒ ☐ ☐ The school program offers Core Curriculum via Edovo tablets which provides online coursework that enables students to work independently for hybrid learning. (2) Information and preparation for the High School Policy 11.2: Educational Program Required Equivalency Test as approved by the California Elements Department of Education shall be made ☒ ☐ ☐ available to eligible youth. The youth are allowed to work on credit recovery and provided with an opportunity to take the GED. (3) Youth shall be informed of post-secondary Policy 11.2: Educational Program Required education and vocational opportunities. Elements Students are offered concurrent post- secondary enrollment, at no cost, through a partnership with Shasta Community College. ☒ ☐ ☐ The facility is making efforts to expand the vocational program that includes virtual welders, CPR, and food handler’s certificates. BSCC staff is also aware of a pending construction project that will add vocational programming classrooms and hands-on opportunities. (4) Administration of the High School Equivalency Policy 11.2: Educational Program Required Tests as approved by the California Department ☒ ☐ ☐ Elements of Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to Policy 11.2: Educational Program Required youth who do not demonstrate sufficient Elements progress towards grade level standards. ☒ ☐ ☐ After-school tutoring programming is available to youth needing extra assistance with studies. (6) The minimum school day shall be consistent with Policy 11.2: Educational Program Required State Education Code Requirements for juvenile Elements court schools. The facility administrator, in conjunction with education staff, must ensure School instruction is daily from 8:30 a.m. to ☒ ☐ ☐ 1:30 p.m. 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 Policy 11.2: Educational Program Required regardless of classification, housing, security Elements 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). 7621 Shasta County Juv Rehab Facility JH PRO 23-24 48 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) School Discipline Policy 11.3: School Discipline (1) Positive behavior management will be Youths earn program-level points in school implemented to reduce the need for disciplinary ☒ ☐ ☐ for good behavior. action in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Policy 11.3: School Discipline decisions made by probation staff that may affect the educational programming of students. During an interview, the Shasta County ☒ ☐ ☐ Office of Education’s, Executive Director of Student Programs, expressed that Probation does well in keeping education staff advised of circumstances that may affect a student. (3) Except as otherwise provided by the State Policy 11.3: School Discipline Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due ☒ ☐ ☐ process safeguards as set forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Policy 11.3: School Discipline education staff will develop policies and procedures that address the rights of any Educational services provide supplemental student who has continuing difficulty completing assistance to youth through a school day. ☒ ☐ ☐ paraprofessionals who are in the classroom periodically during the week. The classroom teacher also provides added assistance when needed. Further, after-school tutoring programming is available to youth needing extra assistance with studies. (d) Provisions for Special Populations Policy 11.4: Education Program: Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Educational services provide supplemental suspected disabilities. This includes but is not ☒ ☐ ☐ assistance to youth through limited to child find, assessment, continuum of paraprofessionals who are in the classroom alternative placements, manifestation periodically during the week. determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Policy 11.4: Education Program: Provisions afforded an educational program that addresses for Special Populations ☒ ☐ ☐ their language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy 11.5: Educational Screening and Admission (1) Youth shall be interviewed after admittance and ☒ ☐ ☐ a record maintained that documents a youth's BSCC staff interviewed education staff, as educational history, including but not limited to: well as youth detained at the facility to assist in confirming compliance with the elements of this regulation. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 49 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) School progress/school history; ☒ ☐ ☐ Policy 11.5: Educational Screening and Admission (B) Home Language Survey and the results of Policy 11.5: Educational Screening and ☒ ☐ ☐ the State Test used for English language Admission proficiency; (C) Needs and services of special populations Policy 11.5: Educational Screening and as defined by the State Education Code, ☒ ☐ ☐ Admission including but not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ Policy 11.5: Educational Screening and Admission (2) Youth will be immediately enrolled in school. Policy 11.5: Educational Screening and Educational staff shall conduct an assessment Admission to determine the youth's general academic ☒ ☐ ☐ functioning levels to enable placement in core The Education Department employs school curriculum courses. personnel who perform the duties of the School Registrar to ensure compliance with this regulation. (3) After admission to the facility, a preliminary Policy 11.5: Educational Screening and ☒ ☐ ☐ education plan shall be developed for each Admission youth within five school days. (4) Upon enrollment, education staff shall comply Policy 11.5: Educational Screening and with the State Education Code and request the Admission youth's records from his/her prior school(s), including, but not limited to, transcripts, The Education Department employs school Individual Education Program (IEP), 504 Plan, personnel to ensure compliance with this ☒ ☐ ☐ state language assessment scores, regulation. 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 Policy 11.6: Educational Reporting, Transition and Re-Entry Planning (1) The complete facility educational record of the ☒ ☐ ☐ youth shall be forwarded to the next educational The Education Department employs school placement in accordance with the State personnel to ensure compliance with this Education Code. regulation. (2) The County Superintendent of Schools shall Policy 11.6: Educational Reporting, provide appropriate credit (full or partial) for Transition and Re-Entry Planning ☒ ☐ ☐ course work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 11.6: Educational Reporting, Transition and Re-Entry Planning (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. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 50 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Post-Secondary Education Opportunities Policy 11.7: Education Program: Access to Computing Technology and Post-Secondary (1) The school and facility administrator should, Education Opportunities. whenever possible, collaborate with local post- ☒ ☐ ☐ secondary education providers to facilitate Graduates participate in ROP/Vocational access to educational and vocational programming with Hope City. SCJRF also opportunities for youth that considers the use of has a partnership with Shasta Community technology to implement these programs. College for selected online courses. 1371 PROGRAMS, RECREATION, AND Policy 5.7.2: Programs, Recreation and EXERCISE. Exercise We reviewed three random months of program schedules showing programs The facility administrator shall develop and implement written policies and procedures for programs, ☒ ☐ ☐ provided and individual youth participation. We commend the SCJRF for the array of recreation, and exercise for all youth. The intent is to pro-social programming offered to youth minimize the amount of time youth are in their rooms or detained at the facility. their bed area. The facility’s policy and procedure are applicable to the elements of this regulation, as required. Juvenile facilities shall provide the opportunity for Policy 5.7.2: Programs, Recreation and programs, recreation, and exercise a minimum of three Exercise hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which In review of activity logs and interviews with youth, SCJRF follows compliance with the one hour shall be an outdoor activity, weather Title 15 minimum standards for this permitting. regulation. A youth’s participation in programs, recreation, and Policy 5.7.2: Programs, Recreation and exercise may be suspended only upon a written finding Exercise ☒ ☐ ☐ 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 Policy 5.7.2: Programs, Recreation and be posted in the living units. Exercise ☒ ☐ ☐ While conducting a physical inspection of the facility, we observed the programming schedules posted on the living Pods. There will be a written annual review of the programs, Policy 5.7.2: Programs, Recreation and recreation, and exercise by the responsible agency to Exercise ensure content offered is current, consistent, and relevant to the population. A letter provided by Division Director, Carla Stevens, and dated February 28, 2023, ☒ ☐ ☐ provided confirmation that an annual review of the programs, recreation, and exercise was conducted to ensure content offered is current, consistent, and relevant to the population. In addition, BSCC staff reviewed cover letters from program providers highlighting programs offered. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 51 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Programs. All youth shall be provided with the Policy 5.7.2: Programs, Recreation, and opportunity for at least one hour of daily Exercise programming to include, but not be limited to, trauma Policy 5.7.4, Social Awareness, Policy focused, cognitive, evidence-based, best practice Statement interventions that are culturally relevant and BSCC staff requested and reviewed the linguistically appropriate, or pro-social interventions program’s Exercise and Recreation policy and activities designed to reduce recidivism. These and procedure, logs, and pertinent programs should be based on the youth’s individual documentation for the months of July, needs as required by Sections 1355 and 1356. Such August, and September 2023. programs may be provided under the direction of the Chief Probation Officer or the County Office of SCJRF offers many programming options to Education and can be administered by county youth. Victor Community Support Services partners such as mental health agencies, community (VCSS) and Hope City have both contributed ☒ ☐ ☐ based organizations, faith-based organizations or significantly to the facility’s programming. Probation staff. VCSS has been collaborating with the facility for over 5 years. VCSS is onsite 5 days per Programs may include but are not limited to: week while facilitating ART groups, conducting Individual Log Behavior Training, and other mentoring. BSCC staff found it impressive that all JDO staff are being trained in Forward Thinking Programming. Forward Thinking Journal Series is a cognitive-behavioral series that uses evidence-based strategies to assist youth involved in the criminal justice system in making positive changes to their thoughts, feelings and behaviors. (1) Cognitive Behavior Interventions; Policy 5.7.2: Programs, Recreation, and (2) Management of Stress and Trauma; Exercise (3) Anger Management; (4) Conflict Resolution; We interviewed youth housed at the facility, (5) Juvenile Justice System; detention staff, and outside providers, and (6) Trauma-related interventions; reviewed programming documentation. (7) Victim Awareness; Programs are facilitated by staff and (8) Self-Improvement; volunteers, including, but not limited to: (9) Parenting Skills and support; (10) Tolerance and Diversity; • Forward Leap (11) Healing Informed Approaches; • Individual Therapy (12) Interventions by Credible Messengers; • Cognitive Behavior Therapy (13) Gender Specific Programming; • Smart Addiction (14) Art, creative writing, or self-expression; ☒ ☐ ☐ • Forward Thinking (15) CPR and First Aid training; • NA/AA (16) Restorative Justice or Civic Engagement; • Religion (17) Career and leadership opportunities; and, • Baking and Culinary (18) Other topics suitable to the youth population. • Book Club • Grow • ROP Kitchen Help • Victor Community Support Services (VCSS) - Aggression Replacement Therapy ART, Individual Cognitive Behavioral Therapy (ICBT) • Hope City- Mentoring, counseling, anger management, life skills, etc. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 52 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Recreation. All youth shall be provided the Policy 5.7.2: Programs, Recreation and opportunity for at least one hour of daily access to Exercise unscheduled activities such as leisure reading, letter ☒ ☐ ☐ writing, and entertainment. Activities shall be BSCC staff concluded that the facility meets compliance with Title 15 minimum standards supervised and include orientation and may include for this regulation. coaching of youth. (c) Exercise. All youth shall be provided with the Policy 5.7.2: Programs, Recreation and opportunity for at least one hour of large muscle Exercise activity each day. ☒ ☐ ☐ After a review of program activity logs, and interviews with youth housed at the facility and detention staff, Shasta County JRF complies with this regulation. The administrator/manager may suspend, for a period Policy 5.7.3: Access to Religious not to exceed 24 hours, access to recreation and Programming programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy 5.7.3: Access to Religious Programming The facility administrator shall provide access to religious services and/or religious counseling at least Services are provided by Christian Science, once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ Bethel Church, Shasta Baptist, and Forward shall be allowed to participate in an activity outside of Leap. their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy 5.7.3: Access to Religious Programming Through interviews with youth housed at the ☒ ☐ ☐ facility and a review of the programming schedules, we were able to determine that Shasta County JRF meets compliance with the Title 15 minimum standards for this regulation. (b) availability of clergy; and, Policy 5.7.3: Access to Religious ☒ ☐ ☐ Programming (c) availability of religious diets. Policy 5.7.8: Work Program Facility ROP Food Service program provides an opportunity for youth to learn culinary skills and involvement with community ☒ ☐ ☐ outreach projects. As well, The Gardening, Responsibility, and Ownership of Self and Community Wellbeing (GROW) program is a gardening project that teaches youth a healthy lifestyle by focusing on practical gardening, farming, and social skills. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 53 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy 5.7.8 Work Program The facility administrator shall develop policies and BSCC observed that, as stated in the policy, procedures regarding the fair and consistent assignment work assignments are fair, consistent, of youth to work programs. Work assigned to a youth ☒ ☐ ☐ meaningful, constructive, and related to shall be meaningful, constructive and related to vocational training or increase the resident’s vocational training or increasing a youth's sense of sense of responsibility. Work assignments responsibility. Work programs shall not be imposed as a are available on each Pod and or in secure disciplinary measure areas of the facility and outdoor recreation areas. 1374 VISITING Policy 5.6: Visiting Procedures The facility administrator shall develop and implement BSCC staff reviewed visiting policy and written policies and procedures for visiting, that include procedure, visiting schedules, and logs for provisions for special visits. Youth shall be allowed to July, August, and September 2023. We also receive visits by parents, guardians or persons standing interviewed youth and detention staff. ☒ ☐ ☐ in loco parentis, and children of youth. Other family Based on information received and members, such as grandparents and siblings, and interviews, BSCC staff conclude that supportive adults, may be allowed to visit with the SCJRF complies with this regulation. 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 Policy 5.6: Visiting Procedures the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s Visiting times are as follows: criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ • Saturday: 10:15 am to 11:15 am and 12:15 pm to 1:15 pm the safety of youth or staff in the facility. Any denial of • Sundays: 10:15 am to 11:15 am visitation or limitation on visitations shall be and 12:15 pm to 1:15 pm communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy 5.7.7: Counseling and Casework per week. Visits may be supervised, but conversations Services shall not be monitored unless there is a security or safety Policy 5.11.2: Access to Mental Health need. Services ☒ ☐ ☐ A review of visiting logs and interviews with youth confirm that SCJRF ensures youth have an opportunity to have visitation for a minimum of two hours per week. Provisions for special visits, in addition to the two-hour Policy 5.6: Visiting Procedures minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the The facility is especially flexible with visiting discretion of the facility administrator or designee. Family ☒ ☐ ☐ for out-of-county youth. 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 Policy 5.4.10: Resident Mail alternative, but not as a replacement, to in-person ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE Policy 5.4.10: Resident Mail The facility administrator shall develop and implement ☒ ☐ ☐ There is no limit to the amount of mail youth written policies and procedures for correspondence may send or receive. which provide that: 7621 Shasta County Juv Rehab Facility JH PRO 23-24 54 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) there is no limitation on the volume of mail that youth Policy 5.4.10: Resident Mail may send or receive; ☒ ☐ ☐ (b) youth may send two letters per week postage free; ☒ ☐ ☐ Policy 5.4.10: Resident Mail (c) youth may correspond confidentially with state and Policy 5.4.10: Resident Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy 5.4.10: Resident Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and We interviewed youth and detention staff to security, public safety, or youth safety is jeopardized. ☒ ☐ ☐ determine that SCJRF complies with this regulation. 1376 TELEPHONE ACCESS Policy 5.4.9: Resident Access to Telephone The administrator of each juvenile facility shall develop Appropriate telephone numbers will be and implement written policies and procedures to provide programmed into the Telephone Call youth with access to telephone communications. ☒ ☐ ☐ System as approved by the youth’s Probation Officer and youth may call only these numbers. Youth may make one call a week free and can earn and purchase additional calls as part of the Behavior Management System for positive behavior. 1377 ACCESS TO LEGAL SERVICES Policy 5.11.4: Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ BSCC staff interviewed youth and detention procedures to ensure the right of youth to have access to supervisory staff to determine that SCJRF meets minimum standards for this regulation. the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed Policy 5.11.4: Access to Legal Services attorneys and their authorized representatives; ☒ ☐ ☐ (b) provision for confidential consultation with Policy 5.11.4: Access to Legal Services attorneys; and, ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Policy 5.11.4: Access to Legal Services cost-free telephone access as appropriate. ☒ ☐ ☐ 1390 DISCIPLINE Policy 5.8.3: Discipline The facility administrator shall develop and implement In addition to policy and procedure, BSCC written policies and procedures for the discipline of youth staff reviewed the 10 most recent discipline that shall promote acceptable behavior; including the use examples with the corresponding of positive behavior interventions and supports. ☒ ☐ ☐ documentation showing the due process Discipline shall be imposed at the least restrictive level efforts and the appeal process. We also which promotes the desired behavior and shall not interviewed youth housed at the facility and include corporal punishment, group punishment, detention staff. physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Policy 5.8.3: Discipline 7621 Shasta County Juv Rehab Facility JH PRO 23-24 55 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) daily shower, access to drinking fountain, toilet and Policy 5.8.3: Discipline personal hygiene items, and clean clothing; BSCC staff interviewed youth housed at the ☒ ☐ ☐ facility and detention staff and reviewed documentation to determine that the facility complies with the Title 15 minimum standards for this regulation. (c) full nutrition; ☒ ☐ ☐ Policy 5.8.3: Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Policy 5.8.3: Discipline (e) exercise; Policy 5.8.3: Discipline BSCC staff interviewed youth housed at the ☒ ☐ ☐ facility and detention staff and reviewed documentation to determine that the facility complies with the Title 15 minimum standards for this regulation. (f) medical services and counseling; Policy 5.8.3: Discipline To aid in confirming compliance, BSCC staff ☒ ☐ ☐ interviewed youth, medical staff, and behavioral health staff in addition to reviewing documentation. (g) religious services; ☒ ☐ ☐ Policy 5.8.3: Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Policy 5.8.3: Discipline (i) the right to send and receive mail; Policy 5.8.3: Discipline ☒ ☐ ☐ The youth handbook identifies youth rights and provides guidance if needed. (j) education; and, Policy 5.8.3: Discipline ☒ ☐ ☐ To aid in confirming compliance, BSCC staff interviewed youth and education service staff. (k) rehabilitative programming. Policy 5.8.3: Discipline ☒ ☐ ☐ BSCC reviewed programming logs to ensure programming requirements were being met for all youth regardless of disciplinary status. The facility administrator shall establish rules of conduct Policy 5.8.3: Discipline and disciplinary penalties to guide the conduct of youth. Policy 5.8.2: Facility Rules Such rules and penalties shall include both major Policy 5.8.1 Behavior Management System violations and minor violations, be stated simply and To confirm compliance, BSCC staff affirmatively, and be made available to all youth. Provision shall be made to provide accessible ☒ ☐ ☐ interviewed youth and detention staff, and reviewed documents that show proof of information to youth with disabilities, limited English practice of disciplinary actions including both proficiency, or limited literacy. minor and major rule violations. We also physically inspected the housing Pods where we observed the major and minor rules posted on the walls. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 56 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1391 DISCIPLINE PROCESS Policy 5.8.3: Discipline Policy 5.8.2: Facility Rules The facility administrator shall develop and implement Policy 5.8.1 Behavior Management System written policies and procedures for the administration of Policy 5.8.5: Due Process discipline which shall include, but not be limited to: ☒ ☐ ☐ In addition to reviewing policy and procedure, BSCC staff reviewed the 10 most recent discipline examples with the corresponding documentation showing the Due Process efforts and the Appeal process. We also interviewed youth housed at the facility and detention staff. (a) designation of personnel authorized to impose Policy 5.8.3: Discipline ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; Policy 5.8.3: Discipline ☒ ☐ ☐ (c) definition of major and minor rule violations and Policy 5.8.2: Facility Rules their consequences, and due process Policy 5.8.5: Due Process requirements; This policy articulates that during the orientation process the minor and major rule violations, as well as sanctions and due process requirements are explained to each ☒ ☐ ☐ youth. BSCC staff also interviewed youth and observed that the rules were posted on Pods available to youth to review. This information is also available in the Youth handbook. (d) trauma-informed approaches and positive behavior Policy 5.8.3: Discipline interventions; Policy 5.8.1 Behavior Management System The agency’s policies and procedures ensure that detention staff makes use of training that ensures developmentally appropriate, trauma-informed approaches to working with youths while implementing positive behavior intervention. ☒ ☐ ☐ Within the Discipline Policy 5.8.3, BSCC staff observed the Alternative Program (AP). Per policy, “Residents on AP will receive all required daily programming, however, will be separated from all other residents”. Although a youth is placed on AP as a result of disciplinary issues, BSCC staff encouraged the facility to move or add, 5.3.6.1, Separation, to their policy. (e) minor rule violations may be handled informally by Policy 5.8.3: Discipline counseling, advising the youth of expected conduct Policy 5.8.5: Due Process imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, 7621 Shasta County Juv Rehab Facility JH PRO 23-24 57 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) major rule violations and the discipline process Policy 5.8.5: Due Process shall be documented and require the following: Youth are oriented and understand that ☒ ☐ ☐ major rule violations are violations that directly affect the safety and security of the facility and/or disrupt the normal operation of the facility and programming. (1) written notice of violation prior to a hearing; Policy 5.8.5: Due Process BSCC staff reviewed the policy, reviewed due process reports, interviewed youth ☒ ☐ ☐ housed at the facility, and interviewed detention staff. Our findings confirmed that SCJRF complies with Title 15 minimum standards. (2) accommodations provided to youth with Policy 5.8.5: Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Policy 5.8.5: Due Process ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy 5.8.5: Due Process evidence and testimony; BSCC staff requested to review the 10 most recent discipline (W/Due process) examples. We also interviewed youth housed at the ☒ ☐ ☐ facility and detention staff. The facility does well in documenting that youth are, in a timely manner, provided the opportunity to appeal a discipline being imposed. (5) provision for youth to be assisted by staff in the Policy 5.8.5: Due Process ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Policy 5.8.5: Due Process (g) violations that result in a removal from camp or Does not apply to the JRF. The Shasta commitment program, but not a return to court, will County Juvenile Rehabilitation Facility is not ☒ ☐ ☐ follow the due process provisions in subsection (e) a commitment program or a Camp. above. 1410 MANAGEMENT OF COMMUNICABLE Policy 10.11 Management of Communicable DISEASES. Diseases. The health administrator/responsible physician, in This policy articulates all facets of this section of the regulation including, but not cooperation with the facility administrator and the local limited to, the scope; prevention; limiting the health officer, shall develop written policies and Spread (including the testing of youth); and procedures to address the identification, treatment, ☒ ☐ ☐ maintaining the well-being of youth. control and follow-up management of communicable diseases. The policies and procedures shall address, To aid in confirming compliance with Title 15 but not be limited to: minimum standards for this regulation, BSCC staff reviewed the annual Medical / Mental, Nutrition, and Environmental Health evaluations by qualified evaluators. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 58 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Intake health screening procedures; Policy 10.11 Management of Communicable Diseases, (1) A complete health appraisal will be conducted by Health Services staff on all ☒ ☐ ☐ new intakes within 96 hours (excluding holidays) of their admission into detention. BSCC staff interviewed medical personnel to help confirm compliance with the Title 15 minimum standards for this regulation. (b) Identification of relevant symptoms; Policy 10.11 Management of Communicable ☒ ☐ ☐ Diseases, (2) (c) Referral for medical evaluation; Policy 10.11 Management of Communicable Diseases, (3) ☒ ☐ ☐ This policy includes referral for Medical Evaluation. (d) Treatment responsibilities during detention; Policy 10.11 Management of Communicable Diseases, (4) ☒ ☐ ☐ This operational protocol outlines the treatment responsibilities of medical staff, facility staff, and youth. (e) Coordination with public and private community- Policy 10.11 Management of Communicable based resources for follow-up treatment; Diseases, (5) ☒ ☐ ☐ To aid in confirming compliance with Title 15 minimum standards for this regulation, BSCC staff interviewed medical and behavioral health personnel. (f) Applicable reporting requirements; and, Policy 10.11 Management of Communicable Diseases, (6) ☒ ☐ ☐ This includes reporting any communicable disease to the Shasta County Public Health Department according to federal, state, and local laws and regulations. (g) Strategies for handling disease outbreaks. Policy 10.11 Management of Communicable Diseases, (7) To aid in confirming compliance with Title 15 minimum standards, BSCC staff reviewed the annual Medical/Mental, Nutrition, and ☒ ☐ ☐ Environmental Health evaluations by qualified evaluators. BSCC staff also interviewed medical personnel to help determine that SCJRF meets the minimum requirements for this regulation. The policies and procedures shall be updated as Policy 10.11 Management of Communicable necessary to reflect communicable disease priorities Diseases, II update Policies ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 59 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Policy 5.11.1 Access to Medical Services (EXCERPT) SCJRF has transitioned from contracting The health administrator, in cooperation with the facility with Well Path for medical services for youth to contracting with Shasta Community Health administrator, shall develop policy and procedures to Services. establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and The regulation requires that youth shall be behavioral/mental health care services. provided the opportunity to confidentially convey. either through written or verbal communications, or a request for medical, ☒ ☐ ☐ dental, or behavioral/mental health services. During the orientation process, information regarding access to medical services is explained in detail to all youth. It appears that youth commonly choose to hand mental health request slips to detention staff. BSCC reminded the agency to ensure youths are aware that the same request process, with the confidential option, applies to requests for Mental Health services. 1480 STANDARD FACILTY CLOTHING ISSUE 5.4.7 Clothing and Bedding Exchange The youth’s personal clothing, undergarments and BSCC staff reviewed the inventory and footwear may be substituted for the institutional clothing ☒ ☐ ☐ laundry schedules for the facility. and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily 5.2.3 Resident Dress Code, I laundered, in good repair, and free of holes and 5.4.7 Clothing and Bedding Exchange tears. ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (b) The standard issue of climatically suitable clothing 5.2.3 Resident Dress Code, I for youth shall consist of but not be limited to: ☒ ☐ ☐ 5.4.7 Clothing and Bedding Exchange (1) Socks and serviceable footwear; 5.2.3 Resident Dress Code, I ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (2) Outer garments; ☒ ☐ ☐ 5.2.3 Resident Dress Code, I (3) New non-disposable underwear which shall 5.2.3 Resident Dress Code, I remain with the youth throughout their stay, and; ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (4) Undergarments, that are freshly laundered and 5.2.3 Resident Dress Code, I free of stains, including tee shirts and bras. ☒ ☐ ☐ In addition to reviewing SCJRF policies and procedures, we interviewed youth and staff to determine compliance. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 60 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Clothing is laundered at the temperature required 5.8.4 Laundry Operations by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other To aid in confirming compliance with Title 15 laundry method approved by the local health officer. minimum standards, BSCC staff reviewed ☒ ☐ ☐ the annual Medical/Mental, Nutrition, and Environmental Health evaluations by qualified evaluators. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ 5.2.3 Resident Dress Code, I 1482 CLOTHING EXCHANGE 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement The facility assigns youth their own laundry written policies and site-specific procedures for the bag to ensure they receive their own clothing back after being laundered. cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ BSCC staff interviewed youth and reviewed frequent exchange, outer garments, except for documentation to determine that the facility footwear, shall be exchanged at least once each week. meets compliance with the Title 15 minimum Tee shirts, bras, and underwear shall be exchanged standards for this regulation. daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S 5.8.4 Laundry Operations PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility ☒ ☐ ☐ administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS 5.4.5 Resident Hygiene There shall be written policies and site-specific In addition to reviewing SCJRF policies and procedures developed and implemented by the facility procedures, we interviewed youth and staff to determine that SCJRF complies with this administrator for the availability of personal hygiene ☒ ☐ ☐ regulation items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ 5.4.5 Resident Hygiene (b) Toothpaste; ☒ ☐ ☐ 5.4.5 Resident Hygiene (c) Soap; ☒ ☐ ☐ 5.4.5 Resident Hygiene (d) Comb; ☒ ☐ ☐ 5.4.5 Resident Hygiene (e) Shaving implements; ☒ ☐ ☐ 5.4.5 Resident Hygiene (f) Deodorant; ☒ ☐ ☐ 5.4.5 Resident Hygiene (g) Lotion; ☒ ☐ ☐ 5.4.5 Resident Hygiene (h) Shampoo; and, ☒ ☐ ☐ 5.4.5 Resident Hygiene (i) Post-shower conditioning hair products. ☒ ☐ ☐ 5.4.5 Resident Hygiene 7621 Shasta County Juv Rehab Facility JH PRO 23-24 61 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Youth shall not be required to share any personal care 5.4.5 Resident Hygiene items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. The facility assigns youth their own laundry Youth shall not share disposable razors. Double edged bag to ensure they receive their own clothing back after being laundered. safety razors, electric razors, and other shaving instruments capable of breaking the skin, when shared ☒ ☐ ☐ All elements of this regulation are in the among youth, shall be disinfected between individual referenced policy. uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, BSCC staff interviewed youth and reviewed Chapter 9, Title 16, California Code of Regulations. documentation to determine that the facility meets compliance with this regulation. 1486 PERSONAL HYGIENE 5.4.5 Resident Hygiene There shall be written policies and site specific All elements of this regulation are in the procedures developed and implemented by the facility referenced policy. administrator for showering/bathing and brushing of ☒ ☐ ☐ BSCC staff interviewed youth and reviewed teeth. Youth shall be permitted to shower/bathe up on documentation to determine that the facility assignment to a housing unit and on a daily basis meets compliance with this regulation. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING 5.4.5 Resident Hygiene Youth shall have access to a razor daily, unless their In addition to reviewing SCJRF policies and appearance must be maintained for reasons of procedures, we interviewed youth and staff to determine that SCJRF meets minimum identification in Court. All youth shall have equal ☒ ☐ ☐ standards for this regulation opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) 5.4.5 Resident Hygiene Hair care services shall be available in all juvenile In addition to reviewing SCJRF policies and facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ procedures, we interviewed youth and staff to determine that SCJRF meets minimum Equipment shall be cleaned and disinfected after each standards for this regulation haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE 5.4.7 Clothing and Bedding Exchange Clean laundered, suitable bedding and linens, in good In addition to reviewing SCJRF policies and ☒ ☐ ☐ repair, shall be provided for each youth entering a living procedures, we interviewed youth and staff to determine that SCJRF meets minimum area who is expected to remain overnight, shall include, standards for this regulation but not be limited to: (a) One mattress or mattress-pillow combination which 5.4.7 Clothing and Bedding Exchange meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ (d) One towel; and, 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ (e) One blanket or more, up on request 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ 7621 Shasta County Juv Rehab Facility JH PRO 23-24 62 J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1501 BEDDING LINEN EXCHANGE 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement In addition to reviewing SCJRF policies and site specific written policies and procedures for the procedures, we interviewed youth and staff to determine that SCJRF meets minimum scheduled exchange of laundered bedding and linen ☒ ☐ ☐ standards for this regulation issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND 5.4.6 Facility Cleaning, Safety, and MAINTENANCE Maintenance The facility administrator shall develop and implement written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7621 Shasta County Juv Rehab Facility JH PRO 23-24 63 J453 JUV PRO-Eff. 01-01-2019 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 Allocation Eligibility Form are being provided at the ☒ ☐ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 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 ☐ ☐Violation ☒ Section 300 of the Welfare and Institutions Code (WIC) 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 ☐ ☐Violation ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Federal Minors (ICE Holds or ORR Contract) are held ☐ ☐ ☒ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☐ ☒ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☒ ☐Violation ☐ separated from minors. Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐ ☐Violation ☒ facility in a manner that allows contact with minors. 7621 Shasta County Juv Rehab Facility JH PRO 23-24 64 J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State & Community Corrections Inspection BSCC Code: 7621 FACILITY: Shasta County Juv Rehab Facility (JRF) TYPE: JH RC: 52 FIELD REPRESENTATIVE: Forrest Coleman DATE: September 29, 2023 ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S Booking 208 Holding 2009 1 (4) 92.5 Sq. Ft. 1 1 1 1 209 Holding 2009 1 (4) 92.5 Sq. Ft. 1 1 1 207 Sobering 2009 1 N/R 92.5 Sq. Ft. 1 1 1 210 Safety 2009 1 (1) 75.89 Sq. Ft. Room Medical Unit 1 Exam 2009 1 145 Sq. Ft. 2 Exam 2009 1 145 Sq. Ft. 3 Interview 2009 1 Pod 700 - River’s Edge Academy (Rated bed capacity does not count in SCJRF’s total rated bed capacity). Double 2009 14 2 2 28 114 Sq. Ft. 1 1 1 5 Single 2009 1 1 1 1 84 Sq. Ft. 1 1 1 ADA 2009 1 1 1 1 84.7 Sq. Ft. 1 1 1 Class 1 Room 2009 17 651 Sq. Ft. Class 2 Room 2009 15 595 Sq. Ft. Pod 800 - Shasta JRF Double 2009 14 2 2 28 114 Sq. Ft. 1 1 1 5 Single 2009 1 1 1 1 84 Sq. Ft. 1 1 1 ADA 2009 1 1 1 1 84.7 Sq. Ft. 1 1 1 Class 1 Room 2009 17 651 Sq. Ft. Class 2 Room 2009 15 595 Sq. Ft. Pod 900 - 22 Detention Beds (SYTF- 8 out of the 30 rated beds are assigned to SYTF youth). Double 2009 14 2 2 28 114 Sq. Ft. 1 1 1 Single 2009 2 1 1 1 84 Sq. Ft. 1 1 1 ADA 2009 1 1 1 1 84.7 Sq. Ft. 1 1 1 Class 1 Room 2009 17 651 Sq. Ft. Class 2 Room 2009 15 595 Sq. Ft. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7621 Shasta County Juv Rehab Facility JH LASE 23-24 J360 LAS Juv. 09.dot (8/09) Historical Notes: Booking: Bathroom – Toilet should secure a plate between the wall and toilet fixture to close potential hanging opportunity (done per email with pics). Door does not have a visual panel and per policy will require controlled access with close supervision Handicapped Shower -. Safety room window panels 4” x 28” = 112 Sq. In. Benches 72” in holding cells; Sobering cell is non-rated (N/R) due to a lack of seating and no operational regulations. Medical Unit: Includes: Locked pharmaceutical room that contains lockable cabinets. Support space includes a medical records room and medical supplies rooms, plus, clinician offices. There is also a patient bathroom with a toilet and washbasin. Unit 700, Unit 800, and Unit 900: Notes: The Dayroom is 2489 Sq. Ft. Seating: 5 tables with 6 seats per table for a total of 30. Concert Bed Platforms are 30” x 80”. 2014-2016 Evaluated full facility for LASE 2014/2016 LASE =90 2016-2018 Evaluated full facility for LASE 2016/2018 LASE =90 Classrooms recalculated due to error found: Classroom 1 may accommodate 17 youth; Classroom 2 may accommodate 15. 2018-2020: No change. Virtual inspection-no full review. 2020-2022: -30 beds to Unit 700 for Rivers Edge Academy Camp Beds. 2023- 2024: -8 out of the 30 rated beds in Unit 900 are assigned to SYTF. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7621 Shasta County Juv Rehab Facility JH LASE 23-24 J360 LAS Juv. 09.dot (8/09) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7622 FACILITY NAME: Rivers Edge Academy (REA) FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Division Director, Carla Stevens; SJDO, Danielle Goodwine (Kitchen Supervisor); JDO III, Justin Whitmore; Therapist, Brianne Fulton; RN, Tiffany Nelson; Executive Director of Student Programs, Carie Webb; Teacher, Anders Bonit; Victor Community Support Services, Mike Smith; 2 Male Youth; random youth T FIELD REPRESENTATIVE: Forrest Coleman DATE: September 26th through 29th, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION The Rivers Edge Academy (REA) is a OF BUILDING AND GROUNDS camp commitment program facility. It exists within the Shasta County Juvenile On an annual basis, or as otherwise required by law, Rehabilitation Facility complex with the each juvenile facility administrator shall obtain a Shasta Secure Youth Treatment Facility documented inspection and evaluation from the (SSYTF) and the Shasta County Juvenile following: Rehabilitation Facility (SCJRF). All annual inspections and evaluations conducted at the SCJRF, pursuant to Title 15 regulations, apply to the REA and the SSYTF facilities. This inspection was conducted over 10 months into the first year of the 2023-2024 inspection cycle. Therefore, BSCC staff requested that Rivers Edge Academy, in conjunction with the Shasta County Juvenile Rehabilitation Facility (SCJRF) provide all "County Inspections and Evaluation of Grounds" inspection reports that occurred within a year of the current inspection date. In addition, BSCC requested dates of pending annual reports that shall occur following the BSCC inspection up to December 31, 2023. County inspections and evaluation of grounds were performed by authorized persons and agencies per Title 15 Regulation. (A) County building inspection by agency designated by 2023: the Board of Supervisors to approve building safety; ☐ Completed on February 21, 2023, and ☒ ☐ completed by Tom Fuller, Department of Public Works. 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. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) Fire authority having jurisdiction, including a fire Policy 9.2.7: Fire Safety Plan and clearance as required by Health and Safety Code Emergency Procedures Section 13146.1 (a) and (b); ☐ ☐ ☒ 2023: Completed on March 29, 2023, and conducted by Keith Hard, Department of Forestry and Fire Protection. (C) Local health officer, inspection in accordance with 2023: Health and Safety Code Section 101045; Medical Mental Health: Completed on November 6, 2023, and conducted by Zack Hale, LVN, TJ Carvajal, Public Health Nurse and Don Austri. ☐ ☐ Nutrition: Completed on December 20, ☒ 2023, and conducted by Mary Messier, RD, Public Health Nutritionist. Environmental Health: Completed on October 11, 2023, and conducted by Nathan Moore, Senior Environmental Health Specialist. (D) County superintendent of schools on the adequacy Education for the Shasta County Rivers of educational services and facilities as required in Edge Academy (REA) is provided by the Section 1370; Shasta County Office of Education. ☐ ☐ 2023: ☒ Completed on November 27, 2023, and conducted by Nick Catomerisios, Senior Director Alternative Education, Butte County Office of Education; Janis Delgado, Principal, BCOE. (E) Juvenile court as required by Section 209 of the Welfare and Institutions Code 2023: Completed on September 22, 2023, and ☐ ☐ conducted by Molly Biglow, Presiding Judge. ☒ There were no areas of noncompliance discovered during the Juvenile Court inspection. (F) Juvenile Justice Commission as required by Section 2023: 229 of the Welfare and Institutions Code or Probation Completed on October 10, 2023, conducted Commission as required by Section 240 of the by Commissioner Troy Foster and members Welfare and Institutions Code. of the Shasta County Juvenile Justice ☐ ☐ Commissioner, and presiding Judge Molly ☒ Bigelow. There were no areas of noncompliance discovered during the Juvenile Justice Commission inspections. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS An Appointment and Qualification Letter, BSCC Note: Compliance with this section is dated September 14, 2023, was received determined by receipt of the Chief Probation Officer’s from Chief Probation Officer (CPO) Tracie certification letter confirming that all elements of Neal certifying all appointments of Shasta probation staff are pursuant to the applicable regulation are met. laws including minimum standards from (a) Appointment BSCC, Penal Code 6035. Further, all staff In each juvenile facility there shall be a superintendent, who are present at the facility meet all director or facility manager in charge of its program and required qualifications and clearances including contract personnel, volunteers, employees. Such superintendent, director, facility manager and other employees of the facility shall be ☒ ☐ ☐ and other non-employees. appointed by the facility administrator pursuant to The Rivers Edge Academy (REA) camp applicable provisions of law. facility and the Shasta Secure Youth Treatment Facility (SSYTF)are facilities within the Shasta County Juvenile Rehabilitation Facility (SCJRF) complex. The JDO staff for all three facilities are cross-trained. All appointments and qualifications for SCJRF detention staff, pursuant to Title 15 regulations, also apply to the SSYTF and REA staff. (b) Employee Qualifications ☒ ☐ ☐ Each facility shall: (1) recruit and hire employees who possess The elements of this regulation are knowledge, skills and abilities appropriate to confirmed in the CPO Appointment and ☒ ☐ ☐ their job classification and duties in accordance Qualification Letter on September 14, 2023. with applicable civil service or merit system rules; (2) require a medical evaluation and physical The elements of this regulation are examination including tuberculosis screening confirmed in the CPO Appointment and ☒ ☐ ☐ test and evaluation for immunity to contagious Qualification Letter on September 14, 2023. illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the The elements of this regulation are selection and training requirements adopted by confirmed in the CPO Appointment and the Board pursuant to Section 6035 of the Penal Qualification Letter on September 14, Code; and 2023. ☒ ☐ ☐ The Board of State and Community Corrections, Standard and Training for Corrections (STC), Division reports that the Shasta County Probation Department follows Title 15 regulatory training requirements. (4) conduct a criminal records review, on each new The elements of this regulation are employee, and psychological examination in ☒ ☐ ☐ confirmed in the CPO Appointment and accordance with Section 1031 et seq. of the Qualification Letter on September 14, 2023. Government Code. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Contract personnel, volunteers, and other non- Probation completes all clearances for all employees of the facility, who may be present at the non-probation staff per Policy 13.1, facility, shall have such clearance and qualifications Volunteer Vendor and Support Staff as may be required by law, and their presence at the Orientation facility shall be subject to the approval and control of ☒ ☐ ☐ Volunteers and vendors must also complete the facility manager. a Shasta County-approved facility orientation. The Education Department provides independent training for education staff. 1321 STAFFING Policy 3.1.0 Staffing Standards Each juvenile facility shall: The policy identifies all expectations and responsibilities of the Title 15 Regulation minimum standards. The Rivers Edge Academy (REA) is a facility within the Shasta County Juvenile Rehabilitation Facility (SCJRF) complex. ☒ ☐ ☐ The detention staff for both facilities are cross-trained. Cross-training the staff provides an opportunity to utilize staff from either facility if needed. In addition, detention staff from the Shasta Secure Youth Treatment Facility (SSYTF) are also cross trained to assist if staffing assistance is needed at REA. a) have an adequate number of personnel sufficient to Policy 3.1.0 Staffing Standards, Section II carry out the overall facility operation and its (A) programming, to provide for safety and security of youth and staff, and meet established standards and The facility director ensures that each shift is regulations; staffed with enough youth supervision staff to guarantee that no required services are denied to a youth. ☒ ☐ ☐ BSCC staff reviewed the above policies and procedures, as well as the agency’s Organization Chart, random weekly staff schedule, and daily unit schedule covering two consecutive weeks in July, August, and September of 2023. In addition, we made personal observations. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) ensure that no required services shall be denied Policy 3.1.0 Staffing Standards because of insufficient numbers of staff on duty Rivers Edge Academy (REA) is a Camp absent exigent circumstances; commitment facility within the SCJRF juvenile hall complex. Both facility’s staff are cross trained by policies that are aligned with the same expectations. When needed Juvenile Detention Officer (JDO) staff and or supervisors may be deployed to work in either location. At the time of the inspection the Shasta ☒ ☐ ☐ County’s Rivers Edge Academy staffing, in conjunction with the Juvenile Rehabilitation Facility, consisted of: • 1 Division Director / Superintendent • 3 Supervising Probation Officers • 5 Supervising Juvenile Detention Officers • (1 REA) • 35 Juvenile Detention Officers (approximately nine for extra help) c) have a sufficient number of supervisory level staff to Policy 3.1.0 Staffing Standards, Section I ensure adequate supervision of all staff members; (A)(1) Per policy, the facility Director or designee is responsible for ensuring that each shift has enough supervisory-level staff to provide adequate supervision over all JDO staff members. Through our review of the above policy, visual observations, a review of work schedules for July, August, and September 2023, as well as a review of the unit programming documentation, ☒ ☐ ☐ BSCC staff determined that REA regularly ensures that the staffing levels are adequate. Section (A)(2), In the absence of a supervisory level staff, an Officer in Charge (OIC) shall be designated who shall meet the requirements outlined supervisory level staff. BSCC observed that a Supervising Juvenile Detention Officers (SJDO) or, in the absence of the JDO, a JDO III/Officer in Charge (OIC) is always on-site in the facility. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS d) have a clearly identified person on duty at all times Policy 3.1.0 Staffing Standards who is responsible for operations and activities and Section (A)(2), In the absence of a has completed the Juvenile Corrections Officer Core supervisory level staff, an Officer in Course and PC 832 training; Charge (OIC) shall be designated who shall meet the requirements outlined ☒ ☐ ☐ supervisory level staff. BSCC observed that a Supervising Juvenile Detention Officers (SJDO) or, in the absence of the JDO, a JDO III/Officer in Charge (OIC) is always on-site in the facility. e) have at least one staff member present on each Policy 3.1.0 Staffing Standards living unit whenever there are youth in the living unit; Through personal observations, as well as through interviews with staff and youth ☒ ☐ ☐ housed at the facility, REA regularly ensures that there is always a staff present in the unit or where a youth is present. Youth are never left unsupervised. f) have sufficient food service personnel relative to the Policy 3.1.0 Staffing Standards number and security of living units, including staff Youth eat all meals in the living units. Meals qualified and available to: plan menus meeting are prepared in the facility kitchen and are nutritional requirements of youth; provide kitchen delivered to the units on carts. Staff serve the supervision; direct food preparation and servings; youth their meals in the unit. conduct related training programs for culinary staff; and maintain necessary records; or, a facility may A SCJRF supervisor (SJDO) works as the serve food that meets nutritional standards prepared ☒ ☐ ☐ Kitchen Manager and is assigned to oversee by an outside source; kitchen operations and food service personnel. Kitchen staff consist of three full- time Cooks. The kitchen manual was updated in November of 2021 and again in June of 2022. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, Policy 3.1.0 Staffing Standards medical, dental, mental health, building maintenance, transportation, control room, facility The current support staff utilized by the REA security and other support staff for the efficient Camp and the SCJRF consists of: management of the facility, and to ensure that youth supervision staff shall not be diverted from • 2 Clerks supervising youth; and, • 1 Therapist • 1 Nurse (plus one vacancy) BSCC staff interviewed medical services personnel, education services, and ☒ ☐ ☐ detention staff. We also made personal observations over the course of the inspection week. The agency is fortunate to have such a significant base of collaborative partners and support staff. The REA hires outside agencies to provide pro-social programming. The Mental Health clinician provides a skills group and a Moral Reconation Therapy (M RT) group daily. h) assign sufficient youth supervision staff to provide Policy 3.1.0 Staffing Standards continuous wide-awake supervision of youth, subject to temporary variations in staff assignments to meet BSCC staff interviewed JDO staff, and special program needs. Staffing shall be in reviewed housing unit logs, programming ☒ ☐ ☐ compliance with a minimum youth-staff ratio for the schedules, and employee daily schedules. following facility types: The Shasta REA regularly provides staffing levels that enable the facility to meet the minimum standards for this regulation. (1) Juvenile Halls (minimum youth-staff ratio) Rivers Edge Academy is not a Juvenile Hall. (A) during the hours that youth are awake, one wide- Therefore, Sections A through E of the awake youth supervision staff member on duty for ☒ ☐ ☐ inspection report are not applicable. 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. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Special Purpose Juvenile Halls (minimum The Shasta Rivers Edge Academy is not a youth-staff ratio) Special Purpose Juvenile Hall. Therefore, ☐ ☐ ☒ (A) during hours that youth are awake, one wide-awake this section of the Title 15 Regulation is not youth supervision staff member is on duty for each applicable to this inspection report. 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 (minimum youth -staff ratio) Policy 3.1.0 Staffing Standards (A) during the hours that youth are awake, one wide- awake youth supervision staff member on duty for In a review of housing unit video surveillance each 15 youth in the camp population; recordings, housing unit logs, the daily staff schedule, as well as, through personal observation, the REA ensures that “One ☒ ☐ ☐ wide-awake” JDO staff is present and that staffing ratios are consistently in compliance with Title 15 minimum standards for this regulation. At the time of the inspection, there were 8 youths housed at the Shasta County REA. (B) during the hours that youth are confined to their room Policy 3.1.0 Staffing Standards for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 youth In a review of housing unit video surveillance present in the facility; recordings, housing unit logs, and the daily ☒ ☐ ☐ staff schedule, the REA ensures that “One wide-awake” JDO staff is present and that staffing ratios are consistently in compliance with Title 15 minimum standards for this regulation. (C) at least two wide-awake youth supervision staff Policy 3.1.0 Staffing Standards members on duty at all times, regardless of the number of youth in residence, unless arrangements In a review of housing unit video surveillance have been made for backup support services which ☒ ☐ ☐ recordings, housing unit logs, and the daily allow for immediate response to emergencies; staff schedule, the REA ensures at least two wide-awake youth supervision staff members are always on duty. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) at least one youth supervision staff member on duty Policy 3.1.0 Staffing Standards who is the same gender as youth housed in the facility; Through interviews with youth and staff, a ☒ ☐ ☐ review of the daily staff schedule, as well as through personal observation, there is always a male and a female Probation staff on duty. (E) in addition to the minimum staff to youth ratio Policy 3.1.0 Staffing Standard 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 The above policy clearly identifies the roles such as administration, supervision of personnel, and responsibilities of staff who are not academic or trade instruction, clerical, farm, forestry, ☒ ☐ ☐ deemed youth supervision staff. Only youth kitchen or maintenance shall not be classified as supervision staff provide supervision of the youth. youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF Policy 8.2: New Hire Orientation ORIENTATION AND TRAINING The elements of this regulation are confirmed (a) Prior to assuming any responsibilities each youth in the Appointment and Qualifications Letter supervision staff member shall be properly oriented provided by Shasta County Chief Probation to their duties, including: Officer (CPO) Tracie Neal and dated September 14, 2023. The letter certifies that SCJRF Probation Officers and Juvenile Detention Officers (JDO) have been appointed with applicable provisions of law. The Shasta Secure Youth Treatment Facility (SSYTF)and the Rivers Edge Academy (REA) are commitment program facilities within the Shasta County Juvenile ☒ ☐ ☐ Rehabilitation Facility (SCJRF) complex. The probation staff for all three facilities are cross- trained. Further, all Shasta County JRF policies and procedures apply to the Shasta Secure Youth Treatment Facility (SSYTF)and are aligned with the policy and procedures of Rivers Edge Academy including, but not limited to, youth supervision staff orientation and training. According to the Board of State and Community Corrections’ Standards and Training for Corrections (STC) Division, Shasta REA meets Title 15 minimum standards regarding staff training and orientation. (1) youth supervision duties; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (2) scope of decisions they shall make; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (3) the identity of their supervisor; ☒ ☐ ☐ Policy 8.2: New Hire Orientation 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) the identity of persons who are responsible to Policy 8.2: New Hire Orientation them; ☒ ☐ ☐ Every Juvenile Detention Officer (JDO) receives 40 hours of orientation and training that includes this section of the regulation. (5) persons to contact for decisions that are beyond Policy 8.2: New Hire Orientation ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. Policy 8.2: New Hire Orientation The assigned supervisor ensures that newly ☒ ☐ ☐ hired detention staff and non-sworn staff are properly trained with the elements of this regulation. (b) Prior to assuming any responsibility for the Policy 8.2: New Hire Orientation supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of All new full-time and temporary employees facility-specific orientation, including: receive 40 hours of Introductory Training. ☒ ☐ ☐ According to the Board of State and Community Corrections’ Standard and Training for Corrections (STC) Division, Shasta REA ensures each youth supervision staff member shall receive a minimum of 40 hours of facility-specific orientation training (1) individual and group supervision techniques; Policy 8.2: New Hire Orientation ☒ ☐ ☐ New hire training documentation shows the new hire’s acknowledgments of training and supervisory review. (2) regulations and policies relating to discipline and Policy 8.2: New Hire Orientation rights of youth pursuant to law and the provisions of this chapter; BSCC staff were impressed with the JDO ☒ ☐ ☐ Staff Orientation/Training which is very detailed and captures the elements of all sections of this regulation. (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (4) suicide prevention and response to suicide Policy 8.2: New Hire Orientation attempts The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter. ☒ ☐ ☐ In addition, detention staff receive suicide prevention training as part of their initial training as well as annual suicide prevention training updates. (5) policies regarding use of force, de-escalation Policy 8.2: New Hire Orientation techniques, chemical agents, mechanical and physical restraints; ☒ ☐ ☐ New hire training documentation shows the new hire’s acknowledgments of training and supervisory review. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) review of policies and procedures referencing Policy 8.2: New Hire Orientation trauma and trauma-informed approaches; ☒ ☐ ☐ New hire training documentation shows the new hire’s acknowledgments of training and supervisory review. (7) procedures to follow in the event of Policy 8.2: New Hire Orientation ☒ ☐ ☐ emergencies; (8) routine security measures, including facility Policy 8.2: New Hire Orientation perimeter and grounds; ☒ ☐ ☐ The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter. (9) crisis intervention and mental health referrals to Policy 8.2: New Hire Orientation mental health services; ☒ ☐ ☐ Staff receive initial training in addition to an annual suicide prevention update. (10) documentation; and ☒ ☐ ☐ Policy 8.2: New Hire Orientation (11) fire/life safety training Policy 8.2: New Hire Orientation The assigned supervisor ensures that newly hired detention staff are properly trained with ☒ ☐ ☐ the elements of this regulation. BSCC staff confirmed that detention staff also receive annual emergency procedures training. (c) Prior to assuming sole supervision of youth, each Policy 8.2: New Hire Orientation youth supervision staff member shall successfully complete the requirements of the Juvenile The elements of this regulation are confirmed Corrections Officer Core Course pursuant to Penal ☒ ☐ ☐ in the CPO letter. Code Section 6035. Staff complete CORE within the first year of the assignment. (d) Prior to exercising the powers of a peace officer Policy 8.2: New Hire Orientation youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal The elements of this regulation are identified Code. in and confirmed in Tracie Neal’s ☒ ☐ ☐ Appointment and Qualifications Letter dated September 14, 2023. Staff complete PC 832 within the first year of assignment. 1323 FIRE AND LIFE SAFETY Policy 9.2.7: Fire Safety Plan and Emergency Procedures, Section II, Staff Training Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times All staff shall receive Fire and Life Safety who meets the training standards established by the ☒ ☐ ☐ Training either through CORE training or Board for general fire and life safety which relate other certified providers. specifically to the facility. The elements of this regulation are confirmed in the CPO letter dated September 14, 2023. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1324 POLICY AND PROCEDURES MANUAL Policy and Procedure Manual Orientation and Use Section 1.1 and Section 1.2.2 (a): All facility administrators shall develop, publish, and implement a manual of written policies and procedures The Rivers Edge Academy (REA) and the that address, at a minimum, all regulations that are Shasta Secure Youth Treatment Facility applicable to the facility. Such a manual shall be made (SSYTF) are commitment program facilities available to all employees, reviewed by all employees, within the Shasta County Juvenile and shall be administratively reviewed at a minimum Rehabilitation Facility (SCJRF) complex. every two years, and updated, as necessary. Those REA is a camp program. The probation staff records relating to the standards and requirements set for all three facilities abide by the same forth in these regulations shall be accessible to the Board Shasta County JRF and REA policies and on request. procedures. The manual shall include: The Division Director does well with reviewing and making updates when necessary. ☒ ☐ ☐ New staff are required to review Policy and Procedure as part of training and orientation expectations. As a new policy is released or as the current policy is updated, staff are required to read and sign acknowledging their understanding of new and or updated policies and procedures. A letter written by Division Director, Carla Stevens, acknowledges that the Policies and Procedures manual was last updated on May 1, 2023. The Policy and Procedures manual continues to be reviewed on a biennial basis or as needed. (a) table of organization, including channels of • Policy 2.1.4: Facility Organizational communications and a description of job Chart classifications; • 2.1.5: Roles and Responsibilities of Facility Administration ☒ ☐ ☐ • 2.1.6: Roles and Responsibilities of Juvenile Detention Officers • Policy 3.1.1: Chain of Command 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) responsibility of the probation department, purpose • Policy 2.1.1: Legal Origin, of programs, relationship to the juvenile court, the Establishment and Purpose Juvenile Justice/Delinquency Prevention • 2.2.3: Roles of Probation Staff Commission or Probation Committee, probation • Policy 2.3: Shasta County Office of staff, school personnel and other agencies that are Education involved in juvenile facility programs; • Policy 2.3: Roles of Other Agencies- Relationship to the Juvenile Court Judge • Policy 2.3: Roles of Other Agencies- Juvenile Justice Commission • Policy 5.7.4: Social Awareness Program ☒ ☐ ☐ In a review of reports submitted, per Title 15 regulations, Section 1313 County Inspections and Evaluation of Building and Grounds, and through interviews with the probation staff, school personnel, and other agencies, BSCC staff concluded that all collaborative partners have a clear and articulable understanding of their roles and expectations as they relate to the relationship, responsibilities, and purpose of programs outlined by the Shasta County JRF’s policy and procedure manual. (c) responsibilities of all employees; • 2.1.5: Roles and Responsibilities of Facility Administration ☒ ☐ ☐ • 2.1.6: Roles and Responsibilities of Juvenile Detention Officers (d) initial orientation and training program for The minimum Title 15 requirements for this employees; regulation are confirmed in the CPO letter dated September 14, 2023. ☒ ☐ ☐ • Policy 8.2: New Hire Orientation • Policy 13.1: Volunteer, Vendor and Support Staff Orientation (e) initial orientation, including safety and security issues Policy 13.1: Volunteer, Vendor, and Support and anti-discrimination policies, for support staff, Staff Orientation contract employees, school, mental/behavioral Prior to initial entry to the facility, the REA health and medical staff, program providers and ensures new support staff, contractors, and volunteers; or volunteers undergo a safety/security ☒ ☐ ☐ briefing and must complete the vendors’ and volunteers’ initial orientation training. BSCC staff observed that areas of the initial orientation are specifically geared toward non-probation staff that are identified in this section of the regulation. (f) maintenance of record-keeping, statistics and Policy 2.1.5(D): Roles and Responsibilities of ☒ ☐ ☐ communication system to ensure: Facility Administration 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) efficient operation of the juvenile facility; Policy 2.1.5(D)(1): Roles and Responsibilities of Facility Administration In part, a case management system, ☒ ☐ ☐ handwritten tracking forms, Housing unit logbooks, housing unit programming forms, and shift activity schedules are the main means of record keeping of day-to-day programming and facility operations. (2) legal and proper care of youth; Policy 2.1.5(D)(2): Roles and Responsibilities ☒ ☐ ☐ of Facility Administration (3) maintenance of individual youth's records; Policy 2.1.5(D)(3): Roles and Responsibilities ☒ ☐ ☐ of Facility Administration (4) supply of information to the juvenile court and Policy 2.1.5(D)(4): Roles and Responsibilities those authorized by the court or by the law; and, of Facility Administration ☒ ☐ ☐ The agency utilizes a case management system for communication and record keeping with the courts, juvenile probation, and statistical data collection. (5) release of information regarding youth. Policy 2.1.5(D)(5): Roles and Responsibilities ☒ ☐ ☐ of Facility Administration (g) ethical responsibilities; ☒ ☐ ☐ Policy 3.3.1: Ethics Policy (h) trauma-informed approaches; Policy 3.3.10: Trauma-Informed Approaches to Working with Youth. In addition to following expectations of the above policy, as part of the annual review training, all REA staff participate in training that includes but is not limited to, the trauma- informed approaches below: ☒ ☐ ☐ a. Child Trauma/Adverse Childhood Experiences (ACEs) b. Trauma Informed Care and Protective Factors c. Effects of trauma on child development d. Resiliency (i) culturally responsive approaches; Policy 3.3.9: Cultural and Gender Responsivity, Section (I) All REA Staff will be trained in Cultural Diversity as part of the Probation Department Training Plan. ☒ ☐ ☐ The REA acknowledges and embraces customs and traditions of diverse populations. This is partially accomplished through their Fine Arts Therapy Program that serves as an outlet to express thoughts and feelings through creative writing/poetry, music, drawing, and painting. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (j) gender responsive approaches; Policy 3.3.9: Cultural and Gender Responsivity Policy 5.2.6 Transgender and Intersex Residents As part of annual review training, all REA camp staff participated in training that included but was not limited to gender- ☒ ☐ ☐ responsive approaches. For example, staff are trained on policy and procedure with working with transgender and intersex youth. BSCC staff were impressed with the partnerships and collaborative efforts between Probation and Shasta County Health and Human Services. (k) a non-discrimination provision that provides that all Policy 5.2.7: Non-Discrimination youth within the facility shall have fair and equal access to all available services, placement, care, In a review of a thorough inspection of the treatment, and benefits, and provides that no person above policy, the Shasta REA follows shall be subject to discrimination or harassment on minimum standards for this regulation. the basis of actual or perceived race, ethnic group identification, ancestry, national origin, immigration BSCC staff reviewed the above policy and status, color, religion, gender, sexual orientation, ☒ ☐ ☐ orientation packets and interviewed youth to gender identity, gender expression, mental or conclude that the Shasta REA meets physical disability, or HIV status, including restrictive compliance with this regulation. housing or classification decisions based solely on any of the above mentioned categories; Youth indicated that they were being treated fairly. Detention staff and non-detention staff are required to take non-discriminatory training. (l) storage and maintenance requirements for any Policy 9.1.2: Armory Operations chemical agents related security devices, and Policy 6.3: Chemical Agents: weapons and ammunition, where applicable; IV. STORAGE, ISSUE and DISPOSAL of OC SPRAY CANISTERS A. Types of OC Spray Canisters in use in the facility: 1. MK 4 sizes of cans ☒ ☐ ☐ 2. OC Stream or Gel Units 3. OC Foam 4. MK9 Fogger Units The policy has clear and concise expectations regarding the storage and maintenance of OC Spray. Also, any law enforcement staff are responsible for storing their weapons or equipment in the sallyport lockers prior to entering the facility. (m) establishment of procedures for collection of Medi- Policy 10.32: Medi-Cal Eligibility and Cal eligibility information and enrollment of eligible Enrollment of Youth ☒ ☐ ☐ youth; and, 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (n) establishment of a policy that prohibits all forms of Policy 5.10.1: PREA sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to In interviewing multiple youths housed at preventing, detecting and responding to such ☒ ☐ ☐ REA, during the intake process youth are conduct and any retaliation for reporting such made aware of PREA and provided multiple conduct, as well as a provision for reporting such outlets for reporting any form of sexual conduct by youth, staff or a third party. abuse, assault, and or sexual harassment. 1325 FIRE SAFETY PLAN Policy 9.2.7: Fire Safety Plan and Emergency Procedures The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the ☒ ☐ ☐ Based on the documentation provided, the State Fire Marshal, in developing a plan for fire safety facility meets compliance with the elements which shall include, but not be limited to: contained in this section of the Title 15 regulations. a) a fire prevention plan to be included as part of the Policy 9.2.7: Fire Safety Plan and Emergency manual of policy and procedures; ☒ ☐ ☐ Procedures b) monthly fire and life safety inspections by facility Policy 9.2.7: Fire Safety Plan and Emergency staff with two- year retention of the inspection Procedures record; Policy 9.1.3: Emergency Equipment Inspection and Testing BSCC staff requested a review of monthly Fire and Life Safety facility inspections since the prior June 21, 2022, BSCC. ☒ ☐ ☐ The facility documents monthly Fire and Life Safety inspections on a Monthly Workplace Safety Checklist. The facility has responded well in developing a comprehensive and well-detailed checklist. Documentation shows that the inspections are completed every month per Title 15 regulations. c) fire prevention inspections as required by Health Policy 9.2.7: Fire Safety Plan and Emergency and Safety Code Section 13146.1(a) and (b); Procedures. REA in conjunction with the Shasta County Juvenile Rehabilitation Facility ensures Fire Prevention inspections are performed per ☒ ☐ ☐ Title 15 Regulations. The inspection is required on a biennial basis. The annual fire prevention inspection was completed by the Department of Forestry and Fire Protection on May 3, 2022, and completed by Keith Hard. d) an evacuation plan; Policy 9.2.7: Fire Safety Plan and Emergency Procedures Evacuation signs are posted throughout the ☒ ☐ ☐ facility. The Shasta REA provides ongoing training to new and existing staff by conducting frequent fire drills. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS e) documented fire drills not less than quarterly; Policy 9.2.7: Fire Safety Plan and Emergency Procedures. BSCC staff reviewed all quarterly fire drills that were conducted since the prior June 21, 2022, BSCC inspection. Fire drills during some periods exceed required Title 15 regulation requirements. ☒ ☐ ☐ Further, Shasta REA does well in training staff for fire drills and tracking staff who have participated in the Fire Drill training. However, BSCC staff discussed favorable outcomes when the fire drill documentation includes elements of a fire drill that include participating personnel, a confirmation of head counts for youth, staff, support staff, visitors, lessons learned, etc. f) a written plan for the emergency housing of youth in Policy 9.2.9: Evacuation the case of fire; and, The above Policy identifies evacuating youth to the local Veteran’s Hall as the emergency evacuation location. It was explained that the Veteran’s Hall location is a temporary location. Further, there exists an unwritten “agreement with Butte County” to assist with ☒ ☐ ☐ the housing of youth in the event of a long- term evacuation, if needed. BSCC staff provided technical assistance to add specificity to the procedure that provides guidance to staff as it relates to the housing of youth who require a higher level of secure housing, that the Shasta REA youth may require. g) development of a fire suppression pre-plan in Policy 9.2.7: Fire Safety Plan and Emergency cooperation with the local fire department. Procedures In a letter dated October 4, 2021, written by ☒ ☐ ☐ Assistant Fire Marshal, Ryan Materson, the City of Redding Fire Department approved Shasta JRF Fire Suppression Pre-Plan. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1326 SECURITY REVIEW Policy 2.1.5: roles and Responsibilities Administration Each facility administrator shall develop policies and procedures to annually review, evaluate, and document Annual Security Reviews are inspected by a security of the facility. The review and evaluation shall designee and reviewed by the Shasta County include internal and external security, including, but not JRF Director, Carla Stevens. An Annual limited to, key control, equipment, and staff training. ☒ ☐ ☐ Security Review was completed on February 28, 2023. All aspects of the facility were inspected and reported to the facility administration. When and if deficiencies are discovered repair requests are immediately submitted. 1327 EMERGENCY PROCEDURES Policy 9.2.7: Fire Safety Plan and Emergency Procedures The facility administrator shall develop facility-specific Policy 9.1.1 policies and procedures for emergencies that shall include, but not be limited to: ☒ ☐ ☐ BSCC staff were provided with and reviewed a Completions of Emergency Procedures document that shows all staff that have reviewed emergency procedures from September 14, 2023, through September 30, 2023. (a) escape, disturbances, and the taking of hostages; Policy 9.2.4: Escape: ☒ ☐ ☐ Policy 9.2.5: Disturbances: Policy 9.2.6: Hostages: (b) civil disturbance, active shooter and terrorist attack; Policy 9.2.11: Civil Disturbance: ☒ ☐ ☐ Policy 9.2.10: Active Shooter or Terrorist Attack (c) fire and natural disasters; Fire: 9.2.7 ☒ ☐ ☐ Natural Disaster: 9.2.8 (d) periodic testing of emergency equipment; Policy 9.1.3: Emergency Equipment ☒ ☐ ☐ Inspection and Testing (e) emergency evacuation of the facility; and Policy 9.1.4: Emergency Release of Residents Policy 9.2.9: Evacuation ☒ ☐ ☐ The facility does well with conducting various types of emergency drills to keep JDO staff well-versed with procedures for short-term emergency evacuation of the facility. (f) a program to provide all youth supervision staff with Policy 9.1.1: Training and Review of an annual review of emergency procedures. Emergency Procedures Each staff receives policies and procedures ☒ ☐ ☐ governing emergency procedures annually via an online training provider, Target Solutions. The assigned supervisor monitors and verifies the employee has reviewed the emergency procedures training. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS Policy 5.2.2: Room Safety Checks The facility administrator shall develop and implement BSCC staff reviewed random Safety Checks policy and procedures that provide for direct visual over the inspection cycle. In addition, we observation of youth at a minimum of every 15 minutes, specifically reviewed safety checks for the at random or varied intervals during hours when youth months of July, August, and September are asleep or when youth are in their rooms, confined in 2023. We also reviewed housing unit holding cells or confined to their bed in a dormitory. surveillance video recordings. Supervision is not replaced, but may be supplemented Safety Checks are documented in logbooks by, an audio/visual electronic surveillance system identified as the “Watch Tour” logbook. The designed to detect overt, aggressive or assaultive Supervisor conducts random visits to housing behavior and to summon aid in emergencies. All safety pods’ (PREA Checks) daily to review safety checks shall be documented with the actual time the check required documentation. In addition, check is completed. supervisors assigned to a particular pod conduct periodic safety check audits. As part ☒ ☐ ☐ of the audit, the supervisor compares room check entries in the logbook to safety checks shown on the surveillance video recordings system. BSCC staff provided technical assistance to maintain compliance, it is important that JDO staff are consistent with accurately documenting when youth are in or out of their respective rooms. BSCC staff also discussed the best outcomes when the names of staff working a pod and conducting the safety checks are legibly identified at the header/ top of each safety check page or at the beginning of each shift. Further, to encourage a standard format of documentation that is consistent amongst JDO staff. 1329 SUICIDE PREVENTION PLAN Policy 5.12: Suicide Prevention In conjunction with the Shasta County The facility administrator, in collaboration with the Juvenile Rehabilitation Facility, the facility’s healthcare and behavioral/mental health Suicide Prevention Plan is a collaboration administrators, shall plan and implement written policies with Probation and Behavioral Health to and procedures which delineate a Suicide Prevention ☒ ☐ ☐ ensure youth at risk or identified as at risk are Plan. The plan shall consider the needs of youth supervised appropriately and provided with experiencing past or current trauma. Suicide prevention necessary services. responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The No suicide ideation incidents were reported to plan shall include the following elements: have occurred since the prior June 2022 inspection. (a) Suicide prevention training as required in Section Policy 5.12: Suicide Prevention 1322, Youth Supervision Staff Orientation, and Policy 8.2: New Hire Orientation Training and the Juvenile Corrections Officer Core Course. The elements of this regulation are confirmed ☒ ☐ ☐ in the CPO Appointment and Qualification Letter on September 14, 2023. REA probation staff participate in the SCJRF annual Suicide Prevention Training Plan. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and Policy 5.12: Suicide Prevention Precautionary Protocols Policy 5.3.4 Booking Procedure, Section IX (1) All youth shall be screened for risk of (A) suicide at intake and as needed during detention. The booking officer communicates with the arresting officer, facility staff, family members, and medical and mental health personnel as part of the screening process for suicide risk. ☒ ☐ ☐ Screening and assessment forms completed at intake include: Massachusetts Youth Screening Instrument (MAYSI 2), Suicide Screening Questionnaire, Suicide Disposition form. Intake staff also communicate with the arresting officer and communicate with the youth’s parent/guardian. (2) All youth supervision staff who perform Policy 5.12: Suicide Prevention intake processes shall be trained in Policy 3.3.10: Trauma-Informed Approaches screening youth for risk of suicide. to Working with Youth The elements of this regulation are confirmed in the CPO Appointment and Qualification ☒ ☐ ☐ Letter on September 14, 2023. Annual training is included in the SCJRF Suicide Prevention Training Plan. REA staff are assigned to participate in the annual training. (3) All youth who have been identified during Policy 5.12: Suicide Prevention the intake screening process to be at risk of Policy 3.3.10: Trauma-Informed Approaches suicide shall be referred to to Working with Youth behavioral/mental health staff for a suicide risk assessment. The Shasta County Health and Human ☒ ☐ ☐ Services Clinician is on site for the intake screening process from 12:00 pm to 9:00 pm, Monday through Friday. If the Clinician is not present in the facility, the supervisor completes the screening questions and contacts the On-Call mental health staff for direction. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Precautionary protocols shall be developed Policy 5.12: Suicide Prevention to ensure the youth’s safety pending the behavioral/mental health assessment. The REA incorporates a mental health clinician referral process. Precautionary protocols include, but are not limited to, the following: • Enhanced Observation (7min to 10 min safety checks) • Suicide Watch- Safety Room ☒ ☐ ☐ Placement • Wrap Restraint • Develop a safety plan for the resident, • Develop a plan for staff response to include signs to be aware of possible suicidal ideations or self-harm. • Create a communication chain to inform of crisis, short-term and long- term follow-up for crisis prevention. (c) Referral process to behavioral/mental health staff Policy 5.12: Suicide Prevention for assessment and/or services. BSCC staff interviewed Behavioral Health staff. There were no specific suicide ideation incidents that occurred since the prior 2022 inspection. The Shasta County Health and Human ☒ ☐ ☐ Services Clinician is on site for the intake screening process from 12:00 pm to 9:00 pm, Monday through Friday. If the Clinician is not present in the facility, the supervisor completes the screening questions and contacts the on-call mental health staff for directions. (d) Procedures for monitoring of youth identified at risk Policy 5.12: Suicide Prevention for suicide. Policy 5.2.2 Room Safety Checks To monitor youth at risk for suicide, the facility utilizes the necessary suicide watch precautions. If a youth exhibits suicide ideation behaviors, ☒ ☐ ☐ staff utilize the “Observation Sheet” to observe and document the youth’s behaviors in 5-to-15-minute intervals. The Observation Sheet is reviewed every 4 hours by the Officer in Charge (OIC) and medical staff. Depending on the severity, a youth may be placed on Enhanced Observation, Suicide Watch, or placed in the Safety Room. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Safety Interventions Policy 5.12: Suicide Prevention (1) Procedures to address intervention protocols for youth identified at risk for The facility has a comprehensive and well- suicide which may include, but are not ☒ ☐ ☐ detailed suicide classification and supervision limited to: system that identifies youth who are actively suicidal, recently suicidal, and or have a prior history of suicidal activities. A. Housing consideration Policy 5.12: Suicide Prevention Housing monitoring is based on the status or level of risk. Youth placed on: • Suicide risk may be placed in the general population. • Suicide Watch will be housed in the safety room. ☒ ☐ ☐ • Step-up will be monitored in accordance with medical/mental health instructions. Enhanced Observation status youth will be housed in the general population and monitored in accordance with medical/mental health instructions B. Treatment strategies including Policy 5.12: Suicide Prevention trauma-informed approaches Policy 3.3.10: Trauma-Informed Approaches to Working with Youth The Shasta REA incorporates a mental health clinician referral process. As part of the process, follow-up on all residents placed on Enhanced Observation or Suicide Watch shall include the following: ☒ ☐ ☐ • Develop a safety plan for the resident, • Develop a plan for staff response to include signs to be aware of possible suicidal ideations or self-harm. • Create a communication chain to inform of crisis, short-term and long- term follow-up for crisis prevention. (2) Procedures to instruct youth supervision Policy 5.12: Suicide Prevention staff how to respond to youth who exhibit ☒ ☐ ☐ suicidal behaviors. Detention staff are provided initial and ongoing suicide prevention training. (f) Communication Policy 5.12: Suicide Prevention (1) The intake process shall include Policy 5.3.4 Booking Procedure, Section IX communication with the arresting officer (A) and family guardians regarding the youth’s past or present suicidal ideations, behaviors ☒ ☐ ☐ The booking officer shall communicate with or attempts. the arresting officer, facility staff, family members, and medical and mental health personnel in relation to suicide risk. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Procedures for clear and current Policy 5.12: Suicide Prevention information sharing about youth at risk for ☒ ☐ ☐ suicide with youth supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to Suicides Policy 5.12: Suicide Prevention or 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 Policy 5.12: Suicide Prevention ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Policy 5.12: Suicide Prevention ☒ ☐ ☐ youth. (h) Documentation Policy 5.8.4: Reports and Documentation (1) Documentation processes shall be developed to ensure compliance with this Reporting and monitoring documentation is regulationb as follows: ☒ ☐ ☐ • Incident Report • Medical Notification • Mental Health Suicide Watch Custody Notification • Observation Sheet Youth identified at risk for suicide shall not be denied Policy 5.12: Suicide Prevention the 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 Policy 2.1.5: Roles and Responsibilities of Facility Administration Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions At the time of this inspection, there were no of confinement, filed against persons or legal entities pending legal actions. responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy 9.2.12: Death or Serious Illness or OF A YOUTH WHILE DETAINED Injury of a Youth while Detained. (1) Death of a Youth. At the time of this inspection, there were no (a) The facility administrator, in cooperation with the reports of death, serious illness or injury of health administrator and the behavioral/mental a youth while detained at the Shasta REA ☒ ☐ ☐ health director, shall develop written policies and pending legal actions. procedures in the event of the death of a youth while detained, which include notifications to In the event of a death, the Facility Director necessary parties, which may include the Juvenile or Chief Probation Officer would contact the Court, the parent, guardian or person standing in Juvenile Court Judge, the attorney of record, loco parentis and the youth’s attorney of record. and the youth’s parent or guardian. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) The health administrator, in cooperation with the Policy 9.2.12: Death or Serious Illness or facility administrator, shall develop written policies Injury of a Youth while Detained 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 the Policy 9.2.12: Death or Serious Illness or Board a copy of the report submitted to the Attorney Injury of a Youth while Detained General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy 9.2.12: Death or Serious Illness or the administrator, the Board may within 30 calendar Injury of a Youth while Detained. 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 Policy 9.2.12: Death or Serious Illness or (a) The facility administrator, in cooperation with the Injury of a Youth while Detained. health administrator, shall develop written policies and procedures for the notification to necessary At the time of this inspection, there were no parties, which may include the Juvenile Court, the reports of death or serious illness of a parent, guardian or person standing in loco parentis youth while detained at the Shasta REA. ☒ ☐ ☐ and the youth’s attorney of record in the case of a serious illness or injury of a youth. In the event of serious injury, the Facility Director or Chief Probation Officer would contact the Juvenile Court Judge, the attorney of record, and the youth’s parent or guardian. 1342 POPULATION ACCOUNTING Policy 2.1.5: Roles and Responsibilities of Facility Administration Each juvenile facility shall submit required population ☒ ☐ ☐ and profile survey reports to the Board within 10 Profile Survey Reports are submitted as working days after the end of each reporting period, in required. a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY Policy 2.1.5: Roles and Responsibilities of Facility Administration When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than The Shasta REA has not exceeded its rated fifteen (15) calendar days in a month, the facility capacity for more than fifteen (15) calendar ☒ ☐ ☐ administrator shall provide a crowding report to the days in a month, since the prior June 2022, Board in a format provided by the Board. BSCC inspection. The rated capacity for Rivers Edge Academy is 30. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350 ADMITTANCE PROCEDURES Policy 5.3.4: Booking Procedures Policy 3.3.10: Trauma-Informed Approaches The facility administrator shall develop and implement to Working with Youth written policies and procedures for admittance of youth that emphasize respectful and humane engagement Shasta’s River’s Edge Academy youth are with youth, and reflect that the admission process may housed on the 700 Pod with detention youth be traumatic to youth who may have already in the Shasta County Juvenile Rehabilitation experienced trauma. Policies shall be trauma-informed, Facility. Both facilities follow the same culturally relevant, and responsive to the language and admittance procedures. BSCC staff reviewed ☒ ☐ ☐ literacy needs of youth. In addition to the requirements the 10 most recent youth admittance packets of Sections 1324 and 1430 of these regulations: completed that included both facilities. Further, through a combination of a variety of documentation reviews, interviews with youth housed at the facilities, interviews with detention staff, and interviews with medical health partners, BSCC staff confirmed compliance. (a) the admittance process shall include: Policy 5.3.4: Booking Procedures (1) Access to two free phone calls within one hour of admittance in accordance with the provisions BSCC staff reviewed documentation and of Welfare and Institution Code Section 627; ☒ ☐ ☐ interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers required phone calls at intake utilizing the booking Face Sheet. (2) Offer of a shower; Policy 5.3.4: Booking Procedures BSCC staff reviewed documentation and ☒ ☐ ☐ interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers a shower during the intake process. (3) Documented secure storage of personal Policy 5.3.7: Resident Property Storage belongings; For denominations totaling less than $25.00, the property envelope may be placed in the ☒ ☐ ☐ resident’s property bin in the property room. For denominations totaling $25.00 or greater, the booking officer will notify the Supervisor/OIC, and the money will be stored in the evidence locker. (4) Offer of food upon arrival; Policy 5.3.4: Booking Procedures ☒ ☐ ☐ The youth interviewed reported they were offered food during the intake process. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) Screening for physical and behavioral health Policy 5.3.4: Booking Procedures and safety issues, intellectual or developmental disabilities; REA utilizes a form titled Vulnerability Assessment Instrument (VAI) to help make screening determinations for behavioral ☒ ☐ ☐ health, and intellectual or developmental disabilities. A resident is medically cleared for booking when it is determined by the booking officer that there are no apparent health conditions. In part, this is determined by utilizing the Medical Pre-Screening Questionnaire. (6) Screening for physical and developmental Policy 5.3.4: Booking Procedures disabilities in accordance with Sections 1329, ☒ ☐ ☐ 1413, and 1430 of these regulations; All youth have a full medical exam within 96 hours of intake (7) Contact with Regional Center for the Policy 5.3.4: Booking Procedures, Section Developmentally Disabled for youth that are (C)(11) suspected of or identified as having a developmental disability, pursuant to Section Contact Far Northern Regional Center for the 1413; and, ☒ ☐ ☐ Developmentally Disabled for youth who are suspected of or identified as having a developmental disability, pursuant to Section 1413. (8) Procedures consistent with Section 1352.5. Policy 5.3.4: Booking Procedures ☒ ☐ ☐ (b) juvenile hall administrators shall establish written Policy 5.3.4: Booking Procedures, Section criteria for detention that considers the least (A)(2) restrictive environment. We observed documentation showing that all ☒ ☐ ☐ youth are screened by utilizing a classification form that assesses the housing unit placement of the youth based on the criminal sophistication of the youth. (c) juvenile camps and post-dispositional programs in Policy 5.3.4: Booking Procedures 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 Policy 5.3.4: Booking Procedures procedures that advise any committed youth of the estimated length of his/her stay. During the booking process, the booking officer will discuss with the resident the maximum term of confinement associated ☒ ☐ ☐ with their charges, what a furlough is and how it works, the pertinent filing deadlines for their charges, as well as deadlines for the youth to appear in court. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy 5.10.1: PREA ABUSE Policy 5.3.4: Booking Procedures The facility administrator shall develop and implement The Rivers Edge Academy youth are housed written policies and procedures to reduce the risk of on the 700. The facility follows the same, sexual abuse by or upon youth. The policy shall require SCJRF, screening for the risk of sexual facility staff to assess each youth within 72 hours of victimization procedures. BSCC staff admission based on the following information: reviewed the 7 most recent youth admittance screening packets completed that included both facilities. Compliance was confirmed. ☒ ☐ ☐ During the intake process, youth are provided with a Sexual Abuse Orientation Acknowledgement Form that offers information on sexual abuse prevention, protection, and reporting. It also appears that through multiple points of contact, the youth may also receive portions of screening that relate to screening for the risk of sexual victimization. (a) Prior sexual victimization or abusiveness; Policy 5.3.4: Booking Procedures 10.1: PREA ☒ ☐ ☐ REA utilizes a form titled “Vulnerability Assessment Instrument” to aid in evaluating possible history of victimization and to make referral determinations. (b) Gender nonconforming appearance or manner; or Policy 5.10.1: PREA identification as lesbian, gay or bisexual, Policy 5.3.4: Booking Procedures transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Policy 5.10.1: PREA (d) Age; ☒ ☐ ☐ Policy 5.10.1: PREA (e) Level of emotional and cognitive development; ☒ ☐ ☐ Policy 5.10.1: PREA (f) Physical size and stature; ☒ ☐ ☐ Policy 5.10.1: PREA (g) Mental illness or mental disabilities; ☒ ☐ ☐ Policy 5.10.1: PREA (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Policy 5.10.1: PREA (i) Physical disabilities; ☒ ☐ ☐ Policy 5.10.1: PREA (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Policy 5.10.1: PREA (k) Any other specific information about the individual Policy 5.10.1: PREA youth that may indicate heightened needs for ☒ ☐ ☐ Policy 5.3.6: Classification and Housing supervision, additional safety precautions, or Assignments separation from certain other youth. Staff shall ascertain this information through Policy 5.10.1: PREA 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. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall implement appropriate Policy 5.10.1: PREA 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 Policy 5.3.8: Release Procedures and Transition Planning The facility administrator shall develop and implement written policies and procedures for release of youth Shasta Secure Track Treatment Youth are from custody which provide for: housed on the 900 Pod with detention youth in the Shasta County Juvenile Rehabilitation Facility. Both facilities follow the same release procedures. Compliance with this regulation is confirmed ☒ ☐ ☐ based on a review of facility policies and procedures. In addition, BSCC staff reviewed the 10 most recent examples of completed youth release packets/forms. The primary sample was obtained through Shasta JRF detention youth packets. We also conducted interviews with collaborative partners, as well as interviews with detention staff and youth housed at the facility. (a) verification of identity/release papers; Policy 5.3.8: Release Procedures and ☒ ☐ ☐ Transition Planning (b) return of personal clothing and valuables; ☒ ☐ ☐ Policy 5.3.7: Resident Property Storage (c) notification to the youth's parents or guardian; Policy 5.3.8: Release Procedures and ☒ ☐ ☐ Transition Planning (d) notification to the facility health care provider in Policy 5.3.8: Release Procedures and accordance with Sections 1408 and 1437 of these Transition Planning regulations, for coordination with outside agencies; and, BSCC staff interviewed the health care provider who confirmed that probation ☒ ☐ ☐ provides timely notification of a youth’s pending release. The medical provider provides the youth with information on pharmacy and medication refill information. (e) notification of school staff; Policy 5.3.8: Release Procedures and Transition Planning BSCC staff interviewed the school staff who ☒ ☐ ☐ confirmed that probation provides timely notification of a youth’s pending release. The school staff expressed an appreciation for the weekly team meetings with probation. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) notification of facility mental health personnel. Policy 5.3.8: Release Procedures and Transition Planning ☒ ☐ ☐ BSCC staff interviewed the mental health personnel who confirmed that probation provides timely notification of a youth’s pending release. The facility administrator shall develop and implement Policy 5.3.8: Release Procedures and policies and procedures for post-disposition youth to Transition Planning coordinate the provision of transitional and reentry The Shasta REA conducts a Child and services including, but not limited to, medical and Family Team Meeting prior to release. At the behavioral health, education, probation supervision and meeting, a transition plan for the youth will be community-based services. formulated. We were impressed with the Transition Passport form that is provided to youth upon release. The form identifies programs, health services, medication prescription information, wrap-around services, and relevant contact information to aid in a youth’s successful transition from custody. Also, Victor ☒ ☐ ☐ Community Support Services (VCSS) provide some wrap-around services for youth from Shasta and Tehama Counties. BSCC staff was thought well of the facility having a Probation Officer that serves as the “out-of-county liaison”. However, we provided guidance to ensure that out-of-county youth are offered and or provided with the same transition release services as Shasta County youth including, but not limited to, the Transition Passport form. BSCC staff acknowledges that a youth’s out-of-county Probation Officer has a responsibility to coordinate local services for the youth being released. The facility administrator shall develop and implement Policy 5.3.8: Release Procedures and written policies and procedures for the furlough of youth ☒ ☐ ☐ Transition Planning from custody. 1352 CLASSIFICATION Policy 5.3.6: Classification and Housing Assignments The facility administrator shall develop and implement written policies and procedures on classification of Compliance with this regulation is confirmed youth for the purpose of determining housing placement based on a review of facility policies and in the facility. procedures, and a review of the most recently ☒ ☐ ☐ completed youth classification documents. All Such procedures shall: Shasta REA youth are housed on the 900 Pod. BSCC staff also conducted interviews with collaborative partners, as well as interviews with detention staff and youth housed at the facility. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) provide for the safety of the youth, other youth, Policy 5.3.6: Classification and Housing facility staff, and the public by placing youth in the Assignments appropriate, least restrictive housing and program Through a review of the above policy, settings. Housing assignments shall consider the need for single, double or dormitory assignment or ☒ ☐ ☐ interviews with supervisory staff, and admission documentation, BSCC staff location within the dormitory; determined that the Shasta REA meets compliance with the elements of this regulation. (b) consider facility populations and physical design of Policy 5.3.6: Classification and Housing ☒ ☐ ☐ the facility; Assignments (c) provide that a youth shall be classified upon Policy 5.3.6: Classification and Housing admittance to the facility; classification factors shall Assignments include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ The above policy indicates that the initial legal status, public safety considerations, classification system provides the basis for medical/mental health considerations, gender and unit housing placement and programming gender identity of the youth; decisions. (d) provide for periodic classification reviews, including Policy 5.3.6: Classification and Housing provisions that consider the level of supervision and Assignments the youth's behavior while in custody; and, ☒ ☐ ☐ BSCC staff observed that classification reviews are completed periodically, or as needed by the facility Director or an assigned supervisor. (e) provide that facility staff shall not separate youth Policy 5.3.6: Classification and Housing from the general population or assign youth to a Assignments, single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, The facility intake staff completed the ancestry, national origin, color, religion, gender, classification form that identifies specific sexual orientation, gender identity, gender ☒ ☐ ☐ criteria to determine housing classifications. expression, mental or physical disability, or HIV In addition, the intake staff asks the status. This section does not prohibit staff from necessary questions of the youth, and the placing youth in a single occupancy room at the arresting officer, and makes visual youth's specific request or in accordance with Title observations of the youth. 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy 5.2.6: Transgender and Intersex transgender, questioning or intersex identification or Residents status as an indicator of likelihood of being sexually abusive. Through a review of the above policy, ☒ ☐ ☐ interviews with supervisory staff, and admission documentation, BSCC staff determined that the REA meets compliance with the elements of this regulation. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy 5.2.6: Transgender and Intersex Residents The facility administrator shall develop written policies ☒ ☐ ☐ and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The policies shall provide that: (a) Facility staff shall respect every youth’s gender Policy 5.2.6: Transgender and intersex identity and shall refer to the youth by the youth’s Residents preferred name and gender pronoun, regardless of The elements of this regulation are the youth’s legal name. Facilities may prohibit the use of gang or slang names or names that ☒ ☐ ☐ accomplished, in part, through new staff’s initial orientation and training that otherwise compromise facility operations as encapsulates multiple policies and determined by the facility manager or designee, procedures that ensure ongoing compliance and shall document any decision made on this with this regulation. basis. (b) Facility staff shall permit youth to dress and present Policy 5.2.6: Transgender and Intersex themselves in a manner consistent with their Residents ☒ ☐ ☐ 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 Policy 5.2.6: Transgender and Intersex that best meets their individual needs and promotes Residents their safety and well-being. Staff may not Through a review of the above policy, automatically house youth according to their admission documentation, and interviews external anatomy and shall document the reasons ☒ ☐ ☐ with detention and supervisory staff, BSCC for any decision to house youth in a unit that does staff determined that the Shasta REA meets not match their gender identity. In making a housing compliance with this regulation. 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 Policy 5.2.6: Transgender and Intersex transgender and intersex youth have access to Residents medical and behavioral health providers qualified to ☒ ☐ ☐ BSCC staff interviewed medical and provide care and treatment to transgender and behavioral health staff to conclude intersex youth. compliance with this regulation. (e) Consistent with the facility’s reasonable and Policy 5.2.6: Transgender and Intersex necessary security considerations and physical Residents plant, facility staff shall make every effort to ensure ☒ ☐ ☐ All youth have single rooms with their own the safety and privacy of transgender and intersex toilets. All youth shower in the unit in private youth when the youth are using the bathroom or showers. shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 5.2.6: Transgender and Intersex youth for the purpose of determining the youth’s Residents ☒ ☐ ☐ 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. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1353 ORIENTATION Policy 5.3.9: Resident Orientation Policy 5.3.4: Booking Procedures The facility administrator shall develop and implement written policies and procedures to orient a youth prior to Shasta River’s Edge Academy youth are placement in a living area. Both written and verbal housed on the 700 Pod with detention youth information shall be provided and supplemented with in the Shasta County Juvenile Rehabilitation video orientation if feasible. Provision shall be made to Facility. Both facilities follow the same provide accessible orientation information to all Orientation procedures. BSCC staff reviewed detained youth including those with disabilities, limited the 10 most recent youth intake orientation literacy, or English language learners. Orientation shall packets completed that included both include information that addresses: facilities. Orientation documents were signed by youth acknowledging viewing the facility ☒ ☐ ☐ orientation video and receiving written and verbal information that included, but was not limited to, expectations, treatment, rule, and youth rights. BSCC staff also reviewed the youth handbook, interviewed detention staff, and interviewed youth housed at the facility to help determine compliance. In a review of the youth handbook, it provides a summary of policies, guidance of behaviors, sets expectations and allows for dialogue if a youth is unclear on a specific topic. (a) facility rules including contraband and searches Policy 5.3.9: Resident Orientation and disciplinary procedures; Orientation packets show youths’ provided signatures acknowledging viewing the facility ☒ ☐ ☐ orientation video and receiving written and verbal information that included, but was not limited to contraband, searches, and disciplinary procedures. (b) facility’s system of positive behavior interventions Policy 5.3.9: Resident Orientation 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 Policy 5.3.9: Resident Orientation facility’s policy prohibiting sexual abuse and sexual During the intake and orientation process, harassment and how to report incidents or each youth is provided with a well-detailed suspicions of sexual abuse or sexual harassment; ☒ ☐ ☐ Resident Handbook. The Resident Handbook provides youth with information and guidance for reporting any form of sexual abuse, sexual harassment, and or suspensions of sexual abuse and harassment. (d) identification of key staff and their roles; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) the existence of the grievance procedure, the steps Policy 5.3.9: Resident Orientation that must be taken to use it, the youth’s right to be The grievance procedure is outlined in the free of retaliation for reporting a grievance, and the resident handbook. Youth sign and name of the person or position designated to resolve the issue; ☒ ☐ ☐ acknowledge that they have been provided with, that the handbook information has been explained to him/her, and that the youth understand the information contained within the handbook. (f) access to legal services and information on the Policy 5.3.9: Resident Orientation court process; ☒ ☐ ☐ (g) access to routine and emergency health and mental Policy 5.3.9: Resident Orientation health care; BSCC staff interviewed youth and intake staff to help in determining that the Shasta REA ☒ ☐ ☐ complies with this regulation. Youth have access to medical and mental health requests for services slips and have the option to confidentially submit the requests. (h) access to education, religious services, and Policy 5.3.9: Resident Orientation ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (j) opportunity for personal hygiene and daily showers Policy 5.3.9: Resident Orientation including the availability of personal care items ☒ ☐ ☐ BSCC staff interviewed youth and intake staff to help in determining that REA complies with this regulation. (k) rules and access to correspondence, visits and Policy 5.3.9: Resident Orientation ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Policy 5.3.9: Resident Orientation ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Policy 5.3.9: Resident Orientation chemical agents and room confinement; ☒ ☐ ☐ BSCC staff interviewed youth and intake staff to help in determining that Shasta REA complies with this regulation. (n) immigration legal services; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (o) emergencies including evacuation procedures; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (p) non-discrimination policy and the right to be free Policy 5.3.9: Resident Orientation from physical, verbal or sexual abuse and harassment by other youth and staff; ☒ ☐ ☐ BSCC staff interviewed youth and intake staff to help in determining that Shasta REA complies with this regulation. (q) availability of services and programs in a language Policy 5.3.9: Resident Orientation other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy 5.3.9: Resident Orientation education, programming and work assignments; ☒ ☐ ☐ 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (s) a process for which parents/guardians receive Policy 5.3.9: Resident Orientation information regarding the youth’s stay in the facility that at a minimum includes answers to frequently The Parent handbook is provided to all asked questions and provides contact information parents with frequently asked questions, and ☒ ☐ ☐ for the facility, medical, school and mental health; provides contact information for the facility, and, medical, school, and mental health, and other pertinent information regarding the youth’s stay. (t) a process by which youth may request access to Policy 5.3.9: Resident Orientation Title 15 Minimum Standards for Juvenile Facilities. The resident handbook indicates that Title 15 ☒ ☐ ☐ Regulations are available on the Pod. BSCC staff also interviewed youth and staff who acknowledged youths’ access to Title 15 Regulations. 1354 SEPARATION Policy 5.3.6.1: Separation ☒ ☐ ☐ The facility administrator shall develop and implement written policies and procedures that address: (a) separation of youth for reasons that include, but are Policy 5.3.6.1: Separation not be limited to, medical and mental health conditions, assaultive behavior, disciplinary The facility incorporates the following types of consequences and protective custody. Separations: • Administrative Separation due to extreme risk due to assaultive behavior to other youth or staff and all least restrictive options to control the youth’s behavior have been exhausted. ☒ ☐ ☐ • Maximum Security Risk due to charges or assaultive or threatening behavior resulting in extreme risk to youth and staff. • Protective Custody for residents who request protective custody. • Self-Separation if a resident refuses to participate in facility programming or activities and remains in their respective room. (b) consideration of positive youth development and Policy 5.3.6.1: Separation ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Policy 5.3.6.1: Separation privileges available at the facility, except when necessary to accomplish the objective of BSCC staff reviewed Separation Policy separation. 5.3.6.1, programming logs. There were no ☒ ☐ ☐ reports of incidents that resulted in Administrative Separation (AD-Sep) of a youth. We also interviewed youth detained at the facility, staff, and supervisors. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) when the objective of the separation is discipline, Policy 5.3.6.1: Separation Title 15 Section 1390 shall apply. BSCC staff observed a program identified as the Alternative Program (AP) in the facility’s Policy 5.8.3, Discipline. Verbiage within the ☒ ☐ ☐ use of the program indicates that during different times of day, the youth on AP may program separately from other youths. BSCC staff discussed adding and or referencing the AP program to the Separation policy while also keeping it in the Discipline policy. (e) when separation results in room confinement, the Policy 5.3.6.1: Separation separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy 5.3.6.1: Separation of separated youth to determine if separation ☒ ☐ ☐ remains necessary. 1354.5 ROOM CONFINEMENT Policy 5.8.7: Temporary Room Restriction and Reintegration Planning (a) The facility administrator shall develop and implement written policies and procedures A Temporary Room Restriction (TRR) / addressing the confinement of youth in their room (room confinement) is placing youth in a that are consistent with Welfare and Institutions locked room for a short period of time to cool Code Section 208.3. The placement of a youth in off or de-escalate behaviors but may lead to room confinement shall be accomplished in room confinement of up to 4 hours if accordance with the following guidelines: behaviors cause safety and or security concerns. ☒ ☐ ☐ BSCC staff reviewed Temporary Room Restriction (TRR) Policy 5.8.7 and reviewed the nine reported TRR/ room confinement incident reports. We also interviewed youth detained at the facility, JDO staff, and supervisors. In a review, the (TRR) /room confinement incidents that occurred were justifiable and compliant. (1) Room confinement shall not be used before Policy 5.8.7: Temporary Room Restriction other, less restrictive, options have been and Reintegration Planning attempted and exhausted, unless attempting ☒ ☐ ☐ those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Policy 5.8.7: Temporary Room Restriction purposes of punishment, coercion, and Reintegration Planning convenience, or retaliation by staff. BSCC staff discussed removing the word “Restriction” from the TRR logs and ☒ ☐ ☐ documentation as it relates to room confinement. Since room confinement shall not be used for punishment, using the word restriction in identifying the room confinement process may create misleading assumptions. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Room confinement shall not be used to the Policy 5.8.7: Temporary Room Restriction extent that it compromises the mental and ☒ ☐ ☐ and Reintegration Planning physical health of the youth. (b) A youth may be held up to four hours in room Policy 5.8.7: Temporary Room Restriction confinement. After the youth has been held in room and Reintegration Planning confinement for a period of four hours, staff shall do ☒ ☐ ☐ one or more of the following: There were no incidents reported having occurred resulting in over 4 hours of room confinement. (1) Return the youth to general population. Policy 5.8.7: Temporary Room Restriction and Reintegration Planning JDO staff are required to make counseling ☒ ☐ ☐ efforts to de-escalate the resident so that he/she may rejoin the group. These counseling efforts shall be no less than every 15 minutes and documented in the Temporary Room Restriction Log (TRR). (2) Consult with mental health or medical staff. Policy 5.8.7: Temporary Room Restriction ☒ ☐ ☐ and Reintegration Planning (3) Develop an individualized plan that includes the Policy 5.8.7: Temporary Room Restriction goals and objectives to be met in order to and Reintegration Planning reintegrate the youth to general population. ☒ ☐ ☐ Shasta’s REA policy indicates that after one hour of a TRR has elapsed, a Reintegration Plan for the youth shall be completed. (4) If room confinement must be extended beyond Policy 5.8.7: Temporary Room Restriction four hours, staff shall do each of the following: and Reintegration Planning ☒ ☐ ☐ There were no incidents reported having occurred resulting in over 4 hours of room confinement. (A) Document the reasons for room Policy 5.8.7: Temporary Room Restriction confinement and the basis for the and Reintegration Planning extension, the date and time the youth was ☒ ☐ ☐ first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that Policy 5.8.7: Temporary Room Restriction includes the goals and objectives to be met and Reintegration Planning ☒ ☐ ☐ in order to integrate the youth to general population. (C) Obtain documented authorization by the Policy 5.8.7: Temporary Room Restriction facility superintendent or his or her ☒ ☐ ☐ and Reintegration Planning designee every four hours thereafter. (5) This section is not intended to limit the use of Policy 5.8.7: Temporary Room Restriction single-person rooms or cells for the housing of and Reintegration Planning ☒ ☐ ☐ youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards Policy 5.8.7: Temporary Room Restriction ☒ ☐ ☐ in court holding facilities or adult facilities. and Reintegration Planning (7) Nothing in this section shall be construed to Policy 5.8.7: Temporary Room Restriction conflict with any law providing greater or ☒ ☐ ☐ and Reintegration Planning additional protections to youth. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (8) This section does not apply during an Policy 5.8.7: Temporary Room Restriction extraordinary emergency circumstance that and Reintegration Planning 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 Policy 5.8.7: Temporary Room Restriction placed in a locked cell or sleeping room to treat and Reintegration Planning and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not ☒ ☐ ☐ required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 5.7.1: Resident Case Plan The facility administrator shall develop and implement We reviewed random Institutional Case Plans written policies and procedures for assessment and covering the duration of 2023. We also case planning. interviewed youth detained at the facility, JDO staff, and supervisors. ☒ ☐ ☐ To generate the Institutional Assessment and Case Plan, the SCJRF booking officer utilizes a Pre-Pact assessment tool that helps determine the appropriate programs suited for a youth’s program and behavioral needs. (a) Assessment: Policy 5.7.1: Resident Case Plan The assessment is based on information collected The results of the Pre-Pact assessment are during the admission process with periodic review, shared with the casework Probation Officer which includes the youth's risk factors, needs and and the information is included in the PACT strengths including, but not limited to, identification Assessment and Case plan. PACT (Positive of substance abuse history, educational, Achievement Change Tool) is an evidence- vocational, counseling, behavioral health, ☒ ☐ ☐ based, risk/needs assessment tool. consideration of known history of trauma, and family strengths and needs. The school staff expressed an appreciation for the weekly team meetings with probation that allow effective communication for ongoing assessments. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Institutional Case Plan: Policy 5.7.1: Resident Case Plan (1) A case plan shall be developed for each youth The REA Deputy Probation Officers (DPO) held for at least 30 days or more and created ☒ ☐ ☐ are assigned to complete Institutional Case within 40 days of admission. Plans with bi-weekly follow up with the youth. (2) The institutional plan shall include, but not be Policy 5.7.1: Resident Case Plan limited to, written documentation that provides: ☒ ☐ ☐ (A) objectives and time frame for the resolution Policy 5.7.1: Resident Case Plan of problems identified in the assessment; ☒ ☐ ☐ (B) a plan for meeting the objectives that Policy 5.7.1: Resident Case Plan includes a description of program resources ☒ ☐ ☐ needed and individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Policy 5.7.1: Resident Case Plan the objectives, including periodic review and A review of case plans shows consistency discussion of the plan with the youth; ☒ ☐ ☐ with documenting the periodic review of a youth’s case plan progress and objectives toward meeting those goals. (4) a transition plan, the contents of which shall be Policy 5.7.1: Resident Case Plan subject to existing resources, shall be Policy 5.3.8: Release Procedures and developed for post dispositional youth in Transition Planning accordance with Section 1351; and, We were impressed with A Transition ☒ ☐ ☐ Passport form that is provided to youth upon release. The form identifies programs, health services, medication prescription information, wrap-around services, and relevant contact information to aid in a youth’s successful transition from custody. (5) in as much as possible and if appropriate, the Policy 5.7.1: Resident Case Plan plan, including the transition plan, shall be Per policy, and confirmed via BSCC staff developed with input from the family, supportive review, transitional and Reentry Services is adults, youth, and Regional Center for the the responsibility of the case-carrying Deputy Developmentally Disabled. Probation Officer and the Juvenile Detention Officer assigned to the Juvenile Probation Supervision Unit. Services may include the ☒ ☐ ☐ following but are not limited to: • Youth and Family Team Meeting(s) • Multidisciplinary Team Meeting(s) • Family Reunification Visits • “Passport” meeting for the purpose of scheduling out-of-custody continuum of care 1356 COUNSELING AND CASEWORK SERVICES Policy 5.7.7: Counseling and Casework Services The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) youth will receive assistance with needs or Policy 5.7.7: Counseling and Casework concerns that may arise; Services ☒ ☐ ☐ BSCC staff observed that via the case management system, the JDO documents counseling sessions conducted with the youth. (b) youth will receive assistance in requesting contact Policy 5.7.7: Counseling and Casework with parents, other supportive adults, attorney, Services clergy, probation officer, or other public official; and, ☒ ☐ ☐ All JDO staff are assigned to a youth for ongoing guidance. (c) youth will be provided access to available Policy 5.7.7: Counseling and Casework resources to meet the youth’s needs. Services ☒ ☐ ☐ Behavioral Health staff are onsite Monday through Friday from 1:00 PM to 9:00 PM. 1357 USE OF FORCE Policy 6.1: Use of Force The facility administrator, in cooperation with the BSCC staff requested to review the six responsible physician, shall develop and implement reported Use of Force (UOF) incident written policies and procedures for the use of force, reports. We also interviewed youth housed which may include chemical agents. Force shall never at the facility and detention staff. We also ☒ ☐ ☐ interviewed collaborative partners to gain be applied as punishment, discipline, retaliation or further insight to confirm compliance with treatment. this regulation. (a) At a minimum, each facility shall develop policies and procedures which: The facility is compliant with Title 15 minimum standards for this regulation. (1) restricts the use of force to that which is deemed Policy 6.1: Use of Force reasonable and necessary, as defined in Section 1302 to ensure the safety and security of youth, ☒ ☐ ☐ In a review, or reports and interviews with youth, JDO staff use force that is deemed staff, others and the facility. reasonable and necessary. (2) outline the force options available to staff Policy 6.1: Use of Force including both physical and non-physical options Shasta REA staff receive an initial 32-hour and define when those force options are appropriate. ☒ ☐ ☐ defensive tactic training and policy review outlining both physical and non-physical de- escalation options. An additional 4 hours of refresher training in force options occur on a quarterly basis. (3) describe force options or techniques that are Policy 6.1: Use of Force expressly prohibited by the facility. REA follow force options as identifies in the Rivers Edge Academy policy that are as follows below: ☒ ☐ ☐ • Command Presence and Dialog Control and Search Techniques • Soft Hands • Oleoresin Capsicum (OC) • Defensive Tactics • Mechanical Restraints • Deadly Force 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) describe the requirements of staff to report any Policy 6.1: Use of Force inappropriate use of force, and to take ☒ ☐ ☐ affirmative action to immediately stop it. (5) define a standardized reporting format that Policy 6.1: Use of Force includes time period and procedure for Shasta REA detention staff must complete documenting and reporting the use of force, use of force Incident Reports prior to ending including reporting requirements of his/her shift. Supervisory reviews are management and line staff and procedures for conducted prior to the end of the shift that the reviewing and tracking use of force incidents by ☒ ☐ ☐ incident occurred. Reviews and debriefings supervisory and or management staff, which were clearly documented in Incident Reports. 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 Policy 6.1: Use of Force for investigating unreasonable use of force. The REA management team schedules a ☒ ☐ ☐ monthly Use of Force Administrative Review to ensure compliance by all personnel and to address possible work performance deficiencies. (7) define the role, notification, and follow-up Policy 6.1: Use of Force procedures required after use of force incidents BSCC staff interviewed supervisory, for medical, mental health staff and parents or ☒ ☐ ☐ detention, and medical staff to help determine legal guardians. compliance with the elements of this regulation. (8) describe the limitations of use of force on Policy 6.1: Use of Force pregnant youth in accordance with Penal Code ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force Policy 6.1: Use of Force option shall include policies and procedures that: ☒ ☐ ☐ (1) identify who is approved to carry and/or utilize Policy 6.3: Chemical Agents chemical agents in the facility and the type, size JDO and supervisory staff shall satisfactorily and the approved method of deployment for ☒ ☐ ☐ complete the department eight-hour, STC- those chemical agents. approved Chemical Agents course prior to being approved to carry OC spray. (2) mandate that chemical agents only be used Policy 6.3: Chemical Agents when there is an imminent threat to the youth’s In a review of the Incident Reports, in most safety or the safety of others and only when de- ☒ ☐ ☐ cases, chemical agents were used to de- escalation efforts have been unsuccessful or are escalate youth-on-youth mutual physical not reasonably possible. combat. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) outline the facility’s approved methods and Policy 6.3: Chemical Agents timelines for decontamination from chemical BSCC staff interviewed medical personnel, agents. This shall include that youth who have ☒ ☐ ☐ youth housed at the facility, JDO staff, and been exposed to chemical agents shall not be supervisors. Compliance was confirmed. 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 Policy 6.3: Chemical Agents 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 Policy 6.3: Chemical Agents of use of chemical agents, including the reasons for which it was used, efforts to de- Incident Reports reviewed meet the Title 15 escalate prior to use, youth and staff involved, ☒ ☐ ☐ minimum standards for this regulation. 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 Policy 6.1: Use of Force which require that agencies provide initial and regular training in use of force and chemical agents The Shasta Secure Youth Treatment Facility when appropriate that address: (SSYTF) and the Rivers Edge Academy (REA) are commitment program facilities within the Shasta County Juvenile Rehabilitation Facility (SCJRF) complex. All three facilities abide by the same appointments, Training, and requirements as identified in policy and procedure and in the CPO’s letter identified below. ☒ ☐ ☐ A letter, dated September 14, 2023, was received from Chief Probation Officer Tracie Neal, certifying that all appointments of the Shasta County Juvenile Rehabilitation Facility (SCJRF) staff, including REA staff, are trained pursuant to the applicable laws and that all staff present at the facility meet all required qualifications and clearances. This includes Core Training and annual updates for the use of force for all detention staff. (1) known medical and behavioral health Policy 6.2: Use of Force Policy 6.3: Chemical Agents conditions that would contraindicate certain types of force; The referenced policy and curriculum for ☒ ☐ ☐ defensive tactics and verbal de-escalation techniques include knowing of any pre- existing medical and/or behavioral health conditions that would limit or restrict certain UF techniques. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) acceptable chemical agents and the methods Policy 6.3: Chemical Agents of application. REA detention staff and supervisors are trained and have available to them, the following types of OC Spray Canisters: ☒ ☐ ☐ • MK 4 sizes of cans • OC Stream or Gel Units • OC Foam, Gel, or stream Unit • MK9 Fogger Units (3) signs or symptoms that should result in Policy 6.2: Use of Force ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Policy 6.2: Use of Force ☒ ☐ ☐ Use of Force. Training occurs in defensive tactics annually. (5) physical training force options that may require Policy 6.2: Use of Force the use of perishable skills. The elements of this regulation are identified ☒ ☐ ☐ in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter dated September 14, 2023. (6) timelines the facility uses to define regular Policy 6.2: Use of Force training. ☒ ☐ ☐ The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter dated September 14, 2023. 1358 USE OF PHYSICAL RESTRAINTS Policy 6.2: Mechanical Restraints The facility administrator, in cooperation with the BSCC staff reviewed the 2023 use of physical restraints Incident Reports We also responsible physician and mental health director, shall interviewed youth housed at the facility and develop and implement written policies and procedures ☒ ☐ ☐ facility detention staff. for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth Policy 6.2: Mechanical Restraints who present an immediate danger to themselves or In a review of Incident Reports, and others, who exhibit behavior which results in the interviews with youth, staff, and medical destruction of property, or reveals the intent to cause ☒ ☐ ☐ personnel, BSCC staff observed that all self-inflicted physical harm. Physical restraints should instances of use of physical restraints were justifiably used and when less restrictive be utilized only when it appears less restrictive alternatives were exhausted. alternatives would be ineffective in controlling the youth’s behavior. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS In no case shall restraints be used as punishment or Policy 6.2: Mechanical Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through ☒ ☐ ☐ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy 6.2: Mechanical Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy 6.2: Mechanical Restraints of the facility manager or designee. The facility manager The JDO staff maintains direct visual may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints ☒ ☐ ☐ observation of the youth. A supervisor or JDO III/OIC was generally present and shall be reviewed and documented at a minimum of provided authorization for the use of every hour. mechanical restraints. A medical opinion on the safety of placement and Policy 6.2: Mechanical Restraints retention shall be secured as soon as possible, but no BSCC staff interviewed medical staff to help later than two hours from the time of placement. The confirm that medical staff provide ongoing youth shall be medically cleared for continued retention ☒ ☐ ☐ review and assessment while a youth is in at least every three hours thereafter. mechanical or any type of restraint. We also reviewed incident reports that detail when notifications are made to medical personnel. A mental health consultation shall be secured as soon as Policy 6.2: Mechanical Restraints possible, but in no case longer than four hours from the BSCC staff interviewed mental health staff to time of placement, to assess the need for mental health treatment. ☒ ☐ ☐ help confirm that medical staff provide ongoing review and assessment while a youth is in mechanical or any type of restraint. Continuous direct visual supervision shall be conducted Policy 6.2: Mechanical Restraints to ensure that the restraints are properly employed, and Through documentation review and to ensure the safety and well-being of the youth. interviews with detention and medical staff, Observations of the youth's behavior and any staff BSCC staff were able to confirm that the interventions shall be documented at least every 15 ☒ ☐ ☐ youth remained under constant supervision minutes, with actual time of the documentation recorded. until the restraints were removed. Typically, staff were able to remove mechanical restraints within 15 to 30 minutes of placement. In addition to the requirements above, policies and ☒ ☐ ☐ procedures shall address: (a) documentation of the circumstances leading to an Policy 6.2: Mechanical Restraints application of restraints. ☒ ☐ ☐ . 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) known medical conditions that would contraindicate Policy 6.2: Mechanical Restraints certain restraint devices and/or techniques. ☒ ☐ ☐ (c) acceptable restraint devices. Policy 6.2: Mechanical Restraints REA approved Restraints: • Handcuffs • Shackles ☒ ☐ ☐ • Belly Chains • The WRAP Handcuffs were utilized most prevalently. We found no incidents of utilizing the Wrap during this inspection cycle. (d) signs or symptoms which should result in Policy 6.2: Mechanical Restraints ☒ ☐ ☐ immediate medical/mental health referral. (e) availability of cardiopulmonary resuscitation Policy 6.2: Mechanical Restraints equipment. ☒ ☐ ☐ (f) protective housing of restrained youth. While in Policy 6.2: Mechanical Restraints 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. ☒ ☐ ☐ Policy 6.2: Mechanical Restraints (h) exercising of extremities. ☒ ☐ ☐ Policy 6.2: Mechanical Restraints 1358.5 USE OF RESTRAINT DEVICES FOR Policy 4.3.3: Resident Movement MOVEMENT AND TRANSPORTATION WITHIN THE BSCC staff reviewed incident reports for this FACILITY. regulation, mostly involving mutual physical combat between youth. In all cases, mechanical restraints were used to move a The Facility Administrator, in cooperation with the combative youth to his/her room. The responsible physician and behavioral/mental health observations and documentation were director, shall develop and implement written policies ☒ ☐ ☐ complete. and procedures for the use of restraint devices when the purpose is for movement or transportation within the Handcuffs and the Wrap are approved facility that shall include the following: devices for use within the facility. REA meets Title 15 minimum standards for the elements of this regulation, describes the incident, and justifies the use of restraints for each application of restraints used. (a) identification of acceptable restraint devices, staff Policy 4.3.3: Resident Movement approved to utilize restraint devices and the The elements of this regulation are identified required training. ☒ ☐ ☐ in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter dated September 14, 2023. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) the circumstances leading to the application of Policy 4.3.3: Resident Movement restraints must be documented. ☒ ☐ ☐ (c) an individual assessment of the need to apply Policy 4.3.3: Resident Movement 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, Policy 4.3.3: Resident Movement 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 Policy 4.3.3: Resident Movement ☒ ☐ ☐ accordance with Penal Code Section6030(f) and Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Policy 5.3.3: Safety Room (a) The facility administrator, and where applicable, in Shasta REA has a safety room; however, it cooperation with the responsible physician, shall has not been used during this inspection develop and implement written policies and cycle. procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☒ ☐ ☐ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of Policy 5.3.3: Safety Room necessary nutrition and fluids, access to a ☒ ☐ ☐ toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or Policy 5.3.3: Safety Room ☒ ☐ ☐ designee, before a youth is placed into a safety room; (3) provide for continuous direct visual supervision Policy 5.3.3: Safety Room and documentation of the youth's behavior and Per policy, youth who are placed in the safety any staff interventions every 15 minutes, with room are under continuous direct visual actual time recorded; supervision. ☒ ☐ ☐ If needed, REA staff utilize the Safety Room Observation Sheet to track, and document observed behaviors. (4) provide that the youth shall be evaluated by the Policy 5.3.3: Safety Room facility manager, or designee, every four hours; ☒ ☐ ☐ 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) provide for immediate medical assessment, Policy 5.3.3: Safety Room where appropriate, or an assessment at the The Observation Sheet includes a review by next daily sick call; and, ☒ ☐ ☐ medical staff at a minimum of every 4 hours. (6) provide a process for documenting the reason Policy 5.3.3: Safety Room for placement, including attempts to use less ☒ ☐ ☐ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ Policy 5.3.3: Safety Room accomplished in accordance with the following: (1) safety room shall not be used before other less Policy 5.3.3: Safety Room 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 Policy 5.3.3: Safety Room of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) safety room shall not be used to the extent that Policy 5.3.3: Safety Room it compromises the mental and physical health ☒ ☐ ☐ of the youth. (c) A youth may be held up to four hours in the safety Policy 5.3.3: Safety Room room. After the youth has been held in the safety The Observation Sheet includes a review by room for a period of four hours, staff shall do one or ☒ ☐ ☐ each supervisor and medical staff at a more of the following: minimum of every four hours. (1) return the youth to general population. ☒ ☐ ☐ Policy 5.3.3: Safety Room (2) consult with mental health or medical staff, Policy 5.3.3: Safety Room Per policy, when a youth is placed in the safety room, the shift supervisor completes a medical notification form documenting the ☒ ☐ ☐ time, date, and name of medical personnel notified. The medical personnel complete the Medical Notification form with a review/ recommendation. (3) develop an individualized plan that includes the Policy 5.3.3: Safety Room goals and objectives to be met in order to A Mental Health Suicide Watch Custody reintegrate the youth to general population. ☒ ☐ ☐ Notification form is provided by Mental Health personnel. The notification gives the REA staff direction pertaining to levels of suicide watch and contingency planning. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) If confinement in the safety room must be extended Policy 5.3.3: Safety Room 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 Policy 4.4: Searches of Residents Policy 4.3.5: Facility Searches The facility administrator shall develop and implement written policies and procedures governing the search of BSCC staff observed that there were no strip youth, the facility, and visitors. Policies and procedures ☒ ☐ ☐ searches reported to have occurred during shall provide that: 2023. It was concluded that the facility complies with Title 15 minimum standards of this regulation. (a) Searches shall be conducted to ensure the safety Policy 4.4: Searches of Residents ☒ ☐ ☐ and security of the facility, public, visitors, youth, and staff. (b) Searches shall be conducted in a manner that Policy 4.4: Searches of Residents preserves the privacy and dignity of the person We interviewed a youth housed at REA who being searched and shall not be conducted for harassment or as a form of discipline or ☒ ☐ ☐ confirmed the search process conducted by detention staff during booking, is done with punishment. dignity and preserves the privacy of the youth being searched. (c) Strip searches and visual or physical body cavity Policy 4.4: Searches of Residents searches shall comply with Penal Code Section The facility maintains expectations for strip 4030. searches pursuant to PC 4030, for pre- ☒ ☐ ☐ detention youth and post-detention youth. All strip searches will be approved in advance of the search and are logged in the Strip Search Log. (d) Physical body cavity searches shall only be Policy 4.4: Searches of Residents conducted by a medical professional. ☒ ☐ ☐ Shasta REA staff do not perform cavity searches. (e) Any youth held after a detention hearing shall only Policy 4.4: Searches of Residents 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 Policy 4.4: Searches of Residents comply with Section 1352.5. Policy 5.2.6: Transgender and Intersex Residents ☒ ☐ ☐ Transgender youth will be searched by an officer of the gender requested. (g) Cross-gender pat-down searches and strip Policy 4.4: Searches of Residents searches are prohibited except in exigent ☒ ☐ ☐ circumstances or when conducted by a medical professional. Such searches must be justified and documented in writing. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1361 GRIEVANCE PROCEDURE Policy 5.9: Grievances The facility administrator shall develop and implement We reviewed grievances and monthly written policies and procedures whereby any youth may grievance logs covering 2023. Grievances appeal and have resolved grievances relating to any were written in February, March, August, and condition of confinement, including but not limited to September. BSCC staff also interviewed health care services, classification decisions, program ☒ ☐ ☐ youth housed at the facility, as well as participation, telephone, mail or visiting procedures, detention staff. The facility uses monthly food, clothing, bedding, mistreatment, harassment or grievance logs to track grievances by Pod. violations of the nondiscrimination policy. There shall be Grievance resolutions were timely and no time limit on filing grievances. Policies and provided supervisory review. procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy 5.9: Grievances grievance, which includes provisions for the youth We interviewed multiple youth who indicated to have free access to the form; that during the intake and orientation process, the grievance procedure was clearly explained. ☒ ☐ ☐ During our physical inspection, we observed that grievances were readily available to youth. In addition, grievance lock boxes were in the housing pods to allow youth to confidentially submit a grievance if needed. (b) the youth shall have the option to confidentially file Policy 5.9: Grievances the grievance or to deliver the form to any youth The youth were aware of the grievance supervision staff working in the facility; ☒ ☐ ☐ procedures, the location of the grievances, and the grievance lockbox to confidentially file a grievance if needed. (c) resolution of the grievance at the lowest appropriate Policy 5.9: Grievances staff level; Depending on the circumstances, generally, ☒ ☐ ☐ grievances are first addressed at the JDO level. (d) provision for a prompt review and initial response to Policy 5.9: Grievances 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 Policy 5.9: Grievances his/her version of the grievance to a person not directly involved in the circumstances which led ☒ ☐ ☐ The youth interviewed indicated that during the intake and orientation process, the to the grievance. grievance procedure was clearly explained. (2) Provision for a staff representative approved by Policy 5.9: Grievances the facility administrator to assist the youth. ☒ ☐ ☐ 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) provision for a written response to the grievance Policy 5.9: Grievances which includes the reasons for the decisions; ☒ ☐ ☐ A review of grievances shows that REA detention staff provide responses that explain the reason for decisions made. (f) a system which provides that any appeal of a Policy 5.9: Grievances 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 Policy 5.9: Grievances (10) business days unless circumstances dictate a Prior to leaving at the end of their shift, the longer time frame. The youth shall be notified of Supervisor/OIC on duty checks the grievance any delay; and, lockboxes on each pod, log the grievance in ☒ ☐ ☐ the grievance log, and assigns the grievance a tracking number. The documentation as well as interviews show that detention staff respond to grievances in a timely fashion. (h) the policy shall provide multiple internal and Policy 5.9: Grievances, IV Reporting Sexual external methods to report sexual abuse and sexual Abuse and Sexual Harassment (A) (1): harassment. “Residents who are victims of or have knowledge of sexual misconduct should immediately report the incident either verbally ☒ ☐ ☐ or in writing to a staff member (Juvenile Detention Officer, Probation Officer, supervisor, teacher, mental health therapist, psychologist, nurse, or any other adult in the building).” Whether or not associated with a grievance, concerns Policy 5.9: Grievances 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 Policy 5.8.4: Reports and Documentation A written report of all incidents which result in physical Throughout the inspection process, various harm, use of force, serious threat of physical harm, or forms of documentation were requested and death of an employee, youth or other person(s) shall be ☒ ☐ ☐ received. REA forms provide the required maintained. Such written record shall be prepared by the fields and tracking per 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. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT Policy 6.4: Use of Reasonable Force to DNA SPECIMENS, SAMPLES, IMPRESSIONS Collect Specimens, Samples, and Impressions, Section I (A), General (a) Pursuant to Penal Code Section 298.1 authorized Information: law enforcement, custodial, or corrections personnel including peace officers, may employ The facility staff do not collect DNA. If ☐ ☐ ☒ reasonable force to collect blood specimens, saliva ordered by the Court, the assigned PO samples, and thumb or palm print impressions from collects the sample. Per policy, DNA individuals who are required to provide such collection is conducted in Juvenile Division samples, specimens or impressions pursuant to offices. Therefore, this section is marked as Penal Code Section 296 and who refuse following not applicable to this facility. written or oral request. (1) For the purpose of this section, the “use of 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 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 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 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. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM Policy 11.1: School Programs (a) School Programs In part, Title 15 Regulation 1313, County Evaluation of Building and Grounds, states The County Board of Education shall provide for the that each juvenile facility administrator shall administration and operation of juvenile court schools in obtain a documented inspection and conjunction with the Chief Probation Officer, or designee evaluation from the county superintendent of pursuant to applicable State laws. The school and facility schools on the adequacy of educational administrators shall develop and implement written policy services and facilities as required in Section and procedures to ensure communication and 1370. REA follows compliance with this coordination between educators and probation staff. regulation. Culturally responsive and trauma-informed approaches Per Title 15, Section 1313 County Inspection should be applied when providing instruction. Education and Evaluation of Building and Grounds (d), staff should collaborate with the facility administrator to the Education Program was evaluated on use technology to facilitate learning and ensure safe ☒ ☐ ☐ November 27, 2023, and completed by, Nick technology practices. The facility administrator shall Catomerisios, Sr. Director Alternative request an annual review of each required element of the Education, Butte County OE, and Janis program by the Superintendent of Schools, and a report Delgado, Principal, Butte County OE. or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this BSCC staff interviewed the Shasta County section. Such a review, when conducted, cannot be Office of Education’s Executive Director of delegated to the principal or any other staff of any Student Programs. BSCC staff also juvenile court school site. The Superintendent of Schools interviewed youth detained at the facility. We also physically inspected the classrooms. shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, Youth in detention are afforded Common the facility administrator or designee shall review each Core classroom instruction. item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Policy 11.2: Educational Program Required Elements The facility school program shall comply with the State Education Code and County Board of Education policies, In part, compliance was confirmed as part of all applicable federal education statutes and regulations the required annual, Title 15, Section 1313 and provide for an annual evaluation of the educational County Inspection and Evaluation of Building program offerings. As stated in the 2009 California and Grounds evaluation. The facility was Standards for the Teaching Profession, teachers shall evaluated on November 27, 2023, and establish and maintain learning environments that are conducted by Nick Catomerisios, Senior physically, emotionally, and intellectually safe. Youth Director of Alternative Education, Butte shall be provided a rigorous, quality educational program County Office of Ed; Janis Delgado, Principal, ☒ ☐ ☐ that responds to the different learning styles and abilities BCOE. of students and prepares them for high school To further confirm compliance, BSCC staff graduation, career entry, and post-secondary education. interviewed the Shasta County Office of Education, Executive Director of Student Programs, as well as youth detained at the facility. We also physically inspected classrooms. As a result, we found that the learning environment and the quality of educational programming meet the minimum standards for this regulation. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS All youth shall be treated equally, and the education Policy 11.2: Educational Program Required program shall be free from discriminatory action. Staff Elements ☒ ☐ ☐ 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 Policy 11.2: Educational Program Required Education Code and include, but not be limited Elements to, courses required for high school graduation. The school program offers Core Curriculum ☒ ☐ ☐ via Edovo tablets which provides online coursework that enables students to work independently for hybrid learning. (2) Information and preparation for the High School Policy 11.2: Educational Program Required Equivalency Test as approved by the California Elements Department of Education shall be made ☒ ☐ ☐ The youth are allowed to work on credit available to eligible youth. recovery and provided with an opportunity to take the GED. (3) Youth shall be informed of post-secondary Policy 11.2: Educational Program Required education and vocational opportunities. Elements Students are offered concurrent post- secondary enrollment, at no cost, through a partnership with Shasta Community College. Several youths are scheduled to participate in the Olive View Work Study program via Shasta Community College. Youth are ☒ ☐ ☐ provided Edovo tablets which provide learning via a college-level platform. The facility is making efforts to expand the vocational program that includes virtual welders, CPR, and food handler’s certificates. BSCC staff is also aware of a pending construction project that will add vocational programming classrooms and hands-on opportunities. (4) Administration of the High School Equivalency Policy 11.2: Educational Program Required Tests as approved by the California Department ☒ ☐ ☐ Elements of Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to Policy 11.2: Educational Program Required youth who do not demonstrate sufficient Elements progress towards grade level standards. ☒ ☐ ☐ After-school tutoring programming is available to youth needing extra assistance with studies. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) The minimum school day shall be consistent with Policy 11.2: Educational Program Required State Education Code Requirements for juvenile Elements court schools. The facility administrator, in School instruction is daily from 8:30 a.m. to conjunction with education staff, must ensure ☒ ☐ ☐ 1:30 p.m. 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 Policy 11.2: Educational Program Required regardless of classification, housing, security Elements 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 Policy 11.3: School Discipline (1) Positive behavior management will be Youths earn program-level points in school implemented to reduce the need for disciplinary ☒ ☐ ☐ for good behavior. action in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Policy 11.3: School Discipline decisions made by probation staff that may During an interview, the Shasta County Office affect the educational programming of students. ☒ ☐ ☐ of Education’s Executive Director of Student Programs, expressed that Probation does well in keeping education staff advised of circumstances that may affect a student. (3) Except as otherwise provided by the State Policy 11.3: School Discipline Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due ☒ ☐ ☐ process safeguards as set forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Policy 11.3: School Discipline education staff will develop policies and Educational services provide supplemental procedures that address the rights of any assistance to youth through student who has continuing difficulty completing paraprofessionals who are in the classroom a school day. ☒ ☐ ☐ periodically during the week. The classroom teacher also provides added assistance when needed. Further, after school tutoring programming is available to youth needing extra assistance with studies. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Provisions for Special Populations Policy 11.4: Education Program: Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Educational services provide supplemental suspected disabilities. This includes but is not ☒ ☐ ☐ assistance to youth through limited to child find, assessment, continuum of paraprofessionals who are in the classroom alternative placements, manifestation periodically during the week. determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Policy 11.4: Education Program: Provisions afforded an educational program that addresses for Special Populations ☒ ☐ ☐ their language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy 11.5: Educational Screening and Admission (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's ☒ ☐ ☐ BSCC staff interviewed education staff, as educational history, including but not limited to: well as youth detained at the facility to assist in confirming compliance with the elements of this regulation. (A) School progress/school history; Policy 11.5: Educational Screening and ☒ ☐ ☐ Admission (B) Home Language Survey and the results of Policy 11.5: Educational Screening and ☒ ☐ ☐ the State Test used for English language Admission proficiency; (C) Needs and services of special populations Policy 11.5: Educational Screening and as defined by the State Education Code, ☒ ☐ ☐ Admission including but not limited to, students with special needs. (D) Discipline problems. Policy 11.5: Educational Screening and ☒ ☐ ☐ Admission (2) Youth will be immediately enrolled in school. Policy 11.5: Educational Screening and Educational staff shall conduct an assessment Admission to determine the youth's general academic functioning levels to enable placement in core ☒ ☐ ☐ The Education Department employs school curriculum courses. personnel who perform the duties of the School Registrar to ensure compliance with this regulation. (3) After admission to the facility, a preliminary Policy 11.5: Educational Screening and ☒ ☐ ☐ education plan shall be developed for each Admission youth within five school days. (4) Upon enrollment, education staff shall comply Policy 11.5: Educational Screening and with the State Education Code and request the Admission youth's records from his/her prior school(s), including, but not limited to, transcripts, The Education Department employs school Individual Education Program (IEP), 504 Plan, personnel to ensure compliance with this ☒ ☐ ☐ state language assessment scores, regulation. 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. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Educational Reporting Policy 11.6: Educational Reporting, Transition and Re-Entry Planning (1) The complete facility educational record of the ☒ ☐ ☐ youth shall be forwarded to the next educational The Education Department employs school placement in accordance with the State personnel to ensure compliance with this Education Code. regulation. (2) The County Superintendent of Schools shall Policy 11.6: Educational Reporting, Transition provide appropriate credit (full or partial) for and Re-Entry Planning ☒ ☐ ☐ course work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 11.6: Educational Reporting, Transition and Re-Entry Planning (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 Policy 11.7: Education Program: Access to Computing Technology and Post-Secondary (1) The school and facility administrator should, Education Opportunities. whenever possible, collaborate with local post- secondary education providers to facilitate ☒ ☐ ☐ access to educational and vocational Graduates participate in ROP/Vocational opportunities for youth that considers the use of technology to implement these programs. programming with Hope City. REA also has a partnership with Shasta Community College for selected online courses. 1371 PROGRAMS, RECREATION, AND Policy 5.7.2: Programs, Recreation and EXERCISE. Exercise BSCC staff reviewed three random months of program schedules showing programs The facility administrator shall develop and implement provided and individual youth participation. written policies and procedures for programs, We commend REA for the array of pro-social recreation, and exercise for all youth. The intent is to programming offered to youth detained at the minimize the amount of time youth are in their rooms or facility. their bed area. BSCC staff found it impressive that all JDO ☒ ☐ ☐ staff are being trained in Forward Thinking Programming. Forward Thinking Journal Series is a cognitive-behavioral series that uses evidence-based strategies to assist youth involved in the criminal justice system in making positive changes to their thoughts, feelings, and behaviors. The facility’s policy and procedure are applicable to the elements of this regulation, as required. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Juvenile facilities shall provide the opportunity for Policy 5.7.2: Programs, Recreation and programs, recreation, and exercise a minimum of three Exercise hours a day during the week and five hours a day each ☒ ☐ ☐ In a review of activity logs and interviews with Saturday, Sunday or other non-school days, of which youth, REA follows compliance with the Title one hour shall be an outdoor activity, weather 15 minimum standards for this regulation. permitting. A youth’s participation in programs, recreation, and Policy 5.7.2: Programs, Recreation, and exercise may be suspended only upon a written finding Exercise ☒ ☐ ☐ 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 Policy 5.7.2: Programs, Recreation and be posted in the living units. Exercise ☒ ☐ ☐ While conducting a physical inspection of the facility, we observed the programming schedules posted on the living Pods. There will be a written annual review of the programs, Policy 5.7.2: Programs, Recreation and recreation, and exercise by the responsible agency to Exercise ensure content offered is current, consistent, and A letter provided by Division Director, Carla relevant to the population. Stevens, dated February 28, 2023, provided confirmation that an annual review of the ☒ ☐ ☐ programs, recreation, and exercise was conducted to ensure content offered is current, consistent, and relevant to the population. In addition, BSCC staff reviewed cover letters from program providers highlighting programs offered. (a) Programs. All youth shall be provided with the Policy 5.7.2: Programs, Recreation, and opportunity for at least one hour of daily Exercise programming to include, but not be limited to, trauma Policy 5.7.4, Social Awareness, Policy focused, cognitive, evidence-based, best practice Statement interventions that are culturally relevant and linguistically appropriate, or pro-social interventions BSCC staff requested and reviewed the and activities designed to reduce recidivism. These program’s Exercise and Recreation policy programs should be based on the youth’s individual and procedure, logs, and pertinent needs as required by Sections 1355 and 1356. Such documentation for the months of July, programs may be provided under the direction of the ☒ ☐ ☐ August, and September 2023. Chief Probation Officer or the County Office of Education and can be administered by county REA offers many programming options to partners such as mental health agencies, community youth. Victor Community Support Services based organizations, faith-based organizations or (VCSS) and Hope City have both contributed Probation staff. significantly to the facility’s programming. VCSS has been collaborating with the facility Programs may include but are not limited to: for over 5 years. VCSS is onsite 5 days per week while facilitating ART groups, conducting Individual Log Behavior Training, and other mentoring. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Cognitive Behavior Interventions; Policy 5.7.2: Programs, Recreation and (2) Management of Stress and Trauma; Exercise (3) Anger Management; (4) Conflict Resolution; We interviewed youth housed at the facility, (5) Juvenile Justice System; detention staff, and outside providers, and (6) Trauma-related interventions; reviewed programming documentation. (7) Victim Awareness; (8) Self-Improvement; Programs are facilitated by staff and (9) Parenting Skills and support; volunteers, including, but not limited to: (10) Tolerance and Diversity; • Forward Leap (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; • Individual Therapy (13) Gender Specific Programming; • Cognitive Behavior Therapy (14) Art, creative writing, or self-expression; • Smart Addiction (15) CPR and First Aid training; ☒ ☐ ☐ • Forward Thinking (16) Restorative Justice or Civic Engagement; • NA/AA (17) Career and leadership opportunities; and, • Religion (18) Other topics suitable to the youth population. • Baking and Culinary • Book Club • Grow • ROP Kitchen Help • Victor Community Support Services (VCSS) - Aggression Replacement Therapy ART, Individual Cognitive Behavioral Therapy (ICBT) • Hope City- Mentoring, counseling, anger management, life skills, etc. (b) Recreation. All youth shall be provided the Policy 5.7.2: Programs, Recreation and opportunity for at least one hour of daily access to Exercise unscheduled activities such as leisure reading, letter ☒ ☐ ☐ BSCC staff concluded that the facility meets writing, and entertainment. Activities shall be compliance with Title 15 minimum standards supervised and include orientation and may include for this regulation. coaching of youth. (c) Exercise. All youth shall be provided with the Policy 5.7.2: Programs, Recreation and opportunity for at least one hour of large muscle Exercise activity each day. ☒ ☐ ☐ After a review of program activity logs, and interviews with youth housed at the facility and detention staff, Shasta REA complies with this regulation. The administrator/manager may suspend, for a period Policy 5.7.3: Access to Religious not to exceed 24 hours, access to recreation and Programming ☒ ☐ ☐ programs. The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy 5.7.3: Access to Religious Programming The facility administrator shall provide access to religious services and/or religious counseling at least Services are provided by Christian Science, once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ Bethel Church, Shasta Baptist, and Forward shall be allowed to participate in an activity outside of Leap. their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) opportunity for religious services and practices; Policy 5.7.3: Access to Religious Programming Through interviews with youth housed at the ☒ ☐ ☐ facility and a review of the programming schedules, we were able to determine that Shasta REA meets compliance with this regulation. (b) availability of clergy; and, Policy 5.7.3: Access to Religious Programming ☒ ☐ ☐ (c) availability of religious diets. Policy 5.7.8: Work Program Facility ROP Food Service program provides an opportunity for youth to learn culinary skills and involvement with community outreach ☒ ☐ ☐ projects. As well, The Gardening, Responsibility, and Ownership of Self and Community Wellbeing (GROW) program is a gardening project that teaches youth a healthy lifestyle by focusing on practical gardening, farming, and social skills. 1373 WORK PROGRAM Policy 5.7.8 Work Program The facility administrator shall develop policies and BSCC observed that, as stated in the policy, procedures regarding the fair and consistent assignment work assignments are fair, consistent, of youth to work programs. Work assigned to a youth ☒ ☐ ☐ meaningful, constructive, and related to shall be meaningful, constructive and related to vocational training or increase the resident’s vocational training or increasing a youth's sense of sense of responsibility. Work assignments responsibility. Work programs shall not be imposed as a are available on each Pod and or in secure disciplinary measure areas of the facility and outdoor recreation areas. 1374 VISITING Policy 5.6: Visiting Procedures The facility administrator shall develop and implement BSCC staff reviewed visiting policy and written policies and procedures for visiting, that include procedure, visiting schedules, and logs for provisions for special visits. Youth shall be allowed to July, August, and September 2023. We also receive visits by parents, guardians or persons standing interviewed youth and detention staff. Based in loco parentis, and children of youth. Other family ☒ ☐ ☐ on information received and interviews, members, such as grandparents and siblings, and BSCC staff conclude that REA complies with supportive adults, may be allowed to visit with the Title 15 minimum standards for this regulation. 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 Policy 5.6: Visiting Procedures the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s Visiting times are as follows: criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ • Saturday: 10:15 am to 11:15 am and 12:15 pm to 1:15 pm the safety of youth or staff in the facility. Any denial of • Sundays: 10:15 am to 11:15 am and visitation or limitation on visitations shall be 12:15 pm to 1:15 pm communicated to the youth, person denied and facility administrator. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Opportunity for visitation shall be a minimum of two hours Policy 5.7.7: Counseling and Casework per week. Visits may be supervised, but conversations Services shall not be monitored unless there is a security or safety Policy 5.11.2: Access to Mental Health need. Services ☒ ☐ ☐ A review of visiting logs and interviews with youth confirm that REA ensures youth have an opportunity to have visitation for a minimum of two hours per week. Provisions for special visits, in addition to the two-hour Policy 5.6: Visiting Procedures minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the The facility is especially flexible with visiting discretion of the facility administrator or designee. Family ☒ ☐ ☐ for out-of-county youth. 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 Policy 5.4.10: Resident Mail alternative, but not as a replacement, to in-person ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE Policy 5.4.10: Resident Mail The facility administrator shall develop and implement ☒ ☐ ☐ There is no limit to the amount of mail youth written policies and procedures for correspondence may send or receive. which provide that: (a) there is no limitation on the volume of mail that youth Policy 5.4.10: Resident Mail may send or receive; ☒ ☐ ☐ (b) youth may send two letters per week postage free; ☒ ☐ ☐ Policy 5.4.10: Resident Mail (c) youth may correspond confidentially with state and Policy 5.4.10: Resident Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy 5.4.10: Resident Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and We interviewed youth and detention staff to security, public safety, or youth safety is jeopardized. ☒ ☐ ☐ determine that REA complies with this regulation. 1376 TELEPHONE ACCESS Policy 5.4.9: Resident Access to Telephone Appropriate telephone numbers will be The administrator of each juvenile facility shall develop programmed into the Telephone Call and implement written policies and procedures to provide System as approved by the youth’s youth with access to telephone communications. ☒ ☐ ☐ Probation Officer and youth may call only these numbers. Youth may make one call a week free and can earn and purchase additional calls as part of the Behavior Management System for positive behavior. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1377 ACCESS TO LEGAL SERVICES Policy 5.11.4: Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ BSCC staff interviewed youth and detention procedures to ensure the right of youth to have access to supervisory staff to determine that REA the courts and legal services. Such access shall include: meets minimum standards for this regulation. (a) access, upon request by the youth, to licensed Policy 5.11.4: Access to Legal Services attorneys and their authorized representatives; ☒ ☐ ☐ (b) provision for confidential consultation with Policy 5.11.4: Access to Legal Services attorneys; and, ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Policy 5.11.4: Access to Legal Services cost-free telephone access as appropriate. ☒ ☐ ☐ 1390 DISCIPLINE Policy 5.8.3: Discipline The facility administrator shall develop and implement In addition to policy and procedure, BSCC written policies and procedures for the discipline of youth staff reviewed the 10 most recent discipline that shall promote acceptable behavior; including the use examples with the corresponding of positive behavior interventions and supports. ☒ ☐ ☐ documentation showing the Due process Discipline shall be imposed at the least restrictive level efforts and the Appeal process. We also which promotes the desired behavior and shall not interviewed youth housed at the facility and include corporal punishment, group punishment, detention staff. physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Policy 5.8.3: Discipline (b) daily shower, access to drinking fountain, toilet and Policy 5.8.3: Discipline personal hygiene items, and clean clothing; BSCC staff interviewed youth housed at the ☒ ☐ ☐ facility and detention staff and reviewed documentation to determine that the facility complies with the Title 15 minimum standards for this regulation. (c) full nutrition; ☒ ☐ ☐ Policy 5.8.3: Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Policy 5.8.3: Discipline (e) exercise; Policy 5.8.3: Discipline BSCC staff interviewed youth housed at the ☒ ☐ ☐ facility and detention staff and reviewed documentation to determine that the facility complies with the Title 15 minimum standards for this regulation. (f) medical services and counseling; Policy 5.8.3: Discipline To aid in confirming compliance, BSCC staff ☒ ☐ ☐ interviewed youth, medical staff, and behavioral health staff in addition to reviewing documentation. (g) religious services; ☒ ☐ ☐ Policy 5.8.3: Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Policy 5.8.3: Discipline (i) the right to send and receive mail; Policy 5.8.3: Discipline ☒ ☐ ☐ The youth handbook identifies youth rights and provide guidance, if needed. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (j) education; and, Policy 5.8.3: Discipline ☒ ☐ ☐ To aid in confirming compliance, BSCC staff interviewed youth and education service staff. (k) rehabilitative programming. Policy 5.8.3: Discipline ☒ ☐ ☐ BSCC reviewed programming logs to ensure programming requirements were being met for all youth regardless of disciplinary status. The facility administrator shall establish rules of conduct Policy 5.8.3: Discipline and disciplinary penalties to guide the conduct of youth. Policy 5.8.2: Facility Rules Such rules and penalties shall include both major Policy 5.8.1 Behavior Management System violations and minor violations, be stated simply and affirmatively, and be made available to all youth. To confirm compliance, BSCC staff Provision shall be made to provide accessible interviewed youth and detention staff, and ☒ ☐ ☐ information to youth with disabilities, limited English reviewed documents that show proof of proficiency, or limited literacy. practice of disciplinary actions including both minor and major rule violations. We also physically inspected the housing Pods where we observed the major and minor rules posted on the walls. 1391 DISCIPLINE PROCESS Policy 5.8.3: Discipline Policy 5.8.2: Facility Rules The facility administrator shall develop and implement Policy 5.8.1 Behavior Management System written policies and procedures for the administration of Policy 5.8.5: Due Process discipline which shall include, but not be limited to: In addition to reviewing policy and procedure, ☒ ☐ ☐ BSCC staff reviewed the 10 most recent discipline examples with the corresponding documentation showing the Due Process efforts and the Appeal process. We also interviewed youth housed at the facility and detention staff. (a) designation of personnel authorized to impose Policy 5.8.3: Discipline discipline for violation of rules; ☒ ☐ ☐ (b) prohibiting discipline to be delegated to any youth; Policy 5.8.3: Discipline ☒ ☐ ☐ (c) definition of major and minor rule violations and Policy 5.8.2: Facility Rules their consequences, and due process Policy 5.8.5: Due Process requirements; This policy articulates that during the orientation process the minor and major rule violations, as well as sanctions and due ☒ ☐ ☐ process requirements are explained to each youth. BSCC staff also interviewed youth and observed that the rules were posted on Pods available to youth to review. This information is also available in the Youth handbook. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) trauma-informed approaches and positive behavior Policy 5.8.3: Discipline interventions; Policy 5.8.1 Behavior Management System The agency’s policies and procedures ensure that detention staff makes use of training that ensures developmentally appropriate, trauma-informed approaches to working with youths while implementing positive behavior intervention. ☒ ☐ ☐ Within the Discipline Policy 5.8.3, BSCC staff observed the Alternative Program (AP). Per policy, “Residents on AP will receive all required daily programming, however, will be separated from all other residents”. Although a youth is placed on AP, as a result of disciplinary issues, BSCC staff encouraged the facility to move or add Policy 5.3.6.1, Separation, to their own policy. (e) minor rule violations may be handled informally by Policy 5.8.3: Discipline counseling, advising the youth of expected conduct Policy 5.8.5: Due Process 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 Policy 5.8.5: Due Process shall be documented and require the following: Youth are oriented and understand that major ☒ ☐ ☐ rule violations are violations that directly affect the safety and security of the facility and/or disrupt the normal operation of the facility and programming. (1) written notice of violation prior to a hearing; Policy 5.8.5: Due Process BSCC staff reviewed the policy, reviewed due ☒ ☐ ☐ process reports, interviewed youth housed at the facility, and interviewed detention staff. Our findings confirmed that REA complies with Title 15 minimum standards. (2) accommodations provided to youth with Policy 5.8.5: Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Policy 5.8.5: Due Process ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy 5.8.5: Due Process evidence and testimony; BSCC staff requested to review the 10 most recent discipline (W/Due process) examples. We also interviewed youth housed at the ☒ ☐ ☐ facility and detention staff. The facility does well in documenting that youth are, in a timely manner, provided the opportunity to appeal a discipline being imposed. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 62 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) provision for youth to be assisted by staff in the Policy 5.8.5: Due Process ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Policy 5.8.5: Due Process (g) violations that result in a removal from camp or Does not apply to the JRF. The Shasta commitment program, but not a return to court, will County Juvenile Rehabilitation Facility is not follow the due process provisions in subsection (e) ☒ ☐ ☐ a commitment program or a Camp. above. 1410 MANAGEMENT OF COMMUNICABLE Policy 10.11 Management of Communicable DISEASES. Diseases. The health administrator/responsible physician, in This policy articulates all facets of this section cooperation with the facility administrator and the local of the regulation including, but not limited to, health officer, shall develop written policies and the scope; prevention; limiting the Spread procedures to address the identification, treatment, (including the testing of youth); and ☒ ☐ ☐ control and follow-up management of communicable maintaining the well-being of youth. diseases. The policies and procedures shall address, but not be limited to: To aid in confirming compliance with Title 15 minimum standards for this regulation, BSCC staff reviewed the annual Medical / Mental, Nutrition, and Environmental Health evaluations by qualified evaluators. (a) Intake health screening procedures; Policy 10.11 Management of Communicable Diseases, (1) A complete health appraisal will be conducted by Health Services staff on all new ☒ ☐ ☐ intakes within 96 hours (excluding holidays) of their admission into detention. BSCC staff interviewed medical personnel to help confirm compliance with the Title 15 minimum standards for this regulation. (b) Identification of relevant symptoms; Policy 10.11 Management of Communicable ☒ ☐ ☐ Diseases, (2) (c) Referral for medical evaluation; Policy 10.11 Management of Communicable Diseases, (3) ☒ ☐ ☐ This policy includes referral for Medical Evaluation. (d) Treatment responsibilities during detention; Policy 10.11 Management of Communicable Diseases, (4) ☒ ☐ ☐ This operational protocol outlines the treatment responsibilities of medical staff, facility staff, and youth. (e) Coordination with public and private community- Policy 10.11 Management of Communicable based resources for follow-up treatment; Diseases, (5) ☒ ☐ ☐ To aid in confirming compliance with Title 15 minimum standards for this regulation, BSCC staff interviewed medical and behavioral health personnel. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 63 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Applicable reporting requirements; and, Policy 10.11 Management of Communicable Diseases, (6) ☒ ☐ ☐ This includes reporting any communicable disease to the Shasta County Public Health Department according to federal, state, and local laws and regulations. (g) Strategies for handling disease outbreaks. Policy 10.11 Management of Communicable Diseases, (7) To aid in confirming compliance with Title 15 minimum standards, BSCC staff reviewed the annual Medical/Mental, Nutrition, and ☒ ☐ ☐ Environmental Health evaluations by qualified evaluators. BSCC staff also interviewed medical personnel to help determine that REA meets the minimum requirements for this regulation. The policies and procedures shall be updated as Policy 10.11 Management of Communicable necessary to reflect communicable disease priorities Diseases, II update Policies ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES Policy 5.11.1 Access to Medical Services (EXCERPT) REA has transitioned from contracting with The health administrator, in cooperation with the facility Well Path for medical services for youth to administrator, shall develop policy and procedures to contracting with Shasta Community Health establish a daily routine for youth to convey requests for Services. emergency and non-emergency medical, dental and behavioral/mental health care services. The regulation requires that youth shall be provided the opportunity to confidentially convey. either through written or verbal communications, or a request for medical, ☒ ☐ ☐ dental, or behavioral/mental health services. During the orientation process, information regarding access to medical services is explained in detail to all youth. It appears that youth commonly choose to hand mental health request slips to detention staff. BSCC reminded the agency to ensure youths are aware that the same request process, with the confidential option, applies to requests for Mental Health services. 1480 STANDARD FACILTY CLOTHING ISSUE 5.4.7 Clothing and Bedding Exchange The youth’s personal clothing, undergarments and BSCC staff reviewed the inventory and footwear may be substituted for the institutional clothing ☒ ☐ ☐ laundry schedules for the facility. and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 64 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Clothing is clean, reasonably fitted, durable, easily 5.2.3 Resident Dress Code, I laundered, in good repair, and free of holes and 5.4.7 Clothing and Bedding Exchange tears. ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (b) The standard issue of climatically suitable clothing 5.2.3 Resident Dress Code, I for youth shall consist of but not be limited to: ☒ ☐ ☐ 5.4.7 Clothing and Bedding Exchange (1) Socks and serviceable footwear; 5.2.3 Resident Dress Code, I ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (2) Outer garments; ☒ ☐ ☐ 5.2.3 Resident Dress Code, I (3) New non-disposable underwear which shall 5.2.3 Resident Dress Code, I remain with the youth throughout their stay, and; ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (4) Undergarments, that are freshly laundered and 5.2.3 Resident Dress Code, I free of stains, including tee shirts and bras. ☒ ☐ ☐ In addition to reviewing policies and procedures, we interviewed youth and staff to determine compliance. (c) Clothing is laundered at the temperature required 5.8.4 Laundry Operations by local ordinances for the commercial laundries To aid in confirming compliance with Title 15 and dried completely in a mechanical dryer or other minimum standards, BSCC staff reviewed the laundry method approved by the local health officer. annual Medical/Mental, Nutrition, and ☒ ☐ ☐ Environmental Health evaluations by qualified evaluators. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ 5.2.3 Resident Dress Code, I 1482 CLOTHING EXCHANGE 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement The facility assigns youth their own laundry written policies and site-specific procedures for the bag to ensure they receive their own clothing cleaning and scheduled exchange of clothing. Unless back after being laundered. work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for BSCC staff interviewed youth and reviewed footwear, shall be exchanged at least once each week. documentation to determine that the facility Tee shirts, bras, and underwear shall be exchanged meets compliance with the Title 15 minimum daily; youth shall receive their own underwear back at standards for this regulation. exchange. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 65 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1484 CONTROL OF VERMIN IN YOUTH’S 5.8.4 Laundry Operations PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility ☒ ☐ ☐ administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS 5.4.5 Resident Hygiene There shall be written policies and site-specific In addition to reviewing policies and procedures developed and implemented by the facility procedures, we interviewed youth and staff to administrator for the availability of personal hygiene ☒ ☐ ☐ determine that REA complies with this items. Each female youth shall be provided with regulation sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ 5.4.5 Resident Hygiene (b) Toothpaste; ☒ ☐ ☐ 5.4.5 Resident Hygiene (c) Soap; ☒ ☐ ☐ 5.4.5 Resident Hygiene (d) Comb; ☒ ☐ ☐ 5.4.5 Resident Hygiene (e) Shaving implements; ☒ ☐ ☐ 5.4.5 Resident Hygiene (f) Deodorant; ☒ ☐ ☐ 5.4.5 Resident Hygiene (g) Lotion; ☒ ☐ ☐ 5.4.5 Resident Hygiene (h) Shampoo; and, ☒ ☐ ☐ 5.4.5 Resident Hygiene (i) Post-shower conditioning hair products. ☒ ☐ ☐ 5.4.5 Resident Hygiene Youth shall not be required to share any personal care 5.4.5 Resident Hygiene items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. The facility assigns youth their own laundry Youth shall not share disposable razors. Double edged bag to ensure they receive their own clothing safety razors, electric razors, and other shaving back after being laundered. instruments capable of breaking the skin, when shared ☒ ☐ ☐ among youth, shall be disinfected between individual All elements of this regulation are in the uses by the method prescribed by the State Board of referenced policy. Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. 1486 PERSONAL HYGIENE 5.4.5 Resident Hygiene There shall be written policies and site specific All elements of this regulation are in the procedures developed and implemented by the facility referenced policy. administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on BSCC staff interviewed youth and reviewed assignment to a housing unit and on a daily basis documentation to determine that the facility thereafter and given an opportunity to brush their teeth meets compliance with this regulation. after each meal. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 66 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1487 SHAVING 5.4.5 Resident Hygiene Youth shall have access to a razor daily, unless their In addition to reviewing policies and appearance must be maintained for reasons of procedures, we interviewed youth and staff to identification in Court. All youth shall have equal ☒ ☐ ☐ determine that REA meets minimum opportunity to shave face and body hair. The facility standards for this regulation administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) 5.4.5 Resident Hygiene Hair care services shall be available in all juvenile In addition to reviewing policies and facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ procedures, we interviewed youth and staff to Equipment shall be cleaned and disinfected after each determine that REA meets minimum haircut or procedure, by a method approved by the standards for this regulation State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE 5.4.7 Clothing and Bedding Exchange Clean laundered, suitable bedding and linens, in good In addition to reviewing Shasta REA policies ☒ ☐ ☐ repair, shall be provided for each youth entering a living and procedures, we interviewed youth and area who is expected to remain overnight, shall include, staff to determine that REA meets minimum but not be limited to: standards for this regulation (a) One mattress or mattress-pillow combination which 5.4.7 Clothing and Bedding Exchange meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ (d) One towel; and, 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ (e) One blanket or more, up on request 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ 1501 BEDDING LINEN EXCHANGE 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement In addition to reviewing Shasta REA policies site specific written policies and procedures for the and procedures, we interviewed youth and scheduled exchange of laundered bedding and linen ☒ ☐ ☐ staff to determine that REA meets minimum issued to each youth housed. Washable items such as standards for this regulation sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ once a month. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 67 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1510 FACILITY SANITATION, SAFETY AND 5.4.6 Facility Cleaning, Safety, and MAINTENANCE Maintenance The facility administrator shall develop and implement written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 68 - J453 JUV PRO-Eff. 01-01-2019 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 Allocation Eligibility Form are being provided at the ☒ ☐ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 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 ☐ ☐Violation ☒ Section 300 of the Welfare and Institutions Code (WIC) 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 ☐ ☐Violation ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Federal Minors (ICE Holds or ORR Contract) are held ☐ ☐ ☒ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☐ ☒ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐ ☐Violation ☒ separated from minors. Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐ ☐Violation ☒ facility in a manner that allows contact with minors. 7923 Shasta Rivers Edge Academy Camp PRO 23-24 - 69 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State & Community Corrections Inspection BSCC Code: 7622 FACILITY: Shasta County River’s Edge Academy TYPE: Camp RC: 30 FIELD REPRESENTATIVE: Forrest Coleman DATE: September 29, 2023 ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S Booking 208 Holding 2009 1 (4) 92.5 Sq. Ft. 1 1 1 1 209 Holding 2009 1 (4) 92.5 Sq. Ft. 1 1 1 207 Sobering 2009 1 N/R 92.5 Sq. Ft. 1 1 1 210 Safety 2009 1 (1) 75.89 Sq. Ft. Room Medical Unit 1 Exam 2009 1 145 Sq. Ft. 2 Exam 2009 1 145 Sq. Ft. 3 Interview 2009 1 Pod 700 - River’s Edge Academy Double 2009 14 2 2 28 114 Sq. Ft. 1 1 1 5 Single 2009 1 1 1 1 84 Sq. Ft. 1 1 1 ADA 2009 1 1 1 1 84.7 Sq. Ft. 1 1 1 Class 1 Room 2009 17 651 Sq. Ft. Class 2 Room 2009 15 595 Sq. Ft. Historical Notes: 2020-2022: -30 beds removed from Pod 700 for Rivers Edge Academy - camp beds 2023-2024: -no change *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7622 Shasta Rivers Edge Academy CAMP LASE 23-24 J360 LAS Juv. 09.dot (8/09) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7623 FACILITY NAME: Shasta Secure Youth Treatment Facility (SSYTF) FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Division Director, Carla Stevens; SJDO, Danielle Goodwine (Kitchen Supervisor); JDO III, Justin Whitmore; Therapist, Brianne Fulton; RN, Tiffany Nelson; Executive Director of Student Programs, Carie Webb; Teacher, Anders Bonit; Victor Community Support Services, Mike Smith; 2 Male Youth; random youth. FIELD REPRESENTATIVE: Forrest Coleman DATE: September 26th through 29th, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION The Shasta Secure Youth Treatment OF BUILDING AND GROUNDS Facility (SSYTF) and the Rivers Edge Academy (REA) are commitment program On an annual basis, or as otherwise required by law, facilities within the Shata County Juvenile each juvenile facility administrator shall obtain a Rehabilitation Facility (SCJRF) complex. documented inspection and evaluation from the All annual inspections and evaluations following: conducted at the SCJRF, pursuant to Title 15 regulations, apply to the SSYTF and REA. This inspection was conducted over 10 months into the first year of the 2023-2024 inspection cycle. Therefore, BSCC staff requested that Shasta Secure Youth Treatment Facility, in conjunction with the Shasta County Juvenile Rehabilitation Facility (SCJRF), provide all "County Inspections and Evaluation of Grounds" inspection reports that occurred within a year of the current inspection date. In addition, BSCC requested dates of pending annual reports that shall occur following the BSCC inspection up to December 31, 2023. County inspections and evaluation of grounds were performed by authorized persons and agencies per Title 15 Regulation. (A) County building inspection by agency designated by 2023: the Board of Supervisors to approve building safety; ☐ Completed on February 21, 2023, and ☒ ☐ completed by Tom Fuller, Department of Public Works. 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. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) Fire authority having jurisdiction, including a fire Policy 9.2.7: Fire Safety Plan and clearance as required by Health and Safety Code Emergency Procedures Section 13146.1 (a) and (b); ☐ ☐ ☒ 2023: Completed on March 29, 2023, and conducted by Keith Hard, Department of Forestry and Fire Protection. (C) Local health officer, inspection in accordance with 2023: Health and Safety Code Section 101045; Medical Mental Health: Completed on November 6, 2023, and conducted by Zack Hale, LVN, TJ Carvajal, Public Health Nurse and Don Austri. ☐ ☐ Nutrition: Completed on December 20, ☒ 2023, and conducted by Mary Messier, RD, Public Health Nutritionist. Environmental Health: Completed on October 11, 2023, and conducted by Nathan Moore, Senior Environmental Health Specialist. (D) County superintendent of schools on the adequacy Education for the Shasta County Juvenile of educational services and facilities as required in Rehabilitation Facility (SCJRF) is provided Section 1370; by the Shasta County Office of Education. ☐ ☐ 2023: ☒ Completed on November 27, 2023, and conducted by Nick Catomerisios, Senior Director Alternative Education, Butte County Office of Ed; Janis Delgado, Principal, BCOE. (E) Juvenile court as required by Section 209 of the Welfare and Institutions Code 2023: Completed on September 22, 2023, and ☐ ☐ conducted by Molly Biglow, Presiding Judge. ☒ There were no areas of noncompliance discovered during the Juvenile Court inspection. (F) Juvenile Justice Commission as required by Section 2023: 229 of the Welfare and Institutions Code or Probation Completed on October 10, 2023, conducted Commission as required by Section 240 of the by Commissioner Troy Foster and members Welfare and Institutions Code. of the Shasta County Juvenile Justice ☐ ☐ Commissioner, and presiding Judge Molly ☒ Bigelow There were no areas of noncompliance discovered during the Juvenile Justice Commission inspections. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS An Appointment and Qualification Letter, BSCC Note: Compliance with this section is dated September 14, 2023, was received determined by receipt of the Chief Probation Officer’s from Chief Probation Officer (CPO) Tracie certification letter confirming that all elements of Neal certifying all appointments of Shasta probation staff are pursuant to the regulation are met. applicable laws including minimum (a) Appointment standards from BSCC, Penal Code 6035. In each juvenile facility there shall be a superintendent, Further, that all staff who are present at the director or facility manager in charge of its program and facility meet all required qualifications and clearances including contract personnel, employees. Such superintendent, director, facility volunteers, and other non-employees. manager and other employees of the facility shall be appointed by the facility administrator pursuant to ☐ ☐ The Shasta Secure Youth Treatment Facility applicable provisions of law. ☒ (SSYTF) and the Rivers Edge Academy (REA) are commitment program facilities within the Shata County Juvenile Rehabilitation Facility (SCJRF) complex. The detention staff for all three facilities are cross-trained. All appointments and qualifications for SCJRF detention staff, pursuant to Title 15 regulations, also apply to the SSYTF and REA detention staff. Further, all Shasta County JRF policies and procedures apply to the Shasta Secure Youth Treatment Facility (SSYTF) and Rivers Edge Academy as well. (b) Employee Qualifications ☒ ☐ ☐ Each facility shall: (1) recruit and hire employees who possess The elements of this regulation are knowledge, skills and abilities appropriate to confirmed in the CPO Appointment and their job classification and duties in accordance ☒ ☐ ☐ Qualification Letter September 14, 2023. with applicable civil service or merit system rules; (2) require a medical evaluation and physical The elements of this regulation are examination including tuberculosis screening confirmed in the CPO Appointment and test and evaluation for immunity to contagious ☒ ☐ ☐ Qualification Letter September 14, 2023. illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the The elements of this regulation are selection and training requirements adopted by confirmed in the CPO Appointment and the Board pursuant to Section 6035 of the Penal Qualification Letter September 14, Code; and 2023. ☒ ☐ ☐ The Board of State and Community Corrections’, Standard and Training for Corrections (STC) Division reports that the Shasta County Probation Department follows Title 15 regulatory training requirements. (4) conduct a criminal records review, on each new The elements of this regulation are employee, and psychological examination in ☒ ☐ ☐ confirmed in the CPO Appointment and accordance with Section 1031 et seq. of the Qualification Letter September 14, 2023. Government Code. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Contract personnel, volunteers, and other non- Probation completes all clearances for all employees of the facility, who may be present at the non-probation staff per Policy 13.1, facility, shall have such clearance and qualifications Volunteer Vendor and Support Staff as may be required by law, and their presence at the Orientation facility shall be subject to the approval and control of ☒ ☐ ☐ Volunteers and vendors must also complete the facility manager. a Shasta County approved facility orientation. The Education Department provides an independent training for education staff. 1321 STAFFING Policy 3.1.0 Staffing Standards Each juvenile facility shall: Policy identifies all expectations and responsibilities of the Title 15 Regulation minimum standards. The Shasta Secure Youth Treatment Facility (SSYTF) is a facility within the Shasta County Juvenile Rehabilitation Facility (SCJRF) complex. The detention staff for both facilities are cross trained. ☒ ☐ ☐ Cross-training the staff provides an opportunity to utilize staff from either facility if needed. Further, SSYTF abides by the same SCJRF policies and procedures, per Title 15 regulations including, but not limited to, staff training and qualifications. In addition, detention staff from the Shasta County commitment program, Rivers Edge Academy (REA) are also cross-trained to assist if staffing assistance is needed at the SSYTF. a) have an adequate number of personnel sufficient to Policy 3.1.0 Staffing Standards, Section II carry out the overall facility operation and its (A) programming, to provide for safety and security of youth and staff, and meet established standards and The facility Director ensures that each shift is staffed with enough youth supervision regulations; staff to guarantee that no required services are denied to a youth. ☒ ☐ ☐ BSCC staff reviewed the above policies and procedures, as well as the agency’s Organization Chart, random weekly staff schedule, and daily unit schedule covering two consecutive weeks in July, August, and September of 2023. In addition, we made personal observations. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) ensure that no required services shall be denied Policy 3.1.0 Staffing Standards because of insufficient numbers of staff on duty absent exigent circumstances; Rivers Edge Academy (REA) is a camp commitment facility within the SCJRF juvenile hall complex. Both facility’s staff are cross trained and abide by the same policies and procedure under the SCJRF. When needed Juvenile Detention Officer (JDO) staff and or supervisors may be deployed to work in either location. ☒ ☐ ☐ At the time of the inspection, the Shasta Secure Youth Treatment Facility, in conjunction with the Juvenile Rehabilitation Facility, consisted of: • 1 Division Director/Superintendent • 3 Supervising Probation Officers • 5 Supervising Juvenile Detention Officers (1 REA) • 35 Juvenile Detention Officers (approximately nine for extra help) c) have a sufficient number of supervisory level staff to Policy 3.1.0 Staffing Standards, Section I ensure adequate supervision of all staff members; (A)(1) Per Policy the facility Director or designee is responsible to ensure that each shift has enough supervisory level staff to provide adequate supervision over all JDO of the staff members. Through our review of the above policy, visual observations, a review of work schedules for July, August, and September 2023, as well as a review of ☒ ☐ ☐ the unit programming documentation, BSCC staff determined that SCJRF regularly ensures that the staffing levels are adequate. Section (A)(2), In the absence of a supervisory level staff, an Officer in Charge (OIC) shall be designated who shall meet the requirements outlined by supervisory-level staff. BSCC observed that a Supervising Juvenile Detention Officer (SJDO) or, in the absence of the JDO, a JDO III/Officer in Charge (OIC) is always onsite in the facility. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS d) have a clearly identified person on duty at all times Policy 3.1.0 Staffing Standards who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Section (A)(2), In the absence of a Course and PC 832 training; supervisory-level staff, an Officer in Charge (OIC) shall be designated who ☒ ☐ ☐ shall meet the requirements outlined by supervisory-level staff. BSCC observed that a Supervising Juvenile Detention Officer (SJDO) or, in the absence of the JDO, a JDO III/Officer in Charge (OIC) is always on-site in the facility. e) have at least one staff member present on each Policy 3.1.0 Staffing Standards living unit whenever there are youth in the living unit; Through personal observations, as well as ☒ ☐ ☐ through interviews with staff and youth housed at the facility, SYTF regularly ensures that there is always a member of staff present in the unit or where a youth is present. Youth are never left unsupervised. f) have sufficient food service personnel relative to the Policy 3.1.0 Staffing Standards number and security of living units, including staff qualified and available to: plan menus meeting Youth eat all meals in the living units. Meals nutritional requirements of youth; provide kitchen are prepared in the facility kitchen and are delivered to the units on carts. Staff serve supervision; direct food preparation and servings; the youth their meals in the unit. conduct related training programs for culinary staff; and maintain necessary records; or, a facility may ☒ ☐ ☐ A JRF supervisor (SJDO) works as the serve food that meets nutritional standards prepared Kitchen Manager and is assigned to oversee by an outside source; kitchen operations and food service personnel. The kitchen staff consists of three full-time cooks. The kitchen manual was updated in November of 2021 and again in June of 2022. g) have sufficient administrative, clerical, recreational, Policy 3.1.0 Staffing Standards medical, dental, mental health, building maintenance, transportation, control room, facility The current support staff utilized by the security and other support staff for the efficient camp and the SCJRF consists of: management of the facility, and to ensure that youth • 2 Clerks supervision staff shall not be diverted from • 1 Therapist supervising youth; and, • 1 Nurse (plus one vacancy) BSCC staff interviewed medical services ☒ ☐ ☐ personnel, education services, and detention staff. We also made personal observations over the course of the inspection week. The agency is fortunate to have such a significant base of collaborative partners and support staff. The SCJRF and SYTF hire outside agencies to provide pro-social programming. The Mental Health clinician provides a skills group and a Moral Reconation Therapy (M RT) group daily. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS h) assign sufficient youth supervision staff to provide Policy 3.1.0 Staffing Standards continuous wide-awake supervision of youth, subject to temporary variations in staff assignments to meet BSCC staff interviewed JDO staff and special program needs. Staffing shall be in ☒ ☐ ☐ reviewed housing unit logs, programming schedules, and employee daily schedules. compliance with a minimum youth-staff ratio for the The Shasta SSYTF regularly provides following facility types: staffing levels that enable the facility to meet the minimum standards for this regulation. (1) Juvenile Halls (minimum youth-staff ratio) Policy 3.1.0 Staffing Standards (A) during the hours that youth are awake, one wide- awake youth supervision staff member on duty for Although the Secure Track Treatment each 10 youth in detention; Program is not a Juvenile Hall, the staffing ratios in A through E of this section are applicable. In a review of housing unit video surveillance ☒ ☐ ☐ recordings, housing unit logs, and the daily staff schedule, as well as, through personal observation, the SYTF ensures that “One wide-awake” JDO staff is present and that staffing ratios are consistently in compliance with Title 15 minimum standards for this regulation. At the time of the inspection, there were seven youths housed at the Shasta SYTF. (B) during the hours that youth are confined to their Policy 3.1.0 Staffing Standards room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each In a review of housing unit video surveillance 30 youth in detention; recordings, housing unit logs, and the daily ☒ ☐ ☐ staff schedule, the SCJRF ensures that “One wide-awake” JDO staff is present and that staffing ratios are consistently in compliance with Title 15 minimum standards for this regulation. (C) at least two wide-awake youth supervision staff Policy 3.1.0 Staffing Standards members on duty at all times, regardless of the number of youth in detention, unless an In a review of housing unit video surveillance ☒ ☐ ☐ arrangement has been made for backup support recordings, housing unit logs, and the daily staff schedule, the SYTF ensures at least services which allow for immediate response to two wide-awake youth supervision staff emergencies; and, members are always on duty. (D) at least one youth supervision staff member on duty Policy 3.1.0 Staffing Standards who is the same gender as youth housed in the facility. ☒ ☐ ☐ Through interviews with youth and staff, a review of the daily staff schedule, as well as through personal observation, there is always a male and a female Probation staff on duty. (E) personnel with primary responsibility for other duties Policy 3.1.0 Staffing Standard such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or The above policy clearly identifies the roles ☒ ☐ ☐ maintenance shall not be classified as youth and responsibilities of staff who are not deemed youth supervision staff. Only youth supervision staff positions. supervision staff provide supervision of the youth. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Special Purpose Juvenile Halls (minimum Shasta Secure Youth Treatment Facility is youth-staff ratio) not a Special Purpose Juvenile Hall. (A) during hours that youth are awake, one wide-awake ☐ ☐ ☒ Therefore, A through E of this section is not youth supervision staff member is on duty for each applicable to this inspection report. 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 (minimum youth -staff ratio) Shasta Secure Youth Treatment Facility is (A) during the hours that youth are awake, one wide- ☐ ☐ ☒ not a camp. Therefore, A through F of this awake youth supervision staff member on duty for section is not applicable to this inspection each 15 youth in the camp population; report. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the ☐ ☐ ☒ number of youth in residence, unless arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the function of ☐ ☐ ☒ the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, farm, forestry, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1322 YOUTH SUPERVISION STAFF Policy 8.2: New Hire Orientation ORIENTATION AND TRAINING The elements of this regulation are (a) Prior to assuming any responsibilities each youth confirmed in the Appointment and Qualifications Letter provided by Shasta supervision staff member shall be properly oriented County Chief Probation Officer (CPO) Tracie to their duties, including: Neal and dated September 14, 2023. The letter certifies that SCJRF Probation Officers and Juveni Detention Officers (JDO) have been appointed with applicable provisions of law. The Shasta Secure Youth Treatment Facility (SSYTF) and the Rivers Edge Academy (REA) are commitment program facilities within the Shata County Juvenile ☒ ☐ ☐ Rehabilitation Facility (SCJRF) complex. The probation staff for all three facilities are cross trained. Further, all Shasta County JRF policies and procedures apply to the Shasta Secure Youth Treatment Facility (SSYTF) and aligned with the Rivers Edge Academy policy and procedures including, but not limited to, youth supervision staff orientation and training. According to the Board of State and Community Corrections’ Standards and Training for Corrections (STC) Division, Shasta SSYTF meets Title 15 minimum standards regarding staff training and orientation. (1) youth supervision duties; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (2) scope of decisions they shall make; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (3) the identity of their supervisor; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (4) the identity of persons who are responsible to Policy 8.2: New Hire Orientation them; ☒ ☐ ☐ Every Juvenile Detention Officer (JDO) receives 40 hours of orientation and training that includes this section of the regulation. (5) persons to contact for decisions that are beyond Policy 8.2: New Hire Orientation ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. Policy 8.2: New Hire Orientation The assigned supervisor ensures that newly ☒ ☐ ☐ hired detention staff and non-sworn staff are properly trained with the elements of this regulation. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Prior to assuming any responsibility for the Policy 8.2: New Hire Orientation supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of All new full-time and temporary employees facility-specific orientation, including: receive 40 hours of Introductory Training. According to the Board of State and ☒ ☐ ☐ Community Corrections’ Standard and Training for Corrections (STC) Division, Shasta SSYTF ensures each youth supervision staff member shall receive a minimum of 40 hours of facility-specific orientation training (1) individual and group supervision techniques; Policy 8.2: New Hire Orientation ☒ ☐ ☐ New hire training documentation shows the new hire’s acknowledgments of training and supervisory review. (2) regulations and policies relating to discipline and Policy 8.2: New Hire Orientation rights of youth pursuant to law and the provisions of this chapter; BSCC staff were impressed with the JDO ☒ ☐ ☐ Staff Orientation/Training which is very detailed and captures the elements of all sections of this regulation. (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Policy 8.2: New Hire Orientation (4) suicide prevention and response to suicide Policy 8.2: New Hire Orientation attempts The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter. ☒ ☐ ☐ In addition, detention staff receive suicide prevention training as part of their initial training as well as annual suicide prevention training updates. (5) policies regarding use of force, de-escalation Policy 8.2: New Hire Orientation techniques, chemical agents, mechanical and physical restraints; ☒ ☐ ☐ New hire training documentation shows the new hire’s acknowledgments of training and supervisory review. (6) review of policies and procedures referencing Policy 8.2: New Hire Orientation trauma and trauma-informed approaches; ☒ ☐ ☐ New hire training documentation shows the new hire’s acknowledgments of training and supervisory review. (7) procedures to follow in the event of Policy 8.2: New Hire Orientation ☒ ☐ ☐ emergencies; (8) routine security measures, including facility Policy 8.2: New Hire Orientation perimeter and grounds; ☒ ☐ ☐ The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter. (9) crisis intervention and mental health referrals to Policy 8.2: New Hire Orientation mental health services; ☒ ☐ ☐ Staff receive initial training in addition to an annual suicide prevention update. (10) documentation; and ☒ ☐ ☐ Policy 8.2: New Hire Orientation 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (11) fire/life safety training Policy 8.2: New Hire Orientation The assigned supervisor ensures that newly hired detention staff are properly trained with ☒ ☐ ☐ the elements of this regulation. BSCC staff confirmed that detention staff also receive annual emergency procedures training. (c) Prior to assuming sole supervision of youth, each Policy 8.2: New Hire Orientation youth supervision staff member shall successfully complete the requirements of the Juvenile The elements of this regulation are Corrections Officer Core Course pursuant to Penal ☒ ☐ ☐ confirmed in the CPO letter. Code Section 6035. Staff complete CORE within the first year of the assignment. (d) Prior to exercising the powers of a peace officer Policy 8.2: New Hire Orientation youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal The elements of this regulation are identified Code. in and confirmed in Tracie Neal’s ☒ ☐ ☐ Appointment and Qualifications Letter dated September 14, 2023. Staff complete PC 832 within the first year of assignment. 1323 FIRE AND LIFE SAFETY Policy 9.2.7: Fire Safety Plan and Emergency Procedures, Section II, Staff Whenever there is a youth in a juvenile facility, there shall Training be at least one wide awake person on duty at all times who meets the training standards established by the All staff shall receive Fire and Life Safety ☒ ☐ ☐ Board for general fire and life safety which relate Training either through CORE training or specifically to the facility. other certified providers. The elements of this regulation are confirmed in the CPO letter dated September 14, 2023. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1324 POLICY AND PROCEDURES MANUAL Policy and Procedure Manual Orientation and Use Section 1.1 and Section 1.2.2 (a): All facility administrators shall develop, publish, and implement a manual of written policies and procedures The Shasta Secure Youth Treatment Facility (SSYTF) and the Rivers Edge that address, at a minimum, all regulations that are Academy (REA) are commitment program applicable to the facility. Such a manual shall be made facilities within the Shata County Juvenile available to all employees, reviewed by all employees, Rehabilitation Facility (SCJRF) complex. and shall be administratively reviewed at a minimum The probation staff for all the SYTF abides every two years, and updated, as necessary. Those by the same Shasta County JRF policies records relating to the standards and requirements set and procedures. REA policy and forth in these regulations shall be accessible to the Board procedures are aligned with those of the on request. Shasta JRF. The manual shall include: The Division Director does well with reviewing and making updates when necessary. ☒ ☐ ☐ New staff are required to review Policy and Procedure as part of training and orientation expectations. As a new policy is released or as the current policy is updated, staff are required to read and sign acknowledging their understanding of new and or updated policies and procedures. A letter written by Division Director, Carla Stevens, acknowledges that the Policies and Procedures manual was last updated on May 1, 2023. The Policy and Procedures manual continues to be reviewed on a biennial basis or as needed. (a) table of organization, including channels of • Policy 2.1.4: Facility Organizational communications and a description of job Chart classifications; • 2.1.5: Roles and Responsibilities of ☒ ☐ ☐ Facility Administration • 2.1.6: Roles and Responsibilities of Juvenile Detention Officers • Policy 3.1.1: Chain of Command 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) responsibility of the probation department, purpose • Policy 2.1.1: Legal Origin, of programs, relationship to the juvenile court, the Establishment and Purpose Juvenile Justice/Delinquency Prevention • 2.2.3: Roles of Probation Staff Commission or Probation Committee, probation • Policy 2.3: Shasta County Office of staff, school personnel and other agencies that are Education involved in juvenile facility programs; • Policy 2.3: Roles of Other Agencies-Relationship to the Juvenile Court Judge • Policy 2.3: Roles of Other Agencies-Juvenile Justice Commission • Policy 5.7.4: Social Awareness Program ☒ ☐ ☐ In a review of reports submitted, per Title 15 regulations, Section 1313 County Inspections and Evaluation of Building and Grounds, and through interviews with the probation staff, school personnel, and other agencies, BSCC staff concluded that all collaborative partners have a clear and articulable understanding of their roles and expectations as they relate to the relationship, responsibilities, and purpose of programs outlined by the Shasta County JRF’s policy and procedure manual. (c) responsibilities of all employees; • 2.1.5: Roles and Responsibilities of Facility Administration ☒ ☐ ☐ • 2.1.6: Roles and Responsibilities of Juvenile Detention Officers (d) initial orientation and training program for The minimum Title 15 requirements for this employees; regulation are confirmed in the CPO letter dated September 14, 2023. ☒ ☐ ☐ • Policy 8.2: New Hire Orientation • Policy 13.1: Volunteer, Vendor and Support Staff Orientation (e) initial orientation, including safety and security issues Policy 13.1: Volunteer, Vendor, and Support and anti-discrimination policies, for support staff, Staff Orientation contract employees, school, mental/behavioral health and medical staff, program providers and Prior to initial entry to the facility, the SSYTF ensures new support staff, contractors, and volunteers; ☒ ☐ ☐ or volunteers undergo a safety/security briefing and must complete the vendors’ and volunteers’ initial orientation training. BSCC staff observed that areas of the initial orientation are specifically geared toward non-probation staff that are identified in this section of the regulation. (f) maintenance of record-keeping, statistics and Policy 2.1.5(D): Roles and Responsibilities of ☒ ☐ ☐ communication system to ensure: Facility Administration 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) efficient operation of the juvenile facility; Policy 2.1.5(D)(1): Roles and Responsibilities of Facility Administration In part, a case management system, ☒ ☐ ☐ handwritten tracking forms, Housing unit logbooks, housing unit programming forms, and shift activity schedules are the main means of record keeping of day-to-day programming and facility operations. (2) legal and proper care of youth; Policy 2.1.5(D)(2): Roles and ☒ ☐ ☐ Responsibilities of Facility Administration (3) maintenance of individual youth's records; Policy 2.1.5(D)(3): Roles and ☒ ☐ ☐ Responsibilities of Facility Administration (4) supply of information to the juvenile court and Policy 2.1.5(D)(4): Roles and those authorized by the court or by the law; and, Responsibilities of Facility Administration ☒ ☐ ☐ The agency utilizes a case management system for communication and record keeping with the courts, juvenile probation, and statistical data collection. (5) release of information regarding youth. Policy 2.1.5(D)(5): Roles and ☒ ☐ ☐ Responsibilities of Facility Administration (g) ethical responsibilities; ☒ ☐ ☐ Policy 3.3.1: Ethics Policy (h) trauma-informed approaches; Policy 3.3.10: Trauma-Informed Approaches to Working with Youth. In addition to following expectations to the above policy, as part of the annual review training, all SSYTF staff participate in training that includes but is not limited to, the trauma- informed approaches below: ☒ ☐ ☐ a. Child Trauma/Adverse Childhood Experiences (ACEs) b. Trauma Informed Care and Protective Factors c. Effects of trauma on child development d. Resiliency (i) culturally responsive approaches; Policy 3.3.9: Cultural and Gender Responsivity, Section (I) All SSYTF Staff will be trained in Cultural Diversity as part of the Probation Department Training Plan. ☒ ☐ ☐ The SSYTF acknowledges and embraces the customs and traditions of diverse populations. This is partially accomplished through their Fine Arts Therapy Program which serves as an outlet to express thoughts and feelings through creative writing/poetry, music, drawing, and painting. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (j) gender responsive approaches; Policy 3.3.9: Cultural and Gender Responsivity Policy 5.2.6 Transgender and Intersex Residents As part of annual review training, all SSYTF detention staff participated in training that included but was not limited to gender- responsive approaches. For example, staff ☒ ☐ ☐ are trained on policy and procedure with working with transgender and intersex youth. BSCC staff were impressed with the partnerships and collaborative efforts between Probation and Shasta County Health and Human Services. Pending is the hiring of a peer support person for the SSYTF youth. (k) a non-discrimination provision that provides that all Policy 5.2.7: Non-Discrimination youth within the facility shall have fair and equal access to all available services, placement, care, In a review of a thorough inspection of the treatment, and benefits, and provides that no person above policy, Shasta SYTF follows minimum standards for this regulation. shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group BSCC staff reviewed the above policy and identification, ancestry, national origin, immigration ☒ ☐ ☐ orientation packets and interviewed youth to status, color, religion, gender, sexual orientation, conclude that the Shasta SYTF meets gender identity, gender expression, mental or compliance with this regulation. physical disability, or HIV status, including restrictive housing or classification decisions based solely on Youth indicated that they were being treated any of the above mentioned categories; fairly. Detention staff and non-detention staff are required to take non-discriminatory training. (l) storage and maintenance requirements for any Policy 9.1.2: Armory Operations chemical agents related security devices, and Policy 6.3: Chemical Agents: weapons and ammunition, where applicable; IV. STORAGE, ISSUE and DISPOSAL of OC SPRAY CANISTERS A. Types of OC Spray Canisters in use in the facility: 1. MK 4 sizes of cans ☒ ☐ ☐ 2. OC Stream or Gel Units 3. OC Foam 4. MK9 Fogger Units The policy has clear and concise expectations regarding the storage and maintenance of OC Spray. Also, any law enforcement staff are responsible for storing their weapons or equipment in the sallyport lockers prior to entering the facility. (m) establishment of procedures for collection of Medi- Policy 10.32: Medi-Cal Eligibility and Cal eligibility information and enrollment of eligible Enrollment of Youth ☒ ☐ ☐ youth; and, 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (n) establishment of a policy that prohibits all forms of Policy 5.10.1: PREA sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to In interviewing multiple youth housed at preventing, detecting and responding to such ☒ ☐ ☐ SSYTF, during the intake process youth are made aware of PREA and provided multiple conduct and any retaliation for reporting such outlets for reporting any form of sexual conduct, as well as a provision for reporting such abuse, assault, and or sexual harassment. conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy 9.2.7: Fire Safety Plan and Emergency Procedures The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with the ☒ ☐ ☐ Based on the documentation provided, the facility meets compliance with the elements State Fire Marshal, in developing a plan for fire safety contained in this section of the Title 15 which shall include, but not be limited to: regulations. a) a fire prevention plan to be included as part of the Policy 9.2.7: Fire Safety Plan and manual of policy and procedures; ☒ ☐ ☐ Emergency Procedures b) monthly fire and life safety inspections by facility Policy 9.2.7: Fire Safety Plan and staff with two- year retention of the inspection Emergency Procedures record; Policy 9.1.3: Emergency Equipment Inspection and Testing BSCC staff requested a review of monthly Fire and Life Safety facility inspections since the prior June 21, 2022, BSCC. ☒ ☐ ☐ The facility documents monthly Fire and Life Safety inspections on a Monthly Workplace Safety Checklist. The facility has responded well in developing a comprehensive and well-detailed checklist. Documentation shows that the inspections are completed every month per Title 15 regulations. c) fire prevention inspections as required by Health Policy 9.2.7: Fire Safety Plan and and Safety Code Section 13146.1(a) and (b); Emergency Procedures. SSYTF in conjunction with the Shasta County Juvenile Rehabilitation Facility ensures Fire Prevention inspections are ☒ ☐ ☐ performed per Title 15 Regulations. The inspection is required on a biennial basis. The annual fire prevention inspection was completed by the Department of Forestry and Fire Protection on May 3, 2022, and completed by Keith Hard. d) an evacuation plan; Policy 9.2.7: Fire Safety Plan and Emergency Procedures Evacuation signs are posted throughout the ☒ ☐ ☐ facility. The Shasta SYTF provides ongoing training to new and existing staff by conducting frequent fire drills. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS e) documented fire drills not less than quarterly; Policy 9.2.7: Fire Safety Plan and Emergency Procedures BSCC staff reviewed all quarterly fire drills that were conducted since the prior June 21, 2022, BSCC inspection. Fire drills during some periods exceed required Title 15 regulation requirements. ☒ ☐ ☐ Further, Shasta SYTF does well in training staff for fire drills and tracking staff who have participated in the Fire Drill training. However, BSCC staff discussed favorable outcomes when the fire drill documentation includes elements of a fire drill that include participating personnel, a confirmation of head counts for youth, staff, support staff, visitors, lessons learned, etc. f) a written plan for the emergency housing of youth in Policy 9.2.9: Evacuation the case of fire; and, The above Policy identifies evacuating youth to the local Veteran’s Hall as the emergency evacuation location. It was explained that the Veteran’s Hall location is a temporary location. Further, there exists an unwritten “agreement with Butte County” to assist with ☒ ☐ ☐ the housing of youth in the event of a long- term evacuation if needed. BSCC staff provided technical assistance to add specificity to the procedure that provides guidance to staff as it relates to the housing of youth who require a higher level of secure housing, than the Shasta SYTF youth may require. g) development of a fire suppression pre-plan in Policy 9.2.7: Fire Safety Plan and cooperation with the local fire department. Emergency Procedures In a letter dated October 4, 2021, written by Assistant Fire Marshal, Ryan Materson, the ☒ ☐ ☐ City of Redding Fire Department approved Shasta JRF Fire Suppression Pre-Plan. 1326 SECURITY REVIEW Policy 2.1.5: roles and Responsibilities Administration Each facility administrator shall develop policies and procedures to annually review, evaluate, and document Annual Security Reviews are inspected by a security of the facility. The review and evaluation shall designee and reviewed by the Shasta include internal and external security, including, but not County JRF Director, Carla Stevens. An limited to, key control, equipment, and staff training. ☒ ☐ ☐ Annual Security Review was completed on February 28, 2023. All aspects of the facility were inspected and reported to the facility administration. When and if deficiencies are discovered repair requests are immediately submitted. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1327 EMERGENCY PROCEDURES Policy 9.2.7: Fire Safety Plan and Emergency Procedures The facility administrator shall develop facility-specific Policy 9.1.1 policies and procedures for emergencies that shall include, but not be limited to: ☒ ☐ ☐ BSCC staff were provided with and reviewed a Completion of Emergency Procedures document that shows all staff that have reviewed emergency procedures from September 14, 2023, through September 30, 2023. (a) escape, disturbances, and the taking of hostages; Policy 9.2.4: Escape: ☒ ☐ ☐ Policy 9.2.5: Disturbances: Policy 9.2.6: Hostages: (b) civil disturbance, active shooter and terrorist attack; Policy 9.2.11: Civil Disturbance: ☒ ☐ ☐ Policy 9.2.10: Active Shooter or Terrorist Attack (c) fire and natural disasters; Fire: 9.2.7 ☒ ☐ ☐ Natural Disaster: 9.2.8 (d) periodic testing of emergency equipment; Policy 9.1.3: Emergency Equipment ☒ ☐ ☐ Inspection and Testing (e) emergency evacuation of the facility; and Policy 9.1.4: Emergency Release of Residents Policy 9.2.9: Evacuation ☒ ☐ ☐ The facility does well with conducting various types of emergency drills to keep JDO staff well-versed with procedures for short-term emergency evacuation of the facility. (f) a program to provide all youth supervision staff with Policy 9.1.1: Training and Review of an annual review of emergency procedures. Emergency Procedures Each staff receives policies and procedures ☒ ☐ ☐ governing emergency procedures annually via an online training provider, Target Solutions. The assigned supervisor monitors and verifies the employee has reviewed the emergency procedures training. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS Policy 5.2.2: Room Safety Checks The facility administrator shall develop and implement BSCC staff reviewed random Safety Checks policy and procedures that provide for direct visual over the inspection cycle. In addition, we observation of youth at a minimum of every 15 minutes, specifically reviewed safety checks for the at random or varied intervals during hours when youth months of July, August, and September are asleep or when youth are in their rooms, confined in 2023. We also reviewed housing unit holding cells or confined to their bed in a dormitory. surveillance video recordings. Supervision is not replaced, but may be supplemented Safety Checks are documented in logbooks by, an audio/visual electronic surveillance system identified as the “Watch Tour” logbook. The designed to detect overt, aggressive or assaultive Supervisor conducts random visits to behavior and to summon aid in emergencies. All safety housing pods (PREA checks) daily to review checks shall be documented with the actual time the safety check required documentation. In check is completed. addition, supervisors assigned to a particular pod conduct periodic safety check audits. As ☒ ☐ ☐ part of the audit, the supervisor compares room check entries in the logbook to safety checks shown on the surveillance video recordings system. BSCC staff provided technical assistance to maintain compliance, it is important that JDO staff are consistent with accurately documenting when youth are in or out of their respective rooms. BSCC staff also discussed the best outcomes when the names of staff working a pod and conducting the safety checks are legibly identified at the header/ top of each safety check page or at the beginning of each shift. Further, to encourage a standard format of documentation that is consistent amongst JDO staff. 1329 SUICIDE PREVENTION PLAN Policy 5.12: Suicide Prevention In conjunction with the Shasta County Juvenile Rehabilitation Facility, the facility’s The facility administrator, in collaboration with the Suicide Prevention Plan is a collaboration healthcare and behavioral/mental health with Probation and Behavioral Health to administrators, shall plan and implement written policies ☒ ☐ ☐ ensure youth at risk or identified as at risk and procedures which delineate a Suicide Prevention are supervised appropriately and provided Plan. The plan shall consider the needs of youth with necessary services. experiencing past or current trauma. Suicide prevention No suicide ideation incidents were reported responses shall be respectful and in the least invasive to have occurred since the prior June 2022 manner consistent with the level of suicide risk. The inspection. plan shall include the following elements: (a) Suicide prevention training as required in Section Policy 5.12: Suicide Prevention 1322, Youth Supervision Staff Orientation, and Policy 8.2: New Hire Orientation Training and the Juvenile Corrections Officer Core Course. The elements of this regulation are ☒ ☐ ☐ confirmed in the CPO Appointment and Qualification Letter on September 14, 2023. SSYTF probation staff participate in the SCJRF annual Suicide Prevention Training Plan. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and Policy 5.12: Suicide Prevention Precautionary Protocols Policy 5.3.4 Booking Procedure, Section IX (1) All youth shall be screened for risk of (A) suicide at intake and as needed during detention. The booking officer communicates with the arresting officer, facility staff, family members, and medical and mental health personnel as part of the screening process ☒ ☐ ☐ for suicide risk. Screening and assessment forms completed at intake include: Massachusetts Youth Screening Instrument (MAYSI 2), Suicide Screening Questionnaire, Suicide Disposition form. Intake staff also communicate with the arresting officer and communicate with the youth’s parent/guardian. (2) All youth supervision staff who perform Policy 5.12: Suicide Prevention intake processes shall be trained in Policy 3.3.10: Trauma-Informed Approaches screening youth for risk of suicide. to Working with Youth The elements of this regulation are ☒ ☐ ☐ confirmed in the CPO Appointment and Qualification Letter on September 14, 2023. Annual training is included in the SCJRF Suicide Prevention Training Plan. SSYTF staff are assigned to participate in the annual training. (3) All youth who have been identified during Policy 5.12: Suicide Prevention the intake screening process to be at risk of Policy 3.3.10: Trauma-Informed Approaches suicide shall be referred to to Working with Youth behavioral/mental health staff for a suicide risk assessment. The Shasta County Health and Human ☒ ☐ ☐ Services Clinician is on site for the intake screening process from 12:00 pm to 9:00 pm, Monday through Friday. If the Clinician is not present in the facility, the supervisor completes the screening questions and contacts the On-Call mental health staff for direction. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Precautionary protocols shall be developed Policy 5.12: Suicide Prevention to ensure the youth’s safety pending the behavioral/mental health assessment. The SSYTF incorporates a mental health clinician referral process. Precautionary protocols include, but are not limited to, the following: • Enhanced Observation (7min to 10 min safety checks) • Suicide Watch- Safety Room ☒ ☐ ☐ Placement • Wrap Restraint • Develop a safety plan for the resident, • Develop a plan for staff response to include signs to be aware of possible suicidal ideations or self-harm. • Create a communication chain to inform of crisis, and short-term and long-term follow-up for crisis prevention. (c) Referral process to behavioral/mental health staff Policy 5.12: Suicide Prevention for assessment and/or services. BSCC staff interviewed Behavioral Health staff. There were no specific suicide ideation incidents that occurred since the prior 2022 inspection. ☒ ☐ ☐ The Shasta County Health and Human Services Clinician is on site for the intake screening process from 12:00 pm to 9:00 pm, Monday through Friday. If the Clinician is not present in the facility, the supervisor completes the screening questions and contacts the On-Call mental health staff for directions. (d) Procedures for monitoring of youth identified at risk Policy 5.12: Suicide Prevention for suicide. Policy 5.2.2 Room Safety Checks To monitor youth at risk for suicide, the facility utilizes the necessary suicide watch precautions. ☒ ☐ ☐ If a youth exhibits suicide ideation behaviors, staff utilize the “Observation Sheet” to observe and document the youth’s behaviors in 5-to-15-minute intervals. The Observation Sheet is reviewed every four hours by the Officer in Charge (OIC) and medical staff. Depending on the severity, a youth may be placed on Enhanced Observation, Suicide Watch, or placed in the Safety Room. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Safety Interventions Policy 5.12: Suicide Prevention (1) Procedures to address intervention protocols for youth identified at risk for The facility has a comprehensive and well- suicide which may include, but are not ☒ ☐ ☐ detailed suicide classification and limited to: supervision system that identifies youth who are actively suicidal, recently suicidal, and or a prior history of suicidal activities. A. Housing consideration Policy 5.12: Suicide Prevention Housing monitoring is based on the status or level of risk. Youth placed on: • Suicide risk may be placed in the general population. • Suicide Watch will be housed in the ☒ ☐ ☐ safety room. • Step-up will be monitored in accordance with medical/mental health instructions. • Enhanced Observation status youth will be housed in the general population and monitored in accordance with medical/mental health instructions B. Treatment strategies including Policy 5.12: Suicide Prevention trauma-informed approaches Policy 3.3.10: Trauma-Informed Approaches to Working with Youth The Shasta SYTF incorporates a mental health clinician referral process. As part of the process, follow-up on all residents placed on Enhanced Observation or Suicide Watch shall include the following: ☒ ☐ ☐ • Develop a safety plan for the resident. • Develop a plan for staff response to include signs to be aware of possible suicidal ideations or self-harm. • Create a communication chain to inform of crisis, short-term and long- term follow-up for crisis prevention. (2) Procedures to instruct youth supervision Policy 5.12: Suicide Prevention staff how to respond to youth who exhibit ☒ ☐ ☐ suicidal behaviors. Detention staff are provided initial and ongoing suicide prevention training. (f) Communication Policy 5.12: Suicide Prevention (1) The intake process shall include Policy 5.3.4 Booking Procedure, Section IX communication with the arresting officer (A) and family guardians regarding the youth’s ☒ ☐ ☐ past or present suicidal ideations, behaviors The booking officer shall communicate with or attempts. the arresting officer, facility staff, family members, and medical and mental health personnel in relation to suicide risk. (2) Procedures for clear and current Policy 5.12: Suicide Prevention information sharing about youth at risk for ☒ ☐ ☐ suicide with youth supervision, healthcare, and behavioral/mental health staff. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Debriefing of Critical Incidents Related to Suicides Policy 5.12: Suicide Prevention or 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 Policy 5.12: Suicide Prevention ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Policy 5.12: Suicide Prevention ☒ ☐ ☐ youth. (h) Documentation Policy 5.8.4: Reports and Documentation (1) Documentation processes shall be developed to ensure compliance with this Reporting and monitoring documentation is regulationb as follows: ☒ ☐ ☐ • Incident Report • Medical Notification • Mental Health Suicide Watch Custody Notification • Observation Sheet Youth identified at risk for suicide shall not be denied Policy 5.12: Suicide Prevention the 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 Policy 2.1.5: Roles and Responsibilities of Facility Administration Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions At the time of this inspection, there were no of confinement, filed against persons or legal entities pending legal actions. responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY Policy 9.2.12: Death or Serious Illness or OF A YOUTH WHILE DETAINED Injury of a Youth while Detained. (1) Death of a Youth. At the time of this inspection, there were no reports of Death, serious illness or injury of (a) The facility administrator, in cooperation with the a youth while detained at the Shasta SYTF health administrator and the behavioral/mental ☒ ☐ ☐ pending legal actions. health director, shall develop written policies and procedures in the event of the death of a youth In the event of a death, the Facility Director while detained, which include notifications to or Chief Probation Officer would contact the necessary parties, which may include the Juvenile Juvenile Court Judge, the attorney of record, Court, the parent, guardian or person standing in and the youth’s parent or guardian. loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the Policy 9.2.12: Death or Serious Illness or facility administrator, shall develop written policies Injury of a Youth while Detained 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. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) The administrator of the facility shall provide to the Policy 9.2.12: Death or Serious Illness or Board a copy of the report submitted to the Attorney Injury of a Youth while Detained General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy 9.2.12: Death or Serious Illness or the administrator, the Board may within 30 calendar Injury of a Youth while Detained. 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 Policy 9.2.12: Death or Serious Illness or (a) The facility administrator, in cooperation with the Injury of a Youth while Detained. health administrator, shall develop written policies and procedures for the notification to necessary At the time of this inspection, there were no reports of death or serious illness of youth parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis ☒ ☐ ☐ while detained at the Shasta SYTF. and the youth’s attorney of record in the case of a In the event of serious injury, the Facility serious illness or injury of a youth. Director or Chief Probation Officer would contact the Juvenile Court Judge, the attorney of record, and the youth’s parent or guardian. 1342 POPULATION ACCOUNTING Policy 2.1.5: Roles and Responsibilities of Facility Administration Each juvenile facility shall submit required population ☒ ☐ ☐ and profile survey reports to the Board within 10 Profile survey Reports are submitted as working days after the end of each reporting period, in required. a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY Policy 2.1.5: Roles and Responsibilities of Facility Administration When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than The Shasta SYTF has not exceeded its rated fifteen (15) calendar days in a month, the facility ☒ ☐ ☐ capacity for more than fifteen (15) calendar administrator shall provide a crowding report to the days in a month, since the prior June of Board in a format provided by the Board. 2022, BSCC inspection. The rated capacity for the Shasta Secure Youth Treatment Facility is eight. 1350 ADMITTANCE PROCEDURES Policy 5.3.4: Booking Procedures Policy 3.3.10: Trauma-Informed Approaches The facility administrator shall develop and implement to Working with Youth written policies and procedures for admittance of youth Shasta Secure Youth Treatment Facility that emphasize respectful and humane engagement youth are housed on the 900 Pod with with youth, and reflect that the admission process may detention youth in the Shasta County be traumatic to youth who may have already Juvenile Rehabilitation Facility. Both facilities experienced trauma. Policies shall be trauma-informed, follow the same admittance procedures. culturally relevant, and responsive to the language and ☒ ☐ ☐ BSCC staff reviewed the 10 most recent literacy needs of youth. In addition to the requirements youth admittance packets completed that of Sections 1324 and 1430 of these regulations: included both facilities. Further, through a combination of a variety of documentation reviews, interviews with youth housed at the facilities, interviews with detention staff, and interviews with medical health partners, BSCC staff confirmed compliance. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) the admittance process shall include: Policy 5.3.4: Booking Procedures (1) Access to two free phone calls within one hour of admittance in accordance with the provisions BSCC staff reviewed documentation and of Welfare and Institution Code Section 627; ☒ ☐ ☐ interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers required phone calls at intake utilizing the booking Face Sheet. (2) Offer of a shower; Policy 5.3.4: Booking Procedures BSCC staff reviewed documentation and ☒ ☐ ☐ interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers a shower during the intake process. (3) Documented secure storage of personal Policy 5.3.7: Resident Property Storage belongings; For denominations totaling less than $25.00, the property envelope may be placed in the ☒ ☐ ☐ resident’s property bin in the property room. For denominations totaling $25.00 or greater, the booking officer will notify the Supervisor/OIC, and the money will be stored in the evidence locker. (4) Offer of food upon arrival; Policy 5.3.4: Booking Procedures ☒ ☐ ☐ The youth interviewed reported they were offered food during the intake process. (5) Screening for physical and behavioral health Policy 5.3.4: Booking Procedures and safety issues, intellectual or developmental disabilities; SSYTF utilizes a form titled Vulnerability Assessment Instrument (VAI) to help make screening determinations for behavioral ☒ ☐ ☐ health, and intellectual or developmental disabilities. A resident is Medically Cleared for booking when it is determined by the booking officer that there are no apparent health conditions. In part, this is determined by utilizing the Medical Pre-Screening Questionnaire. (6) Screening for physical and developmental Policy 5.3.4: Booking Procedures disabilities in accordance with Sections 1329, ☒ ☐ ☐ 1413, and 1430 of these regulations; All youth have a full medical exam within 96 hours of intake (7) Contact with Regional Center for the Policy 5.3.4: Booking Procedures, Section Developmentally Disabled for youth that are (C)(11) suspected of or identified as having a developmental disability, pursuant to Section Contact Far Northern Regional Center for the ☒ ☐ ☐ Developmentally Disabled for youth who are 1413; and, suspected of or identified as having a developmental disability, pursuant to Section 1413. (8) Procedures consistent with Section 1352.5. Policy 5.3.4: Booking Procedures ☒ ☐ ☐ 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) juvenile hall administrators shall establish written Policy 5.3.4: Booking Procedures, Section criteria for detention that considers the least (A)(2) restrictive environment. We observed documentation showing that all ☒ ☐ ☐ youth are screened by utilizing a classification form that assesses the housing unit placement of the youth based on the criminal sophistication of the youth. (c) juvenile camps and post-dispositional programs in Policy 5.3.4: Booking Procedures 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 Policy 5.3.4: Booking Procedures procedures that advise any committed youth of the estimated length of his/her stay. During the booking process, the booking officer will discuss with the resident the maximum term of confinement associated ☒ ☐ ☐ with their charges, what a furlough is and how it works, the pertinent filing deadlines for their charges, as well as deadlines for the youth to appear in court. 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy 5.10.1: PREA ABUSE Policy 5.3.4: Booking Procedures The facility administrator shall develop and implement Shasta Secure Youth Treatment Facility youth are housed on the 900 Pod with written policies and procedures to reduce the risk of detention youth in the Shasta County sexual abuse by or upon youth. The policy shall require Juvenile Rehabilitation Facility. Both facilities facility staff to assess each youth within 72 hours of follow the same screening for the risk of admission based on the following information: sexual victimization procedures. BSCC staff reviewed the 10 most recent youth admittance screening packets completed ☒ ☐ ☐ that included both facilities. Compliance was confirmed. During the intake process, youth are provided with a Sexual Abuse Orientation Acknowledgement Form that offers information on sexual abuse prevention, protection, and reporting. It also appears that through multiple points of contact, the youth may also receive portions of screening that relate to screening for the risk of sexual victimization. (a) Prior sexual victimization or abusiveness; Policy 5.3.4: Booking Procedures 10.1: PREA ☒ ☐ ☐ SSYTF utilizes a form titled “Vulnerability Assessment Instrument” to aid in evaluating possible history of victimization and to make referral determinations. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Gender nonconforming appearance or manner; or Policy 5.10.1: PREA identification as lesbian, gay or bisexual, Policy 5.3.4: Booking Procedures transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Policy 5.10.1: PREA (d) Age; ☒ ☐ ☐ Policy 5.10.1: PREA (e) Level of emotional and cognitive development; ☒ ☐ ☐ Policy 5.10.1: PREA (f) Physical size and stature; ☒ ☐ ☐ Policy 5.10.1: PREA (g) Mental illness or mental disabilities; ☒ ☐ ☐ Policy 5.10.1: PREA (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Policy 5.10.1: PREA (i) Physical disabilities; ☒ ☐ ☐ Policy 5.10.1: PREA (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Policy 5.10.1: PREA (k) Any other specific information about the individual Policy 5.10.1: PREA youth that may indicate heightened needs for ☒ ☐ ☐ Policy 5.3.6: Classification and Housing supervision, additional safety precautions, or Assignments separation from certain other youth. Staff shall ascertain this information through Policy 5.10.1: PREA 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 Policy 5.10.1: PREA 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 Policy 5.3.8: Release Procedures and Transition Planning The facility administrator shall develop and implement written policies and procedures for release of youth Shasta Secure Youth Treatment Facility from custody which provide for: youth are housed on the 900 Pod with detention youth in the Shasta County Juvenile Rehabilitation Facility. Both facilities follow the same release procedures. ☒ ☐ ☐ Compliance with this regulation is confirmed based on a review of facility policies and procedures. In addition, BSCC staff reviewed the 10 most recent examples of completed youth release packets/forms. The primary sample was obtained through Shasta JRF detention youth packets. We also conducted interviews with collaborative partners, as well as interviews with detention staff and youth housed at the facility. (a) verification of identity/release papers; Policy 5.3.8: Release Procedures and ☒ ☐ ☐ Transition Planning (b) return of personal clothing and valuables; ☒ ☐ ☐ Policy 5.3.7: Resident Property Storage (c) notification to the youth's parents or guardian; Policy 5.3.8: Release Procedures and ☒ ☐ ☐ Transition Planning 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) notification to the facility health care provider in Policy 5.3.8: Release Procedures and accordance with Sections 1408 and 1437 of these Transition Planning regulations, for coordination with outside agencies; and, BSCC staff interviewed the health care provider who confirmed that probation ☒ ☐ ☐ provides timely notification of a youth’s pending release. The medical provider provides the youth with information on pharmacy and medication refill information. (e) notification of school staff; Policy 5.3.8: Release Procedures and Transition Planning ☒ ☐ ☐ BSCC staff interviewed the school staff who confirmed that probation provides timely notification of a youth’s pending release. (f) notification of facility mental health personnel. Policy 5.3.8: Release Procedures and Transition Planning ☒ ☐ ☐ BSCC staff interviewed the mental health personnel who confirmed that probation provides timely notification of a youth’s pending release. The facility administrator shall develop and implement Policy 5.3.8: Release Procedures and policies and procedures for post-disposition youth to Transition Planning coordinate the provision of transitional and reentry services including, but not limited to, medical and The Shasta SYTF conducts a Child and Family Team Meeting prior to release. At the behavioral health, education, probation supervision and meeting, a transition plan for the youth will community-based services. be formulated. We were impressed with the Transition Passport form that is provided to youth upon release. The form identifies programs, health services, medication prescription information, wrap-around services, and relevant contact information to aid in a youth’s successful transition from custody. Also, Victor ☒ ☐ ☐ Community Support Services (VCSS) provides some wrap-around services for youth from Shasta and Tehama Counties. BSCC staff thought well of the facility having a Probation Officer that serves as the “Out of county liaison”. However, we provided guidance to ensure that out-of-county youth are offered and or provided with the same transition release services as Shasta County youth including, but not limited to, the Transition Passport form. BSCC staff acknowledges that a youth’s out-of-county Probation Officer has a responsibility to coordinate local services for the youth being released. The facility administrator shall develop and implement Policy 5.3.8: Release Procedures and written policies and procedures for the furlough of youth ☒ ☐ ☐ Transition Planning from custody. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1352 CLASSIFICATION Policy 5.3.6: Classification and Housing Assignments The facility administrator shall develop and implement written policies and procedures on classification of Compliance with this regulation is confirmed youth for the purpose of determining housing placement based on a review of facility policies and in the facility. ☒ ☐ ☐ procedures, and a review of the most recently completed youth classification Such procedures shall: documents. All Shasta SYTF youth are housed on the 900 Pod. BSCC staff also conducted interviews with collaborative partners, as well as interviews with detention staff and youth housed at the facility. (a) provide for the safety of the youth, other youth, Policy 5.3.6: Classification and Housing facility staff, and the public by placing youth in the Assignments appropriate, least restrictive housing and program settings. Housing assignments shall consider the Through a review of the above policy, ☒ ☐ ☐ interviews with supervisory staff, and need for single, double or dormitory assignment or admission documentation, BSCC staff location within the dormitory; determined that the SCJRF meets compliance with the elements of this regulation. (b) consider facility populations and physical design of Policy 5.3.6: Classification and Housing ☒ ☐ ☐ the facility; Assignments (c) provide that a youth shall be classified upon Policy 5.3.6: Classification and Housing admittance to the facility; classification factors shall Assignments include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ The above policy indicates that the initial classification system provides the basis for legal status, public safety considerations, unit housing placement and programming medical/mental health considerations, gender and decisions. gender identity of the youth; (d) provide for periodic classification reviews, including Policy 5.3.6: Classification and Housing provisions that consider the level of supervision and Assignments the youth's behavior while in custody; and, ☒ ☐ ☐ BSCC staff observed that classification reviews are completed periodically, or as needed by the facility Director or an assigned supervisor. (e) provide that facility staff shall not separate youth Policy 5.3.6: Classification and Housing from the general population or assign youth to a Assignments, single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, The facility intake staff completed the classification form that identifies specific ancestry, national origin, color, religion, gender, criteria to determine housing classifications. sexual orientation, gender identity, gender ☒ ☐ ☐ In addition, the intake staff asks the expression, mental or physical disability, or HIV necessary questions of the youth, and the status. This section does not prohibit staff from arresting officer, and makes visual placing youth in a single occupancy room at the observations of the youth. youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy 5.2.6: Transgender and Intersex transgender, questioning or intersex identification or Residents status as an indicator of likelihood of being sexually abusive. Through a review of the above policy, ☒ ☐ ☐ interviews with supervisory staff, and admission documentation, BSCC staff determined that the SSYTF meets compliance with the elements of this regulation. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy 5.2.6: Transgender and Intersex Residents The facility administrator shall develop written policies ☒ ☐ ☐ and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The policies shall provide that: (a) Facility staff shall respect every youth’s gender Policy 5.2.6: Transgender and Intersex identity and shall refer to the youth by the youth’s Residents preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the The elements of this regulation are use of gang or slang names or names that ☒ ☐ ☐ accomplished, in part, through new staff’s initial orientation and training that otherwise compromise facility operations as encapsulates multiple policies and determined by the facility manager or designee, procedures that ensure ongoing compliance and shall document any decision made on this with this regulation. basis. (b) Facility staff shall permit youth to dress and present Policy 5.2.6: Transgender and Intersex themselves in a manner consistent with their Residents ☒ ☐ ☐ 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 Policy 5.2.6: Transgender and Intersex that best meets their individual needs and promotes Residents their safety and well-being. Staff may not automatically house youth according to their Through a review of the above policy, external anatomy and shall document the reasons ☒ ☐ ☐ admission documentation, and interviews with detention and supervisory staff, BSCC for any decision to house youth in a unit that does staff determined that the Shasta SYTF meets not match their gender identity. In making a housing compliance with this regulation. 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 Policy 5.2.6: Transgender and Intersex transgender and intersex youth have access to Residents medical and behavioral health providers qualified to ☒ ☐ ☐ provide care and treatment to transgender and BSCC staff interviewed medical and intersex youth. behavioral health staff to conclude compliance with this regulation. (e) Consistent with the facility’s reasonable and Policy 5.2.6: Transgender and Intersex necessary security considerations and physical Residents plant, facility staff shall make every effort to ensure ☒ ☐ ☐ the safety and privacy of transgender and intersex All youth have single rooms with their own toilets. All youth shower in the unit in private youth when the youth are using the bathroom or showers. shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 5.2.6: Transgender and Intersex youth for the purpose of determining the youth’s Residents ☒ ☐ ☐ 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. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1353 ORIENTATION Policy 5.3.9: Resident Orientation Policy 5.3.4: Booking Procedures The facility administrator shall develop and implement written policies and procedures to orient a youth prior to Shasta Secure Youth Treatment Facility placement in a living area. Both written and verbal youth are housed on the 900 Pod with information shall be provided and supplemented with detention youth in the Shasta County video orientation if feasible. Provision shall be made to Juvenile Rehabilitation Facility. Both facilities provide accessible orientation information to all follow the same Orientation procedures. detained youth including those with disabilities, limited BSCC staff reviewed the 10 most recent youth intake orientation packets completed literacy, or English language learners. Orientation shall that included both facilities. Orientation include information that addresses: documents were signed by the youth ☒ ☐ ☐ acknowledging viewing the facility orientation video and receiving written and verbal information that included but was not limited to, expectations, treatment, rules, and youth rights. BSCC staff also reviewed the youth handbook, interviewed detention staff, and interviewed youth housed at the facility to help determine compliance. In a review of the youth handbook, it provides a summary of policies, and guidance of behaviors, sets expectations, and allows for dialogue if a youth is unclear on a specific topic. (a) facility rules including contraband and searches Policy 5.3.9: Resident Orientation and disciplinary procedures; Orientation packets show youths’ provided ☒ ☐ ☐ signatures acknowledging viewing the facility orientation video and receiving written and verbal information that included, but was not limited to contraband, searches, and disciplinary procedures. (b) facility’s system of positive behavior interventions Policy 5.3.9: Resident Orientation 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 Policy 5.3.9: Resident Orientation facility’s policy prohibiting sexual abuse and sexual harassment and how to report incidents or During the intake and orientation process, each youth is provided with a well-detailed suspicions of sexual abuse or sexual harassment; Resident Handbook. The Resident ☒ ☐ ☐ Handbook provides youth with information and guidance for reporting any form of sexual abuse, sexual harassment, and or suspensions of sexual abuse and harassment. (d) identification of key staff and their roles; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (e) the existence of the grievance procedure, the steps Policy 5.3.9: Resident Orientation that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the The grievance procedure is outlined in the resident handbook. Youth sign and name of the person or position designated to ☒ ☐ ☐ acknowledge that they have been provided resolve the issue; with, that the handbook information has been explained to him/her, and that the youth understand the information contained within the handbook. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) access to legal services and information on the Policy 5.3.9: Resident Orientation ☒ ☐ ☐ court process; (g) access to routine and emergency health and mental Policy 5.3.9: Resident Orientation health care; BSCC staff interviewed youth and intake staff to help in determining that the Shasta ☒ ☐ ☐ SYTF complies with this regulation. Youth have access to medical and mental health requests for services slips and have the option to confidentially submit the requests. (h) access to education, religious services, and Policy 5.3.9: Resident Orientation ☒ ☐ ☐ recreational activities; (i) housing assignments; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (j) opportunity for personal hygiene and daily showers Policy 5.3.9: Resident Orientation including the availability of personal care items ☒ ☐ ☐ BSCC staff interviewed youth and intake staff to help in determining that SSYTF complies with this regulation. (k) rules and access to correspondence, visits and Policy 5.3.9: Resident Orientation ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and Policy 5.3.9: Resident Orientation ☒ ☐ ☐ other activities; (m) facility policies on the use of force, use of restraints, Policy 5.3.9: Resident Orientation chemical agents and room confinement; ☒ ☐ ☐ BSCC staff interviewed youth and intake staff to help in determining that Shasta SYTF complies with this regulation. (n) immigration legal services; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (o) emergencies including evacuation procedures; ☒ ☐ ☐ Policy 5.3.9: Resident Orientation (p) non-discrimination policy and the right to be free Policy 5.3.9: Resident Orientation from physical, verbal or sexual abuse and harassment by other youth and staff; ☒ ☐ ☐ BSCC staff interviewed youth and intake staff to help in determining that Shasta SYTF complies with this regulation. (q) availability of services and programs in a language Policy 5.3.9: Resident Orientation other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy 5.3.9: Resident Orientation education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 5.3.9: Resident Orientation information regarding the youth’s stay in the facility that at a minimum includes answers to frequently The Parent handbook is provided to all parents with frequently asked questions, and asked questions and provides contact information ☒ ☐ ☐ provides contact information for the facility, for the facility, medical, school and mental health; medical, school, and mental health, and and, other pertinent information regarding the youth’s stay. (t) a process by which youth may request access to Policy 5.3.9: Resident Orientation Title 15 Minimum Standards for Juvenile Facilities. The resident handbook indicates that Title 15 ☒ ☐ ☐ Regulations are available on the Pod. BSCC staff also interviewed youth and staff who acknowledged youths’ access to Title 15 Regulations. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Policy 5.3.6.1: Separation ☒ ☐ ☐ The facility administrator shall develop and implement written policies and procedures that address: (a) separation of youth for reasons that include, but are Policy 5.3.6.1: Separation not be limited to, medical and mental health conditions, assaultive behavior, disciplinary The facility incorporates the following types consequences and protective custody. of Separations: • Administrative Separation due to extreme risk due to assaultive behavior to other youth or staff and all least restrictive options to control the youth’s behavior have been exhausted. ☒ ☐ ☐ • Maximum Security Risk due to charges or assaultive or threatening behavior resulting in extreme risk to youth and staff. • Protective Custody for residents who request protective custody. • Self-Separation if a resident refuses to participate in facility programming or activities and remains in their respective room. (b) consideration of positive youth development and Policy 5.3.6.1: Separation ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal Policy 5.3.6.1: Separation privileges available at the facility, except when necessary to accomplish the objective of BSCC staff reviewed Separation Policy separation. 5.3.6.1, programming logs, and only three reported Administrative Separation (Ad-Sep) incident reports for youth being placed on Ad-Sep. We also interviewed youth detained at the facility, staff, and supervisors. ☒ ☐ ☐ The Shasta SYTF had done well in implementing a Reintegration Plan Log for both the Ad-Sep and MSR Reintegration Plans. The Reintegration Plan provides a “Programming Requirement Audit” to be performed each shift or every four hours. The Separation policy indicates that within 24 hours of a youth being placed on Ad-Sep status, an Ad-Sep Reintegration Plan must be completed. (d) when the objective of the separation is discipline, Policy 5.3.6.1: Separation Title 15 Section 1390 shall apply. BSCC staff observed a program identified as the Alternative Program (A/P) in the facility’s Policy 5.8.3, Discipline. Verbiage within the use of the program indicates that during ☒ ☐ ☐ different times of day, the youth on A/P may program separately from other youths. BSCC staff discussed adding and or referencing the A/P program to the Separation policy while also keeping it in the Discipline policy. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) when separation results in room confinement, the Policy 5.3.6.1: Separation separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy 5.3.6.1: Separation of separated youth to determine if separation ☒ ☐ ☐ remains necessary. 1354.5 ROOM CONFINEMENT Policy 5.8.7: Temporary Room Restriction and Reintegration Planning (a) The facility administrator shall develop and implement written policies and procedures A Temporary Room Restriction (TRR) / addressing the confinement of youth in their room (Room confinement) is placing youth in a that are consistent with Welfare and Institutions locked room for a short period of time to Code Section 208.3. The placement of a youth in cool off or de-escalate behaviors but may room confinement shall be accomplished in lead to room confinement of up to 4 hours if accordance with the following guidelines: behaviors cause safety and or security concerns. BSCC staff reviewed Temporary Room ☒ ☐ ☐ Restriction (TRR) Policy 5.8.7 and reviewed the five reported TRR/ room confinement incident reports that occurred on the 900 Pod where STTP and some detention youths are housed together. Not all occurrences of a TRR were specific to STTP youth. We also interviewed youth detained at the facility, JDO staff, and supervisors. In a review, the (TRR) /room confinement incidents that occurred were generally justifiable and compliant. (1) Room confinement shall not be used before Policy 5.8.7: Temporary Room Restriction other, less restrictive, options have been and Reintegration Planning attempted and exhausted, unless attempting ☒ ☐ ☐ those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Policy 5.8.7: Temporary Room Restriction purposes of punishment, coercion, and Reintegration Planning convenience, or retaliation by staff. BSCC staff discussed removing the word “Restriction” from the TRR logs and ☒ ☐ ☐ documentation as it relates to room confinement. Since room confinement shall not be used for punishment, using the word restriction in identifying the room confinement process may create misleading assumptions. (3) Room confinement shall not be used to the Policy 5.8.7: Temporary Room Restriction extent that it compromises the mental and ☒ ☐ ☐ and Reintegration Planning physical health of the youth. (b) A youth may be held up to four hours in room Policy 5.8.7: Temporary Room Restriction confinement. After the youth has been held in room and Reintegration Planning confinement for a period of four hours, staff shall do ☒ ☐ ☐ one or more of the following: There were no incidents reported having occurred resulting in over 4 hours of room confinement. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Return the youth to general population. Policy 5.8.7: Temporary Room Restriction and Reintegration Planning JDO staff are required to make counseling ☒ ☐ ☐ efforts to de-escalate the resident so that he/she may rejoin the group. These counseling efforts shall be no less than every 15 minutes and documented in the Temporary Room Restriction Log (TRR). (2) Consult with mental health or medical staff. Policy 5.8.7: Temporary Room Restriction ☒ ☐ ☐ and Reintegration Planning (3) Develop an individualized plan that includes the Policy 5.8.7: Temporary Room Restriction goals and objectives to be met in order to and Reintegration Planning reintegrate the youth to general population. ☒ ☐ ☐ Shasta SYTF follows SCJRF’s policy that indicates that after one hour of a TRR has elapsed, a Reintegration Plan for the youth shall be completed. (4) If room confinement must be extended beyond Policy 5.8.7: Temporary Room Restriction four hours, staff shall do each of the following: and Reintegration Planning ☒ ☐ ☐ There were no incidents reported having occurred resulting in over four hours of room confinement. (A) Document the reasons for room Policy 5.8.7: Temporary Room Restriction confinement and the basis for the and Reintegration Planning extension, the date and time the youth was ☒ ☐ ☐ first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that Policy 5.8.7: Temporary Room Restriction includes the goals and objectives to be met and Reintegration Planning ☒ ☐ ☐ in order to integrate the youth to general population. (C) Obtain documented authorization by the Policy 5.8.7: Temporary Room Restriction facility superintendent or his or her ☒ ☐ ☐ and Reintegration Planning designee every four hours thereafter. (5) This section is not intended to limit the use of Policy 5.8.7: Temporary Room Restriction single-person rooms or cells for the housing of and Reintegration Planning ☒ ☐ ☐ youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards Policy 5.8.7: Temporary Room Restriction ☒ ☐ ☐ in court holding facilities or adult facilities. and Reintegration Planning (7) Nothing in this section shall be construed to Policy 5.8.7: Temporary Room Restriction conflict with any law providing greater or ☒ ☐ ☐ and Reintegration Planning additional protections to youth. (8) This section does not apply during an Policy 5.8.7: Temporary Room Restriction extraordinary emergency circumstance that and Reintegration Planning 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. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (9) This section does not apply when a youth is Policy 5.8.7: Temporary Room Restriction placed in a locked cell or sleeping room to treat and Reintegration Planning and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not ☒ ☐ ☐ required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 5.7.1: Resident Case Plan The facility administrator shall develop and implement We reviewed random Institutional Case written policies and procedures for assessment and Plans covering the duration of 2023. We also case planning. interviewed youth detained at the facility, JDO staff, and supervisors. ☒ ☐ ☐ To generate the Institutional Assessment and Case Plan, the SCJRF booking officer utilizes a Pre-Pact assessment tool that helps determine the appropriate programs suited for a youth’s program and behavioral needs. (a) Assessment: Policy 5.7.1: Resident Case Plan The assessment is based on information collected during the admission process with periodic review, The results of the Pre-Pact assessment are which includes the youth's risk factors, needs and shared with the casework Probation Officer ☒ ☐ ☐ and the information is included in the PACT strengths including, but not limited to, identification Assessment and Case plan. PACT (Positive of substance abuse history, educational, Achievement Change Tool) is an evidence- vocational, counseling, behavioral health, based, risk/needs assessment tool. consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Policy 5.7.1: Resident Case Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created The SSYTF Deputy Probation Officers ☒ ☐ ☐ within 40 days of admission. (DPO) are assigned to complete Institutional Case Plans with bi-weekly follow-up with the youth. (2) The institutional plan shall include, but not be Policy 5.7.1: Resident Case Plan ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution Policy 5.7.1: Resident Case Plan ☒ ☐ ☐ of problems identified in the assessment; (B) a plan for meeting the objectives that Policy 5.7.1: Resident Case Plan includes a description of program resources ☒ ☐ ☐ needed and individuals responsible for assuring that the plan is implemented; 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) periodic evaluation of progress towards meeting Policy 5.7.1: Resident Case Plan the objectives, including periodic review and discussion of the plan with the youth; A review of case plans shows consistency with documenting the periodic review of a youth’s case plan progress and objectives ☒ ☐ ☐ toward meeting those goals. However, to maintain ongoing compliance, BSCC staff provided technical assistance to ensure that the DPO, on a consistent basis, documents that the periodic reviews were conducted with the youth. (4) a transition plan, the contents of which shall be Policy 5.7.1: Resident Case Plan subject to existing resources, shall be Policy 5.3.8: Release Procedures and developed for post dispositional youth in Transition Planning accordance with Section 1351; and, We were impressed with A Transition ☒ ☐ ☐ Passport form that is provided to youth upon release. The form identifies programs, health services, medication prescription information, wrap-around services, and relevant contact information to aid in a youth’s successful transition from custody. (5) in as much as possible and if appropriate, the Policy 5.7.1: Resident Case Plan plan, including the transition plan, shall be developed with input from the family, supportive Per policy, and confirmed via BSCC staff adults, youth, and Regional Center for the review, transitional and Reentry Services is the responsibility of the case-carrying Deputy Developmentally Disabled. Probation Officer and the Juvenile Detention Officer assigned to the Juvenile Probation Supervision Unit. Services may include the ☒ ☐ ☐ following but are not limited to: • Youth and Family Team Meeting(s) • Multidisciplinary Team Meeting(s) • Family Reunification Visits • “Passport” meeting for the purpose of scheduling out-of-custody continuum of care 1356 COUNSELING AND CASEWORK SERVICES Policy 5.7.7: Counseling and Casework Services The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: (a) youth will receive assistance with needs or Policy 5.7.7: Counseling and Casework concerns that may arise; Services ☒ ☐ ☐ BSCC staff observed that via the case management system, the JDO documents counseling sessions conducted with the youth. (b) youth will receive assistance in requesting contact Policy 5.7.7: Counseling and Casework with parents, other supportive adults, attorney, Services ☒ ☐ ☐ clergy, probation officer, or other public official; and, All JDO staff are assigned to a youth for ongoing guidance. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) youth will be provided access to available Policy 5.7.7: Counseling and Casework resources to meet the youth’s needs. Services ☒ ☐ ☐ Behavioral Health staff are onsite Monday through Friday from 1:00 PM to 9:00 PM. 1357 USE OF FORCE Policy 6.1: Use of Force The facility administrator, in cooperation with the BSCC staff requested to review the 10 most responsible physician, shall develop and implement recent Use of Force (UOF) Incident reports. written policies and procedures for the use of force, We also interviewed youth housed at the which may include chemical agents. Force shall never ☒ ☐ ☐ facility and detention staff. We also be applied as punishment, discipline, retaliation or interviewed collaborative partners to gain treatment. further insight to confirm compliance with this regulation. (a) At a minimum, each facility shall develop policies and procedures which: The facility is compliant with Title 15 minimum standards for this regulation. (1) restricts the use of force to that which is deemed Policy 6.1: Use of Force reasonable and necessary, as defined in Section ☒ ☐ ☐ 1302 to ensure the safety and security of youth, In a review, or reports and interviews with staff, others and the facility. youth, JDO staff use force that is deemed reasonable and necessary. (2) outline the force options available to staff Policy 6.1: Use of Force including both physical and non-physical options and define when those force options are Shasta SYTF detention staff receive an appropriate. ☒ ☐ ☐ initial 32-hour defensive tactic training and policy review outlining both physical and non-physical de-escalation options. An additional 4 hours of refresher training in force options occur on a quarterly basis. (3) describe force options or techniques that are Policy 6.1: Use of Force expressly prohibited by the facility. SSYTF follow force options as identifies in the Shasta County JRF policy that are as follows below: ☒ ☐ ☐ • Command Presence and Dialog Control and Search Techniques • Soft Hands • Oleoresin Capsicum (OC) • Defensive Tactics • Mechanical Restraints • Deadly Force (4) describe the requirements of staff to report any Policy 6.1: Use of Force inappropriate use of force, and to take ☒ ☐ ☐ affirmative action to immediately stop it. (5) define a standardized reporting format that Policy 6.1: Use of Force includes time period and procedure for documenting and reporting the use of force, Shasta SYTF detention staff must complete including reporting requirements of use of force Incident Reports prior to ending his/her shift. Supervisory reviews are management and line staff and procedures for conducted prior to the end of the shift that reviewing and tracking use of force incidents by ☒ ☐ ☐ the incident occurred. Reviews and supervisory and or management staff, which debriefings were clearly documented in include procedures for debriefing a particular Incident Reports. 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. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) Include an administrative review and a system Policy 6.1: Use of Force for investigating unreasonable use of force. The SSYTF management team schedules a ☒ ☐ ☐ monthly Use of Force Administrative Review to ensure compliance by all personnel and to address possible work performance deficiencies. (7) define the role, notification, and follow-up Policy 6.1: Use of Force procedures required after use of force incidents for medical, mental health staff and parents or ☒ ☐ ☐ BSCC staff interviewed supervisory, legal guardians. detention, and medical staff to help determine compliance with the elements of this regulation. (8) describe the limitations of use of force on Policy 6.1: Use of Force pregnant youth in accordance with Penal Code ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force ☒ ☐ ☐ Policy 6.1: Use of Force option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize Policy 6.3: Chemical Agents chemical agents in the facility and the type, size and the approved method of deployment for ☒ ☐ ☐ JDO and supervisory staff shall satisfactorily complete the department eight-hour, STC- those chemical agents. approved Chemical Agents course prior to being approved to carry OC spray. (2) mandate that chemical agents only be used Policy 6.3: Chemical Agents when there is an imminent threat to the youth’s safety or the safety of others and only when de- ☒ ☐ ☐ In a review of the Incident Reports, in most cases, chemical agents were used to de- escalation efforts have been unsuccessful or are escalate youth-on-youth mutual physical not reasonably possible. combat. (3) outline the facility’s approved methods and Policy 6.3: Chemical Agents timelines for decontamination from chemical BSCC staff interviewed medical personnel, youth housed at the facility, JDO staff, and agents. This shall include that youth who have ☒ ☐ ☐ supervisors. Compliance was confirmed. 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 Policy 6.3: Chemical Agents 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 Policy 6.3: Chemical Agents of use of chemical agents, including the reasons for which it was used, efforts to de- Incident Reports reviewed meet the Title 15 escalate prior to use, youth and staff involved, ☒ ☐ ☐ minimum standards for this regulation. the date, time and location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Facilities shall develop policies and procedure Policy 6.1: Use of Force which require that agencies provide initial and regular training in use of force and chemical agents The Shasta Secure Youth Treatment Facility (SSYTF) and the Rivers Edge Academy when appropriate that address: (REA) are commitment program facilities within the Shasta County Juvenile Rehabilitation Facility (SCJRF) complex. All three facilities abide by the same appointments, Training, and requirements as identified in policy and procedure and in the CPO’s letter identified below. ☒ ☐ ☐ A letter, dated September 14, 2023, was received from Chief Probation Officer Tracie Neal, certifying that all appointments of the Shasta County Juvenile Rehabilitation Facility (SCJRF) staff are trained pursuant to the applicable laws and that all staff present at the facility meet all required qualifications and clearances. This includes Core Training and annual updates for the use of force for all detention staff. (1) known medical and behavioral health Policy 6.2: Use of Force Policy 6.3: Chemical Agents conditions that would contraindicate certain types of force; The referenced policy and curriculum for ☒ ☐ ☐ defensive tactics and verbal de-escalation techniques include knowing of any pre- existing medical and/or behavioral health conditions that would limit or restrict certain UOF techniques. (2) acceptable chemical agents and the methods Policy 6.3: Chemical Agents of application. SCJRF detention staff and supervisors are trained and have available to them, the following types of OC Spray Canisters: ☒ ☐ ☐ • MK 4 sizes of cans • OC Stream or Gel Units • OC Foam, Gel, or stream Unit • MK9 Fogger Units (3) signs or symptoms that should result in Policy 6.2: Use of Force ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Policy 6.2: Use of Force ☒ ☐ ☐ Use of Force. Training occurs in defensive tactics annually. (5) physical training force options that may require Policy 6.2: Use of Force the use of perishable skills. The elements of this regulation are identified ☒ ☐ ☐ in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter dated September 14, 2023. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) timelines the facility uses to define regular Policy 6.2: Use of Force training. ☒ ☐ ☐ The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter dated September 14, 2023. 1358 USE OF PHYSICAL RESTRAINTS Policy 6.2: Mechanical Restraints The facility administrator, in cooperation with the BSCC staff reviewed Incident Reports of the responsible physician and mental health director, shall 10 most recent 2023 use of physical develop and implement written policies and procedures ☒ ☐ ☐ restraints Incident Reports We also for the use of restraint devices. Restraint devices interviewed youth housed at the facility and include any devices which immobilize a youth's facility detention staff. extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth Policy 6.2: Mechanical Restraints who present an immediate danger to themselves or others, who exhibit behavior which results in the In a review of Incident Reports, and destruction of property, or reveals the intent to cause ☒ ☐ ☐ interviews with youth, staff, and medical self-inflicted physical harm. Physical restraints should personnel, BSCC staff observed that all be utilized only when it appears less restrictive instances of use of physical restraints were alternatives would be ineffective in controlling the justifiably used and when less restrictive youth’s behavior. alternatives were exhausted. In no case shall restraints be used as punishment or Policy 6.2: Mechanical Restraints discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through ☒ ☐ ☐ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of Policy 6.2: Mechanical Restraints handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval Policy 6.2: Mechanical Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a The JDO staff maintains direct visual ☒ ☐ ☐ physician. Reasons for continued retention in restraints observation of the youth. A supervisor or JDO III/OIC was generally present and shall be reviewed and documented at a minimum of provided authorization for the use of every hour. mechanical restraints. A medical opinion on the safety of placement and Policy 6.2: Mechanical Restraints retention shall be secured as soon as possible, but no later than two hours from the time of placement. The BSCC staff interviewed medical staff to help youth shall be medically cleared for continued retention ☒ ☐ ☐ confirm that medical staff provide ongoing review and assessment while a youth is in at least every three hours thereafter. mechanical or any type of restraint. We also reviewed incident reports that detail when notifications are made to medical personnel. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A mental health consultation shall be secured as soon as Policy 6.2: Mechanical Restraints possible, but in no case longer than four hours from the time of placement, to assess the need for mental health BSCC staff interviewed mental health staff to ☒ ☐ ☐ treatment. help confirm that medical staff provide ongoing review and assessment while a youth is in mechanical or any type of restraint. Continuous direct visual supervision shall be conducted Policy 6.2: Mechanical Restraints to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. Through documentation review and Observations of the youth's behavior and any staff interviews with detention and medical staff, interventions shall be documented at least every 15 ☒ ☐ ☐ BSCC staff were able to confirm that the youth remained under constant supervision minutes, with actual time of the documentation recorded. until the restraints were removed. Typically, staff were able to remove mechanical restraints within 15 to 30 minutes of placement. In addition to the requirements above, policies and ☒ ☐ ☐ procedures shall address: (a) documentation of the circumstances leading to an Policy 6.2: Mechanical Restraints ☒ ☐ ☐ application of restraints. . (b) known medical conditions that would contraindicate Policy 6.2: Mechanical Restraints ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. Policy 6.2: Mechanical Restraints SCJRF approved Restraints: • Handcuffs • Shackles ☒ ☐ ☐ • Belly Chains • The WRAP Handcuffs were utilized most prevalently. We found no incidents of utilizing the Wrap during this inspection cycle. (d) signs or symptoms which should result in Policy 6.2: Mechanical Restraints ☒ ☐ ☐ immediate medical/mental health referral. (e) availability of cardiopulmonary resuscitation Policy 6.2: Mechanical Restraints ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in Policy 6.2: Mechanical Restraints 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. ☒ ☐ ☐ Policy 6.2: Mechanical Restraints (h) exercising of extremities. ☒ ☐ ☐ Policy 6.2: Mechanical Restraints 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR Policy 4.3.3: Resident Movement MOVEMENT AND TRANSPORTATION WITHIN THE BSCC staff reviewed incident reports for this FACILITY. regulation, mostly involving mutual physical combat between youth. In all cases, mechanical restraints were used to move a The Facility Administrator, in cooperation with the combative youth to his/her room. The responsible physician and behavioral/mental health observations and documentation were director, shall develop and implement written policies ☒ ☐ ☐ complete. and procedures for the use of restraint devices when the purpose is for movement or transportation within the Handcuffs and the Wrap are approved facility that shall include the following: devices for use within the facility. SSYTF meets Title 15 minimum standards for the elements of this regulation, describes the incident, and justifies the use of restraints for each application of restraints used. (a) identification of acceptable restraint devices, staff Policy 4.3.3: Resident Movement approved to utilize restraint devices and the required training. ☒ ☐ ☐ The elements of this regulation are identified in and confirmed in CPO Tracie Neal’s Appointment and Qualifications Letter dated September 14, 2023. (b) the circumstances leading to the application of ☒ ☐ ☐ Policy 4.3.3: Resident Movement restraints must be documented. (c) an individual assessment of the need to apply Policy 4.3.3: Resident Movement 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, Policy 4.3.3: Resident Movement 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 Policy 4.3.3: Resident Movement ☒ ☐ ☐ accordance with Penal Code Section6030(f) and Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Policy 5.3.3: Safety Room (a) The facility administrator, and where applicable, in Shasta SYTF has a Safety Room; however, cooperation with the responsible physician, shall it has not been used during this inspection develop and implement written policies and cycle. procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☒ ☐ ☐ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) include provisions for administration of Policy 5.3.3: Safety Room necessary nutrition and fluids, access to a ☒ ☐ ☐ toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or Policy 5.3.3: Safety Room designee, before a youth is placed into a safety ☒ ☐ ☐ room; (3) provide for continuous direct visual supervision Policy 5.3.3: Safety Room and documentation of the youth's behavior and any staff interventions every 15 minutes, with Per policy, youth who are placed in the actual time recorded; safety room are under continuous direct ☒ ☐ ☐ visual supervision. If needed, SSYTF staff utilize the Safety Room Observation Sheet to track, and document observed behaviors. (4) provide that the youth shall be evaluated by the ☒ ☐ ☐ Policy 5.3.3: Safety Room facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Policy 5.3.3: Safety Room where appropriate, or an assessment at the next daily sick call; and, ☒ ☐ ☐ The Observation Sheet includes a review by medical staff at a minimum of every four hours. (6) provide a process for documenting the reason Policy 5.3.3: Safety Room for placement, including attempts to use less ☒ ☐ ☐ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ Policy 5.3.3: Safety Room accomplished in accordance with the following: (1) safety room shall not be used before other less Policy 5.3.3: Safety Room 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 Policy 5.3.3: Safety Room of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) safety room shall not be used to the extent that Policy 5.3.3: Safety Room it compromises the mental and physical health ☒ ☐ ☐ of the youth. (c) A youth may be held up to four hours in the safety Policy 5.3.3: Safety Room room. After the youth has been held in the safety room for a period of four hours, staff shall do one or ☒ ☐ ☐ The Observation Sheet includes a review by more of the following: each supervisor and medical staff at a minimum of every four hours. (1) return the youth to general population. ☒ ☐ ☐ Policy 5.3.3: Safety Room 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) consult with mental health or medical staff, Policy 5.3.3: Safety Room Per policy, when a youth is placed in the Safety Room, the shift supervisor completes ☒ ☐ ☐ a medical notification form documenting the time, date, and name of medical personnel notified. The medical personnel complete the Medical Notification form with a review/ recommendation. (3) develop an individualized plan that includes the Policy 5.3.3: Safety Room goals and objectives to be met in order to reintegrate the youth to general population. A Mental Health Suicide Watch Custody ☒ ☐ ☐ Notification form is provided by Mental Health personnel. The notification gives the SSYTF staff direction pertaining to levels of suicide watch and contingency planning. (d) If confinement in the safety room must be extended Policy 5.3.3: Safety Room 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 Policy 4.4: Searches of Residents Policy 4.3.5: Facility Searches The facility administrator shall develop and implement written policies and procedures governing the search of ☒ ☐ ☐ BSCC staff observed that only one strip youth, the facility, and visitors. Policies and procedures search of youth was approved and occurred shall provide that: during 2023. It was concluded that the facility complies with Title 15 minimum standards of this regulation. (a) Searches shall be conducted to ensure the safety Policy 4.4: Searches of Residents ☒ ☐ ☐ and security of the facility, public, visitors, youth, and staff. (b) Searches shall be conducted in a manner that Policy 4.4: Searches of Residents preserves the privacy and dignity of the person being searched and shall not be conducted for We interviewed youth housed at SSYTF who ☒ ☐ ☐ confirmed the search process conducted by harassment or as a form of discipline or detention staff during booking, is done with punishment. dignity and preserves the privacy of the youth being searched. (c) Strip searches and visual or physical body cavity Policy 4.4: Searches of Residents searches shall comply with Penal Code Section 4030. The facility maintains expectations for strip ☒ ☐ ☐ searches pursuant to PC 4030, for pre- detention youth and post-detention youth. All strip searches will be approved in advance of the search and are logged in the Strip Search Log. (d) Physical body cavity searches shall only be Policy 4.4: Searches of Residents conducted by a medical professional. ☒ ☐ ☐ SSYTF detention staff do not perform cavity searches. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Any youth held after a detention hearing shall only Policy 4.4: Searches of Residents 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 Policy 4.4: Searches of Residents comply with Section 1352.5. Policy 5.2.6: Transgender and Intersex ☒ ☐ ☐ Residents Transgender youth will be searched by an officer of the gender requested. (g) Cross-gender pat-down searches and strip Policy 4.4: Searches of Residents searches are prohibited except in exigent ☒ ☐ ☐ circumstances or when conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy 5.9: Grievances The facility administrator shall develop and implement We reviewed grievances and monthly written policies and procedures whereby any youth may grievance logs covering 2023. Grievances appeal and have resolved grievances relating to any were written in February, March, August, and condition of confinement, including but not limited to September. BSCC staff also interviewed health care services, classification decisions, program ☒ ☐ ☐ youth housed at the facility, as well as participation, telephone, mail or visiting procedures, detention staff. The facility uses monthly food, clothing, bedding, mistreatment, harassment or grievance logs to track grievances by Pod. Grievance resolutions were timely and violations of the nondiscrimination policy. There shall be provided supervisory review. 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 Policy 5.9: Grievances grievance, which includes provisions for the youth to have free access to the form; We interviewed multiple youths who indicated that during the intake and orientation process, the grievance procedure ☒ ☐ ☐ was clearly explained. During our physical inspection, we observed that grievances were readily available to youth. In addition, grievance lock boxes were in the housing pods to allow youth to confidentially submit a grievance if needed. (b) the youth shall have the option to confidentially file Policy 5.9: Grievances the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ The youth were aware of the grievance procedures, the location of the grievances, and the grievance lockbox to confidentially file a grievance if needed. (c) resolution of the grievance at the lowest appropriate Policy 5.9: Grievances staff level; ☒ ☐ ☐ Depending on the circumstances, generally, grievances are first addressed at the JDO level. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provision for a prompt review and initial response to Policy 5.9: Grievances 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 Policy 5.9: Grievances his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led The youth interviewed indicated that during to the grievance. the intake and orientation process, the grievance procedure was clearly explained. (2) Provision for a staff representative approved by ☒ ☐ ☐ Policy 5.9: Grievances the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy 5.9: Grievances which includes the reasons for the decisions; ☒ ☐ ☐ A review of grievances shows that SCJRF detention staff provide responses that explain the reason for decisions made. (f) a system which provides that any appeal of a Policy 5.9: Grievances 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 Policy 5.9: Grievances (10) business days unless circumstances dictate a longer time frame. The youth shall be notified of Prior to leaving at the end of their shift, the any delay; and, Supervisor/OIC on duty checks the grievance lockboxes on each pod, logs the ☒ ☐ ☐ grievance in the grievance log, and assigns the grievance a tracking number. The documentation as well as interviews show that detention staff respond to grievances in a timely fashion. (h) the policy shall provide multiple internal and Policy 5.9: Grievances, IV Reporting Sexual external methods to report sexual abuse and sexual Abuse and Sexual Harassment (A) (1): harassment. “Residents who are victims of or have knowledge of sexual misconduct should ☒ ☐ ☐ immediately report the incident either verbally or in writing to a staff member (Juvenile Detention Officer, Probation Officer, supervisor, teacher, mental health therapist, psychologist, nurse, or any other adult in the building).” Whether or not associated with a grievance, concerns Policy 5.9: Grievances 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 Policy 5.8.4: Reports and Documentation A written report of all incidents which result in physical Throughout the inspection process, various harm, use of force, serious threat of physical harm, or forms of documentation were requested and death of an employee, youth or other person(s) shall be ☒ ☐ ☐ received. SSYTF forms provide the required maintained. Such written record shall be prepared by the fields and tracking per 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. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT Policy 6.4: Use of Reasonable Force to DNA SPECIMENS, SAMPLES, IMPRESSIONS Collect Specimens, Samples, and Impressions, Section I (A), General (a) Pursuant to Penal Code Section 298.1 authorized Information: law enforcement, custodial, or corrections personnel including peace officers, may employ The facility staff do not collect DNA. If ☐ ☐ ☒ reasonable force to collect blood specimens, saliva ordered by the Court, the assigned PO samples, and thumb or palm print impressions from collects the sample. Per policy, DNA individuals who are required to provide such collection is conducted in Juvenile Division offices. Therefore, this section is marked as samples, specimens or impressions pursuant to not applicable to this facility. Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that an objective, trained and competent ☐ ☐ ☒ correctional employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be ☐ ☐ ☒ documented and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The authorization shall include information that reflects ☐ ☐ ☒ the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. 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. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM Policy 11.1: School Programs (a) School Programs In part, Title 15 Regulation 1313, County Evaluation of Building and Grounds, states The County Board of Education shall provide for the that each juvenile facility administrator shall administration and operation of juvenile court schools in obtain a documented inspection and conjunction with the Chief Probation Officer, or designee evaluation from the county superintendent pursuant to applicable State laws. The school and facility of schools on the adequacy of educational administrators shall develop and implement written policy services and facilities as required in Section and procedures to ensure communication and 1370. SSYTF follows compliance with this coordination between educators and probation staff. regulation. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education Per Title 15, Section 1313 County Inspection and Evaluation of Building and staff should collaborate with the facility administrator to Grounds (d), the Education Program was use technology to facilitate learning and ensure safe ☒ ☐ ☐ evaluated on November 27, 2023, and technology practices. The facility administrator shall completed by, Nick Catomerisios, Sr. request an annual review of each required element of the Director Alternative Education, Butte County program by the Superintendent of Schools, and a report OE, and Janis Delgado, Principal, Butte or review checklist on compliance, deficiencies, and County OE. corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be BSCC staff interviewed the Shasta County delegated to the principal or any other staff of any Office of Education’s Executive Director of juvenile court school site. The Superintendent of Schools Student Programs. BSCC staff also shall conduct this review in conjunction with a qualified interviewed youth detained at the facility. outside agency or individual. Upon receipt of the review, We also physically inspected the the facility administrator or designee shall review each classrooms. item with the Superintendent of Schools and shall take Youth in detention are afforded Common whatever corrective action is necessary to address each Core classroom instruction. deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements Policy 11.2: Educational Program Required Elements The facility school program shall comply with the State Education Code and County Board of Education policies, In part, compliance was confirmed as part of all applicable federal education statutes and regulations the required annual, Title 15, Section 1313 and provide for an annual evaluation of the educational County Inspection and Evaluation of Building program offerings. As stated in the 2009 California and Grounds evaluation. The facility was Standards for the Teaching Profession, teachers shall evaluated on November 27, 2023, and establish and maintain learning environments that are conducted by Nick Catomerisios, Senior Director of Alternative Education, Butte physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program ☒ ☐ ☐ County Office of Ed; Janis Delgado, Principal, BCOE. that responds to the different learning styles and abilities of students and prepares them for high school To further confirm compliance, BSCC staff graduation, career entry, and post-secondary education. interviewed the Shasta County Office of Education, Executive Director of Student Programs, as well as youth detained at the facility. We also physically inspected classrooms. As a result, we found that the learning environment and the quality of educational programming meet the minimum standards for this regulation. All youth shall be treated equally, and the education Policy 11.2: Educational Program Required program shall be free from discriminatory action. Staff Elements ☒ ☐ ☐ shall refer to transgender, intersex and gender- nonconforming youth by their preferred name and gender. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) The course of study shall comply with the State Policy 11.2: Educational Program Required Education Code and include, but not be limited Elements to, courses required for high school graduation. ☒ ☐ ☐ The school program offers Core Curriculum via Edovo tablets which provides online coursework that enables students to work independently for hybrid learning. (2) Information and preparation for the High School Policy 11.2: Educational Program Required Equivalency Test as approved by the California Elements Department of Education shall be made ☒ ☐ ☐ available to eligible youth. The youth are allowed to work on credit recovery and provided with an opportunity to take the GED. (3) Youth shall be informed of post-secondary Policy 11.2: Educational Program Required education and vocational opportunities. Elements Students are offered concurrent post- secondary enrollment, at no cost, through a partnership with the Shasta Community ☒ ☐ ☐ College Rising Scholars Program. The facility is making efforts to expand the vocational program that includes virtual welders, CPR, and food handler’s certificates. BSCC staff is also aware of a pending construction project that will add vocational programming classrooms and hands-on opportunities. (4) Administration of the High School Equivalency Policy 11.2: Educational Program Required Tests as approved by the California Department ☒ ☐ ☐ Elements of Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to Policy 11.2: Educational Program Required youth who do not demonstrate sufficient Elements progress towards grade level standards. ☒ ☐ ☐ After-school tutoring programming is available to youth needing extra assistance with studies. (6) The minimum school day shall be consistent with Policy 11.2: Educational Program Required State Education Code Requirements for juvenile Elements court schools. The facility administrator, in conjunction with education staff, must ensure School instruction is daily from 8:30 a.m. to ☒ ☐ ☐ 1:30 p.m. 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 Policy 11.2: Educational Program Required regardless of classification, housing, security Elements 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). 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) School Discipline Policy 11.3: School Discipline (1) Positive behavior management will be Youths earn program-level points in school implemented to reduce the need for disciplinary ☒ ☐ ☐ for good behavior. action in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Policy 11.3: School Discipline decisions made by probation staff that may affect the educational programming of students. During an interview, the Shasta County ☒ ☐ ☐ Office of Education’s, Executive Director of Student Programs, expressed that Probation does well in keeping education staff advised of circumstances that may affect a student. (3) Except as otherwise provided by the State Policy 11.3: School Discipline Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due ☒ ☐ ☐ process safeguards as set forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with Policy 11.3: School Discipline education staff will develop policies and procedures that address the rights of any Educational services provide supplemental student who has continuing difficulty completing assistance to youth through a school day. ☒ ☐ ☐ paraprofessionals who are in the classroom periodically during the week. The classroom teacher also provides added assistance when needed. Further, after-school tutoring programming is available to youth needing extra assistance with studies. (d) Provisions for Special Populations Policy 11.4: Education Program: Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Educational services provide supplemental suspected disabilities. This includes but is not ☒ ☐ ☐ assistance to youth through limited to child find, assessment, continuum of paraprofessionals who are in the classroom alternative placements, manifestation periodically during the week. determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Policy 11.4: Education Program: Provisions afforded an educational program that addresses for Special Populations ☒ ☐ ☐ their language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy 11.5: Educational Screening and Admission (1) Youth shall be interviewed after admittance and ☒ ☐ ☐ a record maintained that documents a youth's BSCC staff interviewed education staff, as educational history, including but not limited to: well as youth detained at the facility to assist in confirming compliance with the elements of this regulation. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) School progress/school history; ☒ ☐ ☐ Policy 11.5: Educational Screening and Admission (B) Home Language Survey and the results of Policy 11.5: Educational Screening and ☒ ☐ ☐ the State Test used for English language Admission proficiency; (C) Needs and services of special populations Policy 11.5: Educational Screening and as defined by the State Education Code, ☒ ☐ ☐ Admission including but not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ Policy 11.5: Educational Screening and Admission (2) Youth will be immediately enrolled in school. Policy 11.5: Educational Screening and Educational staff shall conduct an assessment Admission to determine the youth's general academic ☒ ☐ ☐ functioning levels to enable placement in core The Education Department employs school curriculum courses. personnel who perform the duties of the School Registrar to ensure compliance with this regulation. (3) After admission to the facility, a preliminary Policy 11.5: Educational Screening and ☒ ☐ ☐ education plan shall be developed for each Admission youth within five school days. (4) Upon enrollment, education staff shall comply Policy 11.5: Educational Screening and with the State Education Code and request the Admission youth's records from his/her prior school(s), including, but not limited to, transcripts, The Education Department employs school Individual Education Program (IEP), 504 Plan, personnel to ensure compliance with this ☒ ☐ ☐ state language assessment scores, regulation. 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 Policy 11.6: Educational Reporting, Transition and Re-Entry Planning (1) The complete facility educational record of the ☒ ☐ ☐ youth shall be forwarded to the next educational The Education Department employs school placement in accordance with the State personnel to ensure compliance with this Education Code. regulation. (2) The County Superintendent of Schools shall Policy 11.6: Educational Reporting, provide appropriate credit (full or partial) for Transition and Re-Entry Planning ☒ ☐ ☐ course work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 11.6: Educational Reporting, Transition and Re-Entry Planning (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. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Post-Secondary Education Opportunities Policy 11.7: Education Program: Access to Computing Technology and Post-Secondary (1) The school and facility administrator should, Education Opportunities. whenever possible, collaborate with local post- ☒ ☐ ☐ secondary education providers to facilitate Graduates participate in ROP/Vocational access to educational and vocational programming with Hope City. SSYTF also opportunities for youth that considers the use of has a partnership with Shasta Community technology to implement these programs. College for selected online courses. 1371 PROGRAMS, RECREATION, AND Policy 5.7.2: Programs, Recreation and EXERCISE. Exercise We reviewed three random months of program schedules showing programs The facility administrator shall develop and implement provided and individual youth participation. written policies and procedures for programs, We commend SSYTF for the array of pro- recreation, and exercise for all youth. The intent is to social programming offered to youth minimize the amount of time youth are in their rooms or detained at the facility. their bed area. ☒ ☐ ☐ BSCC staff found it impressive that all JDO staff are being trained in Forward Thinking Programming. Forward Thinking Journal Series is a cognitive-behavioral series that uses evidence-based strategies to assist youth involved in the criminal justice system in making positive changes to their thoughts, feelings, and behaviors. The facility’s policy and procedure are applicable to the elements of this regulation, as required. Juvenile facilities shall provide the opportunity for Policy 5.7.2: Programs, Recreation and programs, recreation, and exercise a minimum of three Exercise hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which In a review of activity logs and interviews with youth, SSYTF follows compliance with one hour shall be an outdoor activity, weather the Title 15 minimum standards for this permitting. regulation. A youth’s participation in programs, recreation, and Policy 5.7.2: Programs, Recreation and exercise may be suspended only upon a written finding Exercise ☒ ☐ ☐ 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 Policy 5.7.2: Programs, Recreation and be posted in the living units. Exercise ☒ ☐ ☐ While conducting a physical inspection of the facility, we observed the programming schedules posted on the living Pods. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS There will be a written annual review of the programs, Policy 5.7.2: Programs, Recreation and recreation, and exercise by the responsible agency to Exercise ensure content offered is current, consistent, and relevant to the population. A letter provided by Division Director, Carla Stevens, dated February 28, 2023, provided ☒ ☐ ☐ confirmation that an annual review of the programs, recreation, and exercise was conducted to ensure content offered is current, consistent, and relevant to the population. In addition, BSCC staff reviewed cover letters from program providers highlighting programs offered. (a) Programs. All youth shall be provided with the Policy 5.7.2: Programs, Recreation and opportunity for at least one hour of daily Exercise programming to include, but not be limited to, trauma Policy 5.7.4, Social Awareness, Policy focused, cognitive, evidence-based, best practice Statement interventions that are culturally relevant and BSCC staff requested and reviewed the linguistically appropriate, or pro-social interventions program’s Exercise and Recreation policy and activities designed to reduce recidivism. These and procedure, logs, and pertinent programs should be based on the youth’s individual documentation for the months of July, needs as required by Sections 1355 and 1356. Such ☒ ☐ ☐ August, and September 2023. programs may be provided under the direction of the Chief Probation Officer or the County Office of SSYTF offers many programming options to Education and can be administered by county youth. Victor Community Support Services partners such as mental health agencies, community (VCSS) and Hope City have both contributed based organizations, faith-based organizations or significantly to the facility’s programming. Probation staff. VCSS has been collaborating with the facility for over five years. VCSS is onsite five days Programs may include but are not limited to: per week while facilitating ART groups, conducting Individual Log Behavior Training, and other mentoring. (1) Cognitive Behavior Interventions; Policy 5.7.2: Programs, Recreation and (2) Management of Stress and Trauma; Exercise (3) Anger Management; (4) Conflict Resolution; We interviewed youths housed at the facility, (5) Juvenile Justice System; detention staff, and outside providers, and (6) Trauma-related interventions; reviewed programing documentation. (7) Victim Awareness; Programs are facilitated by staff and (8) Self-Improvement; volunteers, including, but not limited to: (9) Parenting Skills and support; (10) Tolerance and Diversity; • Forward Leap (11) Healing Informed Approaches; • Individual Therapy (12) Interventions by Credible Messengers; • Cognitive Behavior Therapy (13) Gender Specific Programming; • Smart Addiction (14) Art, creative writing, or self-expression; ☒ ☐ ☐ • Forward Thinking (15) CPR and First Aid training; • NA/AA (16) Restorative Justice or Civic Engagement; • Religion (17) Career and leadership opportunities; and, • Baking and Culinary (18) Other topics suitable to the youth population. • Book Club • Grow • ROP Kitchen Help • Victor Community Support Services (VCSS) - Aggression Replacement Therapy ART, Individual Cognitive Behavioral Therapy (ICBT) • Hope City- Mentoring, counseling, anger management, life skills, etc. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Recreation. All youth shall be provided the Policy 5.7.2: Programs, Recreation and opportunity for at least one hour of daily access to Exercise unscheduled activities such as leisure reading, letter ☒ ☐ ☐ writing, and entertainment. Activities shall be BSCC staff concluded that the facility meets compliance with Title 15 minimum standards supervised and include orientation and may include for this regulation. coaching of youth. (c) Exercise. All youth shall be provided with the Policy 5.7.2: Programs, Recreation and opportunity for at least one hour of large muscle Exercise activity each day. ☒ ☐ ☐ After a review of program activity logs, and interviews with youth housed at the facility and detention staff, Shasta SSYTF complies with this regulation. The administrator/manager may suspend, for a period Policy 5.7.3: Access to Religious not to exceed 24 hours, access to recreation and Programming programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy 5.7.3: Access to Religious Programming The facility administrator shall provide access to religious services and/or religious counseling at least Services are provided by Christian Science, once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ Bethel Church, Shasta Baptist, and Forward shall be allowed to participate in an activity outside of Leap. their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy 5.7.3: Access to Religious Programming ☒ ☐ ☐ Through interviews with youth housed at the facility and a review of the programming schedules, we were able to determine that Shasta SSYTF meets compliance with this regulation. (b) availability of clergy; and, Policy 5.7.3: Access to Religious ☒ ☐ ☐ Programming (c) availability of religious diets. Policy 5.7.8: Work Program Facility ROP Food Service program provides an opportunity for youth to learn culinary skills and involvement with community ☒ ☐ ☐ outreach projects. As well, The Gardening, Responsibility, and Ownership of Self and Community Wellbeing (GROW) program is a gardening project that teaches youth a healthy lifestyle by focusing on practical gardening, farming, and social skills. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy 5.7.8 Work Program The facility administrator shall develop policies and BSCC observed that, as stated in the policy, procedures regarding the fair and consistent assignment work assignments are fair, consistent, of youth to work programs. Work assigned to a youth ☒ ☐ ☐ meaningful, constructive, and related to shall be meaningful, constructive and related to vocational training or increase the resident’s vocational training or increasing a youth's sense of sense of responsibility. Work assignments responsibility. Work programs shall not be imposed as a are available on each Pod and or in secure disciplinary measure areas of the facility and outdoor recreation areas. 1374 VISITING Policy 5.6: Visiting Procedures The facility administrator shall develop and implement BSCC staff reviewed visiting policy and written policies and procedures for visiting, that include procedure, visiting schedules, and logs for provisions for special visits. Youth shall be allowed to July, August, and September 2023. We also receive visits by parents, guardians or persons standing interviewed youth and detention staff. ☒ ☐ ☐ in loco parentis, and children of youth. Other family Based on information received and members, such as grandparents and siblings, and interviews, BSCC staff conclude that supportive adults, may be allowed to visit with the SSYTF complies with Title 15 minimum standards for this regulation. 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 Policy 5.6: Visiting Procedures the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s Visiting times are as follows: criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ • Saturday: 10:15 am to11:15 am and 12:15 pm to 1:15 pm the safety of youth or staff in the facility. Any denial of • Sundays: 10:15 am to 11:15 am visitation or limitation on visitations shall be and 12:15 pm to 1:15 pm communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy 5.7.7: Counseling and Casework per week. Visits may be supervised, but conversations Services shall not be monitored unless there is a security or safety Policy 5.11.2: Access to Mental Health need. Services ☒ ☐ ☐ A review of visiting logs and interviews with youth confirm that SSYTF ensures youth have an opportunity to have visitation for a minimum of two hours per week. Provisions for special visits, in addition to the two-hour Policy 5.6: Visiting Procedures minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the The facility is especially flexible with visiting discretion of the facility administrator or designee. Family ☒ ☐ ☐ for out-of-county youth. 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 Policy 5.4.10: Resident Mail alternative, but not as a replacement, to in-person ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE Policy 5.4.10: Resident Mail The facility administrator shall develop and implement ☒ ☐ ☐ There is no limit to the amount of mail youth written policies and procedures for correspondence may send or receive. which provide that: 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) there is no limitation on the volume of mail that youth Policy 5.4.10: Resident Mail may send or receive; ☒ ☐ ☐ (b) youth may send two letters per week postage free; ☒ ☐ ☐ Policy 5.4.10: Resident Mail (c) youth may correspond confidentially with state and Policy 5.4.10: Resident Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described Policy 5.4.10: Resident Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and We interviewed youth and detention staff to security, public safety, or youth safety is jeopardized. ☒ ☐ ☐ determine that SSYTF complies with this regulation. 1376 TELEPHONE ACCESS Policy 5.4.9: Resident Access to Telephone The administrator of each juvenile facility shall develop Appropriate telephone numbers will be and implement written policies and procedures to provide programmed into the Telephone Call youth with access to telephone communications. ☒ ☐ ☐ System as approved by the youth’s Probation Officer and the youth may call only these numbers. Youth may make one call a week free and can earn and purchase additional calls as part of the Behavior Management System for positive behavior. 1377 ACCESS TO LEGAL SERVICES Policy 5.11.4: Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ BSCC staff interviewed youth and detention procedures to ensure the right of youth to have access to supervisory staff to determine that SSYTF meets minimum standards for this regulation. the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed Policy 5.11.4: Access to Legal Services attorneys and their authorized representatives; ☒ ☐ ☐ (b) provision for confidential consultation with Policy 5.11.4: Access to Legal Services attorneys; and, ☒ ☐ ☐ (c) unlimited postage free, legal correspondence and Policy 5.11.4: Access to Legal Services cost-free telephone access as appropriate. ☒ ☐ ☐ 1390 DISCIPLINE Policy 5.8.3: Discipline The facility administrator shall develop and implement In addition to policy and procedure, BSCC written policies and procedures for the discipline of youth staff reviewed the 10 most recent discipline that shall promote acceptable behavior; including the use examples with the corresponding of positive behavior interventions and supports. ☒ ☐ ☐ documentation showing the Due process Discipline shall be imposed at the least restrictive level efforts and the Appeal process. We also which promotes the desired behavior and shall not interviewed youth housed at the facility and include corporal punishment, group punishment, detention staff. physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Policy 5.8.3: Discipline 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) daily shower, access to drinking fountain, toilet and Policy 5.8.3: Discipline personal hygiene items, and clean clothing; BSCC staff interviewed youth housed at the ☒ ☐ ☐ facility and detention staff and reviewed documentation to determine that the facility complies with the Title 15 minimum standards for this regulation. (c) full nutrition; ☒ ☐ ☐ Policy 5.8.3: Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Policy 5.8.3: Discipline (e) exercise; Policy 5.8.3: Discipline BSCC staff interviewed youth housed at the ☒ ☐ ☐ facility and detention staff and reviewed documentation to determine that the facility complies with the Title 15 minimum standards for this regulation. (f) medical services and counseling; Policy 5.8.3: Discipline To aid in confirming compliance, BSCC staff ☒ ☐ ☐ interviewed youth, medical staff, and behavioral health staff in addition to reviewing documentation. (g) religious services; ☒ ☐ ☐ Policy 5.8.3: Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Policy 5.8.3: Discipline (i) the right to send and receive mail; Policy 5.8.3: Discipline ☒ ☐ ☐ The youth handbook identifies youth rights and provide guidance, if needed. (j) education; and, Policy 5.8.3: Discipline ☒ ☐ ☐ To aid in confirming compliance, BSCC staff interviewed youth and education service staff. (k) rehabilitative programming. Policy 5.8.3: Discipline ☒ ☐ ☐ BSCC reviewed programming logs to ensure programming requirements were being met for all youth regardless of disciplinary status. The facility administrator shall establish rules of conduct Policy 5.8.3: Discipline and disciplinary penalties to guide the conduct of youth. Policy 5.8.2: Facility Rules Such rules and penalties shall include both major Policy 5.8.1 Behavior Management System violations and minor violations, be stated simply and To confirm compliance, BSCC staff affirmatively, and be made available to all youth. Provision shall be made to provide accessible ☒ ☐ ☐ interviewed youth and detention staff and reviewed documents that show proof of information to youth with disabilities, limited English practice of disciplinary actions including both proficiency, or limited literacy. minor and major rule violations. We also physically inspected the Housing Pods where we observed the major and minor rules posted on the walls. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1391 DISCIPLINE PROCESS Policy 5.8.3: Discipline Policy 5.8.2: Facility Rules The facility administrator shall develop and implement Policy 5.8.1 Behavior Management System written policies and procedures for the administration of Policy 5.8.5: Due Process discipline which shall include, but not be limited to: ☒ ☐ ☐ In addition to reviewing policy and procedure, BSCC staff reviewed the 10 most recent discipline examples with the corresponding documentation showing the Due Process efforts and the Appeal process. We also interviewed youth housed at the facility and detention staff. (a) designation of personnel authorized to impose Policy 5.8.3: Discipline ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; Policy 5.8.3: Discipline ☒ ☐ ☐ (c) definition of major and minor rule violations and Policy 5.8.2: Facility Rules their consequences, and due process Policy 5.8.5: Due Process requirements; This policy articulates that during the orientation process the minor and major rule violations, as well as sanctions and due process requirements are explained to each ☒ ☐ ☐ youth. BSCC staff also interviewed youth and observed that the rules were posted on Pods available to youth to review. This information is also available in the Youth handbook. (d) trauma-informed approaches and positive behavior Policy 5.8.3: Discipline interventions; Policy 5.8.1 Behavior Management System The agency’s policies and procedures ensure that detention staff makes use of training that ensures developmentally appropriate, trauma-informed approaches to working with youths while implementing positive behavior intervention. ☒ ☐ ☐ Within the Discipline Policy 5.8.3, BSCC staff observed the Alternative Program (AP). Per policy, “Residents on AP will receive all required daily programming, however, will be separated from all other residents”. Although a youth is placed on AP as a result of disciplinary issues, BSCC staff encouraged the facility to move or add Policy 5.3.6.1, Separation, to their own policy. (e) minor rule violations may be handled informally by Policy 5.8.3: Discipline counseling, advising the youth of expected conduct Policy 5.8.5: Due Process imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) major rule violations and the discipline process Policy 5.8.5: Due Process shall be documented and require the following: Youth are oriented and understand that ☒ ☐ ☐ major rule violations are violations that directly affect the safety and security of the facility and/or disrupt the normal operation of the facility and programming. (1) written notice of violation prior to a hearing; Policy 5.8.5: Due Process BSCC staff reviewed the policy, reviewed due process reports, interviewed youth ☒ ☐ ☐ housed at the facility, and interviewed detention staff. Our findings confirmed that SSYTF complies with Title 15 minimum standards. (2) accommodations provided to youth with Policy 5.8.5: Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the Policy 5.8.5: Due Process ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy 5.8.5: Due Process evidence and testimony; BSCC staff requested to review the 10 most recent discipline (W/Due process) examples. We also interviewed youth housed at the ☒ ☐ ☐ facility and detention staff. The facility does well in documenting that youth are, in a timely manner, provided the opportunity to appeal a discipline being imposed. (5) provision for youth to be assisted by staff in the Policy 5.8.5: Due Process ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ Policy 5.8.5: Due Process (g) violations that result in a removal from camp or Does not apply to the JRF. The Shasta commitment program, but not a return to court, will County Juvenile Rehabilitation Facility is not ☒ ☐ ☐ follow the due process provisions in subsection (e) a commitment program or a camp. above. 1410 MANAGEMENT OF COMMUNICABLE Policy 10.11 Management of Communicable DISEASES. Diseases. The health administrator/responsible physician, in This policy articulates all facets of this section of the regulation including, but not cooperation with the facility administrator and the local limited to, the scope; prevention; limiting the health officer, shall develop written policies and Spread (including the testing of youth); and procedures to address the identification, treatment, ☒ ☐ ☐ maintaining the well-being of youth. control and follow-up management of communicable diseases. The policies and procedures shall address, To aid in confirming compliance with Title 15 but not be limited to: minimum standards for this regulation, BSCC staff reviewed the annual Medical / Mental, Nutrition, and Environmental Health evaluations by qualified evaluators. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Intake health screening procedures; Policy 10.11 Management of Communicable Diseases, (1) A complete health appraisal will be conducted by Health Services staff on all ☒ ☐ ☐ new intakes within 96 hours (excluding holidays) of their admission into detention. BSCC staff interviewed medical personnel to help confirm compliance with the Title 15 minimum standards for this regulation. (b) Identification of relevant symptoms; Policy 10.11 Management of Communicable ☒ ☐ ☐ Diseases, (2) (c) Referral for medical evaluation; Policy 10.11 Management of Communicable Diseases, (3) ☒ ☐ ☐ This policy includes referral for Medical Evaluation. (d) Treatment responsibilities during detention; Policy 10.11 Management of Communicable Diseases, (4) ☒ ☐ ☐ This operational protocol outlines the treatment responsibilities of medical staff, facility staff, and youth. (e) Coordination with public and private community- Policy 10.11 Management of Communicable based resources for follow-up treatment; Diseases, (5) ☒ ☐ ☐ To aid in confirming compliance with Title 15 minimum standards for this regulation, BSCC staff interviewed medical and behavioral health personnel. (f) Applicable reporting requirements; and, Policy 10.11 Management of Communicable Diseases, (6) ☒ ☐ ☐ This includes reporting any communicable disease to the Shasta County Public Health Department according to federal, state, and local laws and regulations. (g) Strategies for handling disease outbreaks. Policy 10.11 Management of Communicable Diseases, (7) To aid in confirming compliance with Title 15 minimum standards, BSCC staff reviewed the annual Medical/Mental, Nutrition, and ☒ ☐ ☐ Environmental Health evaluations by qualified evaluators. BSCC staff also interviewed medical personnel to help determine that SSYTF meets the minimum requirements for this regulation. The policies and procedures shall be updated as Policy 10.11 Management of Communicable necessary to reflect communicable disease priorities Diseases, II update Policies ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES Policy 5.11.1 Access to Medical Services (EXCERPT) SSYTF has transitioned from contracting The health administrator, in cooperation with the facility with Well Path for medical services for youth to contracting with Shasta Community Health administrator, shall develop policy and procedures to Services. establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and The regulation requires that youth shall be behavioral/mental health care services. provided the opportunity to confidentially convey. either through written or verbal communications, or a request for medical, ☒ ☐ ☐ dental, or behavioral/mental health services. During the orientation process, information regarding access to medical services is explained in detail to all youth. It appears that youth commonly choose to hand mental health request slips to detention staff. BSCC reminded the agency to ensure youths are aware that the same request process, with the confidential option, applies to requests for Mental Health services. 1480 STANDARD FACILTY CLOTHING ISSUE 5.4.7 Clothing and Bedding Exchange The youth’s personal clothing, undergarments and BSCC staff reviewed the inventory and footwear may be substituted for the institutional clothing ☒ ☐ ☐ laundry schedules for the facility. and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily 5.2.3 Resident Dress Code, I laundered, in good repair, and free of holes and 5.4.7 Clothing and Bedding Exchange tears. ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (b) The standard issue of climatically suitable clothing 5.2.3 Resident Dress Code, I for youth shall consist of but not be limited to: ☒ ☐ ☐ 5.4.7 Clothing and Bedding Exchange (1) Socks and serviceable footwear; 5.2.3 Resident Dress Code, I ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (2) Outer garments; ☒ ☐ ☐ 5.2.3 Resident Dress Code, I (3) New non-disposable underwear which shall 5.2.3 Resident Dress Code, I remain with the youth throughout their stay, and; ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (4) Undergarments, that are freshly laundered and 5.2.3 Resident Dress Code, I free of stains, including tee shirts and bras. ☒ ☐ ☐ In addition to reviewing policies and procedures, we interviewed youth and staff to determine compliance. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 62 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Clothing is laundered at the temperature required 5.8.4 Laundry Operations by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other To aid in confirming compliance with Title 15 laundry method approved by the local health officer. minimum standards, BSCC staff reviewed ☒ ☐ ☐ the annual Medical/Mental, Nutrition, and Environmental Health evaluations by qualified evaluators. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ 5.2.3 Resident Dress Code, I 1482 CLOTHING EXCHANGE 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement The facility assigns youth their own laundry written policies and site-specific procedures for the bag to ensure they receive their own clothing back after being laundered. cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ BSCC staff interviewed youth and reviewed frequent exchange, outer garments, except for documentation to determine that the facility footwear, shall be exchanged at least once each week. meets compliance with the Title 15 minimum Tee shirts, bras, and underwear shall be exchanged standards for this regulation. daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S 5.8.4 Laundry Operations PERSONAL CLOTHING There shall be written policies and site-specific procedures developed and implemented by the facility ☒ ☐ ☐ administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS 5.4.5 Resident Hygiene There shall be written policies and site-specific In addition to reviewing policies and procedures developed and implemented by the facility procedures, we interviewed youth and staff to determine that SSYTF complies with this administrator for the availability of personal hygiene ☒ ☐ ☐ regulation items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ 5.4.5 Resident Hygiene (b) Toothpaste; ☒ ☐ ☐ 5.4.5 Resident Hygiene (c) Soap; ☒ ☐ ☐ 5.4.5 Resident Hygiene (d) Comb; ☒ ☐ ☐ 5.4.5 Resident Hygiene (e) Shaving implements; ☒ ☐ ☐ 5.4.5 Resident Hygiene (f) Deodorant; ☒ ☐ ☐ 5.4.5 Resident Hygiene (g) Lotion; ☒ ☐ ☐ 5.4.5 Resident Hygiene (h) Shampoo; and, ☒ ☐ ☐ 5.4.5 Resident Hygiene (i) Post-shower conditioning hair products. ☒ ☐ ☐ 5.4.5 Resident Hygiene 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 63 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Youth shall not be required to share any personal care 5.4.5 Resident Hygiene items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. The facility assigns youth their own laundry Youth shall not share disposable razors. Double edged bag to ensure they receive their own clothing back after being laundered. safety razors, electric razors, and other shaving instruments capable of breaking the skin, when shared ☒ ☐ ☐ All elements of this regulation are in the among youth, shall be disinfected between individual referenced policy. uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, BSCC staff interviewed youth and reviewed Chapter 9, Title 16, California Code of Regulations. documentation to determine that the facility meets compliance with this regulation. 1486 PERSONAL HYGIENE 5.4.5 Resident Hygiene There shall be written policies and site specific All elements of this regulation are in the procedures developed and implemented by the facility referenced policy. administrator for showering/bathing and brushing of ☒ ☐ ☐ BSCC staff interviewed youth and reviewed teeth. Youth shall be permitted to shower/bathe up on documentation to determine that the facility assignment to a housing unit and on a daily basis meets compliance with this regulation. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING 5.4.5 Resident Hygiene Youth shall have access to a razor daily, unless their In addition to reviewing policies and appearance must be maintained for reasons of procedures, we interviewed youth and staff to determine that SSYTF meets minimum identification in Court. All youth shall have equal ☒ ☐ ☐ standards for this regulation opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (Excerpt) 5.4.5 Resident Hygiene Hair care services shall be available in all juvenile In addition to reviewing policies and facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ procedures, we interviewed youth and staff to determine that SSYTF meets minimum Equipment shall be cleaned and disinfected after each standards for this regulation haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE 5.4.7 Clothing and Bedding Exchange Clean laundered, suitable bedding and linens, in good In addition to reviewing SCJRF policies and ☒ ☐ ☐ repair, shall be provided for each youth entering a living procedures, we interviewed youth and staff to determine that SSYTF meets minimum area who is expected to remain overnight, shall include, standards for this regulation but not be limited to: (a) One mattress or mattress-pillow combination which 5.4.7 Clothing and Bedding Exchange meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ (d) One towel; and, 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ (e) One blanket or more, up on request 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 64 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1501 BEDDING LINEN EXCHANGE 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement In addition to reviewing SCJRF policies and site specific written policies and procedures for the procedures, we interviewed youth and staff to determine that SSYTF meets minimum scheduled exchange of laundered bedding and linen ☒ ☐ ☐ standards for this regulation issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered 5.4.7 Clothing and Bedding Exchange ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND 5.4.6 Facility Cleaning, Safety, and MAINTENANCE Maintenance The facility administrator shall develop and implement written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 65 - J453 JUV PRO-Eff. 01-01-2019 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 Allocation Eligibility Form are being provided at the ☒ ☐ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 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 ☐ ☐Violation ☒ Section 300 of the Welfare and Institutions Code (WIC) 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 ☐ ☐Violation ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Federal Minors (ICE Holds or ORR Contract) are held ☐ ☐ ☒ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☐ ☒ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☒ ☐Violation ☐ separated from minors. Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed in the ☐ ☐Violation ☒ facility in a manner that allows contact with minors. 7923 Shasta Secure Youth Treatment Facility SYTF PRO 23-24 - 66 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State & Community Corrections Inspection BSCC Code: 7623 FACILITY: Shasta Secure Track Treatment Program (STTP) TYPE: SYTF RC: 8 FIELD REPRESENTATIVE: Forrest Coleman DATE: September 29, 2023 ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S Booking 208 Holding 2009 1 (4) 92.5 Sq. Ft. 1 1 1 1 209 Holding 2009 1 (4) 92.5 Sq. Ft. 1 1 1 207 Sobering 2009 1 N/R 92.5 Sq. Ft. 1 1 1 210 Safety 2009 1 (1) 75.89 Sq. Ft. Room Medical Unit 1 Exam 2009 1 145 Sq. Ft. 2 Exam 2009 1 145 Sq. Ft. 3 Interview 2009 1 Pod 700 - Rivers Edge Academy’s rated capacity is not included in SYTF-rated bed capacity. Double 2009 14 2 2 28 114 Sq. Ft. 1 1 1 5 Single 2009 1 1 1 1 84 Sq. Ft. 1 1 1 ADA 2009 1 1 1 1 84.7 Sq. Ft. 1 1 1 Class 1 Room 2009 17 651 Sq. Ft. Class 2 Room 2009 15 595 Sq. Ft. Pod 800 - Shasta JRF-rated capacity not included in SYTF-rated bed capacity. Double 2009 14 2 2 28 114 Sq. Ft. 1 1 1 5 Single 2009 1 1 1 1 84 Sq. Ft. 1 1 1 ADA 2009 1 1 1 1 84.7 Sq. Ft. 1 1 1 Class 1 Room 2009 17 651 Sq. Ft. Class 2 Room 2009 15 595 Sq. Ft. Pod 900 – SYTF-rated capacity beds are 8 out of the 30 rated beds in the 900 Pod. Double 2009 14 2 2 28 114 Sq. Ft. 1 1 1 Single 2009 2 1 1 1 84 Sq. Ft. 1 1 1 ADA 2009 1 1 1 1 84.7 Sq. Ft. 1 1 1 Class 1 Room 2009 17 651 Sq. Ft. Class 2 Room 2009 15 595 Sq. Ft. Historical Notes: Booking: Bathroom – The toilet should secure a plate between the wall and toilet fixture to close potential hanging opportunity (done per email with pics). The door does not have a visual panel and per policy will require controlled access with close supervision Handicapped Shower -. Safety room window panels 4” x 28” = 112 Sq. In. Benches 72” in holding cells; Sobering cell is non-rated (N/R) due to a lack of seating and no operational regulations. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7623 Shasta Secure Youth Treatment Facility SYTF LASE 23-24 J360 LAS Juv. 09.dot (8/09) Medical Unit: Includes: Locked pharmaceutical room that contains lockable cabinets. Support space includes a medical records room and medical supplies rooms, plus, clinician offices. There is also a patient bathroom with a toilet and washbasin. Unit 700, Unit 800, and Unit 900: Notes: The Dayroom is 2489 Sq. Ft. Seating: 5 tables with 6 seats per table for a total of 30. Concert Bed Platforms are 30” x 80”. 2014-2016 Evaluated full facility for LASE 2014/2016 LASE = 90. 2016-2018 Evaluated full facility for LASE 2016/2018 LASE = 90. Classrooms recalculated due to error found: Classroom 1 may accommodate 17 youth; Classroom 2 may accommodate 15. 2018-2020: No change. Virtual inspection-no full review. 2020-2022: -30 beds to Unit 700 for Rivers Edge Academy Camp Beds. 2023-2024: -8 rated beds in Pod 900 are dedicated to the SYTF. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7623 Shasta Secure Youth Treatment Facility SYTF LASE 23-24 J360 LAS Juv. 09.dot (8/09) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 2009 BSCC Code: 7621/7622/7623 FACILITY NAME: Shasta County Juv Rehab Facility (JH) / Rivers Edge Academy FACILITY TYPE: JH/Camp/SYTF (Camp); Shasta Secure Youth Treatment Program (SYTF) APPLICABLE REGULATIONS (Check All That 4/98: 2001: 2003: OTHER: 2009 Apply): FIELD REPRESENTATIVE: Forrest Coleman DATE: September 29, 2023 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) The weapons locker is located in the sally ✓ port outside the booking entrance. 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 ✓ The shower is located in the booking area. Provides a secure vault or storage space for minor's ✓ A lockable property room is located in the valuables booking area. Provides telephone access to minors ✓ Phones are located in the booking area. Provides staff access to hot and cold running water The staff bathroom is located in the booking ✓ area. Locked Holding Room (1.2) Each holding room is 92.5 sq. ft. and the ✓ bench is 72 “limiting the rated capacity to four Contains a minimum of 15 square feet of floor area (4). 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) Each sleeping room has a window to the exterior measuring 90.5” x 41”. Visual access to natural light is provided in locked ✓ sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 7621+ Shasta County Probation CAMP JH SYTF PHY 23-24 - 1 - J456 PHY 98 01 03.dot (8/09) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Corridors in living areas are at least eight feet wide. When doors are staggered or if rooms are located ✓ only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) Each living unit houses 30 youth. JH living units do not exceed 30 minors and contain sleeping areas and plumbing fixtures, commensurate with the number of minors housed. 03- A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy sleeping rooms, or dormitories, day room ✓ space, toilet, washbasins, drinking fountains and showers commensurate to the number of minors housed, not to exceed 30 minors. A living unit shall not be divided by any permanent or temporary barrier that hinders direct access, supervision or immediate intervention or other action if need. In Juvenile halls, the number of minors housed in a living unit shall not exceed 30 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 03 Doors to locked sleeping rooms shall swing outward or slide laterally. Single Occupancy Sleeping Rooms (1.7) Single Occupancy rooms are 84 sq. ft. ADA Single Occupancy rooms are 84.7 sq. ft. 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 The door view panel is 180 inches. 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) Double occupancy rooms are 114 sq. ft. Minimum of 100 square feet floor area, a clear ceiling ✓ height of eight feet, and a minimum width of seven feet 7621+ Shasta County Probation CAMP JH SYTF PHY 23-24 - 2 - J456 PHY 98 01 03.dot (8/09) TITLE 24 SECTION YES NO N/A COMMENTS 98: A door view panel is constructed of security The door view panel is 180 inches. 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 dormitory units in this facility. ✓ The text of this regulation is removed from this checklist. Dayrooms (1.10) Dayrooms exceed 2,488 sq. ft, or 82 sq. ft. ✓ per youth. 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 The exercise area includes full basketball have a minimum of 9,000 square feet dedicated courts, playing fields, and a covered asphalt indoor-outdoor space, plus a field area. The field secure area. 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 There are two large, paved areas. 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. 7621+ Shasta County Probation CAMP JH SYTF PHY 23-24 - 3 - J456 PHY 98 01 03.dot (8/09) TITLE 24 SECTION YES NO N/A COMMENTS Outdoor recreation area lighting allows for evening Lighting is present. activities and provides security. ✓ Access must be provided to a toilet, wash basin and ✓ Minors will return to the room for toilet drinking fountain. facilities. Drinking fountains are available. 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 Each living unit includes two classrooms. 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 The classrooms are 651 sq. ft. and 595 sq. ft. feet of floor space for the teacher's desk and work which can accommodate 17 youth in area, and a minimum of 28 square feet floor space ✓ classroom 1 and 15 youth in classroom 2. per minor. (Recalculated due to error found. LASE has been updated as well) There is a communication system in each classroom Custody counselors will be stationed nearby. that allows for immediate response to emergencies. ✓ Safety Room (1.13) The safety room is 75.89 sq. ft. ✓ 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 Two window view panels are 4” x 28” each. 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 ✓ The intercom box is recessed into padding. regulations Access to a toilet, wash basin and drinking fountain is ✓ The youth would be released and escorted to provided. a toilet. Drinking water is offered by staff. 03: Be equipped with a variable intensity security- Lighting checked. type lighting fixture, with controls outside the ✓ room 03: Any wall- or ceiling-mounted devices are The top of the padding is susceptible to designed to prohibit the occupant’s access. ✓ tearing and minors should remain under direct observation. Medical Examination Room (NA SPJH; 1.14) There is a central medical clinic area containing two (2) 145 sq. ft. examination There is a minimum of one suitably equipped medical ✓ rooms. examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations ✓ Each housing unit also has a room that is used for no other purpose; designated for daily clinic visits. Privacy for minors; ✓ Lockable storage for medical supplies; ✓ Not less than 144 square feet floor space with no ✓ Clinic rooms are 145 sq. ft. single dimension less than seven feet; Hot and cold running water; and, ✓ 7621+ Shasta County Probation CAMP JH SYTF PHY 23-24 - 4 - J456 PHY 98 01 03.dot (8/09) TITLE 24 SECTION YES NO N/A COMMENTS 01: Smooth, non-porous, washable surfaces. ✓ Pharmaceutical Storage (1.15) The pharmacy has both a lockable door and cabinets. There is lockable storage space for medical supplies ✓ and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) Youth will be fed inside their housing unit. Hot trays are permanently installed in the There is a minimum of 15 square feet floor space and ✓ dayroom area to ensure proper food sufficient tables and seating for each person being temperatures. There is sufficient seating. fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the Showers have modesty panels. same room, unless there is an appropriate visual ✓ barrier. Visiting Space (1.17) The facility will use a central visiting room with entry from both secure and non-secure ✓ Visiting space is provided. areas. Institutional Storage (1.18) There are large storage rooms throughout the facility. 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) The concrete slab has a built-in alcove to store personal items. Each minor has a minimum of 9 ✓ 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) Janitor closets are located in each living unit and at various locations throughout the There is at least one securely lockable janitorial ✓ facility. closet containing a mop sink and sufficient area for storing cleaning implements within the security area. Audio Monitoring System (1.22) Audio systems are working in the living units and sleeping rooms. 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. 7621+ Shasta County Probation CAMP JH SYTF PHY 23-24 - 5 - J456 PHY 98 01 03.dot (8/09) TITLE 24 SECTION YES NO N/A COMMENTS Emergency Power (1.23) The emergency power units are in place and have been tested. 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) There are interview rooms in the living areas, ✓ at booking, and in the visiting area. 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. ✓ This is a full-purpose juvenile hall. There is a Special Purpose Juvenile Halls. Special purpose Camp commitment program on the 700 Pod. juvenile halls and intensive supervisions units in The text of this regulation is removed from c s a ta m nd ps a rd a s n d f o r r a n j c u h v e e s n il s e h a fa ll c c il o iti n e f s o rm co n to ta i a n l e l d m i i n n i m t u h m is ✓ this checklist. section with the following exceptions: Court Holding Room for Minors (1.26) There are no court-holding cells in this facility. ✓ 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) Each sleeping room contains a combo unit. 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) Each sleeping room contains a combo unit. 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. 7621+ Shasta County Probation CAMP JH SYTF PHY 23-24 - 6 - J456 PHY 98 01 03.dot (8/09) TITLE 24 SECTION YES NO N/A COMMENTS Drinking Fountains (2.3) Each sleeping room contains a combo unit. Drinking fountains are accessible to minors and staff ✓ in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by Each sleeping room contains a combo unit. mechanical means and is at an angle that prevents waste water from flowing over the ✓ bubbler. Showers (2.4) Each living area has a total of 5 tempered controlled showers. 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 minors privacy without Each single shower unit has a half door to mitigating staff's ability to supervise. ✓ afford modesty and still provide supervision. Beds (2.5) The concrete platform is 30” x 80”. 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. ✓ 07 In secure facilities, the bunks shall be securely anchored to the floor and/or wall ✓ 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) Booking area holding cells have a 72” bench Seating is designed for the level of security. When to afford a rated capacity of four (4). Security bench seating is used, 18 inches of bench seating is ✓ calking seals tie off areas between the wall allowed for each person. and the bench. Weapons Locker (2.9) Weapons lockers are located in the sally port Weapons lockers are located outside the security ✓ immediately adjacent to entry to the booking perimeter of the facility. (Personnel do not bring any unit. weapon into the security area.) 7621+ Shasta County Probation CAMP JH SYTF PHY 23-24 - 7 - J456 PHY 98 01 03.dot (8/09) TITLE 24 SECTION YES NO N/A COMMENTS 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.) 7621+ Shasta County Probation CAMP JH SYTF PHY 23-24 - 8 - J456 PHY 98 01 03.dot (8/09)