Shasta PROB (2025-2026 inspection cycle)

August 20, 2025 Tracie Neal, Chief Probation Officer Shasta County Probation Department 2684 Radio Lane Redding, CA 96001 2025-2026 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SHASTA COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Neal: The 2025-2026 Comprehensive Inspection of the Shasta County Probation Department has been completed. A pre-inspection briefing was held on Wednesday, April 9, 2025, and the following facilities were inspected between Tuesday, July 15, 2025, and Thursday, July 17, 2025: FACILITY NAME BSCC # FACILITY TYPE Shasta Juvenile Rehabilitation Facility 7621 JH River’s Edge Academy 7622 CAMP Shasta Secure Track Treatment Program 7623 SYTF These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition to the inspection(s) by the Board of State and Community Corrections (BSCC), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the Physical Plant Evaluation and Living Area Space Evaluation attachments for information related to Rated Capacity. Tracie Neal Chief Probation Officer Page 2 An Exit Briefing with your staff was held on Thursday, July 17, 2025; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at shay.molennor@bscc.ca.gov or call (916) 708-2062 if you have any questions. Sincerely, SHAY MOLENNOR 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* Jeremy Kenyon, Division Director (electronic copy) *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7621+ Shasta PROB JH Camp SYTF CI LTR 25-26 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7621 FACILITY NAME: Shasta County Juvenile Rehabilitation Facility FACILITY TYPE: JH PERSON(S) INTERVIEWED: Jeremy Kenyon, Division Director; Jason Coulombe, Supervising Probation Officer-Administrative; K. Woodcock, Supervising Probation Officer; A. Hemenway, Supervising Juvenile Detention Officer; D. Goodwine, Supervising Juvenile Detention Officer-Kitchen Manger; H. Meredith, Juvenile Detention Officer III; M. Fleming, Juvenile Detention Officer I; Tasha Foley, Peer Support; Jill North-principal and Anders Benoit-teacher, Shasta County Office of Education; Damon Ransbarger, RN Coordinator-Shasta Community Health Center, Cristal Loveless, clinician-Shasta County Health and Human Services Agency; one male youth age 15, three male youth ages 16 and one male youth age 17 FIELD REPRESENTATIVE: Shay Molennor DATE: July 15-17, 2025 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1313 COUNTY INSPECTION AND EVALUATION OF Policy 2.1.5 (VI)(C)(1) Roles and BUILDING AND GROUNDS Responsibilities of Facility Administration- Other Reviews and Inspections On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented ☒ ☐ ☐ January 31, 2024 inspection and evaluation from the following: January 3, 2025 (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Policy 2.1.5 (VI)(C)(2) Other Reviews and clearance as required by Health and Safety Code Section Inspections 13146.1(a) and (b); ☒ ☐ ☐ March 28, 2025 (c) local health officer, inspection in accordance with Policy 2.1.5 (VI)(C)(3) Other Reviews and Health and Safety Code Section 101045; Inspections Environmental: October 11, 2023 September 11, 2024 ☒ ☐ ☐ Nutrition: December 20, 2023 April 8, 2025 Medical/Mental Health: November 6, 2023 November 6, 2024 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 7621 Shasta JH CI PRO 25-26 Page 1 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) county superintendent of schools on the adequacy of Policy 2.1.5 (VI)(C)(4) Other Reviews and educational services and facilities as required in Section Inspections 1370; ☒ ☐ ☐ November 27, 2023 November 21, 2024 (e) juvenile court as required by Section 209 of the Policy 2.1.5 (VI)(C)(5) Other Reviews and Welfare and Institutions Code; and, Inspections ☒ ☐ ☐ September 25, 2023 October 18, 2024 (f) the Juvenile Justice Commission as required by Policy 2.1.5 (VI)(C)(6) Other Reviews and Section 229 of the Welfare and Institutions Code or Inspections Probation Commission as required by Section 240 of the ☒ ☐ ☐ Welfare and Institutions Code. October 10, 2023 September 27, 2024 1320 APPOINTMENT AND QUALIFICATIONS A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed all Note: Compliance with this section is determined by elements of this regulation. receipt of the Chief Probation Officer’s certification letter confirming that all elements of regulation are met. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in accordance with Section 1031 of the Government ☒ ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the facility, shall have such clearance and qualifications as may be required by law, and their presence at the facility ☒ ☐ ☐ shall be subject to the approval and control of the facility manager. 7621 Shasta JH CI PRO 25-26 Page 2 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1321 STAFFING Policy 3.1.0 Staffing Standards Each juvenile facility shall: The agency staff for their Juvenile Hall, Camp, (a) have an adequate number of personnel sufficient to and SYTF, which are co-located on the same carry out the overall facility operation and its campus. The complex is known as the programming, to provide for safety and security of youth Juvenile Rehabilitation Facility. Combined and staff, and meet established standards and population on the first day of the inspection regulations; was 38. • JH - 25 • Camp - 8 • SYTF - 5 BSCC staff reviewed the February 2025 Time Report, January through July 2025 Post Assignments, Employee List, Probation and Facility Organizational Charts, and Long-Term Absences. Facility staff work a mixture of 8-, 10-, and 12-hour shifts. • 1 Division Director • 1 Administrative Supervising Probation Officer • 2 Supervising Probation Officers • 4 Supervising Juvenile Detention Officers • 1 Supervising Juvenile Detention Officer Rivers Edge Academy ☒ ☐ ☐ • 8 Juvenile Detention Officer III (5 vacant) • 27 Juvenile Detention Officer I/II (3 vacant) • 9 Extra Help Juvenile Detention Officer (3 cored-trained) BSCC staff conducted interviews with facility staff and youth to assess whether staffing levels were sufficient to support facility operations and meet required programming standards. Based on observed pattern and practice, the facility is in compliance with this section’s requirements. However, facility administration confirmed, due to staffing shortages, all or part of the scheduled visiting was cancelled two to three times within the last six months. In response, facility administration reported plans to extend visitation periods from one to two hours per session, with the intent of improving accessibility. They also committed to discussing with their senior administration the need for additional resources to ensure scheduled visitation occurs as scheduled. BSCC staff advised that, in order to support ongoing compliance, this issue will remain under review during future inspections, which may be scheduled or conducted unannounced. 7621 Shasta JH CI PRO 25-26 Page 3 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) ensure that no required services shall be denied Policy 3.1.0 (II)(A) Staffing Standards because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 3.1.0 (I)(A) Staffing Standards ensure adequate supervision of all staff members; ☒ ☐ ☐ (d) have a clearly identified person on duty at all times Policy 3.1.0 (I)(A)(1) Staffing Standards who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living Policy 3.1.0 (II)(B) Staffing Standards unit whenever there are youth in the living unit; ☒ ☐ ☐ (f) have sufficient food service personnel relative to the Policy 3.1.0 (III)(A) Staffing Standards number and security of living units, including staff qualified and available to: plan menus meeting nutritional Meals for the youth are prepared on site by requirements of youth; provide kitchen supervision; direct Probation food services staff. The facility food preparation and servings; conduct related training provides three hot meals and two snacks per programs for culinary staff; and maintain necessary day. ☒ ☐ ☐ records; or, a facility may serve food that meets nutritional standards prepared by an outside source; • 1 Supervising Juvenile Detention Officer Cook-Kitchen Manager • 3 Cook II • 2 Cook Extra Help (g) have sufficient administrative, clerical, recreational, Policy 3.1.0 (III)(B) Staffing Standards medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the facility provides an appropriate level and to ensure that youth supervision staff shall not be of staff to operate the control room, booking, diverted from supervising youth; and, and transportation. The agency employees a full- and part-time Probation Peer Support staff to support youth. A Legal Process Clerk and Probation Analyst assist with administrative and clerical duties. Shasta County Public Works provides maintenance and groundskeeping services for the facility. Shasta Community Health Center provides medical services seven days a week. Coverage is typically provided 6:45 a.m. to ☒ ☐ ☐ 5:15 p.m. A Mental Health Nurse Practitioner and physician are on site each Tuesday. After- hour services are provided by Team Health or the on-call SCHC staff. Behavior health services are provided by Shasta County Health and Human Services Agency. Coverage is provided Monday through Friday from 8:00 a.m. to 9:00 p.m. by two full-time clinicians. One clinician position is currently vacant. A staff who provides CSEC services to youth is also available. In addition, the SYTF has three behavioral health staff who provide services to youth on designated days. After-hours on-call behavior health coverage is available. 7621 Shasta JH CI PRO 25-26 Page 4 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) assign sufficient youth supervision staff to provide Policy 3.1.0 (II) Staffing Standards continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Policy 3.1.0 (II)(C) Staffing Standards (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☒ ☐ ☐ duty for each 10 youth in detention; (B) during the hours that youth are confined to their Policy 3.1.0 (II)(D) Staffing Standards 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 Policy 3.1.0 (II)(E) Staffing Standards 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 Policy 3.1.0 (II)(F) Staffing Standards duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Policy 3.1.0 (III)(B) Staffing Standards duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a SPJH. (A) during hours that youth are awake, one wide- awake youth supervision staff member on duty for ☐ ☐ ☒ each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps The facility is not a Camp. (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☐ ☐ ☒ duty for each 15 youth in the camp population; 7621 Shasta JH CI PRO 25-26 Page 5 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy 8.2 New Hire Orientation AND TRAINING Policy 8.2 (1)(B)(1) General Information (a) Prior to assuming any responsibilities each youth A memorandum dated June 12, 2025, by Chief supervision staff member shall be properly oriented to Probation Officer Tracie Neal, addressed all their duties, including: elements of this regulation. (1) youth supervision duties; The agency requires new staff to complete a 240-hour Juvenile Detention Officer Facility Training Program. The training consists of two phases over six weeks. Prior to beginning their 240-hour training program, the staff will ☒ ☐ ☐ complete a Pre-Training New Employee Orientation before assuming any responsibility for the supervision of youth. The training is provided by facility staff and supervisors. BSCC staff reviewed the facility’s Juvenile Detention Officer Facility Training Program binder, new staff Daily Observation reports, facility staff and supervisor STC/WRE 2024/2025 training hours, and CORE completion. Policy 8.2 (1)(B)(2) General Information (2) scope of decisions they shall make; ☒ ☐ ☐ Policy 8.2 (1)(B)(3) General Information (3) the identity of their supervisor; ☒ ☐ ☐ (4) the identity of persons who are responsible to Policy 8.2 (1)(B)(4) General Information them; ☒ ☐ ☐ (5) persons to contact for decisions that are beyond Policy 8.2 (1)(B)(5) General Information their responsibility; and ☒ ☐ ☐ 7621 Shasta JH CI PRO 25-26 Page 6 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) ethical responsibilities. Policy 8.2 (1)(B)(6) General Information ☒ ☐ ☐ (b) Prior to assuming any responsibility for the supervision Policy 8.2 New Hire Orientation of youth, each youth supervision staff member shall Policy 8.2 (II) Juvenile Detention Orientation receive a minimum of 40 hours of facility-specific Policy 8.2 (III) Deputy Probation Officer orientation, including: Orientation (1) individual and group supervision techniques; A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed this element of the regulation. Youth Supervision Staff receive a 240-hour orientation and training through the Facility Training Program Supervisor. Each new hire ☒ ☐ ☐ is assigned a Facility Training Officer and their performance is rated using the Daily Observation Report. Reviewed new hire training documentation and interviewed a facility staff who recently completed the training program. Deputy Probation Officers who have completed DPO Core but have not completed JCO Core will complete a modified 40-hour orientation prior to assuming responsibility of supervising youth. (2) regulations and policies relating to discipline and Policy 8.2 (II)(A)(2) Juvenile Detention rights of youth pursuant to law and the provisions of Orientation ☒ ☐ ☐ this chapter; Policy 8.2 (II)(A)(3) Juvenile Detention (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Orientation (4) suicide prevention and response to suicide Policy 8.2 (II)(A)(4) Juvenile Detention attempts ☒ ☐ ☐ Orientation (5) policies regarding use of force, de-escalation Policy 8.2 (II)(A)(5) Juvenile Detention techniques, chemical agents, mechanical and Orientation ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Policy 8.2 (II)(A)(6) Juvenile Detention trauma and trauma-informed approaches; ☒ ☐ ☐ Orientation Policy 8.2 (II)(A)(7) Juvenile Detention (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Orientation (8) routine security measures, including facility Policy 8.2 (II)(A)(8) Juvenile Detention perimeter and grounds; ☒ ☐ ☐ Orientation (9) crisis intervention and mental health referrals to Policy 8.2 (II)(A)(9) Juvenile Detention mental health services; ☒ ☐ ☐ Orientation Policy 8.2 (II)(A)(10) Juvenile Detention (10) documentation; and ☒ ☐ ☐ Orientation Policy 8.2 (II)(A)11) Juvenile Detention (11) fire/life safety training ☒ ☐ ☐ Orientation (c) Prior to assuming sole supervision of youth, each Policy 8.2 (II)(B) Juvenile Detention youth supervision staff member shall successfully Orientation complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section ☒ ☐ ☐ A memorandum dated June 12, 2025, by Chief 6035. Probation Officer Tracie Neal, addressed this element of the regulation. 7621 Shasta JH CI PRO 25-26 Page 7 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) Prior to exercising the powers of a peace officer youth Policy 8.2 (II)(C) Juvenile Detention supervision staff shall successfully complete training Orientation pursuant to Section 830 et seq. of the Penal Code. ☒ ☐ ☐ A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed this element of the regulation. 1323 FIRE AND LIFE SAFETY Policy 9.2.7 (III) Fire Safety Plan and Emergency Procedures Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times ☒ ☐ ☐ A memorandum dated June 12, 2025, by Chief who meets the training standards established by the Probation Officer Tracie Neal, addressed all Board for general fire and life safety which relate elements of this regulation. specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL Policy and Procedure Manual 1.1 and 1.2 All facility administrators shall develop, publish, and A memorandum dated March 31, 2025, by implement a manual of written policies and procedures Jeremy Kenyon, Division Director, certified a that address, at a minimum, all regulations that are review and update of the Juvenile applicable to the facility. Such a manual shall be made Rehabilitation Facility Policy and Procedure available to all employees, reviewed by all employees, Manual. Policy requires the Division Director and shall be administratively reviewed at a minimum to annually review and make any necessary every two years, and updated, as necessary. Those revisions. As changes are made, staff are records relating to the standards and requirements set ☒ ☐ ☐ notified by Prevention Link or email. The forth in these regulations shall be accessible to the Board policy and procedure manual is available to on request. staff on a shared drive. In addition, Post The manual shall include: Orders are developed to ensure staff understand the duties and assignments while on shift. The facility is in the process of migrating all their policies and procedures to Lexipol. (a) table of organization, including channels of Policy 2.1.4 Facility Organizational Chart communications and a description of job classifications; Policy 2.1.5 Roles and Responsibilities of Facility Administration ☒ ☐ ☐ Policy 2.1.6 Roles and Responsibilities of Juvenile Detention Officers Policy 3.1.1 Chain of Command (b) responsibility of the probation department, purpose of Policy 2.1.1 Legal Origin, Establishment and programs, relationship to the juvenile court, the Juvenile Purpose Justice/Delinquency Prevention Commission or Policy2.2.3 Roles of Probation Staff Probation Committee, probation staff, school personnel ☒ ☐ ☐ Policy 2.3 Roles of Other Agencies and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Policy 2.1.5 Roles and Responsibilities of Facility Administration ☒ ☐ ☐ Policy 2.1.6 Roles and Responsibilities of Juvenile Detention Officers (d) initial orientation and training program for employees; Policy 8.2 New Hire Orientation ☒ ☐ ☐ 7621 Shasta JH CI PRO 25-26 Page 8 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) initial orientation, including safety and security issues Policy 13.1 Volunteer, Vendor, and Support and anti-discrimination policies, for support staff, contract Staff Orientation employees, school, mental/behavioral health and medical staff, program providers and volunteers; Prior to completing a facility orientation, support staff, volunteers, and vendors must receive a background clearance. Once cleared, they are to attend a facility orientation. The JRF swing shift supervisor is responsible ☒ ☐ ☐ for overseeing and scheduling the initial orientation. The Shasta County Juvenile Rehabilitation Facility Volunteer Facilitator Orientation Acknowledgment form is completed upon receipt of orientation. BSCC staff reviewed completed orientation forms with signed acknowledgments of training. (f) maintenance of record-keeping, statistics and Policy 2.1.5 (D)(1): Roles and Responsibilities communication system to ensure: of Facility Administration-Other Reviews and ☒ ☐ ☐ (1) efficient operation of the juvenile facility; Inspections Policy 2.1.5(D)(2) Other Reviews and (2) legal and proper care of youth; ☒ ☐ ☐ Inspections Policy 2.1.5 (D)(3) Other Reviews and (3) maintenance of individual youth's records; ☒ ☐ ☐ Inspections (4) supply of information to the juvenile court and Policy 2.1.5 (D)(4) Other Reviews and those authorized by the court or by the law; and, ☒ ☐ ☐ Inspections Policy 2.1.5 (D)(5) Other Reviews and (5) release of information regarding youth. ☒ ☐ ☐ Inspections (g) ethical responsibilities; Policy 3.3.1 Ethics Policy ☒ ☐ ☐ Policy 3.3.10 Trauma-Informed Approaches (h) trauma-informed approaches; ☒ ☐ ☐ to Working with Youth. (i) culturally responsive approaches; Policy 3.3.9 Cultural and Gender Responsivity ☒ ☐ ☐ Policy 3.3.9 Cultural and Gender Responsivity (j) gender responsive approaches; Policy 5.2.6 Transgender and Intersex ☒ ☐ ☐ Residents (k) a non-discrimination provision that provides that all Policy 3.3.8 Non-Discrimination youth within the facility shall have fair and equal access to Policy 5.2.7 Non-Discrimination all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy 9.1.2 Armory Operations chemical agents related security devices, and weapons Policy 6.3 (IV) Chemical Agents-Storage, and ammunition, where applicable; ☒ ☐ ☐ Issue, and Disposal of OC Spray Canisters (m) establishment of procedures for collection of Medi- Policy 10.32 Medi-Cal Eligibility and Cal eligibility information and enrollment of eligible youth; Enrollment of Youth ☒ ☐ ☐ and, 7621 Shasta JH CI PRO 25-26 Page 9 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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 preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN 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 State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff Policy 9.2.7 (IV) Fire Safety and Life Safety with two-year retention of the inspection record; Inspections Policy 9.1.3 Emergency Equipment Inspection and Testing The facility documents monthly fire and life ☒ ☐ ☐ safety inspections on the Monthly Work Place Safety Checklist. BSCC staff reviewed documentation since the last comprehensive inspection in September 2023 through May 2025. (c) fire prevention inspections as required by Health and Policy 9.2.7 Fire Safety Plan and Emergency Safety Code Section 13146.1(a) and (b); Procedures. ☒ ☐ ☐ Inspection completed on March 28, 2025, by Cal Fire Department of Forestry and Fire Protection. (d) an evacuation plan; Policy 9.2.7 Fire Safety Plan and Emergency Procedures ☒ ☐ ☐ Policy 9.2.9 Evacuation Plan (e) documented fire drills not less than quarterly; Policy 9.2.7 (VII) Fire Drills Per policy, fire drills shall be conducted at minimum every three months utilizing relevant post orders. The facility has developed a Mock ☒ ☐ ☐ Fire Drill procedure for staff to utilize in conducting fire drills. BSCC staff reviewed fire drills conducted in November 2023, March, June, July, and December 2024, and January, March, and May 2025. (f) a written plan for the emergency housing of youth in Policy 9.2.9 Evacuation the case of fire; and, Policy 9.1.4 Emergency Release of Residents ☒ ☐ ☐ The agency has a mutual aid agreement with Butte County and Humboldt for the emergency housing of youth. 7621 Shasta JH CI PRO 25-26 Page 10 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) development of a fire suppression pre-plan in Policy 9.2.7 (VIII) Fire Suppression Pre-Plan cooperation with the local fire department. BSCC staff reviewed a letter dated October 4, 2021, in which the City of Redding Fire Department has approved the Shasta County Juvenile Rehabilitation Facility fire- ☒ ☐ ☐ suppression pre-plan. A facility supervisor is to contact Redding Fire Department annually to ensure communication and collaboration regarding the facility fire suppression pre-plan. 1326 SECURITY REVIEW Policy 2.1.5 (II)(A)(1) Security Review and Safety Committee Each facility administrator shall develop policies and procedures to annually review, evaluate, and document A memorandum dated June 30, 2025, by security of the facility. The review and evaluation shall Division Director, Jeremy Kenyon, addressed include internal and external security, including, but not ☒ ☐ ☐ reviewing monthly workplace safety limited to, key control, equipment, and staff training. checklists, the annual building inspection, and policies and procedures as part of the annual security review. 1327 EMERGENCY PROCEDURES Policy 9.2.7 Fire Safety Plan and Emergency Procedures The facility administrator shall develop facility-specific Policy 9.1.1 Training and Review of policies and procedures for emergencies that shall Emergency Procedures include, but not be limited to: ☒ ☐ ☐ Policy 9.2.4 Escape (a) escape, disturbances, and the taking of hostages; Policy 9.2.5 Disturbances Policy 9.2.6 Hostages Policy 9.2.11 Civil Disturbance (b) civil disturbance, active shooter and terrorist attack; ☒ ☐ ☐ Policy 9.2.10 Active Shooter or Terrorist Attack Policy 9.2.7 Fire Safety Plan and Emergency (c) fire and natural disasters; Procedures ☒ ☐ ☐ Policy 9.2.8 Natural Disaster Policy 9.1.3 Emergency Equipment (d) periodic testing of emergency equipment; ☒ ☐ ☐ Inspection and Testing Policy 9.1.4 Emergency Release of Residents (e) emergency evacuation of the facility; and ☒ ☐ ☐ Policy 9.2.9 Evacuation Policy 9.1.1 Training and Review of Emergency Procedures Policies and Procedures pertaining to emergency procedures are sent to each employee individually via Vector Solutions (f) a program to provide all youth supervision staff with annually for review. A memorandum dated July an annual review of emergency procedures. ☒ ☐ ☐ 10, 2025, by Jeremy Kenyon, Division Director, affirmed that all facility staff are provided these annual updates. In addition, facility staff are provided further emergency procedure reviews in the facility’s training program and emergency drill training. 7621 Shasta JH CI PRO 25-26 Page 11 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1328 SAFETY CHECKS Policy 5.2.2 Room Safety Checks The facility administrator shall develop and implement Room Safety Checks are recorded in the policy and procedures that provide for direct visual eProbation Case Management Software. Staff observation of youth at a minimum of every 15 minutes, use a tablet to scan a QR code assigned at random or varied intervals during hours when youth individually to each youth. The software will are asleep or when youth are in their rooms, confined in prompt staff to complete a safety check at holding cells or confined to their bed in a dormitory. random and varied times. In addition, alerts Supervision is not replaced, but may be supplemented will be sent to supervisors in real time when a by, an audio/visual electronic surveillance system safety check is late. A Supervisor is assigned designed to detect overt, aggressive or assaultive to audit the room safety checks. The audit behavior and to summon aid in emergencies. All safety includes ensuring room safety check checks shall be documented with the actual time the procedures are followed and a random sample check is completed. will be compared to camera footage. Late and improper checks will be addressed and a resolution documented. BSCC staff reviewed documentation from ☒ ☐ ☐ specified dates throughout October 2024 through May 2025. The majority of safety checks on the night shifts occurred between 12-, 13-, or 14-minute intervals, though random checks occurred at intervals throughout the other two shifts. The process of reviewing the safety checks requires close scrutiny to calculate the time between checks. BSCC staff inquired if the eProbation Software Program could be modified to run reports to calculate times between checks for easier auditing to ensure safety checks are random and varied. Furthermore, BSCC staff recommended these audits further review time youth spent in their room on self-separation and institutional operations align with documentation and facility expectations. 1329 SUICIDE PREVENTION PLAN Policy 5.12 Suicide Prevention Plan The facility administrator, in collaboration with the BSCC staff reviewed ten incident reports for healthcare and behavioral/mental health administrators, youth at risk of suicide. Of the ten reports, nine shall plan and implement written policies and involved the same youth. The documentation procedures which delineate a Suicide Prevention Plan. reviewed consisted of incident reports, Mental The plan shall consider the needs of youth experiencing ☒ ☐ ☐ Health Notification, Medical Notification, past or current trauma. Suicide prevention responses Suicidal Disposition Form, Safety Plan, shall be respectful and in the least invasive manner Observational Sheet, Suicide Screening, and consistent with the level of suicide risk. The plan shall Application for 72-hour Assessment. The include the following elements: facility has a comprehensive suicide prevention plan. (a) Suicide prevention training as required in Section Policy 5.12 Suicide Prevention Plan 1322, Youth Supervision Staff Orientation, and Training Policy 8.2 New Hire Orientation and the Juvenile Corrections Officer Core Course. A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed the ☒ ☐ ☐ suicide training required by this regulation. In addition, BSCC staff reviewed documentation of annual Suicide Prevention Training for youth supervision staff from 2023 through 2025. 7621 Shasta JH CI PRO 25-26 Page 12 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) Screening, Identification Assessment and Policy 5.12 (II)(B) Identification-Screening Precautionary Protocols During the Booking Process (1) All youth shall be screened for risk of suicide at Policy 5.12 (II)(C) Identification-Screening intake and as needed during detention. Outside the Booking Process Policy 5.3.4 (IX)(E) Booking Procedure- Communication Related to Suicide Risk- MAYSI-2 Staff will utilize the MAYSI-2 to screen youth and ensure the appropriate referrals are ☒ ☐ ☐ made. Shasta Community Health will conduct a brief initial screen for suicide risk. The mental health clinician will conduct a suicide risk assessment upon booking or the next business day. A mental health clinician or HHSA on-call staff will respond to requests for youth placed on suicide risk at intake. (2) All youth supervision staff who perform intake Policy 5.12 (II) C)(2) Identification processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy 5.12 (VII) Referral intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ suicide risk assessment. (4) Precautionary protocols shall be developed to Policy 5.12 (V) Intervention and Monitoring ensure the youth’s safety pending the behavioral/mental health assessment. Youth will be placed on one-on-one ☒ ☐ ☐ supervision pending assessment by mental health. (c) Referral process to behavioral/mental health staff for Policy 5.12 (VII) Referral assessment and/or services. ☒ ☐ ☐ (d) Procedures for monitoring of youth identified at risk Policy 5.12 (V) Intervention and Monitoring for suicide. Policy 5.2.2 Room Safety Checks The facility has three levels of monitoring youth at risk for suicide. Youth placed on Suicide Risk are subject to random and varied 15-minute checks. Youth classified as Suicide Risk will be classified on any subsequent ☒ ☐ ☐ bookings unless removed by mental health. Youth placed on Enhanced Observation will have an individualized safety plan and 7- or 10-minute safety checks conducted while in their sleeping room. Youth placed on Suicide Watch will be placed on an individualized safety plan and supervised one-on-one. Removal requires mental health authorization. 7621 Shasta JH CI PRO 25-26 Page 13 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) Safety Interventions Policy 5.12 (V) Intervention and Monitoring (1) Procedures to address intervention protocols for Policy 5.12 (VI) Housing youth identified at risk for suicide which may Policy 5.3.6 (III)(d) Classification and Housing include, but are not limited to: Assignments-Suicide Risk (A) Housing consideration Youth on Suicide Risk and Enhanced ☒ ☐ ☐ Observation may be housed in general population. Youth placed on Suicide Watch shall be housed in the Safety Room with one- on-one supervision until cleared by mental health. (B) Treatment strategies including trauma- Policy 5.12 (VII)(3) Referral informed approaches Policy 3.3.10 Trauma-Informed Approaches to Working with Youth The mental health clinician will develop a ☒ ☐ ☐ safety plan for the youth placed on Enhanced Observation or Suicide Watch. The plan provides for staff response and includes signs to be aware of possible suicidal ideations. (2) Procedures to instruct youth supervision staff how Policy 5.12 (I) Suicide Prevention-General to respond to youth who exhibit suicidal behaviors. ☒ ☐ ☐ Procedures (f) Communication Policy 5.12 (C) Communication and (1) The intake process shall include communication Notification with the arresting officer and family guardians Policy 5.3.4 (IX)(A) Booking Procedures- regarding the youth’s past or present suicidal Communication Related to Suicide Risk ideations, behaviors or attempts. The Communication Regarding Suicide Risk ☒ ☐ ☐ At Booking form is completed to document all required communications at booking. BSCC staff reviewed documentation contained in the Medical Pre-Screening, documented with the arresting officer’s observation and communication with parent and guardians. (2) Procedures for clear and current information Policy 5.12: Suicide Prevention sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental ☒ ☐ ☐ health staff. (g) Debriefing of Critical Incidents Related to Suicides or Policy 5.12 (X) Review and Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. Policy 5.12 (X) Review and Debriefing-Staff ☒ ☐ ☐ (3) Process for a debriefing event with affected youth. Policy 5.12 (X) Review and Debriefing-Youth ☒ ☐ ☐ 7621 Shasta JH CI PRO 25-26 Page 14 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) Documentation Policy 5.12 Suicide Prevention (1) Documentation processes shall be developed to Policy 5.8.4 Reports and Documentation ensure compliance with this regulation ☒ ☐ ☐ The required documentation is articulated throughout the Suicide Prevention Plan Policy and Procedure. Youth identified at risk for suicide shall not be denied the Policy 5.12 (I)(v) and (vi) Suicide Prevention opportunity to participate in facility programs, services Plan and activities which are available to other non-suicidal Policy 5.3.6 (III)(d) Classification and Housing youth, unless deemed necessary for the safety of the Assignments-Suicide Risk-Programming 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 (III) Reporting of Legal Action Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ of confinement, filed against persons or legal entities 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. (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the Policy 9.2.12 (IV) Operational Review of In facility administrator, shall develop written policies Custody Death 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 Policy 9.2.12 (V)(A)(1) Death In Custody the Board a copy of the report submitted to the Reporting Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Policy 9.2.12 (V)(4) Death In Custody from the administrator, the Board may within 30 Reporting calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7621 Shasta JH CI PRO 25-26 Page 15 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Serious Illness or Injury of Youth. Policy 9.2.12 (VI) Serious Illness or Injury of (a) The facility administrator, in cooperation with the Youth While In Custody health administrator, shall develop written policies and procedures for the notification to necessary parties, which may include the Juvenile Court, the ☒ ☐ ☐ parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Policy 2.1.5 (IV) Population Reporting Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Policy 2.1.5 (V) Overcrowding Policy 2.1.2.1 (1) Juvenile Rehabilitation When the number of youth detained in a living unit of a Facility Capacity juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy 5.3.4 Booking Procedures Policy 5.3.1 Booking Post Orders The facility administrator shall develop and implement Policy 3.3.10 Trauma-Informed Approaches to written policies and procedures for admittance of youth Working with Youth that emphasize respectful and humane engagement with youth, and reflect that the admission process may BSCC staff reviewed recent admission be traumatic to youth who may have already packets to confirm compliance with this experienced trauma. Policies shall be trauma-informed, regulation. The documents reviewed culturally relevant, and responsive to the language and consisted of Probable Cause Declaration, literacy needs of youth. In addition to the requirements PREA/Behavioral Screening/Classification of Sections 1324 and 1430 of these regulations: forms, Detention Risk Assessment Instrument screenings, Shasta County Probation Detain/Release Criteria forms, Advisal of Estimated Length of Stay at Booking, MAYSI- 2, Admission and Orientation acknowledgment, Booking Checklist, Routine ☒ ☐ ☐ Medical and Emergency Treatment Consent, Medical Pre-Screening, Confinement Time Letter, Mechanical Restraint Worksheet, Legal Counsel Contact Form, and Application for Juvenile Petition. Officers assigned to booking are required to follow Booking Post Orders as the computerized booking process requires specific tasks to be in order to ensure signatures and documents are captured and stored correctly. BSCC staff reviewed recent bookings in the eProbation case management system which captures required elements of admission procedures. (a) the admittance process shall include: Policy 5.3.4 (VI) Booking Phone Call (1) Access to two free phone calls within one hour of admittance in accordance with the provisions of ☒ ☐ ☐ Documented in the eProbation case Welfare and Institution Code Section 627; management system. 7621 Shasta JH CI PRO 25-26 Page 16 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy 5.3.4 (IV) Initial Shower, Clothing and Bedding Issue (2) Offer of a shower; Documented in the eProbation case ☒ ☐ ☐ management system. Youth interviewed by BSCC staff affirmed being offered a shower upon admission. Policy 5.3.4 (V) Resident Property Inventory and Storage (3) Documented secure storage of personal Policy 5.3.7 Resident Property Storage belongings; ☒ ☐ ☐ Documented in the eProbation case management system. Policy 5.3.4 (C)(8) Booking Procedures- General Information (4) Offer of food upon arrival; Documented in the eProbation case ☒ ☐ ☐ management system. Youth interviewed by BSCC staff affirmed being offered food upon admission. Policy 5.3.4 (C)(9) and (10) Booking Procedures-General Information Policy 5.3.4 (II)(B) Medical Screening Form Policy 5.3.4 (IX)(E) Booking Procedures- Communication Related to Suicide Risk- MAYSI-2 (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ BSCC staff reviewed admission disabilities; documentation contained in the Shasta County Juvenile Facilities Medical Pre- Screening, MAYSI-2, and the PREA/ Behavioral Screening/Classification forms, which are utilized to ensure screening as required by this section of the regulation. (6) Screening for physical and developmental Policy 5.3.4 (C)(9) and (10) Booking disabilities in accordance with Sections 1329, 1413, Procedures-General Information ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Policy 5.3.4 (C)(11) Booking Procedures- Developmentally Disabled for youth that are General Information suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, Policy 5.3.4 (II)(C)(a) Pre-Booking Operations- (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Booking Pat Search (b) juvenile hall administrators shall establish written Policy 5.3.4 Booking Procedures-General criteria for detention that considers the least restrictive Information ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in Policy 5.3.4 (VIII) Estimated Length of Stay 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. 7621 Shasta JH CI PRO 25-26 Page 17 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) juvenile halls shall develop policies and procedures Policy 5.3.4 (VIII) Estimated Length of Stay that advise any committed youth of the estimated length of his/her stay. ☒ ☐ ☐ The booking officer is to complete the Advisal of Estimated Lenth of Stay at Booking. 1350.5 SCREENING FOR THE RISK OF SEXUAL Policy 5.10.1 PREA ABUSE Policy 5.10.1 (VI) Intake Screening Utilizing the Vulnerability Assessment Instrument and The facility administrator shall develop and implement Housing Assignment Determination written policies and procedures to reduce the risk of Policy 5.10.1 (VII)(A)(b)(i) sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of The facility screens for risk of sexual abuse by admission based on the following information: using the PREA/Behavioral Screening/Unit (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Classification assessment through Noble. BSCC staff reviewed 10 recent screening documents, which will assist in making housing, program, and work assignments for the youth. If the youth has been identified to have experienced prior sexual victimization or perpetrated sexual abuse, they will be referred for a mental health screening. (b) Gender nonconforming appearance or manner; or Policy 5.10.1 (VII)(A)(b)(ii) identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the youth may, therefore, ☒ ☐ ☐ be vulnerable to sexual abuse; (c) Current charges and offense history; Policy 5.10.1 (VII)(A)(b)(iii) ☒ ☐ ☐ (d) Age; Policy 5.10.1 (VII)(A)(b)(iv) ☒ ☐ ☐ (e) Level of emotional and cognitive development; Policy 5.10.1 (VII)(A)(b)(v) ☒ ☐ ☐ (f) Physical size and stature; Policy 5.10.1 (VII)(A)(b)(vi) ☒ ☐ ☐ (g) Mental illness or mental disabilities; Policy 5.10.1 (VII)(A)(b) ☒ ☐ ☐ (h) Intellectual or developmental disabilities; Policy 5.10.1 (VII)(A)(b)(vi) ☒ ☐ ☐ (i) Physical disabilities; Policy 5.10.1 (VII)(A)(b)(viii) ☒ ☐ ☐ (j) The youth’s perception of vulnerability; and, Policy 5.10.1 (VII)(A)(b)(ix) ☒ ☐ ☐ (k) Any other specific information about the individual Policy 5.10.1 (VII)(A)(b)(x) youth that may indicate heightened needs for Policy 5.3.6 Classification and Housing supervision, additional safety precautions, or separation ☒ ☐ ☐ Assignments from certain other youth. Staff shall ascertain this information through Policy 5.10.1 (VII)(A)(a) 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. 7621 Shasta JH CI PRO 25-26 Page 18 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 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 from BSCC staff reviewed release information custody which provide for: contained in the eProbation case ☒ ☐ ☐ management system and completed release documents and forms. In addition, BSCC staff interviewed facility staff and collaborative partners about release procedures. (a) verification of identity/release papers; Policy 5.3.8 (III) Verification of Release ☒ ☐ ☐ Policy 5.3.7 Resident Property Storage (b) return of personal clothing and valuables; ☒ ☐ ☐ Documented in the eProbation case management system. Policy 5.3.8 (VII)(A) Required Notifications- (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Parent Notifications (d) notification to the facility health care provider in Policy 5.3.8 (VII)(B) Required Notifications- accordance with Sections 1408 and 1437 of these Medical regulations, for coordination with outside agencies; and, Per policy, medical is notified by the case carrying Deputy Probation Officer, during the release process or via the Juvenile Hall Roster ☒ ☐ ☐ distributed each morning. This is automated through eProbation case management and sent out via email at 12:01 a.m. BSCC staff interviewed nursing staff who affirmed timely notification of youth being released. Policy 5.3.8 (VII)(C) Required Notifications- School Staff Per policy, school is notified each morning at the school briefing, or via the Juvenile Hall (e) notification of school staff; Roster distributed each morning. This is ☒ ☐ ☐ automated through eProbation case management and sent out via email at 12:01 a.m. BSCC staff interviewed school staff who affirmed timely notification of youth being released. Policy 5.3.8 (VII)(B) Required Notifications- Mental Health Per policy, mental health is notified by the case carrying Deputy Probation Officer, during the (f) notification of facility mental health personnel. release process or via the Juvenile Hall Roster ☒ ☐ ☐ distributed each morning. This is automated through eProbation case management and sent out via email at 12:01 a.m. BSCC staff interviewed mental health staff who affirmed timely notification of youth being released. The facility administrator shall develop and implement Policy 5.3.8 (VII)(D(1) Release on Furloughs policies and procedures for post-disposition youth to and Post-Disposition Transitional and Re- coordinate the provision of transitional and reentry entry Services services including, but not limited to, medical and behavioral health, education, probation supervision and ☒ ☐ ☐ Transitional and re-entry services are provided community-based services. by the assigned Deputy Probation Officer, Juvenile Detention Officers, Peer Support, and collaborative partners. 7621 Shasta JH CI PRO 25-26 Page 19 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The facility administrator shall develop and implement Policy 5.3.8 (VII)(A) Release on Furloughs and written policies and procedures for the furlough of youth Post-Disposition Transitional and Re-entry ☒ ☐ ☐ from custody. Services 1352 CLASSIFICATION Policy 5.3.6 Classification and Housing Assignments The facility administrator shall develop and implement written policies and procedures on classification of youth The facility makes classification decisions for the purpose of determining housing placement in the using the PREA/Behavioral Screening/Unit facility. ☒ ☐ ☐ Classification assessment through Noble. Such procedures shall: BSCC staff reviewed 10 assessment documents and information contained in the eProbation case management system, which tracks active and inactive classifications. (a) provide for the safety of the youth, other youth, facility Policy 5.3.6 Classification and Housing staff, and the public by placing youth in the appropriate, Assignments least restrictive housing and program settings. Housing Policy 5.3.6 (ii) Housing Assignments ☒ ☐ ☐ assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Policy 5.3.6 (i)(c) General Information the facility; ☒ ☐ ☐ (c) provide that a youth shall be classified upon Policy 5.3.6 (i)(a) General Information admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Policy 5.3.6 (i)(a) General Information provisions that consider the level of supervision and the youth's behavior while in custody; and, Classification reviews are periodically reviewed by facility management. BSCC staff reviewed a memo from the Division Director ☒ ☐ ☐ indicating each Wednesday at 12:00 p.m., a meeting is held in which classifications are added or removed as needed. The facility’s case management system tracks all classification decisions. (e) provide that facility staff shall not separate youth from Policy 5.3.6 (i)(h) General Information the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical ☒ ☐ ☐ disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy 5.3.6 (i)(i) General Information transgender, questioning or intersex identification or Policy 5.2.6: Transgender and Intersex status as an indicator of likelihood of being sexually ☒ ☐ ☐ Residents abusive. 7621 Shasta JH CI PRO 25-26 Page 20 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 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 BSCC staff reviewed documents consisting of treatment of transgender and intersex youth. the PREA/ Behavioral Screening/ Unit The policies shall provide that: Classification, which is utilized to determine if ☒ ☐ ☐ the youth identifies as transgender or intersex. The case management system allows for gender identification and preferred pronoun to be indicated as part of demographics and profile. (a) Facility staff shall respect every youth’s gender Policy 5.2.6 (I)(A) Transgender and Intersex identity and shall refer to the youth by the youth’s Residents-General Information preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of gang or slang names or names that otherwise ☒ ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy 5.2.6 (I)() Transgender and Intersex themselves in a manner consistent with their gender Residents-General Information identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that Policy 5.2.6 (II)(A) Transgender and Intersex best meets their individual needs and promotes their Residents-Housing safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Policy 5.2.6 (IV) Transgender and Intersex and intersex youth have access to medical and Residents-Equal Access to all Available behavioral health providers qualified to provide care and ☒ ☐ ☐ Services, Care and Treatment treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Policy 5.2.6: Transgender and Intersex necessary security considerations and physical plant, Residents facility staff shall make every effort to ensure the safety and privacy of transgender and intersex youth when the ☒ ☐ ☐ youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 5.2.6 (III) Transgender and Intersex youth for the purpose of determining the youth’s Residents-Searches 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. 7621 Shasta JH CI PRO 25-26 Page 21 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1353 ORIENTATION Policy 5.3.9 Resident Orientation Policy 5.3.4 (VII) Booking Procedures- The facility administrator shall develop and implement Resident Orientation written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Youth are provided a verbal orientation which information shall be provided and supplemented with includes viewing the orientation video while in video orientation if feasible. Provision shall be made to booking. The youth will also be provided with provide accessible orientation information to all detained a Resident Handbook. BSCC staff reviewed youth including those with disabilities, limited literacy, or 10 signed acknowledgments of youth English language learners. ☒ ☐ ☐ receiving a copy of the Orientation Handbook Orientation shall include information that addresses: and receiving orientation. BSCC staff reviewed the Orientation Handbook which comprehensively covers all requirements outlined in this regulation. BSCC staff interviewed youth about the orientation process and their understanding of the information provided by facility staff. (a) facility rules including contraband and searches and Policy 5.3.9 (I)(B)(1) Resident Orientation disciplinary procedures; ☒ ☐ ☐ (b) facility’s system of positive behavior interventions Policy 5.3.9 (I)(B)(2) 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 facility’s Policy 5.3.9 (I)(B)(3) Resident Orientation policy prohibiting sexual abuse and sexual harassment and how to report incidents or suspicions of sexual ☒ ☐ ☐ abuse or sexual harassment; (d) identification of key staff and their roles; Policy 5.3.9 (I)(B)(4) Resident Orientation ☒ ☐ ☐ (e) the existence of the grievance procedure, the steps Policy 5.3.9 (I)(B)(5) Resident Orientation that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the name of ☒ ☐ ☐ the person or position designated to resolve the issue; (f) access to legal services and information on the court Policy 5.3.9 (I)(B)(6) and (12) Resident process; ☒ ☐ ☐ Orientation (g) access to routine and emergency health and mental Policy 5.3.9 (I)(B)(7) and (8) Resident health care; ☒ ☐ ☐ Orientation (h) access to education, religious services, and Policy 5.3.9 (I)(B)(9),(10) and (11) Resident recreational activities; ☒ ☐ ☐ Orientation (i) housing assignments; Policy 5.3.9 (I)(B)(13) Resident Orientation ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy 5.3.9 (I)(B)(14) Resident Orientation including the availability of personal care items ☒ ☐ ☐ (k) rules and access to correspondence, visits and Policy 5.3.9 (I)(B)(15) Resident Orientation telephone use; ☒ ☐ ☐ (l) availability of reading materials, programming, and Policy 5.3.9 (I)(B)(21) Resident Orientation other activities; ☒ ☐ ☐ (m) facility policies on the use of force, use of restraints, Policy 5.3.9 (I)(B)(22) Resident Orientation chemical agents and room confinement; ☒ ☐ ☐ (n) immigration legal services; Policy 5.3.9 (I)(B)(16) Resident Orientation ☒ ☐ ☐ (o) emergencies including evacuation procedures; Policy 5.3.9 (I)(B)(24) Resident Orientation ☒ ☐ ☐ (p) non-discrimination policy and the right to be free from Policy 5.3.9 (I)(B)(17) Resident Orientation physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; 7621 Shasta JH CI PRO 25-26 Page 22 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (q) availability of services and programs in a language Policy 5.3.9 (I)(B)(18) Resident Orientation other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy 5.3.9 (I)(B)(26) Resident Orientation education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 5.3.9 (I)(B)(19) Resident Orientation information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked ☒ ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title Policy 5.3.9 (I)(B)(20) Resident Orientation 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ 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 (I)(A) Separation not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and BSCC staff reviewed 12 JRF Self-Separation protective custody. forms in which the youth and staff both sign when the youth request to remain in their room. The reason and the start and end time of the self-separation is documented on the form. Other forms of separation include medical and mental health separation and protective custody. Youth may also be placed on Administrative Separation if they present an extreme risk to staff and other youth due to assaultive behavior. Administrative Separation ☒ ☐ ☐ requires a minimum of two staff present with the youth. Within 24 hours of being placed on Administrative Separation, a Reintegration Plan is to be completed. A supervisor is to complete a Classification Review every four hours during awake hours in which they meet with the youth and review the Reintegration Plan to assess the youth’s progress. This will be documented in the Administrative Separation Reintegration Plan log and in case notes. Youth are not confined to their rooms while on Administrative Separation outside of normal sleeping hours or institutional operations. (b) consideration of positive youth development and Policy 5.3.6.1 Separation trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal privileges Policy 5.3.6.1 Separation available at the facility, except when necessary to ☒ ☐ ☐ accomplish the objective of separation. 7621 Shasta JH CI PRO 25-26 Page 23 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) when the objective of the separation is discipline, Policy 5.3.6.1 (I)(A)(1) Separation Title 15 Section 1390 shall apply. Policy 5.8.3 (II)(D Discipline As a sanction for major discipline, youth can be placed on Alternative Program (AP) for up ☒ ☐ ☐ to three days. While on AP youth may be separated from other youth but still receive all requirements of Title 15. Youth can earn their way off AP with improved behavior and compliance with facility rules. (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 Section 1354.5 of ☒ ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of Policy 5.3.6.1 Separation separated youth to determine if separation remains necessary. All separations are to be reviewed by the ☒ ☐ ☐ management team daily and during the weekly management team meeting. 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 addressing BSCC staff reviewed 10 incidents of room the confinement of youth in their room that are consistent confinement which consisted of with Welfare and Institutions Code Section 208.3. The documentation outlined in the incident report, placement of a youth in room confinement shall be Temporary Room Restriction form and accomplished in accordance with the following Constructive Reasoning form. The incidents guidelines: involved fighting, assaults on other youth or staff, and safety and security disturbances. ☒ ☐ ☐ Youth are assisted in completing a Constructive Reasoning form which gauges their thoughts, feelings, and actions that led to their room confinement. It further assists the youth in looking how their decisions impact the outcome and identify coping skills to use in similar situations. Completion of this form assists staff in safely reintegrating youth. Youth are typically off room confinement in less than two hours. (1) Room confinement shall not be used before other, Policy 5.8.7 (II)(a) Guidelines for Room less restrictive, options have been attempted and Confinement exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. The Temporary Room Restriction form ☒ ☐ ☐ requires the reason for room confinement and the less restrictive alternatives attempted. Facility staff are to document their counseling efforts and the youth’s responses. (2) Room confinement shall not be used for the Policy 5.8.7 (II)(b) Guidelines for Room purposes of punishment, coercion, convenience, or Confinement ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 5.8.7 (II)(c) Guidelines for Room that it compromises the mental and physical health of Confinement ☒ ☐ ☐ the youth. 7621 Shasta JH CI PRO 25-26 Page 24 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) A youth may be held up to four hours in room Policy 5.8.7 (III)(A) Use of Room Confinement confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one BSCC staff reviewed instances in which youth or more of the following: were placed in the safety room for suicidal and self-harming behavior which extended beyond four hours. The placement of youth in the ☒ ☐ ☐ safety room was done in collaboration with medical and mental health. Extension of room confinement in the safety room was based upon mental health recommendations. The assessments were documented every four hours on the Suicidal Disposition Form. (1) Return the youth to general population. Policy 5.8.7 (III)(B) Use of Room Confinement ☒ ☐ ☐ Policy 5.8.7 (III)(B)1) Use of Room (2) Consult with mental health or medical staff. ☒ ☐ ☐ Confinement (3) Develop an individualized plan that includes the Policy 5.8.7 (III)(B)(3) Use of Room goals and objectives to be met in order to reintegrate Confinement ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy 5.8.7 (III)(B)(4) Use of Room four hours, staff shall do each of the following: Confinement (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy 5.8.7 (III)(B)(3) Use of Room the goals and objectives to be met in order to Confinement ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 5.8.7 (III)(B)(2) Use of Room facility superintendent or his or her designee Confinement ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy 5.8.7 (I)(A)(1)(c) General Expectations single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in Policy 5.8.7 (I)(A)(1)(b) General Expectations court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Policy 5.8.7 (II)(D) Guidelines for Room conflict with any law providing greater or additional Confinement ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 5.8.7 (I)(A)(1)(e) General Expectations extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- wide threat that poses an imminent and substantial ☒ ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. 7621 Shasta JH CI PRO 25-26 Page 25 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (9) This section does not apply when a youth is Policy 5.8.7 (I)(A)(1)(d) General Expectations placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 5.7.1 Resident Case Plan The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. (a) Assessment: Policy 5.7.1 (A) Resident Case Plan The assessment is based on information collected during the admission process with periodic review, which Upon booking, an assessment will be includes the youth's risk factors, needs and strengths documented in the eProbation Case including, but not limited to, identification of substance ☒ ☐ ☐ Management System. BSCC staff reviewed abuse history, educational, vocational, counseling, 10 assessments and corresponding referrals behavioral health, consideration of known history of to programs to attend. trauma, and family strengths and needs. 7621 Shasta JH CI PRO 25-26 Page 26 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) Institutional Case Plan: Policy 5.7.1 (2)(a) Resident Case Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created within A PACT (Positive Achievement Change Tool) 40 days of admission. risk/needs assessment is completed by the case carrying probation officer. The probation officer will develop a case plan for the youth with goals and objectives. The probation officer is expected to meet with the youth every two weeks and document their progress in a case note in the eProbation case management system. Facility staff will also be assigned to monitor the youth’s progress and meet with the youth on a weekly basis and also document their interactions. Facility staff and the assigned probation officer work together in assisting youth to reach their rehabilitative goals. ☒ ☐ ☐ As the facility houses youth from out of county, an assigned Supervising Probation Officer for the facility works in collaboration with the youth’s probation officer in reviewing the youth’s case plan and monitoring progress towards meeting goals and objectives. BSCC staff discussed with facility administration strengthening coordination with the assigned probation officers to ensure the case plan is completed within required time frames. Further, BSCC staff discussed ensuring out-of-county probation officers provide the case plan timely and this information is consistently documented in the eProbation case management system. (2) The institutional plan shall include, but not be Policy 5.7.1 (2)(b) Resident Case Plan limited to, written documentation that provides: (A) objectives and time frame for the resolution of ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes Policy 5.7.1 (2)(c) Resident Case Plan 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 (2)(d) Resident Case Plan the objectives, including periodic review and discussion of the plan with the youth; BSCC staff reviewed eProbation case management case notes documenting periodic reviews with the assigned probation ☒ ☐ ☐ officer. Depending on length of time in custody or individual youth needs, a PACT re- assessment or RPACT (Residential Positive Achievement Change Tool) will be completed by the assigned probation officer. 7621 Shasta JH CI PRO 25-26 Page 27 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) a transition plan, the contents of which shall be Policy 5.7.1 (II) Resident Case Plan-Post subject to existing resources, shall be developed for Disposition Transitional and Re-Entry Services post dispositional youth in accordance with Section Policy 5.3.8 Release Procedures and 1351; and, Transition Planning A Transition Passport is provided to youth ☒ ☐ ☐ upon release. The document provides the youth with the information they need to enroll in school, attend community-based programs, contact their probation officer, and follow up on any medical, medication, or mental health services. (5) in as much as possible and if appropriate, the Policy 5.7.1 (II) Resident Case Plan-Post plan, including the transition plan, shall be developed Disposition Transitional and Re-Entry Services with input from the family, supportive adults, youth, and Regional Center for the Developmentally Transitional and re-entry services are the Disabled. responsibility of the assigned probation officer and facility staff. Meetings are held for transitional services and which can include the following: • Youth and Family Team Meetings • Multidisciplinary Team Meetings ☒ ☐ ☐ • Family Reunification Visits • “Passport” meeting for the purpose of scheduling out-of-custody continuum of care BSCC staff interviewed facility staff and collaborative partners who affirmed meetings are routinely held with youth and their parents/guardians to provide transitional and re-entry services. 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 Youth are assigned a Juvenile Detention of appropriate counseling and casework services for all Officer who assists youth while in the facility. youth. Policies and procedures shall ensure: ☒ ☐ ☐ BSCC staff reviewed documentation (a) youth will receive assistance with needs or concerns contained in the eProbation case that may arise; management system documenting referral for services and chronological case notes. (b) youth will receive assistance in requesting contact Policy 5.7.7 (I)(A),(B) Counseling and with parents, other supportive adults, attorney, clergy, Casework Services ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources Policy 5.7.7 (I)(C),(D) Counseling and to meet the youth’s needs. ☒ ☐ ☐ Casework Services 1357 USE OF FORCE Policy 6.1 Use of Force The facility administrator, in cooperation with the BSCC staff reviewed 10 Use of Force Reports. responsible physician, shall develop and implement The reports involved youth involved in fights, written policies and procedures for the use of force, threatening staff or other youth, or to prevent which may include chemical agents. Force shall never ☒ ☐ ☐ self-harm. Staff consistently document be applied as punishment, discipline, retaliation or attempts to de-escalate or utilize lesser uses treatment. of force. (a) At a minimum, each facility shall develop policies and procedures which: 7621 Shasta JH CI PRO 25-26 Page 28 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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, staff, others ☒ ☐ ☐ and the facility. (2) outline the force options available to staff including Policy 6.1 (II) Force Options both physical and non-physical options and define when those force options are appropriate. Force options outlined in policy include, but are not limited to, Command Presence and ☒ ☐ ☐ Dialog, Verbal Commands, Soft Hands, Chemical Agents, Defensive Tactics, Mechanical Restraints, and Deadly Force. (3) describe force options or techniques that are Policy 6.1 (1) (F) Use of Force Procedures- expressly prohibited by the facility. Considerations Before and During Use of ☒ ☐ ☐ Force (4) describe the requirements of staff to report any Policy 6.1 (IV) Duty to Intervene inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that Policy 6.1 (III) Use of Force Procedures- includes time period and procedure for documenting Required Reporting and Review and reporting the use of force, including reporting Policy 5.8.4 Reports and Documentation requirements of management and line staff and procedures for reviewing and tracking use of force The incident report template the agency incidents by supervisory and or management staff, utilizes assists staff in providing all the required which include procedures for debriefing a particular documentation as to the type of force used, ☒ ☐ ☐ incident with staff and/or youth for the purposes of de-escalation attempt(s), documentation of training as well as mitigating the effects of trauma that injuries, medication or photos, parental may have been experienced by staff and /or the youth notification, medical and mental health involved. notification and their follow-up response, staff and youth debriefing, and administrator review. (6) Include an administrative review and a system for Policy 6.1 (III) Use of Force Procedures- investigating unreasonable use of force. Required Reporting and Review Policy 6.1 (IV) Use of Force Procedures- Investigation of Excessive Force or Violations of the Use of Force Policy ☒ ☐ ☐ The incident report documents the administrator review and included comments. All incident reports documenting Use of Force will be sent to the department’s Defensive Tactics instructor for review and feedback. A Use of Force Administrative Review Meeting is held monthly. 7621 Shasta JH CI PRO 25-26 Page 29 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (7) define the role, notification, and follow-up Policy 6.1 (III) Use of Force Procedures- procedures required after use of force incidents for Medical Follow-Up medical, mental health staff and parents or legal Policy 6.1 (III) Use of Force Procedures- guardians. Required Reporting and Review Medical staff are immediately notified and may respond to the units to provide clearance or direct follow-up care. If medical or facility staff ☒ ☐ ☐ determine the youth would benefit from a mental health evaluation, they will be notified to respond. If not, they will be notified the next day via the Special Incident Report. In addition, documentation reviewed confirms the youth’s parent or guardians are notified of UOF incidents. (8) describe the limitations of use of force on pregnant Policy 6.1 (1) (G) Use of Force Procedures- youth in accordance with Penal Code Section 6030(f) Considerations Before and During Use of ☒ ☐ ☐ and Welfare and Institutions Code Section 222. Force (b) Facilities that authorize chemical agents as a force Policy 6.1 Use of Force option shall include policies and procedures that: Policy 6.3 (I)(A) Chemical Agents-Training (1) identify who is approved to carry and/or utilize Policy 6.3 (I)(A) Chemical Agent-Storage, chemical agents in the facility and the type, size and ☒ ☐ ☐ Issue and Disposal of OC Spray Canisters the approved method of deployment for those Policy 6.3 (V) Use of Spray chemical agents. (2) mandate that chemical agents only be used when Policy 6.3 (III)(E) Chemical Agents- there is an imminent threat to the youth’s safety or the Considerations Before and During Use of OC safety of others and only when de-escalation efforts Spray have been unsuccessful or are not reasonably possible. ☒ ☐ ☐ Two of the 10 Use of Force reports reviewed involved the use of chemical agents. The staff clearly documented warnings and attempts to de-escalate. (3) outline the facility’s approved methods and Policy 6.3 (VI) Chemical Agents- timelines for decontamination from chemical agents. Decontamination Process This shall include that youth who have been exposed to chemical agents shall not be left unattended until Facility staff are required to monitor youth for ☒ ☐ ☐ that youth is fully decontaminated or is no longer one hour from the time of exposure. The time suffering the effects of the chemical agent. monitoring youth is documented in the special incident report. (4) define the role, notification, and follow-up Policy 6.3 (VII) Chemical Agents-Medical procedures required after use of force incidents Response involving chemical agents for medical, mental health ☒ ☐ ☐ Policy 6.3 (VIII) Chemical Agents-Reporting, staff and parents or legal guardians. Timelines and Review (5) provide for the documentation of each incident of Policy 6.3 (VIII) Chemical Agents-Reporting, use of chemical agents, including the reasons for Timelines and Review which it was used, efforts to de-escalate prior to use, Policy 5.8.4 Reports and Documentation youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. 7621 Shasta JH CI PRO 25-26 Page 30 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) Facilities shall develop policies and procedure which Policy 6.1(III) Use of Force-Training require that agencies provide initial and regular training Policy 6.3 (I) Chemical Agents-Training in use of force and chemical agents when appropriate that address: Facility staff receive 32 hours of initial (1) known medical and behavioral health conditions ☒ ☐ ☐ Defensive Tactics training and four hours of that would contraindicate certain types of force; annual refresher training. In addition, staff received an 8-hour STC-approved Chemical Agents course. (2) acceptable chemical agents and the methods of Policy 6.1(III) Use of Force-Training application. Policy 6.3 (I) Chemical Agents-Training ☒ ☐ ☐ Policy 6. (I)(A) Chemical Agent-Storage, Issue and Disposal of OC Spray Canisters (3) signs or symptoms that should result in immediate Policy 6.1(III)(E) Use of Force-Training referral to medical or behavioral health. ☒ ☐ ☐ Policy 6.3 (I) Chemical Agents-Training (4) instruction on the Constitutional Limitations of Use Policy 6.1(III)(A)(1) Use of Force-Training of Force. ☒ ☐ ☐ (5) physical training force options that may require Policy 6.1(III) Use of Force-Training the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Policy 6.1(III) Use of Force-Training training. ☒ ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS Policy 6.2 Mechanical Restraints The facility administrator, in cooperation with the BSCC staff reviewed documentation in five responsible physician and mental health director, shall instances involving Use of Physical Restraints develop and implement written policies and procedures since the last inspection in September 2023. for the use of restraint devices. Restraint devices include One youth was involved in four incidents due any devices which immobilize a youth's extremities to suicidal ideation, self-harm, and violent and/or prevent the youth from being ambulatory. actions towards staff and collaborative partners. The youth were placed in the WRAP and housed in the Safety Room. The use of restraints was typically discontinued in less than an hour, though the youth would remain ☒ ☐ ☐ in the safety room until removed by mental health. The documentation consisted of incident reports and observation logs which documented medical and mental health contacts, authorizations, and requirements of this regulation. BSCC staff recommended the facility, medical, and mental health provider meet to review their respective policies and procedures to ensure they align as to lesser restrictive responses in determining the use of physical restraints and the safety room. Physical restraints may be used only for those youth who Policy 6.2 (III) Use of Restraints 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. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. 7621 Shasta JH CI PRO 25-26 Page 31 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 In no case shall restraints be used as punishment or Policy 6.2 (IV) Improper Use of Mechanical discipline, or as a substitute for treatment. The use of Restraints 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 The Use of Restraints for movement or facility. Movement within the facility shall be governed by ☒ ☐ ☐ transportation within the facility is covered Section 1358.5, Use of Restraint Devices for Movement under Policy and Procedure 4.3.3 Resident Within the Facility. Movement. Youth shall be placed in restraints only with the approval Policy 6.2 (III) (B) Use of Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints ☒ ☐ ☐ shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy (VII)(B)(1) Supervision of Restraint- retention shall be secured as soon as possible, but no Timelines later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Policy (VII)(B)(4) Supervision of Restraint- possible, but in no case longer than four hours from the Timeline time of placement, to assess the need for mental health ☒ ☐ ☐ treatment. Continuous direct visual supervision shall be conducted Policy 6.2 (III) (D) Use of Restraints to ensure that the restraints are properly employed, and Policy (VII) Supervision of Restraint to ensure the safety and well-being of the youth. Observations of the youth's behavior and any staff ☒ ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Policy 6.2 (III) (D) Use of Restraints procedures shall address: (a) documentation of the circumstances leading to an ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate Policy 6.2 (V) Considerations Regarding the certain restraint devices and/or techniques. ☒ ☐ ☐ Use of Restraints (c) acceptable restraint devices. Policy 6.2 (1)(A)(1) Mechanical Restraints Approved restraint devices consist of ☒ ☐ ☐ handcuffs, shackles, belly chains, and the WRAP. (d) signs or symptoms which should result in immediate Policy 6.2 (V) Considerations Regarding the medical/mental health referral. ☒ ☐ ☐ Use of Restraints (e) availability of cardiopulmonary resuscitation Policy 6.2 (V)(A)(1)(h) Considerations equipment. ☒ ☐ ☐ Regarding the Use of Restraints (f) protective housing of restrained youth. While in Policy (VII) Supervision of Restraint 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. 7621 Shasta JH CI PRO 25-26 Page 32 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy 6.2 (VII)(B)(2)(c),(d) Supervision of (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Restraint Policy 6.2 (VII)(B)(2)(e) Supervision of (h) exercising of extremities. ☒ ☐ ☐ Restraint 1358.5 USE OF RESTRAINT DEVICES FOR Policy 4.3.3(III) Resident Movement-Use of MOVEMENT AND TRANSPORTATION WITHIN Restraint Devices for Movement and THE FACILITY. Transportation within the Facility The Facility Administrator, in cooperation with the A review of incident reports involving the use responsible physician and behavioral/mental health of mechanical restraints by staff indicates their director, shall develop and implement written policies use was for assaultive or non-compliant and procedures for the use of restraint devices when the behavior resulting in a safety or security issue. purpose is for movement or transportation within the ☒ ☐ ☐ The youth were transported away from the facility that shall include the following: incident to their rooms or other locations where (a) identification of acceptable restraint devices, staff the restraints were removed. Reports also approved to utilize restraint devices and the required indicate youth were not placed in mechanical training. restraints if staff were able to use the least restrictive means. This information is consistently documented. (b) the circumstances leading to the application of Policy 4.3.3(III)(3)(9) Use of Restraint Devices restraints must be documented. for Movement and Transportation within the ☒ ☐ ☐ Facility Movement (c) an individual assessment of the need to apply Policy 4.3.3(III)(4),(5),(6) Use of Restraint restraints for movement or transportation that includes Devices for Movement and Transportation consideration of less restrictive alternatives, within the Facility consideration of a youth’s known medical or mental Movement ☒ ☐ ☐ 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(III)(10) Use of Restraint Devices with a clearly defined expectation that restraint devices for Movement and Transportation within the shall not be used for the purposes of discipline or ☒ ☐ ☐ Facility retaliation. Movement (e) the use of restraints on pregnant youth is limited in Policy 4.3.3(III)(7) Use of Restraint Devices for accordance with Penal Code Section 6030(f) and Movement and Transportation within the Welfare and Institutions Code Section 222. ☒ ☐ ☐ Facility Movement 1359 SAFETY ROOM PROCEDURES Policy 5.3.3 Safety Room (a) The facility administrator, and where applicable, in BSCC staff reviewed 10 safety room cooperation with the responsible physician, shall placements involving two separate youth. One develop and implement written policies and procedures youth was placed in the safety room two times governing the use of safety rooms, as described in Title and the other youth eight times for suicidal and 24, Part 2, Section 1230.1.13. The room shall be used self-harming behavior. The facility utilizes an to hold only those youth who present an immediate Observation Sheet when youth are placed in danger to themselves or others, who exhibit behavior ☒ ☐ ☐ the safety room. The documentation reviewed which results in the destruction of property, or reveals included incident reports, Observation Sheets, the intent to cause self-inflicted physical harm. A safety Safety Plans, and Suicidal Disposition Forms. room shall not be used for punishment or discipline, or In addition, BSCC staff interviewed medical, as a substitute for treatment. mental health staff, and facility staff regarding Policies and procedures shall: responses to determine compliance with this regulation. (1) include provisions for administration of necessary Policy 5.3.3 (I)(F) Safety Room nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; 7621 Shasta JH CI PRO 25-26 Page 33 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) provide for approval of the facility manager, or Policy 5.3.3 (I)(C) Safety Room designee, before a youth is placed into a safety room; ☒ ☐ ☐ (3) provide for continuous direct visual supervision Policy 5.3.3 (I)(E) Safety Room and documentation of the youth's behavior and any Policy 5.3.3 (J)(c)(III) Safety Room- staff interventions every 15 minutes, with actual time ☒ ☐ ☐ Documentation-Time Lines recorded; (4) provide that the youth shall be evaluated by the Policy 5.3.3 (I)(H) Safety Room facility manager, or designee, every four hours; Policy 5.3.3 (J)(c)(iv) Safety Room- ☒ ☐ ☐ Documentation-Medical Evaluations (5) provide for immediate medical assessment, Policy 5.3.3 (J) Safety Room-Documentation where appropriate, or an assessment at the next ☒ ☐ ☐ daily sick call; and, (6) provide a process for documenting the reason for Policy 5.3.3 (J) Safety Room-Documentation 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 (I)(A) Safety Room accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of Policy 5.3.3 (I)(B) Safety Room punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. (3) safety room shall not be used to the extent that it Policy 5.3.3 (I)(D) Safety Room 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 (I)(G) Safety Room room. After the youth has been held in the safety room for a period of four hours, staff shall do one or more of ☒ ☐ ☐ the following: (1) return the youth to general population. Policy 5.3.3 (I)(G)(1) Safety Room ☒ ☐ ☐ (2) consult with mental health or medical staff, Policy 5.3.3 (I)(G)(2) Safety Room ☒ ☐ ☐ (3) develop an individualized plan that includes the Policy 5.3.3 (I)(G)(3) Safety Room goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (d) If confinement in the safety room must be extended Policy 5.3.3 (I)(H) 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 The facility administrator shall develop and implement written policies and procedures governing the search of ☒ ☐ ☐ youth, the facility, and visitors. Policies and procedures shall provide that: 7621 Shasta JH CI PRO 25-26 Page 34 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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. At the beginning of each shift, youth supervision staff are to conduct a walk-through of their assigned post. Random room and ☒ ☐ ☐ common room searches are to be conducted each day and documented in eProbation case management system, Pod, or Control Log book. (b) Searches shall be conducted in a manner that Policy 4.4 Searches of Residents preserves the privacy and dignity of the person being Policy 4.4 (VI)(F) Strip Searches searched and shall not be conducted for harassment or as a form of discipline or punishment. This inspection cycle, the facility had three strip searches that occurred at intake. BSCC staff reviewed the documentation contained in the case management system and Shasta JRF Strip Search Log. The reason and ☒ ☐ ☐ supervisor approval was documented. As the facility has moved to the eProbation case management system, BSCC staff recommended the facility staff provide more detail as to reasonable suspicion in the area they capture search information or attach the strip search form referenced in policy. (c) Strip searches and visual or physical body cavity Policy 4.4 (B) Authority searches shall comply with Penal Code Section 4030. ☒ ☐ ☐ (d) Physical body cavity searches shall only be Policy 4.4 (VIII) Physical Body Cavity Search conducted by a medical professional. ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only be Policy 4.4 (B) Authority 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 (VI)(D) Strip Searches comply with Section 1352.5. Policy 5.2.6: Transgender and Intersex ☒ ☐ ☐ Residents (g) Cross-gender pat-down searches and strip searches Policy 4.4 (II)(D) and (H) Searches of are prohibited except in exigent circumstances or when Residents conducted by a medical professional. Such searches must be justified and documented in writing. BSCC staff interviewed youth who confirmed ☒ ☐ ☐ searches are conducted by their same gender staff. None of the youth interviewed had been strip-searched. 1361 GRIEVANCE PROCEDURE Policy 5.9 Resident Grievances The facility administrator shall develop and implement BSCC staff reviewed all grievances filed in written policies and procedures whereby any youth may October and December 2024 and January appeal and have resolved grievances relating to any and March 2025. The facility has a grievance condition of confinement, including but not limited to log for each month, separated by pods. All health care services, classification decisions, program grievances reviewed were completed within participation, telephone, mail or visiting procedures, ☒ ☐ ☐ the required time frames. BSCC staff food, clothing, bedding, mistreatment, harassment or discussed with facility administration, violations of the nondiscrimination policy. There shall be ensuring all required signature and no time limit on filing grievances. Policies and corresponding boxes are filled out on procedures shall include provisions whereby the facility grievance forms or indicate a reason for the manager ensures: lack of documentation. 7621 Shasta JH CI PRO 25-26 Page 35 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (a) a grievance form and instructions for registering a Policy 5.9 (II)(E) Resident Access to grievance, which includes provisions for the youth to Grievance Form have free access to the form; ☒ ☐ ☐ All youth interviewed knew of the grievance process and the location of the forms in the housing unit. (b) the youth shall have the option to confidentially file Policy 5.9 (I)(I) Resident Grievances the grievance or to deliver the form to any youth supervision staff working in the facility; A locked grievance box was observed in each living unit. All youth interviewed knew the ☒ ☐ ☐ location of the box to confidentially file grievances. The Supervisor/OIC is to check the confidential grievance box on each pod prior to the end of their shift. (c) resolution of the grievance at the lowest appropriate Policy 5.9 (I)(J) Resident Grievances staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Policy 5.9 (III)(1) Grievance Review Process grievances within three (3) business days, grievances Policy 5.9 (III)(C) Grievance Review Process that relate to health and safety issues must be ☒ ☐ ☐ addressed immediately; (1) The youth may elect to be present to explain Policy 5.9 (III)(3)(d)Grievance Review Process his/her version of the grievance to a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance. (2) Provision for a staff representative approved by Policy 5.9 (II)(A)(3)(c) Resident Access to the facility administrator to assist the youth. ☒ ☐ ☐ Grievance Form (e) provision for a written response to the grievance Policy 5.9 (III)(3)(B) Grievance Review which includes the reasons for the decisions; ☒ ☐ ☐ Process (f) a system which provides that any appeal of a Policy 5.9 (III)(3)(D) Grievance Review grievance shall be heard by a person not directly Process ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) Policy 5.9 (III)(2) Grievance Review Process business days unless circumstances dictate a longer time frame. The youth shall be notified of any delay; and, When a Supervisor/OIC receives a grievance form, they will attempt to resolve the grievance in 48 hours. If unable to address, it will be handled by the Supervisor on the next shift. ☒ ☐ ☐ Grievances not resolved will be forwarded to the Division Director for a decision within 72 hours of receiving the grievance. Grievances reviewed were addressed within the required time frame. (h) the policy shall provide multiple internal and external Policy 5.9 (IV) Reporting Sexual Abuse and methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Sexual Harassment Whether or not associated with a grievance, concerns of Policy 5.9 (I)(E) and (K) Resident Grievances parents, guardians, staff or other parties shall be Policy 3.4 Citizen Complaints addressed and documented in accordance with written policies and procedures within a specified timeframe. ☒ ☐ ☐ Concerns of parents, guardians, staff, or other parties are to be addressed within 72 hours and documented in an incident report. 7621 Shasta JH CI PRO 25-26 Page 36 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1362 REPORTING OF INCIDENTS Policy 5.8.4 Reports and Documentation A written report of all incidents which result in physical BSCC staff reviewed incident reports for use harm, use of force, serious threat of physical harm, or of force, room confinement, suicide watch, death of an employee, youth or other person(s) shall be ☒ ☐ ☐ safety rooms, and restraints which affirmed maintained. Such written record shall be prepared by the compliance with this regulation. All incidents staff and submitted to the facility manager by the end of are documented through the eProbation case the shift, unless additional time is necessary and management system. authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT Policy 6.4 (I)(A) Use of Reasonable Force to DNA SPECIMENS, SAMPLES, IMPRESSIONS Collect Specimens, Samples, and Impressions (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel The facility does not collect DNA specimens, including peace officers, may employ reasonable force samples, or impressions. The case carrying to collect blood specimens, saliva samples, and thumb probation officer is responsible for collecting at or palm print impressions from individuals who are the Juvenile Division offices. required to provide such samples, specimens or ☐ ☐ ☒ impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that 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 JH CI PRO 25-26 Page 37 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1370 EDUCATION PROGRAM Policy 11.1 School Programs (a) School Programs The Tri Mountain Academy is operated by The County Board of Education shall provide for the Shasta County Office of Education. The most administration and operation of juvenile court schools in recent Education Program Evaluation was conjunction with the Chief Probation Officer, or designee conducted on November 21, 2024, by Nick pursuant to applicable State laws. The school and facility Catomerisios, Senior Directive of Alternative administrators shall develop and implement written policy Education, and Linda Mullick-Wahl, Student and procedures to ensure communication and Outcome Program Coordinator with Butte coordination between educators and probation staff. County Office of Education. Additionally, Culturally responsive and trauma-informed approaches educational programs are provided to high should be applied when providing instruction. Education school graduates connecting students to staff should collaborate with the facility administrator to community college courses along with use technology to facilitate learning and ensure safe academic support to assist them with the technology practices. The facility administrator shall successful completion of their courses. request an annual review of each required element of the program by the Superintendent of Schools, and a report ☒ ☐ ☐ BSCC staff interviewed the school principal or review checklist on compliance, deficiencies, and and a teacher who indicated robust corrective action needed to achieve compliance with this communication and support with facility staff section. Such a review, when conducted, cannot be and administration. The principal is assigned delegated to the principal or any other staff of any juvenile to the campus full-time. In total, Tri Mountain court school site. The Superintendent of Schools shall Academy has three general education conduct this review in conjunction with a qualified outside teachers and one resource/intervention agency or individual. Upon receipt of the review, the teacher, a fine arts teacher, a mental health facility administrator or designee shall review each item clinician, part-time psychologist, four behavior with the Superintendent of Schools and shall take management assistants, College and Career whatever corrective action is necessary to address each Project Coordinator, and a Community deficiency and to fully protect the educational interests of Connect Coordinator. Typical class size all youth in the facility. fluctuates between 8 and 12 students in each of the three pods. The three general education teachers rotate between the three housing unit classrooms for each block of instruction. (b) Required Elements Policy 11.2 (I)(A) Educational Program The facility school program shall comply with the State Required Elements Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Policy 11.2 (I)(B) Educational Program program shall be free from discriminatory action. Staff Required 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 (I)(A) Educational Program Education Code and include, but not be limited to, Required Elements ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Policy 11.2 (I)(E) Educational Program Equivalency Test as approved by the California Required Elements Department of Education shall be made available to ☒ ☐ ☐ eligible youth. 7621 Shasta JH CI PRO 25-26 Page 38 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) Youth shall be informed of post-secondary Policy 11.2(I)(F) Educational Program education and vocational opportunities. Required Elements ☒ ☐ ☐ (4) Administration of the High School Equivalency Policy 11.2 (I)(G) Educational Program Tests as approved by the California Department of Required Elements ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Policy 11.2 (I)(H) Educational Program who do not demonstrate sufficient progress towards Required Elements ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Policy 11.2 (I)(I) Educational Program State Education Code Requirements for juvenile court Required Elements schools. The facility administrator, in conjunction with education staff, must ensure that operational School hours are 8:30 a.m. to 2:00 p.m. procedures do not interfere with the time afforded for ☒ ☐ ☐ Monday, Tuesday, Thursday, and Friday. Each the minimum instructional day. Absences, time out of Wednesday is a minimum day. class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Policy 11.2 (I)(K) Educational Program of classification, housing, security status, disciplinary Required Elements 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 (I)(A) School Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action School staff evaluate the youth’s behavior in the school setting and be integrated into the facility's ☒ ☐ ☐ through the school day and provide a scoring overall behavioral management plan and security as outlined in the facility’s Behavior system. Management System. (2) School staff shall be advised of administrative Policy 11.3 (1(C)(2) School Discipline decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Policy 11.3 (I)(B) 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 (I)(D) School Discipline education staff will develop policies and procedures that address the rights of any student who has ☒ ☐ ☐ continuing difficulty completing a school day. (d) Provisions for Special Populations Policy 11.4 Education Program: Provisions for (1) State and federal laws and regulations shall be Special Populations observed for all individuals with disabilities or suspected disabilities. This includes but is not limited to child find, assessment, continuum of alternative ☒ ☐ ☐ placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. 7621 Shasta JH CI PRO 25-26 Page 39 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Youth identified as English Learners (EL) shall be Policy 11.4 (I)(C) Education Program: afforded an educational program that addresses their Provisions for Special Populations 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 (I)(B)(1) Educational Screening (1) Youth shall be interviewed after admittance and a and Admission record maintained that documents a youth's ☒ ☐ ☐ educational history, including but not limited to: (A) School progress/school history; Policy 11.5 (I)(B)(1)(a) Educational Screening ☒ ☐ ☐ and Admission (B) Home Language Survey and the results of the Policy 11.5 (I)(B)(1)(b) Educational Screening State Test used for English language proficiency; ☒ ☐ ☐ and Admission (C) Needs and services of special populations as Policy 11.5 (I)(B)(1)(c) Educational Screening defined by the State Education Code, including but and Admission ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. Policy 11.5 (I)(B)(1)(d) Educational Screening ☒ ☐ ☐ and Admission (2) Youth will be immediately enrolled in school. Policy 11.5 (I)(A) and (B)(2) Educational Educational staff shall conduct an assessment to Screening and Admission determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Policy 11.5 (I)(B)(1)(a) Educational Screening education plan shall be developed for each youth and Admission ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with Policy 11.5 (I)(B)(3) Educational Screening the State Education Code and request the youth's and Admission records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, immunization records, exit grades, and partial credits. ☒ ☐ ☐ Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Policy 11.6 (I)(A) Educational Reporting, (1) The complete facility educational record of the Transition and Re-Entry Planning youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Policy 11.6 (I)(B) Educational Reporting, provide appropriate credit (full or partial) for course Transition and Re-Entry Planning work completed while in juvenile court school in ☒ ☐ ☐ accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 11.6(I)(C) Educational Reporting, (1) The Superintendent of Schools and the Chief Transition and Re-Entry Planning 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 JH CI PRO 25-26 Page 40 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) Post-Secondary Education Opportunities Policy 11.7 Education Program: Access to (1) The school and facility administrator should, Computing Technology and Post-Secondary whenever possible, collaborate with local post- Education Opportunities. secondary education providers to facilitate access to ☒ ☐ ☐ educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. Policy 5.7.2 Programs, Recreation and Exercise The facility administrator shall develop and implement written policies and procedures for programs, recreation, BSCC staff reviewed the October 2024, and exercise for all youth. The intent is to minimize the January, and March 2025 program, recreation, amount of time youth are in their rooms or their bed area. and exercise logs for each living unit and the 2024 and 2025 JRF Daily Programming schedule. In addition, BSCC staff reviewed excel spreadsheets from the same months of programming services provided to youth by collaborative providers. BSCC staff discussed with facility administration supervising staff need to routinely audit the paper logs to ensure clear documentation on the ☒ ☐ ☐ programming being offered and for consistency among staff as they work throughout the various living units. As the agency is migrating their tracking of programs, recreation, and exercise to the eProbation case management system, alerts will be sent to the living units and the supervisors if youth have not received the minimum hours as required by the regulation. Further, BSCC staff provided a recommendation to build into the eProbation system more detail about the programs outlined in the regulation to further capture the type of programming provided to youth. Juvenile facilities shall provide the opportunity for Policy 5.7.2(I)(B) 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 ☒ ☐ ☐ one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy 5.7.2 (II)(B) Resident Access to exercise may be suspended only upon a written finding Programs, Recreation and 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 (I)(D) Programs, Recreation and be posted in the living units. Exercise ☒ ☐ ☐ BSCC staff observed the schedule posted in all living units. 7621 Shasta JH CI PRO 25-26 Page 41 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 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 memorandum dated September 16, 2024, ☒ ☐ ☐ and July 7, 2025, by Division Director Jeremy Kenyon, outlined programming, recreation, and exercise. (a) Programs. All youth shall be provided with the Policy 5.7.2 (VI) Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, The facility utilizes community-based evidence-based, best practice interventions that are organizations, service providers, and facility culturally relevant and linguistically appropriate, or pro- staff to ensure programming needs are met. social interventions and activities designed to reduce The following is a list of programming offered recidivism. These programs should be based on the to the youth: youth’s individual needs as required by Sections 1355 and 1356. Such programs may be provided under the Baking and Culinary direction of the Chief Probation Officer or the County GROW Office of Education and can be administered by county ROP Kitchen Help partners such as mental health agencies, community Group Rehabilitative Programming based organizations, faith-based organizations or Individual Therapy Probation staff. Aggression Replacement Training Programs may include but are not limited to: Moral Reconation Therapy (1) Cognitive Behavior Interventions; Intensive Cognitive Behavioral Therapy (2) Management of Stress and Trauma; Forward Leap ☒ ☐ ☐ (3) Anger Management; Smart Recovery (4) Conflict Resolution; Mentoring (5) Juvenile Justice System; Change Company Journaling (6) Trauma-related interventions; Competency Restoration Training (7) Victim Awareness; NA/AA (8) Self-Improvement; Book Club (9) Parenting Skills and support; Rise Above (10) Tolerance and Diversity; Hope City Bridge (11) Healing Informed Approaches; Girls Circle (12) Interventions by Credible Messengers; Shasta Arts Council Mural Project (13) Gender Specific Programming; Restorative Justice Educators (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; BSCC staff interviewed youth who affirmed (16) Restorative Justice or Civic Engagement; programming occurs daily by either (17) Career and leadership opportunities; and, collaborative partners, community-based (18) Other topics suitable to the youth population. organizations, or facility staff. (b) Recreation. All youth shall be provided the opportunity Policy 5.7.2 (VI) Dayroom Recreational for at least one hour of daily access to unscheduled Activities activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and include Recreational activities available to the youth orientation and may include coaching of youth. include arts and crafts, board games, movies, ☒ ☐ ☐ reading, letter writing, bingo, bunko, ping pong, and video games. BSCC staff interviewed youth who affirmed they have the opportunity for recreation daily. (c) Exercise. All youth shall be provided with the Policy 5.7.2 (IV) Large Muscle Exercise opportunity for at least one hour of large muscle activity each day. Exercise available to the youth include basketball, football, volley ball, whiffle ball, ☒ ☐ ☐ soccer, weight/cardio workouts, and exercise yards. BSCC staff interviewed youth who affirmed they have the opportunity for exercise daily. 7621 Shasta JH CI PRO 25-26 Page 42 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The administrator/manager may suspend, for a period not Policy 5.7.2 (II)(B) Resident Access to to exceed 24 hours, access to recreation and programs. Programs, Recreation and Exercise 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 Religious services, communion, and bible services and/or religious counseling at least once each study is provided to youth by Forward Leap, week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ Shasta Baptist, and Bethel Church. Youth allowed to participate in an activity outside of their room if interviewed affirmed that religious services are he/she elects not to participate in religious programs. available weekly and they are not required to Religious programs shall provide for: participate. Policy 5.7.3 (I)(A) Access to Religious (a) opportunity for religious services and practices; ☒ ☐ ☐ Programming-General Information Policy 5.7.3 (II) Providers of Religious (b) availability of clergy; and, ☒ ☐ ☐ Programs (c) availability of religious diets. Policy 5.7.3 (III) Religious Diets ☒ ☐ ☐ 1373 WORK PROGRAM Policy 5.7.8 Work Program The facility administrator shall develop policies and Youth who have reached a level two may be procedures regarding the fair and consistent assignment eligible for the facility’s work programs offered of youth to work programs. Work assigned to a youth shall on the Pod or elsewhere in the facility. Work be meaningful, constructive and related to vocational ☒ ☐ ☐ programs also include Baking and Culinary, training or increasing a youth's sense of responsibility. the Grow Program, and the Oliview Work programs shall not be imposed as a disciplinary Community Building Farm Project. The work measure program has job terms and conditions youth are to adhere to as part of the program. 1374 VISITING Policy 5.6 Visiting Procedures The facility administrator shall develop and implement Visiting is held at three designated times for written policies and procedures for visiting, that include one hour on Saturday and Sunday, total of two provisions for special visits. Youth shall be allowed to hours per week. In addition to regularly receive visits by parents, guardians or persons standing scheduled weekend visits, a youth can in loco parentis, and children of youth. Other family purchase a commissary visit for up to four members, such as grandparents and siblings, and visitors which can include parents, guardians, supportive adults, may be allowed to visit with the ☒ ☐ ☐ siblings, and others approved by their approval of the facility administrator or designee, and in assigned probation officer. Snacks and a conjunction with the youth’s case plan or in the best photo are provided at these visits. Unlimited interest of the youth. special visiting is facilitated by the probation officer. The facility offers two hours per week visitation through Goto Meeting for those youth who are unable to get in-person visits. 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 criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. 7621 Shasta JH CI PRO 25-26 Page 43 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Opportunity for visitation shall be a minimum of two hours Policy 5.6 (I)(A) and (D) Visiting Procedures per week. Visits may be supervised, but conversations Policy 5.7.7 (I)(C) Counseling and Casework shall not be monitored unless there is a security or safety Services need. Policy 5.11.2 (I)(E) Access to Mental Health Services BSCC staff interviewed youth who, for the most part, indicated visiting always occurred as scheduled. Some youth indicated visiting had recently been cancelled due to short staffing, which was confirmed by facility administration. In response, facility ☒ ☐ ☐ administration reported plans to extend visitation periods from one to two hours per session, with the intent of improving accessibility. They also committed to discussing with their senior administration the need for additional resources to ensure scheduled visitation occurs as scheduled. BSCC staff advised that, in order to support ongoing compliance, this issue will remain under review during future inspections, which may be scheduled or conducted unannounced. Provisions for special visits, in addition to the two-hour Policy 5.6 (II)(B) and (C) Visiting Procedures minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy and professional visits shall be accommodated outside ☒ ☐ ☐ the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy 5.6 (I)(G) Visiting Procedures alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ 1375 CORRESPONDENCE Policy 5.4.10 (1)(B) Resident Mail The facility administrator shall develop and implement Youth indicate there is no limit on the amount written policies and procedures for correspondence which ☒ ☐ ☐ of mail they can receive. provide that: (a) there is no limitation on the volume of mail that youth may send or receive; (b) youth may send two letters per week postage free; Policy 5.4.10 (1)(B)(1) Resident Mail The facility will pay for postage for one letter each day to parents/guardians and one letter ☒ ☐ ☐ each week to non-parents or guardians. The youth may also purchase additional postage with points earned from the facility’s BMS program. (c) youth may correspond confidentially with state and Policy 5.4.10 (III) 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 5.4.1 (IV) Resident Mail-Inspection of in (c), may be read by staff only when there is reasonable Mail cause to believe facility safety and security, public safety, ☒ ☐ ☐ or youth safety is jeopardized. 7621 Shasta JH CI PRO 25-26 Page 44 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1376 TELEPHONE ACCESS Policy 5.4.9 Resident Access to Telephone The administrator of each juvenile facility shall develop Per policy, youth are allowed one personal and implement written policies and procedures to provide phone call per week using the telephones in youth with access to telephone communications. the Pod. Additional phone call privileges are available as part of the facility’s Behavior ☒ ☐ ☐ Management System. Youth interviewed were aware of policies for telephone use and had regular access to the telephone. BSCC staff confirmed all telephones in the housing units were operational. 1377 ACCESS TO LEGAL SERVICES Policy 5.11.4 Access to Legal Services The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; Policy 5.11.4 (I)(A) Access to Legal Services- and, ☒ ☐ ☐ Procedures (c) unlimited postage free, legal correspondence and Policy 5.11.4 (III) Access to Legal Services- cost-free telephone access as appropriate. Correspondence with Attorneys and Legal ☒ ☐ ☐ Service Providers 1390 DISCIPLINE Policy 5.8.1 Behavior Management System Policy 5.8.2 Facility Rules The facility administrator shall develop and implement Policy 5.8.3 Discipline written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use The facility has a behavior management of positive behavior interventions and supports. Discipline system which youth receive grades based shall be imposed at the least restrictive level which upon the quality of behavior and participation promotes the desired behavior and shall not include on each shift. Incentive points are earned. The corporal punishment, group punishment, physical or weekly average grade will determine levels. psychological degradation. Youth are graded on behavior/attitude, Deprivation of the following is not permitted: ☒ ☐ ☐ relationships with peers and staff, programming and school participation, personal and room appearance, and civility, courtesy, and language. Youth who have four full consecutive weeks of Outstanding Status will apply for Honors Level Privileges. BSCC staff interviewed youth who affirmed being orientated to the facility rules and behavior management system upon admission. The facility rules were posted in each Pod. (a) bed and bedding; Policy 5.8.3 (F)(1) Discipline ☒ ☐ ☐ (b) daily shower, access to drinking fountain, toilet and Policy 5.8.3 (F)(2) Discipline personal hygiene items, and clean clothing; ☒ ☐ ☐ (c) full nutrition; Policy 5.8.3 (F)(3) Discipline ☒ ☐ ☐ (d) contact with parent or attorney; Policy 5.8.3 (F)(4) Discipline ☒ ☐ ☐ (e) exercise; Policy 5.8.3 (F)(5) Discipline ☒ ☐ ☐ (f) medical services and counseling; Policy 5.8.3 (F)(6) Discipline ☒ ☐ ☐ (g) religious services; Policy 5.8.3 (F)(7) Discipline ☒ ☐ ☐ (h) clean and sanitary living conditions; Policy 5.8.3 (F)(8) Discipline ☒ ☐ ☐ (i) the right to send and receive mail; Policy 5.8.3 (F)(9) Discipline ☒ ☐ ☐ 7621 Shasta JH CI PRO 25-26 Page 45 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (j) education; and, Policy 5.8.3 (F)(10) Discipline ☒ ☐ ☐ (k) rehabilitative programming. Policy 5.8.3 (F)(11) Discipline ☒ ☐ ☐ The facility administrator shall establish rules of conduct Policy 5.8.1 Behavior Management System and disciplinary penalties to guide the conduct of youth. Policy 5.8.2 Facility Rules Such rules and penalties shall include both major Policy 5.8.3 Discipline violations and minor violations, be stated simply and affirmatively, and be made available to all youth. Provision A matrix has been developed to ensure an shall be made to provide accessible information to youth appropriate and consistent level of sanction is with disabilities, limited English proficiency, or limited imposed based upon the behavior. Depending literacy. on the rule violation, sanctions can include ☒ ☐ ☐ verbal warnings, counseling, writing sentences, loss of level or privileges, or alternative programming. BSCC staff discussed with facility administration updating their Behavior Matrix to adhere to the language in regulation and their current practices. 1391 DISCIPLINE PROCESS Policy 5.8.1 Behavior Management System Policy 5.8.2 Facility Rules The facility administrator shall develop and implement Policy 5.8.3 Discipline written policies and procedures for the administration of Policy 5.8.5 Due Process discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose BSCC staff reviewed 10 examples involving discipline for violation of rules; the discipline process for major rule violations. The documents reviewed included incident ☒ ☐ ☐ reports and the SCJRF Due Process form. Youth are provided a due process hearing in all instances as the facility’s process provides a hearing on all major rule violations. BSCC staff discussed with facility administration the importance of ensuring staff completely fill out and obtain signatures required on the forms. (b) prohibiting discipline to be delegated to any youth; Policy 5.8.(I)(B)(1) Discipline ☒ ☐ ☐ (c) definition of major and minor rule violations and their Policy 5.8.2 Facility Rules consequences, and due process requirements; Policy 5.8.3 (II)(A) Discipline-Minor Rule Violations ☒ ☐ ☐ Policy 5.8.3 (II)(B) Discipline-Major Rule Violations Policy 5.8.5 Due Process (d) trauma-informed approaches and positive behavior Policy 5.8.1 Behavior Management System interventions; Policy 5.8.2 (I)(E) Facility Rules ☒ ☐ ☐ Policy 5.8.3 Discipline (e) minor rule violations may be handled informally by Policy 5.8.3(II)(A) Discipline-Minor Rule counseling, advising the youth of expected conduct Violations imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall Policy 5.8.3(II)(B) Discipline-Major Rule be documented and require the following: Violations (1) written notice of violation prior to a hearing; Policy 5.8.5 (II) Due Process-Documentation ☒ ☐ ☐ Process Policy 5.8.5 (III) Due Process Hearing Process (2) accommodations provided to youth with Policy 5.8.5 (III)(C) Due Process Hearing disabilities, limited literacy, and English language Process ☒ ☐ ☐ learners; 7621 Shasta JH CI PRO 25-26 Page 46 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) hearing by a person who is not a party to the Policy 5.8.5 (III)(A) Due Process Hearing incident; ☒ ☐ ☐ Process (4) opportunity for the youth to be heard, present Policy 5.8.5 (III)(D) Due Process Hearing evidence and testimony; ☒ ☐ ☐ Process (5) provision for youth to be assisted by staff in the Policy 5.8.5 (III)(B) Due Process Hearing hearing process; ☒ ☐ ☐ Process Policy 5.8.5 (IV) Appeal Process Five of the ten examples reviewed included an (6) provision for administrative review. ☒ ☐ ☐ appeal of the discipline imposed. In one instance, the discipline was changed to a lesser sanction. (g) violations that result in a removal from camp or The facility is not a camp or commitment commitment program, but not a return to court, will follow program. ☐ ☐ ☒ the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Policy 10.11 Management of Communicable DISEASES. Diseases. The health administrator/responsible physician, in cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: Policy 10.11 (1) Management of (a) Intake health screening procedures; Communicable Diseases-Intake Health ☒ ☐ ☐ Screening Policy 10.11(2) Management of (b) Identification of relevant symptoms; ☒ ☐ ☐ Communicable Diseases-Identify Symptoms Policy 10.11 (3) Management of (c) Referral for medical evaluation; Communicable Diseases-Refer for Medical ☒ ☐ ☐ Evaluation Policy 10.11 (4) Management of (d) Treatment responsibilities during detention; Communicable Diseases-Treatment ☒ ☐ ☐ Responsibilities Policy 10.11 (5) Management of (e) Coordination with public and private community- Communicable Diseases-Treatment Plan based resources for follow-up treatment; ☒ ☐ ☐ Upon Release Policy 10.11 (6) Management of (f) Applicable reporting requirements; and, Communicable Diseases-Reporting ☒ ☐ ☐ Requirements Policy 10.11 (7) Management of (g) Strategies for handling disease outbreaks. Communicable Diseases-Strategies for ☒ ☐ ☐ Handling Disease Outbreaks in the JRF The policies and procedures shall be updated as Policy 10.11(II) Management of necessary to reflect communicable disease priorities Communicable Diseases-Update Policies identified by the local health officer and currently ☒ ☐ ☐ recommended public health interventions. 7621 Shasta JH CI PRO 25-26 Page 47 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1433 REQUESTS FOR HEALTH CARE SERVICES Policy 5.11.1 Access to Medical Services The health administrator, in cooperation with the facility A locked box is accessible in living units for the administrator, shall develop policy and procedures to youth to confidentially convey requests for establish a daily routine for youth to convey requests for medical, dental, and mental health services. emergency and non-emergency medical, dental and The youth interviewed were aware of the behavioral/mental health care services. confidential medical box. Youth also indicated they could directly seek services from medical ☒ ☐ ☐ staff, mental health staff, or ask facility staff to be seen. BSCC staff discussed with facility administration to provide clarity in policy and procedure that youth have a right to confidentially convey requests to behavioral/mental health as this is a separate agency than the medical provider. 1480 STANDARD FACILTY CLOTHING ISSUE Policy 5.2.3 Resident Dress Code Policy 5.3.4 Booking Procedures-Initial The youth’s personal clothing, undergarments and Shower, Clothing and Bedding Issue footwear may be substituted for the institutional clothing and footwear specified in this regulation. The facility has The clothing worn by the youth was observed the primary responsibility to provide clothing and ☒ ☐ ☐ to be in good repair, free of stains, and well- footwear. Clothing provisions shall ensure that: fitted. The youth interviewed indicated if they needed new underwear, outer clothing, or shoes, they could ask staff and they would receive the items. (a) Clothing is clean, reasonably fitted, durable, easily Policy 5.2.3 (I)(A)(4) Resident Dress Code laundered, in good repair, and free of holes and tears. Policy 5.3.4 (IV)(B) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue (b) The standard issue of climatically suitable clothing Policy 5.2.3 (I)(A)(1)(d) and (e) Resident Dress for youth shall consist of but not be limited to: Code (1) Socks and serviceable footwear; Policy 5.3.4 (IV)(B)(2) and (7) Booking ☒ ☐ ☐ Procedures-Initial Shower, Clothing and Bedding Issue Policy 5.2.3 (I)(A)(1)(a),(f) and (g) Resident Dress Code (2) Outer garments; Policy 5.3.4 (IV)(B)(3),(4) and (5) Booking ☒ ☐ ☐ Procedures-Initial Shower, Clothing and Bedding Issue (3) New non-disposable underwear which shall Policy 5.2.3 (I)(A)(1)(b) Resident Dress Code remain with the youth throughout their stay, and; Policy 5.3.4 (IV)(B)(1) Booking Procedures- ☒ ☐ ☐ Initial Shower, Clothing and Bedding Issue (4) Undergarments, that are freshly laundered and Policy 5.2.3 (I)(A)(1)(b) and (c) Resident Dress free of stains, including tee shirts and bras. Code ☒ ☐ ☐ Policy 5.3.4 (IV)(B)(1) Booking Procedures- Initial Shower, Clothing and Bedding Issue (c) Clothing is laundered at the temperature required by Policy 5.4.8 (I)(D) and (E) Laundry Operations local ordinances for the commercial laundries and dried completely in a mechanical dryer or other laundry ☒ ☐ ☐ method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Policy 5.2.3 (I)(A)(3)Resident Dress Code Policy 5.3.4 (IV)(B)(7) Booking Procedures- ☒ ☐ ☐ Initial Shower, Clothing and Bedding Issue 7621 Shasta JH CI PRO 25-26 Page 48 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1482 CLOTHING EXCHANGE Policy 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement Interviews with youth confirm they are written policies and site-specific procedures for the receiving clean clothing daily. cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy 5.4.8 (III) Laundry Operations- PERSONAL CLOTHING Resident’s Personal Clothing Policy 5.4.8 (III) Laundry Operations-Control There shall be written policies and site-specific of Vermin in Issued Clothing procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy 5.4.5 Resident Hygiene Policy 5.4.5 (I)(A) and (D) Issue of Personal There shall be written policies and site-specific Care Items procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; Policy 5.4.5 (I)(A)(1) Issue of Personal Care (a) Toothbrush; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(2) Issue of Personal Care (b) Toothpaste; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(3) Issue of Personal Care (c) Soap; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(4) Issue of Personal Care (d) Comb; ☒ ☐ ☐ Items (e) Shaving implements; Policy 5.4.5 (III) Resident Hygiene-Shaving ☒ ☐ ☐ Policy 5.4.5 (I)(A)(5) Issue of Personal Care (f) Deodorant; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(6) Issue of Personal Care (g) Lotion; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(7) Issue of Personal Care (h) Shampoo; and, ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(8) Issue of Personal Care (i) Post-shower conditioning hair products. ☒ ☐ ☐ Items Youth shall not be required to share any personal care Policy 5.4.5 (I)(B) Issue of Personal Care items listed in items (a) through (d). Liquid soap provided Items through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving instruments capable of breaking the skin, when shared among youth, ☒ ☐ ☐ shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 7621 Shasta JH CI PRO 25-26 Page 49 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1486 PERSONAL HYGIENE Policy 5.4.5 (II) Resident Hygiene-Showering and Hygiene There shall be written policies and site specific procedures developed and implemented by the facility Interviews with youth confirm they are administrator for showering/bathing and brushing of ☒ ☐ ☐ receiving all required personal care items. teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy 5.4.5 (III) Resident Hygiene-Shaving Youth shall have access to a razor daily, unless their BSCC staff interviewed youth who indicate appearance must be maintained for reasons of they typically have the opportunity to shave identification in Court. All youth shall have equal daily, however, sometimes staff will forget to opportunity to shave face and body hair. The facility get the razors, be too busy, or run out of time. administrator may suspend this requirement in relation ☒ ☐ ☐ BSCC staff discussed with facility to youth who are considered to be a danger to administration the need to ensure sufficient themselves or others. staff and allotted time is available for youth to shave daily. Documentation of youth opportunity to shave will be maintained in the eProbation case management system. 1488 HAIR CARE SERVICES Policy 5.4.5 (IV) Resident Hygiene-Hair Care Services Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Youth are to request a haircut to the supervisor Equipment shall be cleaned and disinfected after each in charge of haircuts. Once completed, a note haircut or procedure, by a method approved by the State will be placed in the youth’s case file. If a youth Board of Barbering and Cosmetology. did not receive their requested haircut, the reason must also be documented. BSCC staff reviewed documentation tracking haircuts ☒ ☐ ☐ from November 2023 through June 2025. Youth haircuts were provided by facility staff and volunteers. The facility is considering contracting with a licensed barber or cosmologist for haircare services. The facility tracking and documentation procedures has changed during the inspection cycle. Youth haircuts will be tracked in the eProbation case management system. 1500 STANDARD BEDDING AND LINEN ISSUE Policy 5.4.7 Clothing and Bedding Exchange Policy 5.3.4 Booking Procedures-Initial Clean laundered, suitable bedding and linens, in good Shower, Clothing and Bedding Issue repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Policy 5.4.7 Clothing and Bedding Exchange meets the requirements of Section 1502 of these Policy 5.3.4 (D)(5) Booking Procedures-Initial ☒ ☐ ☐ regulations; Shower, Clothing and Bedding Issue (b) One pillow and a pillow case unless provided for in Policy 5.4.7 Clothing and Bedding Exchange (a) above; Policy 5.3.4 (D)(5) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue Policy 5.4.7 Clothing and Bedding Exchange (c) One mattress cover and a sheet or two sheets; Policy 5.3.4 (D)(3) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue Policy 5.4.7 Clothing and Bedding Exchange (d) One towel; and, Policy 5.3.4 (D)(4) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue 7621 Shasta JH CI PRO 25-26 Page 50 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy 5.4.7 Clothing and Bedding Exchange (e) One blanket or more, up on request Policy 5.3.4 (D)(1) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue 1501 BEDDING LINEN EXCHANGE Policy 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement Interviews with youth confirm they are site specific written policies and procedures for the exchanging linen, including their blankets, scheduled exchange of laundered bedding and linen ☒ ☐ ☐ each week. They can receive clean linen or issued to each youth housed. Washable items such as blankets if needed before exchange day. sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once Policy 5.4.7 Clothing and Bedding Exchange a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND Policy 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 JH CI PRO 25-26 Page 51 of 52 J453 JUV PRO eff. 01.01.25 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 The facility is not a Camp. Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 7621 Shasta JH CI PRO 25-26 Page 52 of 52 J453 JUV PRO eff. 01.01.25 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7622 FACILITY NAME: Shasta County River’s Edge Academy FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Jeremy Kenyon, Division Director; Jason Coulombe, Supervising Probation Officer-Administrative; K. Woodcock, Supervising Probation Officer; A. Hemenway, Supervising Juvenile Detention Officer; D. Goodwine, Supervising Juvenile Detention Officer-Kitchen Manger; H. Meredith, Juvenile Detention Officer III; M. Fleming, Juvenile Detention Officer I; Tasha Foley, Peer Support; Jill North-principal and Anders Benoit-teacher, Shasta County Office of Education; Damon Ransbarger, RN Coordinator-Shasta Community Health Center, Cristal Loveless, clinician-Shasta County Health and Human Services Agency; Danielle Gehrung-Program Manager, Lyla Bear-Supervisor, Claire Cassel and Scott Gruhler-Behavior Change Managers, GEO Re-Entry Services; 3 male youth ages 15 and 17 (2), 2 female youth ages 15 and 16 FIELD REPRESENTATIVE: Shay Molennor DATE: July 15-17, 2025 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1313 COUNTY INSPECTION AND EVALUATION OF Policy 2.1.5 (VI)(C)(1) Roles and BUILDING AND GROUNDS Responsibilities of Facility Administration- Other Reviews and Inspections On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented ☒ ☐ ☐ January 31, 2024 inspection and evaluation from the following: January 3, 2025 (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Policy 2.1.5 (VI)(C)(2) Other Reviews and clearance as required by Health and Safety Code Section Inspections 13146.1(a) and (b); ☒ ☐ ☐ March 28, 2025 (c) local health officer, inspection in accordance with Policy 2.1.5 (VI)(C)(3) Other Reviews and Health and Safety Code Section 101045; Inspections Environmental: October 11, 2023 September 11, 2024 ☒ ☐ ☐ Nutrition: December 20, 2023 April 8, 2025 Medical/Mental Health: November 6, 2023 November 6, 2024 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 1 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) county superintendent of schools on the adequacy of Policy 2.1.5 (VI)(C)(4) Other Reviews and educational services and facilities as required in Section Inspections 1370; ☒ ☐ ☐ November 27, 2023 November 21, 2024 (e) juvenile court as required by Section 209 of the Policy 2.1.5 (VI)(C)(5) Other Reviews and Welfare and Institutions Code; and, Inspections ☒ ☐ ☐ September 25, 2023 October 18, 2024 (f) the Juvenile Justice Commission as required by Policy 2.1.5 (VI)(C)(6) Other Reviews and Section 229 of the Welfare and Institutions Code or Inspections Probation Commission as required by Section 240 of the ☒ ☐ ☐ Welfare and Institutions Code. October 10, 2023 September 27, 2024 1320 APPOINTMENT AND QUALIFICATIONS A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed all Note: Compliance with this section is determined by elements of this regulation. receipt of the Chief Probation Officer’s certification letter confirming that all elements of regulation are met. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in accordance with Section 1031 of the Government ☒ ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the facility, shall have such clearance and qualifications as may be required by law, and their presence at the facility ☒ ☐ ☐ shall be subject to the approval and control of the facility manager. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 2 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1321 STAFFING Policy 3.1.0 Staffing Standards Each juvenile facility shall: The agency staff for their Juvenile Hall, Rivers (a) have an adequate number of personnel sufficient to Edge Academy Camp Program, and SYTF, carry out the overall facility operation and its which are co-located on the same campus. programming, to provide for safety and security of youth The complex is known as the Juvenile and staff, and meet established standards and Rehabilitation Facility. Combined population regulations; on the first day of the inspection was 38. • JH-25 • Camp-8 • SYTF-5 BSCC staff reviewed the February 2025 Time Report, January through July 2025 Post Assignments, Employee List, Probation and Facility Organizational Charts, and Long Term Absences. Facility staff work a mixture of 8-, 10-, and 12-hour shifts. • 1 Division Director • 1 Administrative Supervising Probation Officer • 2 Supervising Probation Officers • 4 Supervising Juvenile Detention Officers • 1 Supervising Juvenile Detention Officer Rivers Edge Academy ☒ ☐ ☐ • 8 Juvenile Detention Officer III (5 vacant) • 27 Juvenile Detention Officer I/II (3 vacant) • 9 Extra Help Juvenile Detention Officer (3 cored trained) BSCC staff conducted interviews with facility staff and youth to assess whether staffing levels were sufficient to support facility operations and meet required programming standards. Based on observed pattern and practice, the facility is in compliance with this section’s requirements. However, facility administration confirmed, due to staffing shortages, all or part of the scheduled visiting was cancelled two to three times within the last six months. In response, facility administration reported plans to extend visitation periods from one to two hours per session, with the intent of improving accessibility. They also committed to discussing with their senior administration the need for additional resources to ensure scheduled visitation occurs as scheduled. BSCC staff advised that, in order to support ongoing compliance, this issue will remain under review during future inspections, which may be scheduled or conducted unannounced. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 3 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) ensure that no required services shall be denied Policy 3.1.0 (II)(A) Staffing Standards because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 3.1.0 (I)(A) Staffing Standards ensure adequate supervision of all staff members; ☒ ☐ ☐ (d) have a clearly identified person on duty at all times Policy 3.1.0 (I)(A)(1) Staffing Standards who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living Policy 3.1.0 (II)(B) Staffing Standards unit whenever there are youth in the living unit; ☒ ☐ ☐ (f) have sufficient food service personnel relative to the Policy 3.1.0 (III)(A) Staffing Standards number and security of living units, including staff qualified and available to: plan menus meeting nutritional Meals for the youth are prepared on site by requirements of youth; provide kitchen supervision; direct Probation food services staff. The facility food preparation and servings; conduct related training provides three hot meals and two snacks per programs for culinary staff; and maintain necessary day. ☒ ☐ ☐ records; or, a facility may serve food that meets nutritional standards prepared by an outside source; • 1 Supervising Juvenile Detention Officer Cook-Kitchen Manager • 3 Cook II • 2 Cook Extra Help (g) have sufficient administrative, clerical, recreational, Policy 3.1.0 (III)(B) Staffing Standards medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the facility provides an appropriate level and to ensure that youth supervision staff shall not be of staff to operate the control room, booking, diverted from supervising youth; and, and transportation. The agency employees a full- and part-time Probation Peer Support staff to support youth. A Legal Process Clerk and Probation Analyst assists with administrative and clerical duties. Shasta County Public Works provides maintenance and groundskeeping services for the facility. Shasta Community Health Center provides medical services seven days a week. Coverage is typically provided 6:45 a.m. to ☒ ☐ ☐ 5:15 p.m. A Mental Health Nurse Practitioner and physician are on site each Tuesday. Afterhours services are provided by Team Health or the on-call SCHC staff. Behavior health services are provided by Shasta County Health and Human Services Agency. Coverage is provided Monday through Friday from 8:00 a.m. to 9:00 p.m. by two full-time clinicians. One clinician position is currently vacant. A staff who provides CSEC services to youth is also available. In addition, the SYTF has three behavioral health staff who provide services to youth on designated days. Afterhours on-call behavior health coverage is available. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 4 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) assign sufficient youth supervision staff to provide Policy 3.1.0 (II) Staffing Standards continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls The facility is not a Juvenile Hall. The youth are (A) during the hours that youth are awake, one housed in the 700 Pod of the Juvenile wide-awake youth supervision staff member on ☐ ☐ ☒ Rehabilitation Facility only with other Camp duty for each 10 youth in detention; youth. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a SPJH. (A) during hours that youth are awake, one wide- awake youth supervision staff member on duty for ☐ ☐ ☒ each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps Policy 3.1.0 (II)(C) Staffing Standards (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☒ ☐ ☐ duty for each 15 youth in the camp population; 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 5 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (B) during the hours that youth are confined to their Policy 3.1.0 (II)(D) Staffing Standards 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 Policy 3.1.0 (II)(E) Staffing Standards 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 Policy 3.1.0 (II)(F) Staffing Standards 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 Policy 3.1.0 (III)(B) Staffing Standards duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy 8.2 New Hire Orientation AND TRAINING Policy 8.2 (1)(B)(1) General Information (a) Prior to assuming any responsibilities each youth A memorandum dated June 12, 2025, by Chief supervision staff member shall be properly oriented to Probation Officer Tracie Neal, addressed all their duties, including: elements of this regulation. (1) youth supervision duties; The agency requires new staff to complete a 240-hour Juvenile Detention Officer Facility Training Program. The training consists of two phases over six weeks. Prior to beginning their 240-hour training program, the staff will ☒ ☐ ☐ complete a Pre-Training New Employee Orientation before assuming any responsibility for the supervision of youth. The training is provided by facility staff and supervisors. BSCC staff reviewed the facility’s Juvenile Detention Officer Facility Training Program binder, new staff Daily Observation reports, facility staff and supervisor STC/WRE 2024/2025 training hours, and CORE completion. (2) scope of decisions they shall make; Policy 8.2 (1)(B)(2) General Information ☒ ☐ ☐ (3) the identity of their supervisor; Policy 8.2 (1)(B)(3) General Information ☒ ☐ ☐ (4) the identity of persons who are responsible to Policy 8.2 (1)(B)(4) General Information them; ☒ ☐ ☐ (5) persons to contact for decisions that are beyond Policy 8.2 (1)(B)(5) General Information their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. Policy 8.2 (1)(B)(6) General Information ☒ ☐ ☐ 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 6 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) Prior to assuming any responsibility for the supervision Policy 8.2 New Hire Orientation of youth, each youth supervision staff member shall Policy 8.2 (II) Juvenile Detention Orientation receive a minimum of 40 hours of facility-specific Policy 8.2 (III) Deputy Probation Officer orientation, including: Orientation (1) individual and group supervision techniques; A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed this element of the regulation. Youth Supervision Staff receive 240-hour orientation and training through the Facility Training Program Supervisor. Each new hire ☒ ☐ ☐ is assigned a Facility Training Officer and their performance is rated using the Daily Observation Report. BSCC staff reviewed new hire training documentation and interviewed a facility staff who recently completed the training program. Deputy Probation Officers who have completed DPO Core but have not completed JCO Core will complete a modified 40-hour orientation prior to assuming responsibility of supervising youth. (2) regulations and policies relating to discipline and Policy 8.2 (II)(A)(2) Juvenile Detention rights of youth pursuant to law and the provisions of Orientation ☒ ☐ ☐ this chapter; Policy 8.2 (II)(A)(3) Juvenile Detention (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Orientation (4) suicide prevention and response to suicide Policy 8.2 (II)(A)(4) Juvenile Detention attempts ☒ ☐ ☐ Orientation (5) policies regarding use of force, de-escalation Policy 8.2 (II)(A)(5) Juvenile Detention techniques, chemical agents, mechanical and Orientation ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Policy 8.2 (II)(A)(6) Juvenile Detention trauma and trauma-informed approaches; ☒ ☐ ☐ Orientation Policy 8.2 (II)(A)(7) Juvenile Detention (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Orientation (8) routine security measures, including facility Policy 8.2 (II)(A)(8) Juvenile Detention perimeter and grounds; ☒ ☐ ☐ Orientation (9) crisis intervention and mental health referrals to Policy 8.2 (II)(A)(9) Juvenile Detention mental health services; ☒ ☐ ☐ Orientation Policy 8.2 (II)(A)(10) Juvenile Detention (10) documentation; and ☒ ☐ ☐ Orientation Policy 8.2 (II)(A)11) Juvenile Detention (11) fire/life safety training ☒ ☐ ☐ Orientation (c) Prior to assuming sole supervision of youth, each Policy 8.2 (II)(B) Juvenile Detention youth supervision staff member shall successfully Orientation complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section ☒ ☐ ☐ A memorandum dated June 12, 2025, by Chief 6035. Probation Officer Tracie Neal, addressed this element of the regulation. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 7 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) Prior to exercising the powers of a peace officer youth Policy 8.2 (II)(C) Juvenile Detention supervision staff shall successfully complete training Orientation pursuant to Section 830 et seq. of the Penal Code. ☒ ☐ ☐ A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed this element of the regulation. 1323 FIRE AND LIFE SAFETY Policy 9.2.7 (III) Fire Safety Plan and Emergency Procedures Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times ☒ ☐ ☐ A memorandum dated June 12, 2025, by Chief who meets the training standards established by the Probation Officer Tracie Neal, addressed all Board for general fire and life safety which relate elements of this regulation. specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL Policy and Procedure Manual 1.1 and 1.2 All facility administrators shall develop, publish, and A memorandum dated March 31, 2025, by implement a manual of written policies and procedures Jeremy Kenyon, Division Director, certified a that address, at a minimum, all regulations that are review and update of the Juvenile applicable to the facility. Such a manual shall be made Rehabilitation Facility Policy and Procedure available to all employees, reviewed by all employees, Manual. Policy requires the Division Director and shall be administratively reviewed at a minimum to annually review and make any necessary every two years, and updated, as necessary. Those revisions. As changes are made, staff are records relating to the standards and requirements set ☒ ☐ ☐ notified by Prevention Link or email. The forth in these regulations shall be accessible to the Board policy and procedure manual is available to on request. staff on a shared drive. In addition, Post The manual shall include: Orders are developed to ensure staff understand the duties and assignments while on shift. The facility is in the process of migrating all their policies and procedures to Lexipol. (a) table of organization, including channels of Policy 2.1.4 Facility Organizational Chart communications and a description of job classifications; Policy 2.1.5 Roles and Responsibilities of Facility Administration ☒ ☐ ☐ Policy 2.1.6 Roles and Responsibilities of Juvenile Detention Officers Policy 3.1.1 Chain of Command (b) responsibility of the probation department, purpose of Policy 2.1.1 Legal Origin, Establishment and programs, relationship to the juvenile court, the Juvenile Purpose Justice/Delinquency Prevention Commission or Policy2.2.3 Roles of Probation Staff Probation Committee, probation staff, school personnel ☒ ☐ ☐ Policy 2.3 Roles of Other Agencies and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Policy 2.1.5 Roles and Responsibilities of Facility Administration ☒ ☐ ☐ Policy 2.1.6 Roles and Responsibilities of Juvenile Detention Officers (d) initial orientation and training program for employees; Policy 8.2 New Hire Orientation ☒ ☐ ☐ 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 8 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) initial orientation, including safety and security issues Policy 13.1 Volunteer, Vendor, and Support and anti-discrimination policies, for support staff, contract Staff Orientation employees, school, mental/behavioral health and medical staff, program providers and volunteers; Prior to completing a facility orientation, support staff, volunteers, and vendors must receive a background clearance. Once cleared, they are to attend a facility orientation. The JRF swing shift supervisor is responsible ☒ ☐ ☐ for overseeing and scheduling the initial orientation. The Shasta County Juvenile Rehabilitation Facility Volunteer Facilitator Orientation Acknowledgment form is completed upon receipt of orientation. BSCC staff reviewed completed orientation forms with signed acknowledgments of training. (f) maintenance of record-keeping, statistics and Policy 2.1.5 (D)(1): Roles and Responsibilities communication system to ensure: of Facility Administration-Other Reviews and ☒ ☐ ☐ (1) efficient operation of the juvenile facility; Inspections Policy 2.1.5(D)(2) Other Reviews and (2) legal and proper care of youth; ☒ ☐ ☐ Inspections Policy 2.1.5 (D)(3) Other Reviews and (3) maintenance of individual youth's records; ☒ ☐ ☐ Inspections (4) supply of information to the juvenile court and Policy 2.1.5 (D)(4) Other Reviews and those authorized by the court or by the law; and, ☒ ☐ ☐ Inspections Policy 2.1.5 (D)(5) Other Reviews and (5) release of information regarding youth. ☒ ☐ ☐ Inspections (g) ethical responsibilities; Policy 3.3.1 Ethics Policy ☒ ☐ ☐ Policy 3.3.10 Trauma-Informed Approaches (h) trauma-informed approaches; ☒ ☐ ☐ to Working with Youth. (i) culturally responsive approaches; Policy 3.3.9 Cultural and Gender Responsivity ☒ ☐ ☐ Policy 3.3.9 Cultural and Gender Responsivity (j) gender responsive approaches; Policy 5.2.6 Transgender and Intersex ☒ ☐ ☐ Residents (k) a non-discrimination provision that provides that all Policy 3.3.8 Non-Discrimination youth within the facility shall have fair and equal access to Policy 5.2.7 Non-Discrimination all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy 9.1.2 Armory Operations chemical agents related security devices, and weapons Policy 6.3 (IV) Chemical Agents-Storage, ☒ ☐ ☐ and ammunition, where applicable; Issue, and Disposal of OC Spray Canisters (m) establishment of procedures for collection of Medi- Policy 10.32 Medi-Cal Eligibility and Cal eligibility information and enrollment of eligible youth; Enrollment of Youth ☒ ☐ ☐ and, 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 9 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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 preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN 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 State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff Policy 9.2.7 (IV) Fire Safety and Life Safety with two-year retention of the inspection record; Inspections Policy 9.1.3 Emergency Equipment Inspection and Testing The facility documents monthly fire and life ☒ ☐ ☐ safety inspections on the Monthly Work Place Safety Checklist. BSCC staff reviewed documentation since the last comprehensive inspection in September 2023 through May 2025. (c) fire prevention inspections as required by Health and Policy 9.2.7 Fire Safety Plan and Emergency Safety Code Section 13146.1(a) and (b); Procedures. ☒ ☐ ☐ Inspection completed on March 28, 2025, by Cal Fire Department of Forestry and Fire Protection. (d) an evacuation plan; Policy 9.2.7 Fire Safety Plan and Emergency Procedures ☒ ☐ ☐ Policy 9.2.9 Evacuation Plan (e) documented fire drills not less than quarterly; Policy 9.2.7 (VII) Fire Drills Per policy, fire drills shall be conducted at minimum every three months utilizing relevant post orders. The facility has developed a Mock ☒ ☐ ☐ Fire Drill procedure for staff to utilize in conducting fire drills. BSCC staff reviewed fire drills conducted in November 2023, March, June, July, and December 2024, and January, March, and May 2025. (f) a written plan for the emergency housing of youth in Policy 9.2.9 Evacuation the case of fire; and, Policy 9.1.4 Emergency Release of Residents ☒ ☐ ☐ The agency has a mutual aid agreement with Butte County and Humboldt for the emergency housing of youth. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 10 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) development of a fire suppression pre-plan in Policy 9.2.7 (VIII) Fire Suppression Pre-Plan cooperation with the local fire department. BSCC staff reviewed a letter dated October 4, 2021, in which the City of Redding Fire Department has approved the Shasta County Juvenile Rehabilitation Facility fire- ☒ ☐ ☐ suppression pre-plan. A facility supervisor is to contact Redding Fire Department annually to ensure communication and collaboration regarding the facility fire suppression pre-plan. 1326 SECURITY REVIEW Policy 2.1.5 (II)(A)(1) Security Review and Safety Committee Each facility administrator shall develop policies and procedures to annually review, evaluate, and document A memorandum dated June 30, 2025, by security of the facility. The review and evaluation shall Division Director, Jeremy Kenyon, addressed include internal and external security, including, but not ☒ ☐ ☐ reviewing monthly work place safety limited to, key control, equipment, and staff training. checklists, the annual building inspection, and policies and procedures as part of the annual security review. 1327 EMERGENCY PROCEDURES Policy 9.2.7 Fire Safety Plan and Emergency Procedures The facility administrator shall develop facility-specific Policy 9.1.1 Training and Review of policies and procedures for emergencies that shall Emergency Procedures include, but not be limited to: ☒ ☐ ☐ Policy 9.2.4 Escape (a) escape, disturbances, and the taking of hostages; Policy 9.2.5 Disturbances Policy 9.2.6 Hostages Policy 9.2.11 Civil Disturbance (b) civil disturbance, active shooter and terrorist attack; ☒ ☐ ☐ Policy 9.2.10 Active Shooter or Terrorist Attack Policy 9.2.7 Fire Safety Plan and Emergency (c) fire and natural disasters; Procedures ☒ ☐ ☐ Policy 9.2.8 Natural Disaster Policy 9.1.3 Emergency Equipment (d) periodic testing of emergency equipment; ☒ ☐ ☐ Inspection and Testing Policy 9.1.4 Emergency Release of Residents (e) emergency evacuation of the facility; and ☒ ☐ ☐ Policy 9.2.9 Evacuation Policy 9.1.1 Training and Review of Emergency Procedures Policies and Procedures pertaining to emergency procedures are sent to each employee individually via Vector Solutions (f) a program to provide all youth supervision staff with annually for review. A memorandum dated July an annual review of emergency procedures. ☒ ☐ ☐ 10, 2025, by Jeremy Kenyon, Division Director, affirmed that all facility staff are provided these annual updates. In addition, facility staff are provided further emergency procedure reviews in the facility’s training program and emergency drill training. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 11 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1328 SAFETY CHECKS Policy 5.2.2 Room Safety Checks The facility administrator shall develop and implement Room Safety Checks are recorded in the policy and procedures that provide for direct visual eProbation Case Management Software. Staff observation of youth at a minimum of every 15 minutes, use a tablet to scan a QR code assigned at random or varied intervals during hours when youth individually to each youth. The software will are asleep or when youth are in their rooms, confined in prompt staff to complete a safety check at holding cells or confined to their bed in a dormitory. random and varied times. In addition, alerts Supervision is not replaced, but may be supplemented will be sent to supervisors in real time when a by, an audio/visual electronic surveillance system safety check is late. A Supervisor is assigned designed to detect overt, aggressive or assaultive to audit the room safety checks. The audit behavior and to summon aid in emergencies. All safety ☒ ☐ ☐ includes ensuring room safety check checks shall be documented with the actual time the procedures are followed and a random sample check is completed. will be compared to camera footage. Late and improper checks will be addressed and a resolution documented. BSCC staff reviewed documentation from specified dates throughout October 2024 through May 2025. Facility staff assigned to the River’s Edge Academy ensured room checks were random and varied. 1329 SUICIDE PREVENTION PLAN Policy 5.12 Suicide Prevention Plan The facility administrator, in collaboration with the BSCC staff reviewed nine incident reports of healthcare and behavioral/mental health administrators, youth at risk of suicide. The documentation shall plan and implement written policies and reviewed consisted of incident reports and procedures which delineate a Suicide Prevention Plan. follow-up responses by Mental Health. The plan shall consider the needs of youth experiencing Depending on the situation, the past or current trauma. Suicide prevention responses ☒ ☐ ☐ documentation included Mental Health shall be respectful and in the least invasive manner Notification, Medical Notification, Suicidal consistent with the level of suicide risk. The plan shall Disposition Form, Safety Plan, Observational include the following elements: Sheet, and Suicide Screening forms. The facility has a comprehensive suicide prevention plan. (a) Suicide prevention training as required in Section Policy 5.12 Suicide Prevention Plan 1322, Youth Supervision Staff Orientation, and Training Policy 8.2 New Hire Orientation and the Juvenile Corrections Officer Core Course. A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed the ☒ ☐ ☐ suicide training required by this regulation. In addition, BSCC staff reviewed documentation of annual Suicide Prevention Training for youth supervision staff from 2023 through 2025. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 12 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) Screening, Identification Assessment and Policy 5.12 (II)(B) Identification-Screening Precautionary Protocols During the Booking Process (1) All youth shall be screened for risk of suicide at Policy 5.12 (II)(C) Identification-Screening intake and as needed during detention. Outside the Booking Process Policy 5.3.4 (IX)(E) Booking Procedure- Communication Related to Suicide Risk- MAYSI-2 Staff will utilize the MAYSI-2 to screen youth and ensure the appropriate referrals are ☒ ☐ ☐ made. Shasta Community Health will conduct a brief initial screen for suicide risk. The mental health clinician will conduct a suicide risk assessment upon booking or the next business day. A mental health clinician or HHSA on-call staff will respond to requests for youth placed on suicide risk at intake. (2) All youth supervision staff who perform intake Policy 5.12 (II) C)(2) Identification processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy 5.12 (VII) Referral intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ suicide risk assessment. (4) Precautionary protocols shall be developed to Policy 5.12 (V) Intervention and Monitoring ensure the youth’s safety pending the behavioral/mental health assessment. Youth will be placed on one-on-one ☒ ☐ ☐ supervision pending assessment by mental health. (c) Referral process to behavioral/mental health staff for Policy 5.12 (VII) Referral assessment and/or services. ☒ ☐ ☐ (d) Procedures for monitoring of youth identified at risk Policy 5.12 (V) Intervention and Monitoring for suicide. Policy 5.2.2 Room Safety Checks The facility has three levels of monitoring youth at risk for suicide. Youth placed on Suicide Risk are subject to random and varied 15-minute checks. Youth classified as Suicide Risk will be classified on any subsequent ☒ ☐ ☐ bookings unless removed by mental health. Youth placed on Enhanced Observation will have an individualized safety plan and 7- or 10-minute safety checks conducted while in their sleeping room. Youth placed on Suicide Watch will be placed on an individualized safety plan and supervised one-on-one. Removal requires mental health authorization. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 13 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) Safety Interventions Policy 5.12 (V) Intervention and Monitoring (1) Procedures to address intervention protocols for Policy 5.12 (VI) Housing youth identified at risk for suicide which may Policy 5.3.6 (III)(d) Classification and Housing include, but are not limited to: Assignments-Suicide Risk (A) Housing consideration Youth on Suicide Risk and Enhanced ☒ ☐ ☐ Observation may be housed in general population. Youth paced on Suicide Watch shall be housed in the Safety Room with one- on-one supervision until cleared by mental health. (B) Treatment strategies including trauma- Policy 5.12 (VII)(3) Referral informed approaches Policy 3.3.10 Trauma-Informed Approaches to Working with Youth The mental health clinician will develop a ☒ ☐ ☐ safety plan for the youth placed on Enhanced Observation or Suicide Watch. The plan provides for staff response and includes signs to be aware of possible suicidal ideations. (2) Procedures to instruct youth supervision staff how Policy 5.12 (I) Suicide Prevention-General to respond to youth who exhibit suicidal behaviors. ☒ ☐ ☐ Procedures (f) Communication Policy 5.12 (C) Communication and (1) The intake process shall include communication Notification with the arresting officer and family guardians Policy 5.3.4 (IX)(A) Booking Procedures- regarding the youth’s past or present suicidal Communication Related to Suicide Risk ideations, behaviors or attempts. The Communication Regarding Suicide Risk ☒ ☐ ☐ At Booking form is completed to document all required communications at booking. BSCC staff reviewed documentation contained in the Medical Pre-Screening, documented with the arresting officer’s observation and communication with parent and guardians. (2) Procedures for clear and current information Policy 5.12: Suicide Prevention sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental ☒ ☐ ☐ health staff. (g) Debriefing of Critical Incidents Related to Suicides or Policy 5.12 (X) Review and Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. Policy 5.12 (X) Review and Debriefing-Staff ☒ ☐ ☐ (3) Process for a debriefing event with affected youth. Policy 5.12 (X) Review and Debriefing-Youth ☒ ☐ ☐ 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 14 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) Documentation Policy 5.12 Suicide Prevention (1) Documentation processes shall be developed to Policy 5.8.4 Reports and Documentation ensure compliance with this regulation ☒ ☐ ☐ The required documentation is articulated throughout the Suicide Prevention Plan Policy and Procedure. Youth identified at risk for suicide shall not be denied the Policy 5.12 (I)(v) and (vi) Suicide Prevention opportunity to participate in facility programs, services Plan and activities which are available to other non-suicidal Policy 5.3.6 (III)(d) Classification and Housing youth, unless deemed necessary for the safety of the Assignments-Suicide Risk-Programming 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 (III) Reporting of Legal Action Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ of confinement, filed against persons or legal entities 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. (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the Policy 9.2.12 (IV) Operational Review of In facility administrator, shall develop written policies Custody Death 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 Policy 9.2.12 (V)(A)(1) Death In Custody the Board a copy of the report submitted to the Reporting Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Policy 9.2.12 (V)(4) Death In Custody from the administrator, the Board may within 30 Reporting calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 15 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Serious Illness or Injury of Youth. Policy 9.2.12 (VI) Serious Illness or Injury of (a) The facility administrator, in cooperation with the Youth While In Custody health administrator, shall develop written policies and procedures for the notification to necessary parties, which may include the Juvenile Court, the ☒ ☐ ☐ parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Policy 2.1.5 (IV) Population Reporting Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Policy 2.1.5 (V) Overcrowding Policy 2.1.2.1 (1) Juvenile Rehabilitation When the number of youth detained in a living unit of a Facility Capacity juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 16 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1350 ADMITTANCE PROCEDURES Policy 5.3.4 Booking Procedures Policy 5.3.1 Booking Post Orders The facility administrator shall develop and implement Policy 3.3.10 Trauma-Informed Approaches written policies and procedures for admittance of youth to Working with Youth that emphasize respectful and humane engagement with youth, and reflect that the admission process may Youth will only be admitted to the River’s Edge be traumatic to youth who may have already Academy (REA) only after being approved by experienced trauma. Policies shall be trauma-informed, the REA screening committee, the youth was culturally relevant, and responsive to the language and ordered by the Court, and the REA literacy needs of youth. In addition to the requirements Supervising Juvenile Detention Officer or of Sections 1324 and 1430 of these regulations: Division Director orders the intake. Youth are initially booked into the Juvenile Rehabilitation Facility prior to being transferred to the 700 Pod which houses the REA program. BSCC staff reviewed recent admission packets for the Juvenile Rehabilitation Facility to confirm compliance with this regulation. The documents reviewed consisted of Probable Cause Declaration, PREA/Behavioral Screening/Classification forms, Detention Risk ☒ ☐ ☐ Assessment Instrument screenings, Shasta County Probation Detain/Release Criteria forms, Advisal of Estimated Length of Stay at Booking, MAYSI-2, Admission and Orientation acknowledgment, Booking Checklist, Routine Medical and Emergency Treatment Consent, Medical Pre-Screening, Confinement Time Letter, Mechanical Restraint Worksheet, Legal Counsel Contact Form, and Application for Juvenile Petition. Officers assigned to booking are required to follow Booking Post Orders as the computerized booking process requires specific tasks to be in order to ensure signatures and documents are captured and stored correctly. BSCC staff reviewed recent bookings in the eProbation case management system which captures required elements of admission procedures. (a) the admittance process shall include: Policy 5.3.4 (VI) Booking Phone Call (1) Access to two free phone calls within one hour of admittance in accordance with the provisions of Initial admittance to the Juvenile Rehabilitation Welfare and Institution Code Section 627; Facility is documented in the eProbation case ☒ ☐ ☐ management system. After being transferred to REA, youth will be provided a telephone call to notify their parents/guardians. Policy 5.3.4 (IV) Initial Shower, Clothing and Bedding Issue (2) Offer of a shower; Documented in the eProbation case ☒ ☐ ☐ management system. Youth interviewed by BSCC staff affirmed being offered a shower upon admission. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 17 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy 5.3.4 (V) Resident Property Inventory and Storage (3) Documented secure storage of personal Policy 5.3.7 Resident Property Storage belongings; ☒ ☐ ☐ Documented in the eProbation case management system. Policy 5.3.4 (C)(8) Booking Procedures- General Information (4) Offer of food upon arrival; Documented in the eProbation case ☒ ☐ ☐ management system. Youth interviewed by BSCC staff affirmed being offered food upon admission. Policy 5.3.4 (C)(9) and (10) Booking Procedures-General Information Policy 5.3.4 (II)(B) Medical Screening Form Policy 5.3.4 (IX)(E) Booking Procedures- Communication Related to Suicide Risk- MAYSI-2 (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ BSCC staff reviewed admission disabilities; documentation contained in the Shasta County Juvenile Facilities Medical Pre- Screening, MAYSI-2, and the PREA/ Behavioral Screening/Classification forms, which are utilized to ensure screening as required by this section of the regulation. (6) Screening for physical and developmental Policy 5.3.4 (C)(9) and (10) Booking disabilities in accordance with Sections 1329, 1413, Procedures-General Information ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Policy 5.3.4 (C)(11) Booking Procedures- Developmentally Disabled for youth that are General Information suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, Policy 5.3.4 (II)(C)(a) Pre-Booking Operations- (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Booking Pat Search (b) juvenile hall administrators shall establish written Policy 5.3.4 Booking Procedures-General criteria for detention that considers the least restrictive Information ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in Policy 5.3.4 (VIII) Estimated Length of Stay juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform them of program guidelines and provide written ☒ ☐ ☐ screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures Policy 5.3.4 (VIII) Estimated Length of Stay that advise any committed youth of the estimated length of his/her stay. ☒ ☐ ☐ The booking officer is to complete the Advisal of Estimated Lenth of Stay at Booking. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 18 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1350.5 SCREENING FOR THE RISK OF SEXUAL Policy 5.10.1 PREA ABUSE Policy 5.10.1 (VI) Intake Screening Utilizing the Vulnerability Assessment Instrument and The facility administrator shall develop and implement Housing Assignment Determination written policies and procedures to reduce the risk of Policy 5.10.1 (VII)(A)(b)(i) sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of The facility screens for risk of sexual abuse by admission based on the following information: using the PREA/Behavioral Screening/Unit (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Classification assessment through Noble. BSCC staff reviewed six recent screening documents which will assist in making housing, program, and work assignments for the youth. If the youth has been identified to have experienced prior sexual victimization or perpetrated sexual abuse, they will be referred for a mental health screening. (b) Gender nonconforming appearance or manner; or Policy 5.10.1 (VII)(A)(b)(ii) identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the youth may, therefore, ☒ ☐ ☐ be vulnerable to sexual abuse; (c) Current charges and offense history; Policy 5.10.1 (VII)(A)(b)(iii) ☒ ☐ ☐ (d) Age; Policy 5.10.1 (VII)(A)(b)(iv) ☒ ☐ ☐ (e) Level of emotional and cognitive development; Policy 5.10.1 (VII)(A)(b)(v) ☒ ☐ ☐ (f) Physical size and stature; Policy 5.10.1 (VII)(A)(b)(vi) ☒ ☐ ☐ (g) Mental illness or mental disabilities; Policy 5.10.1 (VII)(A)(b) ☒ ☐ ☐ (h) Intellectual or developmental disabilities; Policy 5.10.1 (VII)(A)(b)(vi) ☒ ☐ ☐ (i) Physical disabilities; Policy 5.10.1 (VII)(A)(b)(viii) ☒ ☐ ☐ (j) The youth’s perception of vulnerability; and, Policy 5.10.1 (VII)(A)(b)(ix) ☒ ☐ ☐ (k) Any other specific information about the individual Policy 5.10.1 (VII)(A)(b)(x) youth that may indicate heightened needs for Policy 5.3.6 Classification and Housing supervision, additional safety precautions, or separation ☒ ☐ ☐ Assignments from certain other youth. Staff shall ascertain this information through Policy 5.10.1 (VII)(A)(a) 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 from BSCC staff reviewed release information custody which provide for: contained in the eProbation case ☒ ☐ ☐ management system and completed release documents and forms. In addition, BSCC staff interviewed facility staff and collaborative partners about release procedures. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 19 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy 5.3.8 (III) Verification of Release (a) verification of identity/release papers; ☒ ☐ ☐ Policy 5.3.7 Resident Property Storage (b) return of personal clothing and valuables; ☒ ☐ ☐ Documented in the eProbation case management system. Policy 5.3.8 (VII)(A) Required Notifications- (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Parent Notifications (d) notification to the facility health care provider in Policy 5.3.8 (VII)(B) Required Notifications- accordance with Sections 1408 and 1437 of these Medical regulations, for coordination with outside agencies; and, Per policy, medical is notified by the case carrying Deputy Probation Officer, during the release process or via the Juvenile Hall Roster ☒ ☐ ☐ distributed each morning. This is automated through eProbation case management and sent out via email at 12:01 a.m. BSCC staff interviewed nursing staff who affirmed timely notification of youth being released. Policy 5.3.8 (VII)(C) Required Notifications- School Staff Per policy, school is notified each morning at the school briefing or via the Juvenile Hall (e) notification of school staff; Roster distributed each morning. This is ☒ ☐ ☐ automated through eProbation case management and sent out via email at 12:01 a.m. BSCC staff interviewed school staff who affirmed timely notification of youth being released. Policy 5.3.8 (VII)(B) Required Notifications- Mental Health Per policy, mental health is notified by the case carrying Deputy Probation Officer, during the (f) notification of facility mental health personnel. release process or via the Juvenile Hall Roster ☒ ☐ ☐ distributed each morning. This is automated through eProbation case management and sent out via email at 12:01 a.m. BSCC staff interviewed mental health staff who affirmed timely notification of youth being released. The facility administrator shall develop and implement Policy 5.3.8 (VII)(D(1) Release on Furloughs policies and procedures for post-disposition youth to and Post-Disposition Transitional and Re- coordinate the provision of transitional and reentry entry Services services including, but not limited to, medical and behavioral health, education, probation supervision and ☒ ☐ ☐ Transitional and re-entry services are provided community-based services. by the assigned Deputy Probation Officer, Juvenile Detention Officers, Peer Support, and collaborative partners. The facility administrator shall develop and implement Policy 5.3.8 (VII)(A) Release on Furloughs and written policies and procedures for the furlough of youth Post-Disposition Transitional and Re-entry ☒ ☐ ☐ from custody. Services 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 20 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1352 CLASSIFICATION Policy 5.3.6 Classification and Housing Assignments The facility administrator shall develop and implement written policies and procedures on classification of youth The facility makes classification decisions for the purpose of determining housing placement in the using the PREA/Behavioral Screening/Unit facility. ☒ ☐ ☐ Classification assessment through Noble. Such procedures shall: BSCC staff reviewed six assessment documents and information contained in the eProbation case management system which tracks active and inactive classifications. (a) provide for the safety of the youth, other youth, facility Policy 5.3.6 Classification and Housing staff, and the public by placing youth in the appropriate, Assignments least restrictive housing and program settings. Housing Policy 5.3.6 (ii) Housing Assignments ☒ ☐ ☐ assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Policy 5.3.6 (i)(c) General Information the facility; ☒ ☐ ☐ (c) provide that a youth shall be classified upon Policy 5.3.6 (i)(a) General Information admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Policy 5.3.6 (i)(a) General Information provisions that consider the level of supervision and the youth's behavior while in custody; and, Classification reviews are periodically reviewed by facility management. BSCC staff reviewed a memo from the Division Director ☒ ☐ ☐ indicating, each Wednesday at 12:00 p.m., a meeting is held in which classifications are added or removed as needed. The facility’s case management system tracks all classification decisions. (e) provide that facility staff shall not separate youth from Policy 5.3.6 (i)(h) General Information the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical ☒ ☐ ☐ disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy 5.3.6 (i)(i) General Information transgender, questioning or intersex identification or Policy 5.2.6: Transgender and Intersex status as an indicator of likelihood of being sexually ☒ ☐ ☐ Residents abusive. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 21 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 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 BSCC staff reviewed documents consisting of treatment of transgender and intersex youth. the PREA/Behavioral Screening/Unit The policies shall provide that: Classification which is utilized to determine if ☒ ☐ ☐ the youth identifies as transgender or intersex. The case management system allows for gender identification and preferred pronoun to be indicated as part of demographics and profile. (a) Facility staff shall respect every youth’s gender Policy 5.2.6 (I)(A) Transgender and Intersex identity and shall refer to the youth by the youth’s Residents-General Information preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of gang or slang names or names that otherwise ☒ ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy 5.2.6 (I)() Transgender and Intersex themselves in a manner consistent with their gender Residents-General Information identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that Policy 5.2.6 (II)(A) Transgender and Intersex best meets their individual needs and promotes their Residents-Housing safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Policy 5.2.6 (IV) Transgender and Intersex and intersex youth have access to medical and Residents-Equal Access to all Available behavioral health providers qualified to provide care and ☒ ☐ ☐ Services, Care and Treatment treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Policy 5.2.6: Transgender and Intersex necessary security considerations and physical plant, Residents facility staff shall make every effort to ensure the safety and privacy of transgender and intersex youth when the ☒ ☐ ☐ youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 5.2.6 (III) Transgender and Intersex youth for the purpose of determining the youth’s Residents-Searches 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. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 22 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1353 ORIENTATION Policy 5.3.9 Resident Orientation Policy 5.3.4 (VII) Booking Procedures- The facility administrator shall develop and implement Resident Orientation written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Upon initial admission to the Juvenile information shall be provided and supplemented with Rehabilitation Facility, youth are provided a video orientation if feasible. Provision shall be made to verbal orientation which includes viewing the provide accessible orientation information to all detained orientation video while in booking. The youth youth including those with disabilities, limited literacy, or will also be provided with a Resident English language learners. Handbook. BSCC staff reviewed 10 signed Orientation shall include information that addresses: acknowledgments of youth receiving a copy of ☒ ☐ ☐ the Orientation Upon being transferred to the River’s Edge Academy, the youth are provided with a handbook specific to the camp program. In addition, youth receive the GEO Shasta Orientation Overview. BSC staff reviewed the River’s Edge Academy Resident Handbook which comprehensively covers all requirements outlined in this regulation. BSCC staff interviewed youth about the orientation process and their understanding of the information provided by facility staff. (a) facility rules including contraband and searches and Policy 5.3.9 (I)(B)(1) Resident Orientation disciplinary procedures; ☒ ☐ ☐ (b) facility’s system of positive behavior interventions Policy 5.3.9 (I)(B)(2) 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 facility’s Policy 5.3.9 (I)(B)(3) Resident Orientation policy prohibiting sexual abuse and sexual harassment and how to report incidents or suspicions of sexual ☒ ☐ ☐ abuse or sexual harassment; (d) identification of key staff and their roles; Policy 5.3.9 (I)(B)(4) Resident Orientation ☒ ☐ ☐ (e) the existence of the grievance procedure, the steps Policy 5.3.9 (I)(B)(5) Resident Orientation that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the name of ☒ ☐ ☐ the person or position designated to resolve the issue; (f) access to legal services and information on the court Policy 5.3.9 (I)(B)(6) and (12) Resident process; ☒ ☐ ☐ Orientation (g) access to routine and emergency health and mental Policy 5.3.9 (I)(B)(7) and (8) Resident health care; ☒ ☐ ☐ Orientation (h) access to education, religious services, and Policy 5.3.9 (I)(B)(9),(10) and (11) Resident recreational activities; ☒ ☐ ☐ Orientation (i) housing assignments; Policy 5.3.9 (I)(B)(13) Resident Orientation ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy 5.3.9 (I)(B)(14) Resident Orientation including the availability of personal care items ☒ ☐ ☐ (k) rules and access to correspondence, visits and Policy 5.3.9 (I)(B)(15) Resident Orientation telephone use; ☒ ☐ ☐ (l) availability of reading materials, programming, and Policy 5.3.9 (I)(B)(21) Resident Orientation other activities; ☒ ☐ ☐ (m) facility policies on the use of force, use of restraints, Policy 5.3.9 (I)(B)(22) Resident Orientation chemical agents and room confinement; ☒ ☐ ☐ (n) immigration legal services; Policy 5.3.9 (I)(B)(16) Resident Orientation ☒ ☐ ☐ 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 23 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (o) emergencies including evacuation procedures; Policy 5.3.9 (I)(B)(24) Resident Orientation ☒ ☐ ☐ (p) non-discrimination policy and the right to be free from Policy 5.3.9 (I)(B)(17) Resident Orientation physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Policy 5.3.9 (I)(B)(18) Resident Orientation other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy 5.3.9 (I)(B)(26) Resident Orientation education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 5.3.9 (I)(B)(19) Resident Orientation information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked ☒ ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title Policy 5.3.9 (I)(B)(20) Resident Orientation 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ 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 (I)(A) Separation not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and BSCC staff reviewed 12 JRF Self-Separation protective custody. forms in which the youth and staff both sign when the youth requests to remain in their room. The reason and the start and end time of the self-separation is documented on the form. Other forms of separation include medical and mental health separation and protective custody. Youth may also be placed on Administrative Separation if they present an extreme risk to staff and other youth due to assaultive behavior. Administrative Separation ☒ ☐ ☐ requires a minimum of two staff present with the youth. Within 24 hours of being placed on Administrative Separation, a Reintegration Plan is to be completed. A supervisor is to complete a Classification Review every four hours during awake hours in which they meet with the youth and review the Reintegration Plan to assess the youth’s progress. This will be documented in the Administrative Separation Reintegration Plan log and in case notes. Youth are not confined to their rooms while on Administrative Separation outside of normal sleeping hours or institutional operations. (b) consideration of positive youth development and Policy 5.3.6.1 Separation trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal privileges Policy 5.3.6.1 Separation available at the facility, except when necessary to ☒ ☐ ☐ accomplish the objective of separation. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 24 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) when the objective of the separation is discipline, Policy 5.3.6.1 (I)(A)(1) Separation Title 15 Section 1390 shall apply. Policy 5.8.3 (II)(D Discipline As a sanction for major discipline, youth can be placed on Alternative Program (AP) for up ☒ ☐ ☐ to three days. While on AP, youth may be separated from other youth but still receive all requirements of Title 15. Youth can earn their way off AP with improved behavior and compliance with facility rules. (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 Section 1354.5 of ☒ ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of Policy 5.3.6.1 Separation separated youth to determine if separation remains necessary. All separations are to be reviewed by the ☒ ☐ ☐ management team daily and during the weekly management team meeting. 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 addressing BSCC staff reviewed 10 incidents of room the confinement of youth in their room that are consistent confinement which consisted of with Welfare and Institutions Code Section 208.3. The documentation outlined in the incident report, placement of a youth in room confinement shall be Temporary Room Restriction form, and accomplished in accordance with the following Constructive Reasoning form. The incidents guidelines: involved fighting, assaults on other youth or staff, and safety and security disturbances. ☒ ☐ ☐ Youth are assisted in completing a Constructive Reasoning form which gauges their thoughts, feelings, and actions that led to their room confinement. It further assists the youth in looking how their decisions impact the outcome and identify coping skills to use in similar situations. Completion of this form assists staff in safely reintegrating youth. Youth are typically off room confinement in less than two hours. (1) Room confinement shall not be used before other, Policy 5.8.7 (II)(a) Guidelines for Room less restrictive, options have been attempted and Confinement exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. The Temporary Room Restriction form ☒ ☐ ☐ requires the reason for room confinement and the less restrictive alternatives attempted. Facility staff are to document their counseling efforts and the youth’s responses. (2) Room confinement shall not be used for the Policy 5.8.7 (II)(b) Guidelines for Room purposes of punishment, coercion, convenience, or Confinement ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 5.8.7 (II)(c) Guidelines for Room that it compromises the mental and physical health of Confinement ☒ ☐ ☐ the youth. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 25 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) A youth may be held up to four hours in room Policy 5.8.7 (III)(A) Use of Room Confinement confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one BSCC staff reviewed instances in which youth or more of the following: were placed in the safety room for suicidal and self-harming behavior which extended beyond four hours. The placement of youth in the ☒ ☐ ☐ safety room was done in collaboration with medical and mental health. Extension of room confinement in the safety room was based upon mental health recommendations. The assessments were documented every four hours on the Suicidal Disposition Form. (1) Return the youth to general population. Policy 5.8.7 (III)(B) Use of Room Confinement ☒ ☐ ☐ Policy 5.8.7 (III)(B)1) Use of Room (2) Consult with mental health or medical staff. ☒ ☐ ☐ Confinement (3) Develop an individualized plan that includes the Policy 5.8.7 (III)(B)(3) Use of Room goals and objectives to be met in order to reintegrate Confinement ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy 5.8.7 (III)(B)(4) Use of Room four hours, staff shall do each of the following: Confinement (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy 5.8.7 (III)(B)(3) Use of Room the goals and objectives to be met in order to Confinement ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 5.8.7 (III)(B)(2) Use of Room facility superintendent or his or her designee Confinement ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy 5.8.7 (I)(A)(1)(c) General Expectations single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in Policy 5.8.7 (I)(A)(1)(b) General Expectations court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Policy 5.8.7 (II)(D) Guidelines for Room conflict with any law providing greater or additional Confinement ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 5.8.7 (I)(A)(1)(e) General Expectations extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- wide threat that poses an imminent and substantial ☒ ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 26 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (9) This section does not apply when a youth is Policy 5.8.7 (I)(A)(1)(d) General Expectations placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 5.7.1 Resident Case Plan The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. (a) Assessment: Policy 5.7.1 (A) Resident Case Plan The assessment is based on information collected during the admission process with periodic review, which Upon booking, an assessment will be includes the youth's risk factors, needs and strengths documented in the eProbation Case including, but not limited to, identification of substance ☒ ☐ ☐ Management System. BSCC staff reviewed abuse history, educational, vocational, counseling, 10 assessments and corresponding referrals behavioral health, consideration of known history of to programs to attend. trauma, and family strengths and needs. (b) Institutional Case Plan: Policy 5.7.1 (2)(a) Resident Case Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created within A PACT (Positive Achievement Change Tool) 40 days of admission. risk/needs assessment is completed by the case carrying probation officer. The probation officer will develop a case plan for the youth with goals and objectives. The probation officer is expected to meet with the youth every two weeks and document their progress in a case note in the eProbation case management system. Facility staff will also be assigned to monitor the youth’s progress and meet with the youth on a weekly basis and also document their interactions. Facility staff and the ☒ ☐ ☐ assigned probation officer work together in assisting youth reach their rehabilitative goals. BSCC staff reviewed with the Supervising Juvenile Detention Officer assigned to the River’s Edge Academy the case plans and the ongoing periodic reviews for youth in the program. In addition to the institutional assessment and case plan, GEO Re-Entry Services works with River’s Edge Academy youth on developing a programming case plan. Goals are developed with the youth on identified key life areas. (2) The institutional plan shall include, but not be Policy 5.7.1 (2)(b) Resident Case Plan limited to, written documentation that provides: (A) objectives and time frame for the resolution of ☒ ☐ ☐ problems identified in the assessment; 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 27 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (B) a plan for meeting the objectives that includes Policy 5.7.1 (2)(c) Resident Case Plan 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 (2)(d) Resident Case Plan the objectives, including periodic review and discussion of the plan with the youth; BSCC staff reviewed eProbation case management case notes documenting periodic reviews with the assigned probation ☒ ☐ ☐ officer. Depending on length of time in custody or individual youth needs, a PACT re- assessment or RPACT (Residential Positive Achievement Change Tool) will be completed by the assigned probation officer. (4) a transition plan, the contents of which shall be Policy 5.7.1 (II) Resident Case Plan-Post subject to existing resources, shall be developed for Disposition Transitional and Re-Entry Services post dispositional youth in accordance with Section Policy 5.3.8 Release Procedures and 1351; and, Transition Planning A Transition Passport is provided to youth ☒ ☐ ☐ upon release. The document provides the youth with the information they need to enroll in school, attend community-based programs, contact their probation officer, and follow-up on any medical, medication, or mental health services. (5) in as much as possible and if appropriate, the Policy 5.7.1 (II) Resident Case Plan-Post plan, including the transition plan, shall be developed Disposition Transitional and Re-Entry Services with input from the family, supportive adults, youth, and Regional Center for the Developmentally Transitional and re-entry services are the Disabled. responsibility of the assigned probation officer and facility staff. Meetings are held for transitional services and which can include the following: • Youth and Family Team Meetings • Multidisciplinary Team Meetings ☒ ☐ ☐ • Family Reunification Visits • “Passport” meeting for the purpose of scheduling out-of-custody continuum of care BSCC staff interviewed facility staff and collaborative partners who affirmed meetings are routinely held with youth and their parents/guardians to provide transitional and re-entry services. 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 Youth are assigned a Juvenile Detention of appropriate counseling and casework services for all Officer who assists youth while in the facility. youth. Policies and procedures shall ensure: ☒ ☐ ☐ BSCC staff reviewed documentation (a) youth will receive assistance with needs or concerns contained in the eProbation case that may arise; management system documenting referral for services and chronological case notes. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 28 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) youth will receive assistance in requesting contact Policy 5.7.7 (I)(A),(B) Counseling and with parents, other supportive adults, attorney, clergy, Casework Services ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources Policy 5.7.7 (I)(C),(D) Counseling and to meet the youth’s needs. ☒ ☐ ☐ Casework Services 1357 USE OF FORCE Policy 6.1 Use of Force The facility administrator, in cooperation with the BSCC staff reviewed three Use of Force responsible physician, shall develop and implement Reports. The reports involved youth involved written policies and procedures for the use of force, in fights, threatening staff or other youth, or to which may include chemical agents. Force shall never ☒ ☐ ☐ prevent self-harm. Staff consistently document be applied as punishment, discipline, retaliation or attempts to de-escalate or utilize lesser uses treatment. of force. (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, staff, others ☒ ☐ ☐ and the facility. (2) outline the force options available to staff including Policy 6.1 (II) Force Options both physical and non-physical options and define when those force options are appropriate. Force options outlined in policy include but are not limited to Command Presence and Dialog, ☒ ☐ ☐ Verbal Commands, Soft Hands, Chemical Agents, Defensive Tactics, Mechanical Restraints, and Deadly Force. (3) describe force options or techniques that are Policy 6.1 (1) (F) Use of Force Procedures- expressly prohibited by the facility. Considerations Before and During Use of ☒ ☐ ☐ Force (4) describe the requirements of staff to report any Policy 6.1 (IV) Duty to Intervene inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that Policy 6.1 (III) Use of Force Procedures- includes time period and procedure for documenting Required Reporting and Review and reporting the use of force, including reporting Policy 5.8.4 Reports and Documentation requirements of management and line staff and procedures for reviewing and tracking use of force The incident report template the agency incidents by supervisory and or management staff, utilizes assists staff in providing all the required which include procedures for debriefing a particular documentation as to the type of force used, ☒ ☐ ☐ incident with staff and/or youth for the purposes of de-escalation attempt(s), documentation of training as well as mitigating the effects of trauma that injuries, medication or photos, parental may have been experienced by staff and /or the youth notification, medical and mental health involved. notification and their follow-up response, staff and youth debriefing, and administrator review. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 29 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (6) Include an administrative review and a system for Policy 6.1 (III) Use of Force Procedures- investigating unreasonable use of force. Required Reporting and Review Policy 6.1 (IV) Use of Force Procedures- Investigation of Excessive Force or Violations of the Use of Force Policy ☒ ☐ ☐ The incident report documents the administrator review and included comments. All incident reports documenting Use of Force will be sent to the department’s Defensive Tactics instructor for review and feedback. A Use of Force Administrative Review Meeting is held monthly. (7) define the role, notification, and follow-up Policy 6.1 (III) Use of Force Procedures- procedures required after use of force incidents for Medical Follow-Up medical, mental health staff and parents or legal Policy 6.1 (III) Use of Force Procedures- guardians. Required Reporting and Review Medical staff are immediately notified and may respond to the units to provide clearance or direct follow-up care. If medical or facility staff ☒ ☐ ☐ determines the youth would benefit from a mental health evaluation, they will be notified to respond. If not, they will be notified the next day via the Special Incident Report. In addition, documentation reviewed confirms the youth’s parent or guardians are notified of UOF incidents. (8) describe the limitations of use of force on pregnant Policy 6.1 (1) (G) Use of Force Procedures- youth in accordance with Penal Code Section 6030(f) Considerations Before and During Use of ☒ ☐ ☐ and Welfare and Institutions Code Section 222. Force (b) Facilities that authorize chemical agents as a force Policy 6.1 Use of Force option shall include policies and procedures that: Policy 6.3 (I)(A) Chemical Agents-Training (1) identify who is approved to carry and/or utilize Policy 6.3 (I)(A) Chemical Agent-Storage, chemical agents in the facility and the type, size and ☒ ☐ ☐ Issue and Disposal of OC Spray Canisters the approved method of deployment for those Policy 6.3 (V) Use of Spray chemical agents. (2) mandate that chemical agents only be used when Policy 6.3 (III)(E) Chemical Agents- there is an imminent threat to the youth’s safety or the Considerations Before and During Use of OC safety of others and only when de-escalation efforts Spray have been unsuccessful or are not reasonably possible. ☒ ☐ ☐ Two of the ten Use of Force reports reviewed involved the use of chemical agents. The staff clearly documented warnings and attempts to de-escalate. (3) outline the facility’s approved methods and Policy 6.3 (VI) Chemical Agents- timelines for decontamination from chemical agents. Decontamination Process This shall include that youth who have been exposed to chemical agents shall not be left unattended until Facility staff are required to monitor youth for ☒ ☐ ☐ that youth is fully decontaminated or is no longer one hour from the time of exposure. The time suffering the effects of the chemical agent. monitoring youth is documented in the special incident report. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 30 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) define the role, notification, and follow-up Policy 6.3 (VII) Chemical Agents-Medical procedures required after use of force incidents Response involving chemical agents for medical, mental health ☒ ☐ ☐ Policy 6.3 (VIII) Chemical Agents-Reporting, staff and parents or legal guardians. Timelines and Review (5) provide for the documentation of each incident of Policy 6.3 (VIII) Chemical Agents-Reporting, use of chemical agents, including the reasons for Timelines and Review which it was used, efforts to de-escalate prior to use, Policy 5.8.4 Reports and Documentation youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Policy 6.1(III) Use of Force-Training require that agencies provide initial and regular training Policy 6.3 (I) Chemical Agents-Training in use of force and chemical agents when appropriate that address: Facility staff receive 32 hours of initial (1) known medical and behavioral health conditions ☒ ☐ ☐ Defensive Tactics training and 4-hour annual that would contraindicate certain types of force; refresher training. In addition, staff received an 8-hour STC-approved Chemical Agents course. (2) acceptable chemical agents and the methods of Policy 6.1(III) Use of Force-Training application. Policy 6.3 (I) Chemical Agents-Training ☒ ☐ ☐ Policy 6. (I)(A) Chemical Agent-Storage, Issue and Disposal of OC Spray Canisters (3) signs or symptoms that should result in immediate Policy 6.1(III)(E) Use of Force-Training referral to medical or behavioral health. ☒ ☐ ☐ Policy 6.3 (I) Chemical Agents-Training (4) instruction on the Constitutional Limitations of Use Policy 6.1(III)(A)(1) Use of Force-Training of Force. ☒ ☐ ☐ (5) physical training force options that may require Policy 6.1(III) Use of Force-Training the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Policy 6.1(III) Use of Force-Training training. ☒ ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS Policy 6.2 Mechanical Restraints The facility administrator, in cooperation with the The River’s Edge Academy had no youth responsible physician and mental health director, shall placed in restraints as it pertains to this develop and implement written policies and procedures ☒ ☐ ☐ regulation. 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 who Policy 6.2 (III) Use of Restraints 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. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy 6.2 (IV) Improper Use of Mechanical discipline, or as a substitute for treatment. The use of Restraints 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. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 31 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 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 The Use of Restraints for movement or facility. Movement within the facility shall be governed by ☒ ☐ ☐ transportation within the facility is covered Section 1358.5, Use of Restraint Devices for Movement under Policy and Procedure 4.3.3 Resident Within the Facility. Movement. Youth shall be placed in restraints only with the approval Policy 6.2 (III) (B) Use of Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints ☒ ☐ ☐ shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy (VII)(B)(1) Supervision of Restraint- retention shall be secured as soon as possible, but no Timelines later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Policy (VII)(B)(4) Supervision of Restraint- possible, but in no case longer than four hours from the Timeline time of placement, to assess the need for mental health ☒ ☐ ☐ treatment. Continuous direct visual supervision shall be conducted Policy 6.2 (III) (D) Use of Restraints to ensure that the restraints are properly employed, and Policy (VII) Supervision of Restraint to ensure the safety and well-being of the youth. Observations of the youth's behavior and any staff ☒ ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Policy 6.2 (III) (D) Use of Restraints procedures shall address: (a) documentation of the circumstances leading to an ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate Policy 6.2 (V) Considerations Regarding the certain restraint devices and/or techniques. ☒ ☐ ☐ Use of Restraints (c) acceptable restraint devices. Policy 6.2 (1)(A)(1) Mechanical Restraints Approved restraints devices consist of ☒ ☐ ☐ handcuffs, shackles, belly chains, and the WRAP. (d) signs or symptoms which should result in immediate Policy 6.2 (V) Considerations Regarding the medical/mental health referral. ☒ ☐ ☐ Use of Restraints (e) availability of cardiopulmonary resuscitation Policy 6.2 (V)(A)(1)(h) Considerations equipment. ☒ ☐ ☐ Regarding the Use of Restraints (f) protective housing of restrained youth. While in Policy (VII) Supervision of Restraint 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. Policy 6.2 (VII)(B)(2)(c),(d) Supervision of (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Restraint Policy 6.2 (VII)(B)(2)(e) Supervision of (h) exercising of extremities. ☒ ☐ ☐ Restraint 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 32 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1358.5 USE OF RESTRAINT DEVICES FOR Policy 4.3.3(III) Resident Movement-Use of MOVEMENT AND TRANSPORTATION WITHIN Restraint Devices for Movement and THE FACILITY. Transportation within the Facility The Facility Administrator, in cooperation with the A review of incident reports involving the use responsible physician and behavioral/mental health of mechanical restraints by staff indicates their director, shall develop and implement written policies use was for assaultive or non-compliant and procedures for the use of restraint devices when the behavior resulting in a safety or security issue. purpose is for movement or transportation within the ☒ ☐ ☐ The youth were transported away from the facility that shall include the following: incident to their rooms or other locations where (a) identification of acceptable restraint devices, staff the restraints were removed. Reports also approved to utilize restraint devices and the required indicate youth were not placed in mechanical training. restraints if staff were able to use the least restrictive means. This information is consistently documented. (b) the circumstances leading to the application of Policy 4.3.3(III)(3)(9) Use of Restraint Devices restraints must be documented. for Movement and Transportation within the ☒ ☐ ☐ Facility Movement (c) an individual assessment of the need to apply Policy 4.3.3(III)(4),(5),(6) Use of Restraint restraints for movement or transportation that includes Devices for Movement and Transportation consideration of less restrictive alternatives, within the Facility consideration of a youth’s known medical or mental Movement ☒ ☐ ☐ 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(III)(10) Use of Restraint Devices with a clearly defined expectation that restraint devices for Movement and Transportation within the shall not be used for the purposes of discipline or ☒ ☐ ☐ Facility retaliation. Movement (e) the use of restraints on pregnant youth is limited in Policy 4.3.3(III)(7) Use of Restraint Devices for accordance with Penal Code Section 6030(f) and Movement and Transportation within the Welfare and Institutions Code Section 222. ☒ ☐ ☐ Facility Movement 1359 SAFETY ROOM PROCEDURES Policy 5.3.3 Safety Room (a) The facility administrator, and where applicable, in BSCC staff reviewed two safety room cooperation with the responsible physician, shall placements involving two separate youth for develop and implement written policies and procedures suicidal and self-harming behavior. The facility governing the use of safety rooms, as described in Title utilizes an Observation Sheet when youth are 24, Part 2, Section 1230.1.13. The room shall be used placed in the safety room. The documentation to hold only those youth who present an immediate ☒ ☐ ☐ reviewed included incident reports, danger to themselves or others, who exhibit behavior Observation Sheets, Safety Plans, and which results in the destruction of property, or reveals Suicidal Disposition Forms. In addition, BSCC the intent to cause self-inflicted physical harm. A safety staff interviewed medical, mental health staff, room shall not be used for punishment or discipline, or and facility staff regarding responses to as a substitute for treatment. determine compliance with this regulation. Policies and procedures shall: (1) include provisions for administration of necessary Policy 5.3.3 (I)(F) Safety Room 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 (I)(C) Safety Room designee, before a youth is placed into a safety room; ☒ ☐ ☐ (3) provide for continuous direct visual supervision Policy 5.3.3 (I)(E) Safety Room and documentation of the youth's behavior and any Policy 5.3.3 (J)(c)(III) Safety Room- staff interventions every 15 minutes, with actual time ☒ ☐ ☐ Documentation-Time Lines recorded; 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 33 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) provide that the youth shall be evaluated by the Policy 5.3.3 (I)(H) Safety Room facility manager, or designee, every four hours; Policy 5.3.3 (J)(c)(iv) Safety Room- ☒ ☐ ☐ Documentation-Medical Evaluations (5) provide for immediate medical assessment, Policy 5.3.3 (J) Safety Room-Documentation where appropriate, or an assessment at the next ☒ ☐ ☐ daily sick call; and, (6) provide a process for documenting the reason for Policy 5.3.3 (J) Safety Room-Documentation 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 (I)(A) Safety Room accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of Policy 5.3.3 (I)(B) Safety Room punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. (3) safety room shall not be used to the extent that it Policy 5.3.3 (I)(D) Safety Room 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 (I)(G) Safety Room room. After the youth has been held in the safety room for a period of four hours, staff shall do one or more of ☒ ☐ ☐ the following: (1) return the youth to general population. Policy 5.3.3 (I)(G)(1) Safety Room ☒ ☐ ☐ (2) consult with mental health or medical staff, Policy 5.3.3 (I)(G)(2) Safety Room ☒ ☐ ☐ (3) develop an individualized plan that includes the Policy 5.3.3 (I)(G)(3) Safety Room goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (d) If confinement in the safety room must be extended Policy 5.3.3 (I)(H) 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 The facility administrator shall develop and implement written policies and procedures governing the search of ☒ ☐ ☐ youth, the facility, and visitors. Policies and procedures shall provide that: (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. At the beginning of each shift, youth supervision staff are to conduct a walk-through of their assigned post. Random room and ☒ ☐ ☐ common room searches are to be conducted each day and documented in eProbation case management system, Pod, or Control Log book. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 34 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) Searches shall be conducted in a manner that Policy 4.4 Searches of Residents preserves the privacy and dignity of the person being Policy 4.4 (VI)(F) Strip Searches searched and shall not be conducted for harassment or as a form of discipline or punishment. ☒ ☐ ☐ The River’s Edge Academy had no youth subjected to a strip search this inspection cycle. (c) Strip searches and visual or physical body cavity Policy 4.4 (B) Authority searches shall comply with Penal Code Section 4030. ☒ ☐ ☐ (d) Physical body cavity searches shall only be Policy 4.4 (VIII) Physical Body Cavity Search conducted by a medical professional. ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only be Policy 4.4 (B) Authority 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 (VI)(D) Strip Searches comply with Section 1352.5. Policy 5.2.6: Transgender and Intersex ☒ ☐ ☐ Residents (g) Cross-gender pat-down searches and strip searches Policy 4.4 (II)(D) and (H) Searches of are prohibited except in exigent circumstances or when Residents conducted by a medical professional. Such searches must be justified and documented in writing. BSCC staff interviewed youth who confirmed ☒ ☐ ☐ searches are conducted by their same gender staff. None of the youth interviewed had been strip-searched. 1361 GRIEVANCE PROCEDURE Policy 5.9 Resident Grievances The facility administrator shall develop and implement River’s Edge Academy only had one written policies and procedures whereby any youth may grievance filed since the Targeted Inspection appeal and have resolved grievances relating to any in September 2024. The Juvenile condition of confinement, including but not limited to Rehabilitation Facility has a grievance log for health care services, classification decisions, program each month separated by pods. BSCC staff participation, telephone, mail or visiting procedures, discussed with facility administration, food, clothing, bedding, mistreatment, harassment or ensuring all required signature and violations of the nondiscrimination policy. There shall be corresponding boxes are filled out on no time limit on filing grievances. Policies and ☒ ☐ ☐ grievance forms or indicate a reason for the procedures shall include provisions whereby the facility lack of documentation. manager ensures: Youth in the River’s Edge Academy have regular meetings while in school where they work on advocating and addressing areas of concern in the program. The assigned Deputy Probation Officer and Supervising Juvenile Detention Officer work to address the youth’s concerns. (a) a grievance form and instructions for registering a Policy 5.9 (II)(E) Resident Access to grievance, which includes provisions for the youth to Grievance Form have free access to the form; ☒ ☐ ☐ All youth interviewed knew of the grievance process and the location of the forms in the housing unit. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 35 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) the youth shall have the option to confidentially file Policy 5.9 (I)(I) Resident Grievances the grievance or to deliver the form to any youth supervision staff working in the facility; A locked grievance box was observed in each living unit. All youth interviewed knew the ☒ ☐ ☐ location of the box to confidentially file grievances. The Supervisor/OIC is to check the confidential grievance box on each pod prior to the end of their shift. (c) resolution of the grievance at the lowest appropriate Policy 5.9 (I)(J) Resident Grievances staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Policy 5.9 (III)(1) Grievance Review Process grievances within three (3) business days, grievances Policy 5.9 (III)(C) Grievance Review Process that relate to health and safety issues must be ☒ ☐ ☐ addressed immediately; (1) The youth may elect to be present to explain Policy 5.9 (III)(3)(d)Grievance Review Process his/her version of the grievance to a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance. (2) Provision for a staff representative approved by Policy 5.9 (II)(A)(3)(c) Resident Access to the facility administrator to assist the youth. ☒ ☐ ☐ Grievance Form (e) provision for a written response to the grievance Policy 5.9 (III)(3)(B) Grievance Review which includes the reasons for the decisions; ☒ ☐ ☐ Process (f) a system which provides that any appeal of a Policy 5.9 (III)(3)(D) Grievance Review grievance shall be heard by a person not directly Process ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) Policy 5.9 (III)(2) Grievance Review Process business days unless circumstances dictate a longer time frame. The youth shall be notified of any delay; and, When a Supervisor/OIC receives a grievance form, they will attempt to resolve the grievance in 48 hours. If unable to address, it will be handled by the Supervisor on the next shift. ☒ ☐ ☐ Grievances not resolved will be forwarded to the Division Director for a decision within 72 hours of receiving the grievance. Grievances reviewed were addressed within the required time frame. (h) the policy shall provide multiple internal and external Policy 5.9 (IV) Reporting Sexual Abuse and methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Sexual Harassment Whether or not associated with a grievance, concerns of Policy 5.9 (I)(E) and (K) Resident Grievances parents, guardians, staff or other parties shall be Policy 3.4 Citizen Complaints addressed and documented in accordance with written policies and procedures within a specified timeframe. ☒ ☐ ☐ Concerns of parents, guardians, staff, or other parties are to be addressed within 72 hours and documented in an incident report. 1362 REPORTING OF INCIDENTS Policy 5.8.4 Reports and Documentation A written report of all incidents which result in physical BSCC staff reviewed incident reports for use harm, use of force, serious threat of physical harm, or of force, room confinement, suicide watch, death of an employee, youth or other person(s) shall be ☒ ☐ ☐ safety rooms, and restraints which affirmed maintained. Such written record shall be prepared by the compliance with this regulation. All incidents staff and submitted to the facility manager by the end of are documented through the eProbation case the shift, unless additional time is necessary and management system. authorized by the facility manager or designee. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 36 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1363 USE OF REASONABLE FORCE TO COLLECT Policy 6.4 (I)(A) Use of Reasonable Force to DNA SPECIMENS, SAMPLES, IMPRESSIONS Collect Specimens, Samples, and Impressions (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel The facility does not collect DNA specimens, including peace officers, may employ reasonable force samples, or impressions. The case carrying to collect blood specimens, saliva samples, and thumb probation officer is responsible for collecting at or palm print impressions from individuals who are the Juvenile Division offices. required to provide such samples, specimens or ☐ ☐ ☒ impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that 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. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 37 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1370 EDUCATION PROGRAM Policy 11.1 School Programs (a) School Programs The Tri Mountain Academy is operated by The County Board of Education shall provide for the Shasta County Office of Education. The most administration and operation of juvenile court schools in recent Education Program Evaluation was conjunction with the Chief Probation Officer, or designee conducted on November 21, 2024, by Nick pursuant to applicable State laws. The school and facility Catomerisios, Senior Directive of Alternative administrators shall develop and implement written policy Education, and Linda Mullick-Wahl, Student and procedures to ensure communication and Outcome Program Coordinator with Butte coordination between educators and probation staff. County Office of Education. Additionally, Culturally responsive and trauma-informed approaches educational programs are provided to high should be applied when providing instruction. Education school graduates connecting students to staff should collaborate with the facility administrator to community college courses along with use technology to facilitate learning and ensure safe academic support to assist them with the technology practices. The facility administrator shall successful completion of their courses. request an annual review of each required element of the program by the Superintendent of Schools, and a report ☒ ☐ ☐ BSCC staff interviewed the school principal or review checklist on compliance, deficiencies, and and a teacher who indicated robust corrective action needed to achieve compliance with this communication and support with facility staff section. Such a review, when conducted, cannot be and administration. The principal is assigned delegated to the principal or any other staff of any juvenile to the campus full time. In total, Tri Mountain court school site. The Superintendent of Schools shall Academy has three general education conduct this review in conjunction with a qualified outside teachers and one resource/intervention agency or individual. Upon receipt of the review, the teacher, a fine arts teacher, a mental health facility administrator or designee shall review each item clinician, part-time psychologist, four behavior with the Superintendent of Schools and shall take management assistants, College and Career whatever corrective action is necessary to address each Project Coordinator, and a Community deficiency and to fully protect the educational interests of Connect Coordinator. Typical class size all youth in the facility. fluctuates between 8 and 12 students in each of the three pods. The three general education teachers rotate between the three housing unit classrooms for each block of instruction. (b) Required Elements Policy 11.2 (I)(A) Educational Program The facility school program shall comply with the State Required Elements Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Policy 11.2 (I)(B) Educational Program program shall be free from discriminatory action. Staff Required 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 (I)(A) Educational Program Education Code and include, but not be limited to, Required Elements ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Policy 11.2 (I)(E) Educational Program Equivalency Test as approved by the California Required Elements Department of Education shall be made available to ☒ ☐ ☐ eligible youth. (3) Youth shall be informed of post-secondary Policy 11.2(I)(F) Educational Program education and vocational opportunities. ☒ ☐ ☐ Required Elements 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 38 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) Administration of the High School Equivalency Policy 11.2 (I)(G) Educational Program Tests as approved by the California Department of Required Elements ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Policy 11.2 (I)(H) Educational Program who do not demonstrate sufficient progress towards Required Elements ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Policy 11.2 (I)(I) Educational Program State Education Code Requirements for juvenile court Required Elements schools. The facility administrator, in conjunction with education staff, must ensure that operational School hours are 8:30 a.m. to 2:00 p.m. procedures do not interfere with the time afforded for ☒ ☐ ☐ Monday, Tuesday, Thursday, and Friday. Each the minimum instructional day. Absences, time out of Wednesday is a minimum day. class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Policy 11.2 (I)(K) Educational Program of classification, housing, security status, disciplinary Required Elements 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 (I)(A) School Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action School staff evaluate the youth’s behavior in the school setting and be integrated into the facility's ☒ ☐ ☐ through the school day and provide a scoring overall behavioral management plan and security as outlined in the facility’s Behavior system. Management System. (2) School staff shall be advised of administrative Policy 11.3 (1(C)(2) School Discipline decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Policy 11.3 (I)(B) 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 (I)(D) School Discipline education staff will develop policies and procedures that address the rights of any student who has ☒ ☐ ☐ continuing difficulty completing a school day. (d) Provisions for Special Populations Policy 11.4 Education Program: Provisions for (1) State and federal laws and regulations shall be Special Populations observed for all individuals with disabilities or suspected disabilities. This includes but is not limited to child find, assessment, continuum of alternative ☒ ☐ ☐ placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 39 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Youth identified as English Learners (EL) shall be Policy 11.4 (I)(C) Education Program: afforded an educational program that addresses their Provisions for Special Populations 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 (I)(B)(1) Educational Screening (1) Youth shall be interviewed after admittance and a and Admission record maintained that documents a youth's ☒ ☐ ☐ educational history, including but not limited to: (A) School progress/school history; Policy 11.5 (I)(B)(1)(a) Educational Screening ☒ ☐ ☐ and Admission (B) Home Language Survey and the results of the Policy 11.5 (I)(B)(1)(b) Educational Screening State Test used for English language proficiency; ☒ ☐ ☐ and Admission (C) Needs and services of special populations as Policy 11.5 (I)(B)(1)(c) Educational Screening defined by the State Education Code, including but and Admission ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. Policy 11.5 (I)(B)(1)(d) Educational Screening ☒ ☐ ☐ and Admission (2) Youth will be immediately enrolled in school. Policy 11.5 (I)(A) and (B)(2) Educational Educational staff shall conduct an assessment to Screening and Admission determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Policy 11.5 (I)(B)(1)(a) Educational Screening education plan shall be developed for each youth and Admission ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with Policy 11.5 (I)(B)(3) Educational Screening the State Education Code and request the youth's and Admission records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, immunization records, exit grades, and partial credits. ☒ ☐ ☐ Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Policy 11.6 (I)(A) Educational Reporting, (1) The complete facility educational record of the Transition and Re-Entry Planning youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Policy 11.6 (I)(B) Educational Reporting, provide appropriate credit (full or partial) for course Transition and Re-Entry Planning work completed while in juvenile court school in ☒ ☐ ☐ accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 11.6(I)(C) Educational Reporting, (1) The Superintendent of Schools and the Chief Transition and Re-Entry Planning 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. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 40 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) Post-Secondary Education Opportunities Policy 11.7 Education Program: Access to (1) The school and facility administrator should, Computing Technology and Post-Secondary whenever possible, collaborate with local post- Education Opportunities. secondary education providers to facilitate access to ☒ ☐ ☐ educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. Policy 5.7.2 Programs, Recreation and Exercise The facility administrator shall develop and implement written policies and procedures for programs, recreation, BSCC staff reviewed the October 2024, and exercise for all youth. The intent is to minimize the January and March 2025 program, recreation, amount of time youth are in their rooms or their bed area. and exercise logs for each living unit and the 2024 and 2025 JRF Daily Programming schedule. In addition, BSCC staff reviewed excel spreadsheets from the same months of programming services provided to youth by collaborative providers. BSCC staff discussed with facility administration supervising staff need to routinely audit the paper logs to ensure clear documentation on the ☒ ☐ ☐ programming being offered and for consistency among staff as they work throughout the various living units. As the agency is migrating their tracking of programs, recreation, and exercise to the eProbation case management system, alerts will be sent to the living units and the supervisors if youth have not received the minimum hours as required by the regulation. Further, BSCC staff provided a recommendation to build into the eProbation system more detail about the programs outlined in the regulation to further capture the type of programming provided to youth. Juvenile facilities shall provide the opportunity for Policy 5.7.2(I)(B) 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 ☒ ☐ ☐ one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy 5.7.2 (II)(B) Resident Access to exercise may be suspended only upon a written finding Programs, Recreation and 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 (I)(D) Programs, Recreation and be posted in the living units. Exercise ☒ ☐ ☐ BSCC staff observed the schedule posted in all living units. 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 memorandum dated September 16, 2024 ☒ ☐ ☐ and July 7, 2025, by Division Director, Jeremy Kenyon, outlined programming, recreation, and exercise. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 41 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (a) Programs. All youth shall be provided with the Policy 5.7.2 (VI) Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, The facility utilizes community-based evidence-based, best practice interventions that are organizations, service providers, and facility culturally relevant and linguistically appropriate, or pro- staff to ensure programming needs are met. social interventions and activities designed to reduce The following is a list of programming offered recidivism. These programs should be based on the to the youth: youth’s individual needs as required by Sections 1355 and 1356. Such programs may be provided under the Baking and Culinary direction of the Chief Probation Officer or the County GROW Office of Education and can be administered by county ROP Kitchen Help partners such as mental health agencies, community Group Rehabilitative Programming based organizations, faith-based organizations or Individual Therapy Probation staff. Aggression Replacement Training Programs may include but are not limited to: Moral Reconation Therapy (1) Cognitive Behavior Interventions; Intensive Cognitive Behavioral Therapy (2) Management of Stress and Trauma; Forward Leap (3) Anger Management; Smart Recovery (4) Conflict Resolution; Mentoring (5) Juvenile Justice System; Change Company Journaling (6) Trauma-related interventions; Competency Restoration Training (7) Victim Awareness; NA/AA (8) Self-Improvement; Book Club (9) Parenting Skills and support; Rise Above (10) Tolerance and Diversity; ☒ ☐ ☐ Hope City Bridge (11) Healing Informed Approaches; Girls Circle (12) Interventions by Credible Messengers; Shasta Arts Council Mural Project (13) Gender Specific Programming; Restorative Justice Educators (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; GEO Re-Entry Services provides additional (16) Restorative Justice or Civic Engagement; services to youth in the River’s Edge (17) Career and leadership opportunities; and, Academy. Programming, including the (18) Other topics suitable to the youth population. following: Morale Reconation Therapy Power Source CBISA Social Skills Individual Cognitive Behavioral Individual Success Plans Motivational Regulations Change Company Journaling General Life Skills BSCC staff interviewed youth who affirmed programming occurs daily by either collaborative partners, community-based organizations, or facility staff. (b) Recreation. All youth shall be provided the opportunity Policy 5.7.2 (VI) Dayroom Recreational for at least one hour of daily access to unscheduled Activities activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and include Recreational activities available to the youth orientation and may include coaching of youth. include arts and crafts, board games, movies, ☒ ☐ ☐ reading, letter writing, bingo, bunko, ping pong, and video games. BSCC staff interviewed youth who affirmed they have the opportunity for recreation daily. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 42 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) Exercise. All youth shall be provided with the Policy 5.7.2 (IV) Large Muscle Exercise opportunity for at least one hour of large muscle activity each day. Exercise available to the youth include basketball, football, volleyball, whiffle ball, ☒ ☐ ☐ soccer, weight/cardio workouts, and exercise yards. BSCC staff interviewed youth who affirmed they have the opportunity for exercise daily. The administrator/manager may suspend, for a period not Policy 5.7.2 (II)(B) Resident Access to to exceed 24 hours, access to recreation and programs. Programs, Recreation and Exercise 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 Religious services, communion, and bible services and/or religious counseling at least once each study are provided to youth by Forward Leap, week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ Shasta Baptist, and Bethel Church. Youth allowed to participate in an activity outside of their room if interviewed affirmed that religious services are he/she elects not to participate in religious programs. available weekly and they are not required to Religious programs shall provide for: participate. Policy 5.7.3 (I)(A) Access to Religious (a) opportunity for religious services and practices; ☒ ☐ ☐ Programming-General Information Policy 5.7.3 (II) Providers of Religious (b) availability of clergy; and, ☒ ☐ ☐ Programs (c) availability of religious diets. Policy 5.7.3 (III) Religious Diets ☒ ☐ ☐ 1373 WORK PROGRAM Policy 5.7.8 Work Program The facility administrator shall develop policies and Youth who have reach a level two may be procedures regarding the fair and consistent assignment eligible for the facility’s work programs offered of youth to work programs. Work assigned to a youth shall on the Pod or elsewhere in the facility. Work be meaningful, constructive and related to vocational ☒ ☐ ☐ programs also include Baking and Culinary, training or increasing a youth's sense of responsibility. the Grow Program, and the Oliview Work programs shall not be imposed as a disciplinary Community Building Farm Project. The work measure program has job terms and conditions youth are to adhere to as part of the program. 1374 VISITING Policy 5.6 Visiting Procedures The facility administrator shall develop and implement Visiting is held at three designated times for written policies and procedures for visiting, that include one hour on Saturday and Sunday, total of two provisions for special visits. Youth shall be allowed to hours per week. In addition to regularly receive visits by parents, guardians or persons standing scheduled weekend visits, a youth can in loco parentis, and children of youth. Other family purchase a commissary visit for up to four members, such as grandparents and siblings, and visitors, which can include parents, guardians, supportive adults, may be allowed to visit with the ☒ ☐ ☐ siblings, and others approved by their approval of the facility administrator or designee, and in assigned probation officer. Snacks and a conjunction with the youth’s case plan or in the best photo are provided at these visits. Unlimited interest of the youth. special visiting is facilitated by the probation officer. The facility offers two hours per week visitation through Goto Meeting for those youth who are unable to get in-person visits. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 43 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 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 criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy 5.6 (I)(A) and (D) Visiting Procedures per week. Visits may be supervised, but conversations Policy 5.7.7 (I)(C) Counseling and Casework shall not be monitored unless there is a security or safety Services need. Policy 5.11.2 (I)(E) Access to Mental Health Services BSCC staff interviewed youth who for the most part indicated visiting always occurred as scheduled. Some youth indicated visiting had recently been cancelled due to short staffing which was confirmed by facility administration. In response, facility administration reported ☒ ☐ ☐ plans to extend visitation periods from one to two hours per session, with the intent of improving accessibility. They also committed to discussing with their senior administration the need for additional resources to ensure scheduled visitation occurs as scheduled. BSCC staff advised that, in order to support ongoing compliance, this issue will remain under review during future inspections, which may be scheduled or conducted unannounced. Provisions for special visits, in addition to the two-hour Policy 5.6 (II)(B) and (C) Visiting Procedures minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy and professional visits shall be accommodated outside ☒ ☐ ☐ the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy 5.6 (I)(G) Visiting Procedures alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ 1375 CORRESPONDENCE Policy 5.4.10 (1)(B) Resident Mail The facility administrator shall develop and implement Youth indicate there is no limit on the amount written policies and procedures for correspondence which ☒ ☐ ☐ of mail they can receive. provide that: (a) there is no limitation on the volume of mail that youth may send or receive; (b) youth may send two letters per week postage free; Policy 5.4.10 (1)(B)(1) Resident Mail The facility will pay for postage for one letter each day to parents/guardians and one letter ☒ ☐ ☐ each week to non-parents or guardians. The youth may also purchase additional postage with points earned from the facility’s BMS program. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 44 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) youth may correspond confidentially with state and Policy 5.4.10 (III) 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 5.4.1 (IV) Resident Mail-Inspection of in (c), may be read by staff only when there is reasonable Mail cause to believe facility safety and security, public safety, ☒ ☐ ☐ or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy 5.4.9 Resident Access to Telephone The administrator of each juvenile facility shall develop Per policy, youth are allowed one personal and implement written policies and procedures to provide phone call per week using the telephones in youth with access to telephone communications. the Pod. Additional phone call privileges are available as part of the facility’s Behavior ☒ ☐ ☐ Management System. Youth interviewed were aware of policies for telephone use and had regular access to the telephone. BSCC staff confirmed all telephones in the housing units were operational. 1377 ACCESS TO LEGAL SERVICES Policy 5.11.4 Access to Legal Services The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; Policy 5.11.4 (I)(A) Access to Legal Services- and, ☒ ☐ ☐ Procedures (c) unlimited postage free, legal correspondence and Policy 5.11.4 (III) Access to Legal Services- cost-free telephone access as appropriate. Correspondence with Attorneys and Legal ☒ ☐ ☐ Service Providers 1390 DISCIPLINE Policy 5.8.1 Behavior Management System Policy 5.8.2 Facility Rules The facility administrator shall develop and implement Policy 5.8.3 Discipline written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use The facility has a behavior management of positive behavior interventions and supports. Discipline system which youth receive grades based shall be imposed at the least restrictive level which upon the quality of behavior and participation promotes the desired behavior and shall not include on each shift. Incentive points are earned. The corporal punishment, group punishment, physical or weekly average grade will determine levels. psychological degradation. Youth are graded on behavior/attitude, Deprivation of the following is not permitted: ☒ ☐ ☐ relationships with peers and staff, programming and school participation, personal and room appearance, and civility, courtesy, and language. Youth who have four full consecutive weeks of Outstanding Status will apply for Honors Level Privileges. BSCC staff interviewed youth who affirmed being orientated to the facility rules and behavior management system upon admission. The facility rules were posted in each Pod. (a) bed and bedding; Policy 5.8.3 (F)(1) Discipline ☒ ☐ ☐ (b) daily shower, access to drinking fountain, toilet and Policy 5.8.3 (F)(2) Discipline personal hygiene items, and clean clothing; ☒ ☐ ☐ (c) full nutrition; Policy 5.8.3 (F)(3) Discipline ☒ ☐ ☐ 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 45 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) contact with parent or attorney; Policy 5.8.3 (F)(4) Discipline ☒ ☐ ☐ (e) exercise; Policy 5.8.3 (F)(5) Discipline ☒ ☐ ☐ (f) medical services and counseling; Policy 5.8.3 (F)(6) Discipline ☒ ☐ ☐ (g) religious services; Policy 5.8.3 (F)(7) Discipline ☒ ☐ ☐ (h) clean and sanitary living conditions; Policy 5.8.3 (F)(8) Discipline ☒ ☐ ☐ (i) the right to send and receive mail; Policy 5.8.3 (F)(9) Discipline ☒ ☐ ☐ (j) education; and, Policy 5.8.3 (F)(10) Discipline ☒ ☐ ☐ (k) rehabilitative programming. Policy 5.8.3 (F)(11) Discipline ☒ ☐ ☐ The facility administrator shall establish rules of conduct Policy 5.8.1 Behavior Management System and disciplinary penalties to guide the conduct of youth. Policy 5.8.2 Facility Rules Such rules and penalties shall include both major Policy 5.8.3 Discipline violations and minor violations, be stated simply and affirmatively, and be made available to all youth. Provision A matrix has been developed to ensure an shall be made to provide accessible information to youth appropriate and consistent level of sanction is with disabilities, limited English proficiency, or limited imposed based upon the behavior. Depending literacy. on the rule violation, sanctions can include ☒ ☐ ☐ verbal warnings, counseling, writing sentences, loss of level or privileges, or alternative programming. BSCC staff discussed with facility administration updating their Behavior Matrix to adhere to the language in regulation and their current practices. 1391 DISCIPLINE PROCESS Policy 5.8.1 Behavior Management System Policy 5.8.2 Facility Rules The facility administrator shall develop and implement Policy 5.8.3 Discipline written policies and procedures for the administration of Policy 5.8.5 Due Process discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose BSCC staff reviewed 10 examples involving discipline for violation of rules; the discipline process for major rule violations. The documents reviewed included incident ☒ ☐ ☐ reports and the SCJRF Due Process form. Youth are provided a due process hearing in all instances as the facility’s process provides a hearing on all major rule violations. BSCC staff discussed with facility administration the importance of ensuring staff completely fill out and obtain signatures required on the forms. (b) prohibiting discipline to be delegated to any youth; Policy 5.8.(I)(B)(1) Discipline ☒ ☐ ☐ (c) definition of major and minor rule violations and their Policy 5.8.2 Facility Rules consequences, and due process requirements; Policy 5.8.3 (II)(A) Discipline-Minor Rule Violations ☒ ☐ ☐ Policy 5.8.3 (II)(B) Discipline-Major Rule Violations Policy 5.8.5 Due Process (d) trauma-informed approaches and positive behavior Policy 5.8.1 Behavior Management System interventions; Policy 5.8.2 (I)(E) Facility Rules ☒ ☐ ☐ Policy 5.8.3 Discipline (e) minor rule violations may be handled informally by Policy 5.8.3(II)(A) Discipline-Minor Rule counseling, advising the youth of expected conduct Violations imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 46 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (f) major rule violations and the discipline process shall Policy 5.8.3(II)(B) Discipline-Major Rule be documented and require the following: Violations (1) written notice of violation prior to a hearing; Policy 5.8.5 (II) Due Process-Documentation ☒ ☐ ☐ Process Policy 5.8.5 (III) Due Process Hearing Process (2) accommodations provided to youth with Policy 5.8.5 (III)(C) Due Process Hearing disabilities, limited literacy, and English language Process ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the Policy 5.8.5 (III)(A) Due Process Hearing incident; ☒ ☐ ☐ Process (4) opportunity for the youth to be heard, present Policy 5.8.5 (III)(D) Due Process Hearing evidence and testimony; ☒ ☐ ☐ Process (5) provision for youth to be assisted by staff in the Policy 5.8.5 (III)(B) Due Process Hearing hearing process; ☒ ☐ ☐ Process Policy 5.8.5 (IV) Appeal Process Five of the ten examples reviewed included an (6) provision for administrative review. ☒ ☐ ☐ appeal of the discipline imposed. In one instance, the discipline was changed to a lesser sanction. (g) violations that result in a removal from camp or The facility is not a camp or commitment commitment program, but not a return to court, will follow program. ☐ ☐ ☒ the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Policy 10.11 Management of Communicable DISEASES. Diseases. The health administrator/responsible physician, in cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: Policy 10.11 (1) Management of (a) Intake health screening procedures; Communicable Diseases-Intake Health ☒ ☐ ☐ Screening Policy 10.11(2) Management of (b) Identification of relevant symptoms; ☒ ☐ ☐ Communicable Diseases-Identify Symptoms Policy 10.11 (3) Management of (c) Referral for medical evaluation; Communicable Diseases-Refer for Medical ☒ ☐ ☐ Evaluation Policy 10.11 (4) Management of (d) Treatment responsibilities during detention; Communicable Diseases-Treatment ☒ ☐ ☐ Responsibilities Policy 10.11 (5) Management of (e) Coordination with public and private community- Communicable Diseases-Treatment Plan based resources for follow-up treatment; ☒ ☐ ☐ Upon Release Policy 10.11 (6) Management of (f) Applicable reporting requirements; and, Communicable Diseases-Reporting ☒ ☐ ☐ Requirements Policy 10.11 (7) Management of (g) Strategies for handling disease outbreaks. Communicable Diseases-Strategies for ☒ ☐ ☐ Handling Disease Outbreaks in the JRF 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 47 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The policies and procedures shall be updated as Policy 10.11(II) Management of necessary to reflect communicable disease priorities Communicable Diseases-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 The health administrator, in cooperation with the facility A locked box is accessible in living units for the administrator, shall develop policy and procedures to youth to confidentially convey requests for establish a daily routine for youth to convey requests for medical, dental, and mental health services. emergency and non-emergency medical, dental and The youth interviewed were aware of the behavioral/mental health care services. confidential medical box. Youth also indicated they could directly seek services from medical ☒ ☐ ☐ staff, mental health staff, or ask facility staff to be seen. BSCC staff discussed with facility administration to provide clarity in policy and procedure that youth have a right to confidentially convey requests to behavioral/mental health as this is a separate agency than the medical provider. 1480 STANDARD FACILTY CLOTHING ISSUE Policy 5.2.3 Resident Dress Code Policy 5.3.4 Booking Procedures-Initial The youth’s personal clothing, undergarments and Shower, Clothing and Bedding Issue footwear may be substituted for the institutional clothing and footwear specified in this regulation. The facility has The clothing worn by the youth was observed the primary responsibility to provide clothing and ☒ ☐ ☐ to be in good repair, free of stains, and well- footwear. Clothing provisions shall ensure that: fitted. The youth interviewed indicated if they needed new underwear, outer clothing, or shoes, they could ask staff and they would receive the items. (a) Clothing is clean, reasonably fitted, durable, easily Policy 5.2.3 (I)(A)(4) Resident Dress Code laundered, in good repair, and free of holes and tears. Policy 5.3.4 (IV)(B) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue (b) The standard issue of climatically suitable clothing Policy 5.2.3 (I)(A)(1)(d) and (e) Resident Dress for youth shall consist of but not be limited to: Code (1) Socks and serviceable footwear; Policy 5.3.4 (IV)(B)(2) and (7) Booking ☒ ☐ ☐ Procedures-Initial Shower, Clothing and Bedding Issue Policy 5.2.3 (I)(A)(1)(a),(f) and (g) Resident Dress Code (2) Outer garments; Policy 5.3.4 (IV)(B)(3),(4) and (5) Booking ☒ ☐ ☐ Procedures-Initial Shower, Clothing and Bedding Issue (3) New non-disposable underwear which shall Policy 5.2.3 (I)(A)(1)(b) Resident Dress Code remain with the youth throughout their stay, and; Policy 5.3.4 (IV)(B)(1) Booking Procedures- ☒ ☐ ☐ Initial Shower, Clothing and Bedding Issue (4) Undergarments, that are freshly laundered and Policy 5.2.3 (I)(A)(1)(b) and (c) Resident Dress free of stains, including tee shirts and bras. Code ☒ ☐ ☐ Policy 5.3.4 (IV)(B)(1) Booking Procedures- Initial Shower, Clothing and Bedding Issue (c) Clothing is laundered at the temperature required by Policy 5.4.8 (I)(D) and (E) Laundry Operations local ordinances for the commercial laundries and dried completely in a mechanical dryer or other laundry ☒ ☐ ☐ method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Policy 5.2.3 (I)(A)(3)Resident Dress Code Policy 5.3.4 (IV)(B)(7) Booking Procedures- ☒ ☐ ☐ Initial Shower, Clothing and Bedding Issue 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 48 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1482 CLOTHING EXCHANGE Policy 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement Interviews with youth confirm they are written policies and site-specific procedures for the receiving clean clothing daily. cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy 5.4.8 (III) Laundry Operations- PERSONAL CLOTHING Resident’s Personal Clothing Policy 5.4.8 (III) Laundry Operations-Control There shall be written policies and site-specific of Vermin in Issued Clothing procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Policy 5.4.5 Resident Hygiene Policy 5.4.5 (I)(A) and (D) Issue of Personal There shall be written policies and site-specific Care Items procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; Policy 5.4.5 (I)(A)(1) Issue of Personal Care (a) Toothbrush; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(2) Issue of Personal Care (b) Toothpaste; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(3) Issue of Personal Care (c) Soap; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(4) Issue of Personal Care (d) Comb; ☒ ☐ ☐ Items (e) Shaving implements; Policy 5.4.5 (III) Resident Hygiene-Shaving ☒ ☐ ☐ Policy 5.4.5 (I)(A)(5) Issue of Personal Care (f) Deodorant; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(6) Issue of Personal Care (g) Lotion; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(7) Issue of Personal Care (h) Shampoo; and, ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(8) Issue of Personal Care (i) Post-shower conditioning hair products. ☒ ☐ ☐ Items Youth shall not be required to share any personal care Policy 5.4.5 (I)(B) Issue of Personal Care items listed in items (a) through (d). Liquid soap provided Items through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving instruments capable of breaking the skin, when shared among youth, ☒ ☐ ☐ shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 49 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1486 PERSONAL HYGIENE Policy 5.4.5 (II) Resident Hygiene-Showering and Hygiene There shall be written policies and site specific procedures developed and implemented by the facility Interviews with youth confirm they are administrator for showering/bathing and brushing of ☒ ☐ ☐ receiving all required personal care items. teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy 5.4.5 (III) Resident Hygiene-Shaving Youth shall have access to a razor daily, unless their BSCC staff interviewed youth who indicate appearance must be maintained for reasons of they typically have the opportunity to shave identification in Court. All youth shall have equal daily, however, sometimes staff will forget to opportunity to shave face and body hair. The facility get the razors, be too busy, or run out of time. administrator may suspend this requirement in relation ☒ ☐ ☐ BSCC staff discussed with facility to youth who are considered to be a danger to administration the need to ensure sufficient themselves or others. staff and allotted time is available for youth to shave daily. Documentation of youth opportunity to shave will be maintained in the eProbation case management system. 1488 HAIR CARE SERVICES Policy 5.4.5 (IV) Resident Hygiene-Hair Care Services Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. Youth are to request a haircut to the supervisor Equipment shall be cleaned and disinfected after each in charge of haircuts. Once completed, a note haircut or procedure, by a method approved by the State will be placed in the youth’s case file. If a youth Board of Barbering and Cosmetology. did not receive their requested haircut, the reason must also be documented. BSCC staff reviewed documentation tracking haircuts ☒ ☐ ☐ from November 2023 through June 2025. Youth haircuts were provided by facility staff and volunteers. The facility is considering contracting with a licensed barber or cosmologist for haircare services. The facility tracking and documentation procedures have changed during the inspection cycle. Youth haircuts will be tracked in the eProbation case management system. 1500 STANDARD BEDDING AND LINEN ISSUE Policy 5.4.7 Clothing and Bedding Exchange Policy 5.3.4 Booking Procedures-Initial Clean laundered, suitable bedding and linens, in good Shower, Clothing and Bedding Issue repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Policy 5.4.7 Clothing and Bedding Exchange meets the requirements of Section 1502 of these Policy 5.3.4 (D)(5) Booking Procedures-Initial ☒ ☐ ☐ regulations; Shower, Clothing and Bedding Issue (b) One pillow and a pillow case unless provided for in Policy 5.4.7 Clothing and Bedding Exchange (a) above; Policy 5.3.4 (D)(5) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue Policy 5.4.7 Clothing and Bedding Exchange (c) One mattress cover and a sheet or two sheets; Policy 5.3.4 (D)(3) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue Policy 5.4.7 Clothing and Bedding Exchange (d) One towel; and, Policy 5.3.4 (D)(4) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 50 of 52 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy 5.4.7 Clothing and Bedding Exchange (e) One blanket or more, up on request Policy 5.3.4 (D)(1) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue 1501 BEDDING LINEN EXCHANGE Policy 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement Interviews with youth confirm they are site specific written policies and procedures for the exchanging linen, including their blankets, scheduled exchange of laundered bedding and linen ☒ ☐ ☐ each week. They can receive clean linen or issued to each youth housed. Washable items such as blankets if needed before exchange day. sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once Policy 5.4.7 Clothing and Bedding Exchange a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND Policy 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). 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 51 of 52 J453 JUV PRO eff. 01.01.25 REVIEW OF NON-REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 7622 Shasta River’s Edge Academy Camp CI PRO 25-26 Page 52 of 52 J453 JUV PRO eff. 01.01.25 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7623 FACILITY NAME: Shasta Secure Track Treatment Program (STTP) FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Jeremy Kenyon, Division Director; Jason Coulombe, Supervising Probation Officer-Administrative; K. Woodcock, Supervising Probation Officer; A. Hemenway, Supervising Juvenile Detention Officer; D. Goodwine, Supervising Juvenile Detention Officer-Kitchen Manger; H. Meredith, Juvenile Detention Officer III; M. Fleming, Juvenile Detention Officer I; Tasha Foley, Peer Support; Jill North-principal and Anders Benoit-teacher, Shasta County Office of Education; Damon Ransbarger, RN Coordinator-Shasta Community Health Center, Cristal Loveless, clinician-Shasta County Health and Human Services Agency; Danielle Gehrung-Program Manager, Lyla Bear-Supervisor, Claire Cassel and Scott Gruhler-Behavior Change Managers, GEO Re-Entry Services; 3 male youth ages 17 (2) and 20 FIELD REPRESENTATIVE: Shay Molennor DATE: July 15-17, 2025 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1313 COUNTY INSPECTION AND EVALUATION OF Policy 2.1.5 (VI)(C)(1) Roles and BUILDING AND GROUNDS Responsibilities of Facility Administration- On an annual basis, or as otherwise required by law, each Other Reviews and Inspections juvenile facility administrator shall obtain a documented ☒ ☐ ☐ inspection and evaluation from the following: January 31, 2024 (a) county building inspector or person designated by the January 3, 2025 Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire Policy 2.1.5 (VI)(C)(2) Other Reviews and clearance as required by Health and Safety Code Section Inspections 13146.1(a) and (b); ☒ ☐ ☐ March 28, 2025 (c) local health officer, inspection in accordance with Policy 2.1.5 (VI)(C)(3) Other Reviews and Health and Safety Code Section 101045; Inspections Environmental: October 11, 2023 September 11, 2024 ☒ ☐ ☐ Nutrition: December 20, 2023 April 8, 2025 Medical/Mental Health: November 6, 2023 November 6, 2024 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 Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 1 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) county superintendent of schools on the adequacy of Policy 2.1.5 (VI)(C)(4) Other Reviews and educational services and facilities as required in Section Inspections 1370; ☒ ☐ ☐ November 27, 2023 November 21, 2024 (e) juvenile court as required by Section 209 of the Policy 2.1.5 (VI)(C)(5) Other Reviews and Welfare and Institutions Code; and, Inspections ☒ ☐ ☐ September 25, 2023 October 18, 2024 (f) the Juvenile Justice Commission as required by Policy 2.1.5 (VI)(C)(6) Other Reviews and Section 229 of the Welfare and Institutions Code or Inspections Probation Commission as required by Section 240 of the ☒ ☐ ☐ Welfare and Institutions Code. October 10, 2023 September 27, 2024 1320 APPOINTMENT AND QUALIFICATIONS A memorandum dated June 12, 2025, by Chief Note: Compliance with this section is determined by Probation Officer Tracie Neal, addressed all receipt of the Chief Probation Officer’s certification letter elements of this regulation. confirming that all elements of regulation are met. (a) Appointment In each juvenile facility there shall be a superintendent, ☒ ☐ ☐ director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in accordance with Section 1031 of the Government ☒ ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the facility, shall have such clearance and qualifications as may be required by law, and their presence at the facility ☒ ☐ ☐ shall be subject to the approval and control of the facility manager. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 2 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1321 STAFFING Policy 3.1.0 Staffing Standards Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The agency staff for their Juvenile Hall, Camp, carry out the overall facility operation and its and SYTF, which are co-located on the same programming, to provide for safety and security of youth campus. The complex is known as the and staff, and meet established standards and Juvenile Rehabilitation Facility. Combined regulations; population on the first day of the inspection was 38. • JH-25 • Camp-8 • SYTF-5 BSCC staff reviewed the February 2025 Time Report, January through July 2025 Post Assignments, Employee List, Probation and Facility Organizational Charts, and Long Term Absences. Facility staff work a mixture of 8-, 10-, and 12-hour shifts. • 1 Division Director • 1 Administrative Supervising Probation Officer • 2 Supervising Probation Officers • 4 Supervising Juvenile Detention Officers • 1 Supervising Juvenile Detention Officer Rivers Edge Academy ☒ ☐ ☐ • 8 Juvenile Detention Officer III (5 vacant) • 27 Juvenile Detention Officer I/II (3 vacant) • 9 Extra Help Juvenile Detention Officer (3 cored trained) BSCC staff conducted interviews with facility staff and youth to assess whether staffing levels were sufficient to support facility operations and meet required programming standards. Based on observed pattern and practice, the facility is in compliance with this section’s requirements. However, facility administration confirmed, due to staffing shortages, all or part of the scheduled visiting was cancelled two to three times within the last six months. In response, facility administration reported plans to extend visitation periods from one to two hours per session, with the intent of improving accessibility. They also committed to discussing with their senior administration the need for additional resources to ensure scheduled visitation occurs as scheduled. BSCC staff advised that, in order to support ongoing compliance, this issue will remain under review during future inspections, which may be scheduled or conducted unannounced. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 3 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) ensure that no required services shall be denied Policy 3.1.0 (II)(A) Staffing Standards because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 3.1.0 (I)(A) Staffing Standards ensure adequate supervision of all staff members; ☒ ☐ ☐ (d) have a clearly identified person on duty at all times Policy 3.1.0 (I)(A)(1) Staffing Standards who is responsible for operations and activities and has completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living Policy 3.1.0 (II)(B) Staffing Standards unit whenever there are youth in the living unit; ☒ ☐ ☐ (f) have sufficient food service personnel relative to the Policy 3.1.0 (III)(A) Staffing Standards number and security of living units, including staff qualified and available to: plan menus meeting nutritional Meals for the youth are prepared on site by requirements of youth; provide kitchen supervision; direct Probation food services staff. The facility food preparation and servings; conduct related training provides three hot meals and two snacks per programs for culinary staff; and maintain necessary day. ☒ ☐ ☐ records; or, a facility may serve food that meets nutritional standards prepared by an outside source; • 1 Supervising Juvenile Detention Officer Cook-Kitchen Manager • 3 Cook II • 2 Cook Extra Help (g) have sufficient administrative, clerical, recreational, Policy 3.1.0 (III)(B) Staffing Standards medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the facility provides an appropriate level and to ensure that youth supervision staff shall not be of staff to operate the control room, booking, diverted from supervising youth; and, and transportation. The agency employees a full- and part-time Probation Peer Support staff to support youth. A Legal Process Clerk and Probation Analyst assists with administrative and clerical duties. Shasta County Public Works provides maintenance and groundskeeping services for the facility. Shasta Community Health Center provides medical services seven days a week. Coverage is typically provided 6:45 a.m. to ☒ ☐ ☐ 5:15 p.m. A Mental Health Nurse Practitioner and physician are on site each Tuesday. Afterhours services are provided by Team Health or the on-call SCHC staff. Behavior health services are provided by Shasta County Health and Human Services Agency. Coverage is provided Monday through Friday from 8:00 a.m. to 9:00 p.m. by two full-time clinicians. One clinician position is currently vacant. A staff who provides CSEC services to youth is also available. In addition, the SYTF has three behavioral health staff who provide services to youth on designated days. Afterhours on-call behavior health coverage is available. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 4 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) assign sufficient youth supervision staff to provide Policy 3.1.0 (II) Staffing Standards continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Policy 3.1.0 (II)(C) Staffing Standards (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☒ ☐ ☐ duty for each 10 youth in detention; (B) during the hours that youth are confined to their Policy 3.1.0 (II)(D) Staffing Standards 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 Policy 3.1.0 (II)(E) Staffing Standards 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 Policy 3.1.0 (II)(F) Staffing Standards duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Policy 3.1.0 (III)(B) Staffing Standards duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a SPJH. (A) during hours that youth are awake, one wide- awake youth supervision staff member on duty for ☐ ☐ ☒ each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps The facility is not a Camp. (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☐ ☐ ☒ duty for each 15 youth in the camp population; 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 5 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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. 1322 YOUTH SUPERVISION STAFF ORIENTATION Policy 8.2 New Hire Orientation AND TRAINING Policy 8.2 (1)(B)(1) General Information (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to A memorandum dated June 12, 2025, by Chief their duties, including: Probation Officer Tracie Neal, addressed all (1) youth supervision duties; elements of this regulation. The agency requires new staff to complete a 240-hour Juvenile Detention Officer Facility Training Program. The training consists of two phases over six weeks. Prior to beginning their 240-hour training program, the staff will ☒ ☐ ☐ complete a Pre-Training New Employee Orientation before assuming any responsibility for the supervision of youth. The training is provided by facility staff and supervisors. BSCC staff reviewed the facility’s Juvenile Detention Officer Facility Training Program binder, new staff Daily Observation reports, facility staff and supervisor STC/WRE 2024/2025 training hours, and CORE completion. (2) scope of decisions they shall make; Policy 8.2 (1)(B)(2) General Information ☒ ☐ ☐ (3) the identity of their supervisor; Policy 8.2 (1)(B)(3) General Information ☒ ☐ ☐ (4) the identity of persons who are responsible to Policy 8.2 (1)(B)(4) General Information them; ☒ ☐ ☐ (5) persons to contact for decisions that are beyond Policy 8.2 (1)(B)(5) General Information their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. Policy 8.2 (1)(B)(6) General Information ☒ ☐ ☐ 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 6 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) Prior to assuming any responsibility for the supervision Policy 8.2 New Hire Orientation of youth, each youth supervision staff member shall Policy 8.2 (II) Juvenile Detention Orientation receive a minimum of 40 hours of facility-specific Policy 8.2 (III) Deputy Probation Officer orientation, including: Orientation (1) individual and group supervision techniques; A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed this element of the regulation. Youth Supervision Staff receive 240-hour orientation and training through the Facility Training Program Supervisor. Each new hire ☒ ☐ ☐ is assigned a Facility Training Officer and their performance is rated using the Daily Observation Report. BSCC staff reviewed new hire training documentation and interviewed a facility staff who recently completed the training program. Deputy Probation Officers who have completed DPO Core but have not completed JCO Core will complete a modified 40-hour orientation prior to assuming responsibility of supervising youth. (2) regulations and policies relating to discipline and Policy 8.2 (II)(A)(2) Juvenile Detention rights of youth pursuant to law and the provisions of Orientation ☒ ☐ ☐ this chapter; Policy 8.2 (II)(A)(3) Juvenile Detention (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Orientation (4) suicide prevention and response to suicide Policy 8.2 (II)(A)(4) Juvenile Detention attempts ☒ ☐ ☐ Orientation (5) policies regarding use of force, de-escalation Policy 8.2 (II)(A)(5) Juvenile Detention techniques, chemical agents, mechanical and Orientation ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing Policy 8.2 (II)(A)(6) Juvenile Detention trauma and trauma-informed approaches; ☒ ☐ ☐ Orientation Policy 8.2 (II)(A)(7) Juvenile Detention (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Orientation (8) routine security measures, including facility Policy 8.2 (II)(A)(8) Juvenile Detention perimeter and grounds; ☒ ☐ ☐ Orientation (9) crisis intervention and mental health referrals to Policy 8.2 (II)(A)(9) Juvenile Detention mental health services; ☒ ☐ ☐ Orientation Policy 8.2 (II)(A)(10) Juvenile Detention (10) documentation; and ☒ ☐ ☐ Orientation Policy 8.2 (II)(A)11) Juvenile Detention (11) fire/life safety training ☒ ☐ ☐ Orientation (c) Prior to assuming sole supervision of youth, each Policy 8.2 (II)(B) Juvenile Detention youth supervision staff member shall successfully Orientation complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section ☒ ☐ ☐ A memorandum dated June 12, 2025, by Chief 6035. Probation Officer Tracie Neal, addressed this element of the regulation. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 7 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) Prior to exercising the powers of a peace officer youth Policy 8.2 (II)(C) Juvenile Detention supervision staff shall successfully complete training Orientation pursuant to Section 830 et seq. of the Penal Code. ☒ ☐ ☐ A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed this element of the regulation. 1323 FIRE AND LIFE SAFETY Policy 9.2.7 (III) Fire Safety Plan and Whenever there is a youth in a juvenile facility, there shall Emergency Procedures be at least one wide awake person on duty at all times who meets the training standards established by the ☒ ☐ ☐ A memorandum dated June 12, 2025, by Chief Board for general fire and life safety which relate Probation Officer Tracie Neal, addressed all specifically to the facility. elements of this regulation. 1324 POLICY AND PROCEDURES MANUAL Policy and Procedure Manual 1.1 and 1.2 All facility administrators shall develop, publish, and implement a manual of written policies and procedures A memorandum dated March 31, 2025, by that address, at a minimum, all regulations that are Jeremy Kenyon, Division Director, certified a applicable to the facility. Such a manual shall be made review and update of the Juvenile available to all employees, reviewed by all employees, Rehabilitation Facility Policy and Procedure and shall be administratively reviewed at a minimum Manual. Policy requires the Division Director every two years, and updated, as necessary. Those to annually review and make any necessary records relating to the standards and requirements set revisions. As changes are made, staff are ☒ ☐ ☐ forth in these regulations shall be accessible to the Board notified by Prevention Link or email. The on request. policy and procedure manual is available to The manual shall include: staff on a shared drive. In addition, Post Orders are developed to ensure staff understand the duties and assignments while on shift. The facility is in the process of migrating all their policies and procedures to Lexipol. (a) table of organization, including channels of Policy 2.1.4 Facility Organizational Chart communications and a description of job classifications; Policy 2.1.5 Roles and Responsibilities of Facility Administration ☒ ☐ ☐ Policy 2.1.6 Roles and Responsibilities of Juvenile Detention Officers Policy 3.1.1 Chain of Command (b) responsibility of the probation department, purpose of Policy 2.1.1 Legal Origin, Establishment and programs, relationship to the juvenile court, the Juvenile Purpose Justice/Delinquency Prevention Commission or Policy2.2.3 Roles of Probation Staff Probation Committee, probation staff, school personnel ☒ ☐ ☐ Policy 2.3 Roles of Other Agencies and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Policy 2.1.5 Roles and Responsibilities of Facility Administration ☒ ☐ ☐ Policy 2.1.6 Roles and Responsibilities of Juvenile Detention Officers (d) initial orientation and training program for employees; Policy 8.2 New Hire Orientation ☒ ☐ ☐ 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 8 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) initial orientation, including safety and security issues Policy 13.1 Volunteer, Vendor, and Support and anti-discrimination policies, for support staff, contract Staff Orientation employees, school, mental/behavioral health and medical staff, program providers and volunteers; Prior to completing a facility orientation, support staff, volunteers, and vendors must receive a background clearance. Once cleared, they are to attend a facility orientation. The JRF swing shift supervisor is responsible ☒ ☐ ☐ for overseeing and scheduling the initial orientation. The Shasta County Juvenile Rehabilitation Facility Volunteer Facilitator Orientation Acknowledgment form is completed upon receipt of orientation. BSCC staff reviewed completed orientation forms with signed acknowledgments of training. (f) maintenance of record-keeping, statistics and Policy 2.1.5 (D)(1): Roles and Responsibilities communication system to ensure: of Facility Administration-Other Reviews and ☒ ☐ ☐ (1) efficient operation of the juvenile facility; Inspections Policy 2.1.5(D)(2) Other Reviews and (2) legal and proper care of youth; ☒ ☐ ☐ Inspections Policy 2.1.5 (D)(3) Other Reviews and (3) maintenance of individual youth's records; ☒ ☐ ☐ Inspections (4) supply of information to the juvenile court and Policy 2.1.5 (D)(4) Other Reviews and those authorized by the court or by the law; and, ☒ ☐ ☐ Inspections Policy 2.1.5 (D)(5) Other Reviews and (5) release of information regarding youth. ☒ ☐ ☐ Inspections (g) ethical responsibilities; Policy 3.3.1 Ethics Policy ☒ ☐ ☐ Policy 3.3.10 Trauma-Informed Approaches (h) trauma-informed approaches; ☒ ☐ ☐ to Working with Youth. (i) culturally responsive approaches; Policy 3.3.9 Cultural and Gender Responsivity ☒ ☐ ☐ Policy 3.3.9 Cultural and Gender Responsivity (j) gender responsive approaches; Policy 5.2.6 Transgender and Intersex ☒ ☐ ☐ Residents (k) a non-discrimination provision that provides that all Policy 3.3.8 Non-Discrimination youth within the facility shall have fair and equal access to Policy 5.2.7 Non-Discrimination all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any Policy 9.1.2 Armory Operations chemical agents related security devices, and weapons Policy 6.3 (IV) Chemical Agents-Storage, ☒ ☐ ☐ and ammunition, where applicable; Issue, and Disposal of OC Spray Canisters (m) establishment of procedures for collection of Medi- Policy 10.32 Medi-Cal Eligibility and Cal eligibility information and enrollment of eligible youth; Enrollment of Youth ☒ ☐ ☐ and, 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 9 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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 preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy 9.2.7 Fire Safety Plan and Emergency The facility administrator shall consult with the local fire Procedures department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ which shall include, but not be limited to: (a) a fire prevention plan to be included as part of the manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff Policy 9.2.7 (IV) Fire Safety and Life Safety with two-year retention of the inspection record; Inspections Policy 9.1.3 Emergency Equipment Inspection and Testing The facility documents monthly fire and life ☒ ☐ ☐ safety inspections on the Monthly Work Place Safety Checklist. BSCC staff reviewed documentation since the last comprehensive inspection in September 2023 through May 2025. (c) fire prevention inspections as required by Health and Policy 9.2.7 Fire Safety Plan and Emergency Safety Code Section 13146.1(a) and (b); Procedures. ☒ ☐ ☐ Inspection completed on March 28, 2025, by Cal Fire Department of Forestry and Fire Protection. (d) an evacuation plan; Policy 9.2.7 Fire Safety Plan and Emergency Procedures ☒ ☐ ☐ Policy 9.2.9 Evacuation Plan (e) documented fire drills not less than quarterly; Policy 9.2.7 (VII) Fire Drills Per policy, fire drills shall be conducted at minimum every three months utilizing relevant post orders. The facility has developed a Mock ☒ ☐ ☐ Fire Drill procedure for staff to utilize in conducting fire drills. BSCC staff reviewed fire drills conducted in November 2023, March, June, July, and December 2024, and January, March, and May 2025. (f) a written plan for the emergency housing of youth in Policy 9.2.9 Evacuation the case of fire; and, Policy 9.1.4 Emergency Release of Residents ☒ ☐ ☐ The agency has a mutual aid agreement with Butte County and Humboldt for the emergency housing of youth. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 10 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) development of a fire suppression pre-plan in Policy 9.2.7 (VIII) Fire Suppression Pre-Plan cooperation with the local fire department. BSCC staff reviewed a letter dated October 4, 2021, in which the City of Redding Fire Department has approved the Shasta County Juvenile Rehabilitation Facility fire- ☒ ☐ ☐ suppression pre-plan. A facility supervisor is to contact Redding Fire Department annually to ensure communication and collaboration regarding the facility fire suppression pre-plan. 1326 SECURITY REVIEW Policy 2.1.5 (II)(A)(1) Security Review and Each facility administrator shall develop policies and Safety Committee procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall A memorandum dated June 30, 2025, by include internal and external security, including, but not Division Director, Jeremy Kenyon, addressed ☒ ☐ ☐ limited to, key control, equipment, and staff training. reviewing monthly workplace safety checklists, the annual building inspection, and policies and procedures as part of the annual security review. 1327 EMERGENCY PROCEDURES Policy 9.2.7 Fire Safety Plan and Emergency The facility administrator shall develop facility-specific Procedures policies and procedures for emergencies that shall Policy 9.1.1 Training and Review of include, but not be limited to: Emergency Procedures ☒ ☐ ☐ (a) escape, disturbances, and the taking of hostages; Policy 9.2.4 Escape Policy 9.2.5 Disturbances Policy 9.2.6 Hostages Policy 9.2.11 Civil Disturbance (b) civil disturbance, active shooter and terrorist attack; ☒ ☐ ☐ Policy 9.2.10 Active Shooter or Terrorist Attack Policy 9.2.7 Fire Safety Plan and Emergency (c) fire and natural disasters; Procedures ☒ ☐ ☐ Policy 9.2.8 Natural Disaster Policy 9.1.3 Emergency Equipment Inspection (d) periodic testing of emergency equipment; ☒ ☐ ☐ and Testing Policy 9.1.4 Emergency Release of Residents (e) emergency evacuation of the facility; and ☒ ☐ ☐ Policy 9.2.9 Evacuation Policy 9.1.1 Training and Review of Emergency Procedures Policies and Procedures pertaining to emergency procedures are sent to each employee individually via Vector Solutions (f) a program to provide all youth supervision staff with annually for review. A memorandum dated July an annual review of emergency procedures. ☒ ☐ ☐ 10, 2025, by Jeremy Kenyon, Division Director, affirmed that all facility staff are provided these annual updates. In addition, facility staff are provided further emergency procedure reviews in the facility’s training program and emergency drill training. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 11 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1328 SAFETY CHECKS Policy 5.2.2 Room Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual Room Safety Checks are recorded in the observation of youth at a minimum of every 15 minutes, eProbation Case Management Software. Staff at random or varied intervals during hours when youth use a tablet to scan a QR code assigned are asleep or when youth are in their rooms, confined in individually to each youth. The software will holding cells or confined to their bed in a dormitory. prompt staff to complete a safety check at Supervision is not replaced, but may be supplemented random and varied times. In addition, alerts by, an audio/visual electronic surveillance system will be sent to supervisors in real time when a designed to detect overt, aggressive or assaultive safety check is late. A Supervisor is assigned behavior and to summon aid in emergencies. All safety to audit the room safety checks. The audit checks shall be documented with the actual time the includes ensuring room safety check check is completed. procedures are followed and a random sample will be compared to camera footage. Late and improper checks will be addressed and a resolution documented. BSCC staff reviewed documentation from ☒ ☐ ☐ specified dates throughout October 2024 through May 2025. The majority of safety checks on the night shifts occurred between 12-, 13-, 14-minute intervals, though random checks occurred at intervals throughout the other two shifts. The process of reviewing the safety checks requires close scrutiny to calculate the time between checks. BSCC staff inquired if the eProbation Software Program could be modified to run reports to calculate times between checks for easier auditing to ensure safety checks are random and varied. Furthermore, BSCC staff recommended these audits further review time youth spent in their room on self-separation and institutional operations align with documentation and facility expectations. 1329 SUICIDE PREVENTION PLAN Policy 5.12 Suicide Prevention Plan The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, BSCC staff reviewed nine incident reports for shall plan and implement written policies and youth at risk of suicide. Of the nine reports, procedures which delineate a Suicide Prevention Plan. four of the reports involved the same youth. The plan shall consider the needs of youth experiencing The documentation reviewed consisted of ☒ ☐ ☐ past or current trauma. Suicide prevention responses incident reports, Mental Health Notification, shall be respectful and in the least invasive manner Medical Notification, Suicidal Disposition consistent with the level of suicide risk. The plan shall Form, Safety Plan, Observational Sheet, and include the following elements: Suicide Screening. The facility has a comprehensive suicide prevention plan. (a) Suicide prevention training as required in Section Policy 5.12 Suicide Prevention Plan 1322, Youth Supervision Staff Orientation, and Training Policy 8.2 New Hire Orientation and the Juvenile Corrections Officer Core Course. A memorandum dated June 12, 2025, by Chief Probation Officer Tracie Neal, addressed the ☒ ☐ ☐ suicide training required by this regulation. In addition, BSCC staff reviewed documentation of annual Suicide Prevention Training for youth supervision staff from 2023 through 2025. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 12 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) Screening, Identification Assessment and Policy 5.12 (II)(B) Identification-Screening Precautionary Protocols During the Booking Process (1) All youth shall be screened for risk of suicide at Policy 5.12 (II)(C) Identification-Screening intake and as needed during detention. Outside the Booking Process Policy 5.3.4 (IX)(E) Booking Procedure- Communication Related to Suicide Risk- MAYSI-2 Staff will utilize the MAYSI-2 to screen youth and ensure the appropriate referrals are ☒ ☐ ☐ made. Shasta Community Health will conduct a brief initial screen for suicide risk. The mental health clinician will conduct a suicide risk assessment upon booking or the next business day. A mental health clinician or HHSA on-call staff will respond to requests for youth placed on suicide risk at intake. (2) All youth supervision staff who perform intake Policy 5.12 (II) C)(2) Identification processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy 5.12 (VII) Referral intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ suicide risk assessment. (4) Precautionary protocols shall be developed to Policy 5.12 (V) Intervention and Monitoring ensure the youth’s safety pending the behavioral/mental health assessment. Youth will be placed on one-on-one ☒ ☐ ☐ supervision pending assessment by mental health. (c) Referral process to behavioral/mental health staff for Policy 5.12 (VII) Referral assessment and/or services. ☒ ☐ ☐ (d) Procedures for monitoring of youth identified at risk Policy 5.12 (V) Intervention and Monitoring for suicide. Policy 5.2.2 Room Safety Checks The facility has three levels of monitoring youth at risk for suicide. Youth placed on Suicide Risk are subject to random and varied 15-minute checks. Youth classified as Suicide Risk will be classified on any subsequent ☒ ☐ ☐ bookings unless removed by mental health. Youth placed on Enhanced Observation will have and individualized safety plan and 7- or 10-minute safety checks conducted while in their sleeping room. Youth placed on Suicide Watch will be placed on an individualized safety plan and supervised one-on-one. Removal requires mental health authorization. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 13 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) Safety Interventions Policy 5.12 (V) Intervention and Monitoring (1) Procedures to address intervention protocols for Policy 5.12 (VI) Housing youth identified at risk for suicide which may Policy 5.3.6 (III)(d) Classification and Housing include, but are not limited to: Assignments-Suicide Risk (A) Housing consideration Youth on Suicide Risk and Enhanced ☒ ☐ ☐ Observation may be housed in general population. Youth placed on Suicide Watch shall be housed in the Safety Room with one- on-one supervision until cleared by mental health. (B) Treatment strategies including trauma- Policy 5.12 (VII)(3) Referral informed approaches Policy 3.3.10 Trauma-Informed Approaches to Working with Youth The mental health clinician will develop a ☒ ☐ ☐ safety plan for the youth placed on Enhanced Observation or Suicide Watch. The plan provides for staff response and includes signs to be aware of possible suicidal ideations. (2) Procedures to instruct youth supervision staff how Policy 5.12 (I) Suicide Prevention-General to respond to youth who exhibit suicidal behaviors. ☒ ☐ ☐ Procedures (f) Communication Policy 5.12 (C) Communication and (1) The intake process shall include communication Notification with the arresting officer and family guardians Policy 5.3.4 (IX)(A) Booking Procedures- regarding the youth’s past or present suicidal Communication Related to Suicide Risk ideations, behaviors or attempts. The Communication Regarding Suicide Risk ☒ ☐ ☐ At Booking form is completed to document all required communications at booking. BSCC staff reviewed documentation contained in the Medical Pre-Screening, documented with the arresting officer’s observation and communication with parent and guardians. (2) Procedures for clear and current information Policy 5.12: Suicide Prevention sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental ☒ ☐ ☐ health staff. (g) Debriefing of Critical Incidents Related to Suicides or Policy 5.12 (X) Review and Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. Policy 5.12 (X) Review and Debriefing-Staff ☒ ☐ ☐ (3) Process for a debriefing event with affected youth. Policy 5.12 (X) Review and Debriefing-Youth ☒ ☐ ☐ 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 14 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) Documentation Policy 5.12 Suicide Prevention (1) Documentation processes shall be developed to Policy 5.8.4 Reports and Documentation ensure compliance with this regulation ☒ ☐ ☐ The required documentation is articulated throughout the Suicide Prevention Plan Policy and Procedure. Youth identified at risk for suicide shall not be denied the Policy 5.12 (I)(v) and (vi) Suicide Prevention opportunity to participate in facility programs, services Plan and activities which are available to other non-suicidal Policy 5.3.6 (III)(d) Classification and Housing youth, unless deemed necessary for the safety of the Assignments-Suicide Risk-Programming 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 (III) Reporting of Legal Action Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ of confinement, filed against persons or legal entities 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. (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the Policy 9.2.12 (IV) Operational Review of In facility administrator, shall develop written policies Custody Death 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 Policy 9.2.12 (V)(A)(1) Death In Custody the Board a copy of the report submitted to the Reporting Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth Policy 9.2.12 (V)(4) Death In Custody from the administrator, the Board may within 30 Reporting calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 15 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Serious Illness or Injury of Youth. Policy 9.2.12 (VI) Serious Illness or Injury of (a) The facility administrator, in cooperation with the Youth While In Custody health administrator, shall develop written policies and procedures for the notification to necessary parties, which may include the Juvenile Court, the ☒ ☐ ☐ parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING Policy 2.1.5 (IV) Population Reporting Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Policy 2.1.5 (V) Overcrowding When the number of youth detained in a living unit of a Policy 2.1.2.1 (1) Juvenile Rehabilitation juvenile facility exceeds its rated capacity for more than Facility Capacity fifteen (15) calendar days in a month, the facility ☒ ☐ ☐ administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy 5.3.4 Booking Procedures The facility administrator shall develop and implement Policy 5.3.1 Booking Post Orders written policies and procedures for admittance of youth Policy 3.3.10 Trauma-Informed Approaches that emphasize respectful and humane engagement to Working with Youth with youth, and reflect that the admission process may be traumatic to youth who may have already Youth in the Secure Track Treatment Program experienced trauma. Policies shall be trauma-informed, are initially booked into the Juvenile culturally relevant, and responsive to the language and Rehabilitation Facility. BSCC staff reviewed literacy needs of youth. In addition to the requirements recent admission packets to the Juvenile of Sections 1324 and 1430 of these regulations: Rehabilitation Facility to confirm compliance with this regulation. The documents reviewed consisted of Probable Cause Declaration, PREA/ Behavioral Screening/ Classification forms, Detention Risk Assessment Instrument screenings, Shasta County Probation Detain/Release Criteria forms, Advisal of Estimated Length of Stay at Booking, MAYSI- ☒ ☐ ☐ 2, Admission and Orientation acknowledgment, Booking Checklist, Routine Medical and Emergency Treatment Consent, Medical Pre-Screening, Confinement Time Letter, Mechanical Restraint Worksheet, Legal Counsel Contact Form, and Application for Juvenile Petition. Officers assigned to booking are required to follow Booking Post Orders as the computerized booking process requires specific tasks to be in order to ensure signatures and documents are captured and stored correctly. BSCC staff reviewed recent bookings in the eProbation case management system which captures required elements of admission procedures. (a) the admittance process shall include: Policy 5.3.4 (VI) Booking Phone Call (1) Access to two free phone calls within one hour of admittance in accordance with the provisions of ☒ ☐ ☐ Documented in the eProbation case Welfare and Institution Code Section 627; management system. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 16 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy 5.3.4 (IV) Initial Shower, Clothing and Bedding Issue (2) Offer of a shower; Documented in the eProbation case ☒ ☐ ☐ management system. Youth interviewed by BSCC staff affirmed being offered a shower upon admission. Policy 5.3.4 (V) Resident Property Inventory and Storage (3) Documented secure storage of personal Policy 5.3.7 Resident Property Storage belongings; ☒ ☐ ☐ Documented in the eProbation case management system. Policy 5.3.4 (C)(8) Booking Procedures- General Information (4) Offer of food upon arrival; Documented in the eProbation case ☒ ☐ ☐ management system. Youth interviewed by BSCC staff affirmed being offered food upon admission. Policy 5.3.4 (C)(9) and (10) Booking Procedures-General Information Policy 5.3.4 (II)(B) Medical Screening Form Policy 5.3.4 (IX)(E) Booking Procedures- Communication Related to Suicide Risk- MAYSI-2 (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ BSCC staff reviewed admission disabilities; documentation contained in the Shasta County Juvenile Facilities Medical Pre- Screening, MAYSI-2, and the PREA/Behavioral Screening/Classification forms which are utilized to ensure screening as required by this section of the regulation. (6) Screening for physical and developmental Policy 5.3.4 (C)(9) and (10) Booking disabilities in accordance with Sections 1329, 1413, Procedures-General Information ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Policy 5.3.4 (C)(11) Booking Procedures- Developmentally Disabled for youth that are General Information suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, Policy 5.3.4 (II)(C)(a) Pre-Booking Operations- (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Booking Pat Search (b) juvenile hall administrators shall establish written Policy 5.3.4 Booking Procedures-General criteria for detention that considers the least restrictive Information ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in Policy 5.3.4 (VIII) Estimated Length of Stay 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. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 17 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) juvenile halls shall develop policies and procedures Policy 5.3.4 (VIII) Estimated Length of Stay that advise any committed youth of the estimated length of his/her stay. ☒ ☐ ☐ The booking officer is to complete the Advisal of Estimated Lenth of Stay at Booking. 1350.5 SCREENING FOR THE RISK OF SEXUAL Policy 5.10.1 PREA ABUSE Policy 5.10.1 (VI) Intake Screening Utilizing The facility administrator shall develop and implement the Vulnerability Assessment Instrument and written policies and procedures to reduce the risk of Housing Assignment Determination sexual abuse by or upon youth. The policy shall require Policy 5.10.1 (VII)(A)(b)(i) facility staff to assess each youth within 72 hours of admission based on the following information: The facility screens for risk of sexual abuse by (a) Prior sexual victimization or abusiveness; using the PREA/Behavioral Screening/Unit ☒ ☐ ☐ Classification assessment through Noble. BSCC staff reviewed 10 recent screening documents which will assist in making housing, program, and work assignments for the youth. If the youth has been identified to have experienced prior sexual victimization or perpetrated sexual abuse, they will be referred for a mental health screening. (b) Gender nonconforming appearance or manner; or Policy 5.10.1 (VII)(A)(b)(ii) identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the youth may, therefore, ☒ ☐ ☐ be vulnerable to sexual abuse; (c) Current charges and offense history; Policy 5.10.1 (VII)(A)(b)(iii) ☒ ☐ ☐ (d) Age; Policy 5.10.1 (VII)(A)(b)(iv) ☒ ☐ ☐ (e) Level of emotional and cognitive development; Policy 5.10.1 (VII)(A)(b)(v) ☒ ☐ ☐ (f) Physical size and stature; Policy 5.10.1 (VII)(A)(b)(vi) ☒ ☐ ☐ (g) Mental illness or mental disabilities; Policy 5.10.1 (VII)(A)(b) ☒ ☐ ☐ (h) Intellectual or developmental disabilities; Policy 5.10.1 (VII)(A)(b)(vi) ☒ ☐ ☐ (i) Physical disabilities; Policy 5.10.1 (VII)(A)(b)(viii) ☒ ☐ ☐ (j) The youth’s perception of vulnerability; and, Policy 5.10.1 (VII)(A)(b)(ix) ☒ ☐ ☐ (k) Any other specific information about the individual Policy 5.10.1 (VII)(A)(b)(x) youth that may indicate heightened needs for Policy 5.3.6 Classification and Housing supervision, additional safety precautions, or separation ☒ ☐ ☐ Assignments from certain other youth. Staff shall ascertain this information through Policy 5.10.1 (VII)(A)(a) 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. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 18 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1351 RELEASE PROCEDURES Policy 5.3.8 Release Procedures and The facility administrator shall develop and implement Transition Planning written policies and procedures for release of youth from custody which provide for: BSCC staff reviewed release information contained in the eProbation case ☒ ☐ ☐ management system and completed release documents and forms. In addition, BSCC staff interviewed facility staff and collaborative partners about release procedures. (a) verification of identity/release papers; Policy 5.3.8 (III) Verification of Release ☒ ☐ ☐ Policy 5.3.7 Resident Property Storage (b) return of personal clothing and valuables; ☒ ☐ ☐ Documented in the eProbation case management system. Policy 5.3.8 (VII)(A) Required Notifications- (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Parent Notifications (d) notification to the facility health care provider in Policy 5.3.8 (VII)(B) Required Notifications- accordance with Sections 1408 and 1437 of these Medical regulations, for coordination with outside agencies; and, Per policy, medical is notified by the case carrying Deputy Probation Officer, during the release process or via the Juvenile Hall Roster ☒ ☐ ☐ distributed each morning. This is automated through eProbation case management and sent out via email at 12:01 a.m. BSCC staff interviewed nursing staff who affirmed timely notification of youth being released. Policy 5.3.8 (VII)(C) Required Notifications- School Staff Per policy, school is notified each morning at the school briefing or via the Juvenile Hall (e) notification of school staff; Roster distributed each morning. This is ☒ ☐ ☐ automated through eProbation case management and sent out via email at 12:01 a.m. BSCC staff interviewed school staff who affirmed timely notification of youth being released. Policy 5.3.8 (VII)(B) Required Notifications- Mental Health Per policy, mental health is notified by the case carrying Deputy Probation Officer, during the (f) notification of facility mental health personnel. release process or via the Juvenile Hall Roster ☒ ☐ ☐ distributed each morning. This is automated through eProbation case management and sent out via email at 12:01 a.m. BSCC staff interviewed mental health staff who affirmed timely notification of youth being released. The facility administrator shall develop and implement Policy 5.3.8 (VII)(D(1) Release on Furloughs policies and procedures for post-disposition youth to and Post-Disposition Transitional and Re- coordinate the provision of transitional and reentry entry Services services including, but not limited to, medical and behavioral health, education, probation supervision and ☒ ☐ ☐ Transitional and re-entry services are provided community-based services. by the assigned Deputy Probation Officer, Juvenile Detention Officers, Peer Support, and collaborative partners. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 19 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The facility administrator shall develop and implement Policy 5.3.8 (VII)(A) Release on Furloughs and written policies and procedures for the furlough of youth Post-Disposition Transitional and Re-entry ☒ ☐ ☐ from custody. Services 1352 CLASSIFICATION Policy 5.3.6 Classification and Housing The facility administrator shall develop and implement Assignments written policies and procedures on classification of youth for the purpose of determining housing placement in the The facility makes classification decisions facility. using the PREA/Behavioral Screening/Unit Such procedures shall: ☒ ☐ ☐ Classification assessment through Noble. BSCC staff reviewed 10 assessment documents and information contained in the eProbation case management system which tracks active and inactive classifications. (a) provide for the safety of the youth, other youth, facility Policy 5.3.6 Classification and Housing staff, and the public by placing youth in the appropriate, Assignments least restrictive housing and program settings. Housing Policy 5.3.6 (ii) Housing Assignments ☒ ☐ ☐ assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of Policy 5.3.6 (i)(c) General Information the facility; ☒ ☐ ☐ (c) provide that a youth shall be classified upon Policy 5.3.6 (i)(a) General Information admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including Policy 5.3.6 (i)(a) General Information provisions that consider the level of supervision and the youth's behavior while in custody; and, Classification reviews are periodically reviewed by facility management. BSCC staff reviewed a memo from the Division Director ☒ ☐ ☐ indicating, each Wednesday at 12:00 p.m., a meeting is held in which classifications are added or removed as needed. The facility’s case management system tracks all classification decisions. (e) provide that facility staff shall not separate youth from Policy 5.3.6 (i)(h) General Information the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical ☒ ☐ ☐ disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, Policy 5.3.6 (i)(i) General Information transgender, questioning or intersex identification or Policy 5.2.6: Transgender and Intersex status as an indicator of likelihood of being sexually ☒ ☐ ☐ Residents abusive. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 20 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy 5.2.6 Transgender and Intersex The facility administrator shall develop written policies Residents and procedures ensuring respectful and equitable treatment of transgender and intersex youth. BSCC staff reviewed documents consisting of The policies shall provide that: the PREA/Behavioral Screening/Unit Classification which is utilized to determine if ☒ ☐ ☐ the youth identifies as transgender or intersex. The case management system allows for gender identification and preferred pronoun to be indicated as part of demographics and profile. (a) Facility staff shall respect every youth’s gender Policy 5.2.6 (I)(A) Transgender and Intersex identity and shall refer to the youth by the youth’s Residents-General Information preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of gang or slang names or names that otherwise ☒ ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy 5.2.6 (I)() Transgender and Intersex themselves in a manner consistent with their gender Residents-General Information identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that Policy 5.2.6 (II)(A) Transgender and Intersex best meets their individual needs and promotes their Residents-Housing safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender Policy 5.2.6 (IV) Transgender and Intersex and intersex youth have access to medical and Residents-Equal Access to all Available behavioral health providers qualified to provide care and ☒ ☐ ☐ Services, Care and Treatment treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Policy 5.2.6: Transgender and Intersex necessary security considerations and physical plant, Residents facility staff shall make every effort to ensure the safety and privacy of transgender and intersex youth when the ☒ ☐ ☐ youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 5.2.6 (III) Transgender and Intersex youth for the purpose of determining the youth’s Residents-Searches 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. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 21 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1353 ORIENTATION Policy 5.3.9 Resident Orientation The facility administrator shall develop and implement Policy 5.3.4 (VII) Booking Procedures- written policies and procedures to orient a youth prior to Resident Orientation placement in a living area. Both written and verbal information shall be provided and supplemented with Youth are provided a verbal orientation which video orientation if feasible. Provision shall be made to includes viewing the orientation video while in provide accessible orientation information to all detained booking. The youth will also be provided with youth including those with disabilities, limited literacy, or a Resident Handbook. BSCC staff reviewed English language learners. 10 signed acknowledgments of youth Orientation shall include information that addresses: receiving a copy of the Orientation Handbook ☒ ☐ ☐ and receiving orientation. BSCC staff reviewed the Orientation Handbook which comprehensively covers all requirements outlined in this regulation. STTP youth are housed in the same living pods as juvenile hall youth and use the same resident handbook. BSCC staff interviewed youth about the orientation process and their understanding of the information provided by facility staff. (a) facility rules including contraband and searches and Policy 5.3.9 (I)(B)(1) Resident Orientation disciplinary procedures; ☒ ☐ ☐ (b) facility’s system of positive behavior interventions Policy 5.3.9 (I)(B)(2) 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 facility’s Policy 5.3.9 (I)(B)(3) Resident Orientation policy prohibiting sexual abuse and sexual harassment and how to report incidents or suspicions of sexual ☒ ☐ ☐ abuse or sexual harassment; (d) identification of key staff and their roles; Policy 5.3.9 (I)(B)(4) Resident Orientation ☒ ☐ ☐ (e) the existence of the grievance procedure, the steps Policy 5.3.9 (I)(B)(5) Resident Orientation that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the name of ☒ ☐ ☐ the person or position designated to resolve the issue; (f) access to legal services and information on the court Policy 5.3.9 (I)(B)(6) and (12) Resident process; ☒ ☐ ☐ Orientation (g) access to routine and emergency health and mental Policy 5.3.9 (I)(B)(7) and (8) Resident health care; ☒ ☐ ☐ Orientation (h) access to education, religious services, and Policy 5.3.9 (I)(B)(9),(10) and (11) Resident recreational activities; ☒ ☐ ☐ Orientation (i) housing assignments; Policy 5.3.9 (I)(B)(13) Resident Orientation ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy 5.3.9 (I)(B)(14) Resident Orientation including the availability of personal care items ☒ ☐ ☐ (k) rules and access to correspondence, visits and Policy 5.3.9 (I)(B)(15) Resident Orientation telephone use; ☒ ☐ ☐ (l) availability of reading materials, programming, and Policy 5.3.9 (I)(B)(21) Resident Orientation other activities; ☒ ☐ ☐ (m) facility policies on the use of force, use of restraints, Policy 5.3.9 (I)(B)(22) Resident Orientation chemical agents and room confinement; ☒ ☐ ☐ (n) immigration legal services; Policy 5.3.9 (I)(B)(16) Resident Orientation ☒ ☐ ☐ (o) emergencies including evacuation procedures; Policy 5.3.9 (I)(B)(24) Resident Orientation ☒ ☐ ☐ 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 22 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (p) non-discrimination policy and the right to be free from Policy 5.3.9 (I)(B)(17) Resident Orientation physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Policy 5.3.9 (I)(B)(18) Resident Orientation other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy 5.3.9 (I)(B)(26) Resident Orientation education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 5.3.9 (I)(B)(19) Resident Orientation information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked ☒ ☐ ☐ questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title Policy 5.3.9 (I)(B)(20) Resident Orientation 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ 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 (I)(A) Separation not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and BSCC staff reviewed 15 JRF Self-Separation protective custody. forms in which the youth and staff both sign when the youth requests to remain in their room. The reason and the start and end time of the self-separation is documented on the form. Other forms of separation include medical and mental health separation and protective custody. Youth may also be placed on Administrative Separation if they present an extreme risk to staff and other youth due to assaultive behavior. Administrative Separation ☒ ☐ ☐ requires a minimum of two staff present with the youth. Within 24 hours of being placed on Administrative Separation, a Reintegration Plan is to be completed. A supervisor is to complete a Classification Review every four hours during awake hours in which they meet with the youth and review the Reintegration Plan to assess the youth’s progress. This will be documented in the Administrative Separation Reintegration Plan log and in case notes. Youth are not confined to their rooms while on Administrative Separation outside of normal sleeping hours or institutional operations. (b) consideration of positive youth development and Policy 5.3.6.1 Separation trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal privileges Policy 5.3.6.1 Separation available at the facility, except when necessary to ☒ ☐ ☐ accomplish the objective of separation. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 23 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) when the objective of the separation is discipline, Policy 5.3.6.1 (I)(A)(1) Separation Title 15 Section 1390 shall apply. Policy 5.8.3 (II)(D Discipline As a sanction for major discipline, youth can be placed on Alternative Program (AP) for up ☒ ☐ ☐ to three days. While on AP, youth may be separated from other youth but still receive all requirements of Title 15. Youth can earn their way off AP with improved behavior and compliance with facility rules. (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 Section 1354.5 of ☒ ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of Policy 5.3.6.1 Separation separated youth to determine if separation remains necessary. All separations are to be reviewed by the ☒ ☐ ☐ management team daily and during the weekly management team meeting. 1354.5 ROOM CONFINEMENT Policy 5.8.7 Temporary Room Restriction and (a) The facility administrator shall develop and Reintegration Planning implement written policies and procedures addressing the confinement of youth in their room that are consistent BSCC staff reviewed 10 incidents of room with Welfare and Institutions Code Section 208.3. The confinement which consisted of placement of a youth in room confinement shall be documentation outlined in the incident report, accomplished in accordance with the following Temporary Room Restriction form, and guidelines: Constructive Reasoning form. The incidents involved fighting, assaults on other youth or staff, and safety and security disturbances. ☒ ☐ ☐ Youth are assisted in completing a Constructive Reasoning form which gauges their thoughts, feelings, and actions that led to their room confinement. It further assists the youth in looking how their decisions impact the outcome and identify coping skills to use in similar situations. Completion of this form assists staff in safely reintegrating youth. Youth are typically off room confinement in less than two hours. (1) Room confinement shall not be used before other, Policy 5.8.7 (II)(a) Guidelines for Room less restrictive, options have been attempted and Confinement exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. The Temporary Room Restriction form ☒ ☐ ☐ requires the reason for room confinement and the less restrictive alternatives attempted. Facility staff are to document their counseling efforts and the youth’s responses. (2) Room confinement shall not be used for the Policy 5.8.7 (II)(b) Guidelines for Room purposes of punishment, coercion, convenience, or Confinement ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 5.8.7 (II)(c) Guidelines for Room that it compromises the mental and physical health of Confinement ☒ ☐ ☐ the youth. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 24 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (b) A youth may be held up to four hours in room Policy 5.8.7 (III)(A) Use of Room Confinement confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one BSCC staff reviewed instances in which youth or more of the following: were placed in the safety room for suicidal and self-harming behavior which extended beyond four hours. The placement of youth in the ☒ ☐ ☐ safety room was done in collaboration with medical and mental health. Extension of room confinement in the safety room was based upon mental health recommendations. The assessments were documented every four hours on the Suicidal Disposition Form. (1) Return the youth to general population. Policy 5.8.7 (III)(B) Use of Room Confinement ☒ ☐ ☐ Policy 5.8.7 (III)(B)1) Use of Room (2) Consult with mental health or medical staff. ☒ ☐ ☐ Confinement (3) Develop an individualized plan that includes the Policy 5.8.7 (III)(B)(3) Use of Room goals and objectives to be met in order to reintegrate Confinement ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy 5.8.7 (III)(B)(4) Use of Room four hours, staff shall do each of the following: Confinement (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy 5.8.7 (III)(B)(3) Use of Room the goals and objectives to be met in order to Confinement ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 5.8.7 (III)(B)(2) Use of Room facility superintendent or his or her designee Confinement ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy 5.8.7 (I)(A)(1)(c) General Expectations single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in Policy 5.8.7 (I)(A)(1)(b) General Expectations court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to Policy 5.8.7 (II)(D) Guidelines for Room conflict with any law providing greater or additional Confinement ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 5.8.7 (I)(A)(1)(e) General Expectations extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- wide threat that poses an imminent and substantial ☒ ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 25 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (9) This section does not apply when a youth is Policy 5.8.7 (I)(A)(1)(d) General Expectations placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 5.7.1 Resident Case Plan The facility administrator shall develop and implement written policies and procedures for assessment and ☒ ☐ ☐ case planning. (a) Assessment: Policy 5.7.1 (A) Resident Case Plan The assessment is based on information collected during the admission process with periodic review, which Upon admission to the STTP, the youth will includes the youth's risk factors, needs and strengths have an initial Rehabilitation Team Meeting including, but not limited to, identification of substance within five days. The Rehabilitation Team abuse history, educational, vocational, counseling, consists of the STTP Deputy Probation Officer, behavioral health, consideration of known history of STTP Juvenile Detention Officer, mental trauma, and family strengths and needs. health clinician, youth, family members, and other supportive individuals or agencies. A Rehabilitation Plan for the youth will be based on the initial meeting and assessments. The conducted assessments include the Positive ☒ ☐ ☐ Achievement Change Tool (PACT), Child and Adolescent Needs Assessment (CANS), HOPE assessment, ACES assessment, and Commercial Sexual Exploitation Identification Tool (CSE-IT). In addition to the Individual Rehabilitation Plan, GEO Re-Entry Services works with STTP youth on developing a programming case plan. Goals are developed with the youth on identified key life areas. (b) Institutional Case Plan: Policy 5.7.1 (2)(a) Resident Case Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created within The youth’s Individual Rehabilitation Plan will ☒ ☐ ☐ 40 days of admission. be submitted to the court ten days prior to the scheduled Court Review of Rehabilitation. (2) The institutional plan shall include, but not be Policy 5.7.1 (2)(b) Resident Case Plan limited to, written documentation that provides: (A) objectives and time frame for the resolution of ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes Policy 5.7.1 (2)(c) Resident Case Plan a description of program resources needed and individuals responsible for assuring that the plan ☒ ☐ ☐ is implemented; 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 26 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) periodic evaluation of progress towards meeting Policy 5.7.1 (2)(d) Resident Case Plan the objectives, including periodic review and discussion of the plan with the youth; The youth’s progress toward meeting their Rehabilitation Plan will be submitted to the Court every six months. Assessments will be ☒ ☐ ☐ updated as needed during this time period. BSCC staff reviewed eProbation case management case notes documenting the youth’s progress with the assigned probation officer and facility staff. (4) a transition plan, the contents of which shall be Policy 5.7.1 (II) Resident Case Plan-Post subject to existing resources, shall be developed for Disposition Transitional and Re-Entry Services post dispositional youth in accordance with Section Policy 5.3.8 Release Procedures and 1351; and, Transition Planning A Transition Passport is provided to youth ☒ ☐ ☐ upon release. The document provides the youth with the information they need to enroll in school, attend community-based programs, contact their probation officer, and follow up on any medical, medication, or mental health services. (5) in as much as possible and if appropriate, the Policy 5.7.1 (II) Resident Case Plan-Post plan, including the transition plan, shall be developed Disposition Transitional and Re-Entry Services with input from the family, supportive adults, youth, and Regional Center for the Developmentally The STTP Rehabilitation Team will address Disabled. transitional and re-entry services for the youth in coordination with required Court reviews. ☒ ☐ ☐ BSCC staff interviewed facility staff and collaborative partners who affirmed meetings are routinely held with youth and their parents/guardians to provide transitional and re-entry services. 1356 COUNSELING AND CASEWORK SERVICES Policy 5.7.7 Counseling and Casework The facility administrator shall develop and implement Services written policies and procedures ensuring the availability of appropriate counseling and casework services for all Youth are assigned a Juvenile Detention youth. Policies and procedures shall ensure: Officer who assists youth while in the facility. ☒ ☐ ☐ (a) youth will receive assistance with needs or concerns BSCC staff reviewed documentation that may arise; contained in the eProbation case management system documenting referral for services and chronological case notes. (b) youth will receive assistance in requesting contact Policy 5.7.7 (I)(A),(B) Counseling and with parents, other supportive adults, attorney, clergy, Casework Services ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources Policy 5.7.7 (I)(C),(D) Counseling and to meet the youth’s needs. ☒ ☐ ☐ Casework Services 1357 USE OF FORCE Policy 6.1 Use of Force The facility administrator, in cooperation with the responsible physician, shall develop and implement BSCC staff reviewed 10 Use of Force Reports. written policies and procedures for the use of force, The reports involved youth involved in fights, which may include chemical agents. Force shall never threatening staff or other youth, or to prevent ☒ ☐ ☐ be applied as punishment, discipline, retaliation or self-harm. Staff consistently document treatment. attempts to de-escalate or utilize lesser uses (a) At a minimum, each facility shall develop policies and of force. procedures which: 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 27 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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, staff, others ☒ ☐ ☐ and the facility. (2) outline the force options available to staff including Policy 6.1 (II) Force Options both physical and non-physical options and define when those force options are appropriate. Force options outlined in policy include, but are not limited to, Command Presence and ☒ ☐ ☐ Dialog, Verbal Commands, Soft Hands, Chemical Agents, Defensive Tactics, Mechanical Restraints, and Deadly Force. (3) describe force options or techniques that are Policy 6.1 (1) (F) Use of Force Procedures- expressly prohibited by the facility. Considerations Before and During Use of ☒ ☐ ☐ Force (4) describe the requirements of staff to report any Policy 6.1 (IV) Duty to Intervene inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that Policy 6.1 (III) Use of Force Procedures- includes time period and procedure for documenting Required Reporting and Review and reporting the use of force, including reporting Policy 5.8.4 Reports and Documentation requirements of management and line staff and procedures for reviewing and tracking use of force The incident report template the agency incidents by supervisory and or management staff, utilizes assists staff in providing all the required which include procedures for debriefing a particular documentation as to the type of force used, ☒ ☐ ☐ incident with staff and/or youth for the purposes of de-escalation attempt(s), documentation of training as well as mitigating the effects of trauma that injuries, medication or photos, parental may have been experienced by staff and /or the youth notification, medical and mental health involved. notification and their follow-up response, staff and youth debriefing, and administrator review. (6) Include an administrative review and a system for Policy 6.1 (III) Use of Force Procedures- investigating unreasonable use of force. Required Reporting and Review Policy 6.1 (IV) Use of Force Procedures- Investigation of Excessive Force or Violations of the Use of Force Policy The incident report documents the ☒ ☐ ☐ administrator review and included comments. All incident reports documenting Use of Force will be sent to the department’s Defensive Tactics instructor for review and feedback. A Use of Force Administrative Review Meeting is held monthly. (7) define the role, notification, and follow-up Policy 6.1 (III) Use of Force Procedures- procedures required after use of force incidents for Medical Follow-Up medical, mental health staff and parents or legal Policy 6.1 (III) Use of Force Procedures- guardians. Required Reporting and Review Medical staff are immediately notified and may respond to the units to provide clearance or direct follow-up care. If medical or facility staff ☒ ☐ ☐ determines the youth would benefit from a mental health evaluation, they will be notified to respond. If not, they will be notified the next day via the Special Incident Report. In addition, documentation reviewed confirms the youth’s parent or guardians are notified of UOF incidents. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 28 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (8) describe the limitations of use of force on pregnant Policy 6.1 (1) (G) Use of Force Procedures- youth in accordance with Penal Code Section 6030(f) Considerations Before and During Use of ☒ ☐ ☐ and Welfare and Institutions Code Section 222. Force (b) Facilities that authorize chemical agents as a force Policy 6.1 Use of Force option shall include policies and procedures that: Policy 6.3 (I)(A) Chemical Agents-Training (1) identify who is approved to carry and/or utilize Policy 6.3 (I)(A) Chemical Agent-Storage, chemical agents in the facility and the type, size and ☒ ☐ ☐ Issue and Disposal of OC Spray Canisters the approved method of deployment for those Policy 6.3 (V) Use of Spray chemical agents. (2) mandate that chemical agents only be used when Policy 6.3 (III)(E) Chemical Agents- there is an imminent threat to the youth’s safety or the Considerations Before and During Use of OC safety of others and only when de-escalation efforts Spray have been unsuccessful or are not reasonably possible. ☒ ☐ ☐ Two of the ten Use of Force reports reviewed involved the use of chemical agents. The staff clearly documented warnings and attempts to de-escalate. (3) outline the facility’s approved methods and Policy 6.3 (VI) Chemical Agents- timelines for decontamination from chemical agents. Decontamination Process This shall include that youth who have been exposed to chemical agents shall not be left unattended until Facility staff are required to monitor youth for ☒ ☐ ☐ that youth is fully decontaminated or is no longer one hour from the time of exposure. The time suffering the effects of the chemical agent. monitoring youth is documented in the special incident report. (4) define the role, notification, and follow-up Policy 6.3 (VII) Chemical Agents-Medical procedures required after use of force incidents Response involving chemical agents for medical, mental health ☒ ☐ ☐ Policy 6.3 (VIII) Chemical Agents-Reporting, staff and parents or legal guardians. Timelines and Review (5) provide for the documentation of each incident of Policy 6.3 (VIII) Chemical Agents-Reporting, use of chemical agents, including the reasons for Timelines and Review which it was used, efforts to de-escalate prior to use, Policy 5.8.4 Reports and Documentation youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which Policy 6.1(III) Use of Force-Training require that agencies provide initial and regular training Policy 6.3 (I) Chemical Agents-Training in use of force and chemical agents when appropriate that address: Facility staff receive 32 hours of initial (1) known medical and behavioral health conditions ☒ ☐ ☐ Defensive Tactics training and 4-hour annual that would contraindicate certain types of force; refresher training. In addition, staff received an 8-hour STC-approved Chemical Agents course. (2) acceptable chemical agents and the methods of Policy 6.1(III) Use of Force-Training application. Policy 6.3 (I) Chemical Agents-Training ☒ ☐ ☐ Policy 6. (I)(A) Chemical Agent-Storage, Issue and Disposal of OC Spray Canisters (3) signs or symptoms that should result in immediate Policy 6.1(III)(E) Use of Force-Training referral to medical or behavioral health. ☒ ☐ ☐ Policy 6.3 (I) Chemical Agents-Training (4) instruction on the Constitutional Limitations of Use Policy 6.1(III)(A)(1) Use of Force-Training of Force. ☒ ☐ ☐ (5) physical training force options that may require Policy 6.1(III) Use of Force-Training the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular Policy 6.1(III) Use of Force-Training training. ☒ ☐ ☐ 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 29 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1358 USE OF PHYSICAL RESTRAINTS Policy 6.2 Mechanical Restraints The facility administrator, in cooperation with the responsible physician and mental health director, shall The Secure Track Treatment Program had no develop and implement written policies and procedures youth placed in restraints as it pertains to this ☒ ☐ ☐ for the use of restraint devices. Restraint devices include regulation. 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 who Policy 6.2 (III) Use of Restraints 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. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy 6.2 (IV) Improper Use of Mechanical discipline, or as a substitute for treatment. The use of Restraints 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 The Use of Restraints for movement or facility. Movement within the facility shall be governed by ☒ ☐ ☐ transportation within the facility is covered Section 1358.5, Use of Restraint Devices for Movement under Policy and Procedure 4.3.3 Resident Within the Facility. Movement. Youth shall be placed in restraints only with the approval Policy 6.2 (III) (B) Use of Restraints of the facility manager or designee. The facility manager may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints ☒ ☐ ☐ shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy (VII)(B)(1) Supervision of Restraint- retention shall be secured as soon as possible, but no Timelines later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as Policy (VII)(B)(4) Supervision of Restraint- possible, but in no case longer than four hours from the Timeline time of placement, to assess the need for mental health ☒ ☐ ☐ treatment. Continuous direct visual supervision shall be conducted Policy 6.2 (III) (D) Use of Restraints to ensure that the restraints are properly employed, and Policy (VII) Supervision of Restraint to ensure the safety and well-being of the youth. Observations of the youth's behavior and any staff ☒ ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and Policy 6.2 (III) (D) Use of Restraints procedures shall address: (a) documentation of the circumstances leading to an ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate Policy 6.2 (V) Considerations Regarding the certain restraint devices and/or techniques. ☒ ☐ ☐ Use of Restraints 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 30 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) acceptable restraint devices. Policy 6.2 (1)(A)(1) Mechanical Restraints Approved restraints devices consist of ☒ ☐ ☐ handcuffs, shackles, belly chains, and the WRAP. (d) signs or symptoms which should result in immediate Policy 6.2 (V) Considerations Regarding the medical/mental health referral. ☒ ☐ ☐ Use of Restraints (e) availability of cardiopulmonary resuscitation Policy 6.2 (V)(A)(1)(h) Considerations equipment. ☒ ☐ ☐ Regarding the Use of Restraints (f) protective housing of restrained youth. While in Policy (VII) Supervision of Restraint 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. Policy 6.2 (VII)(B)(2)(c),(d) Supervision of (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Restraint Policy 6.2 (VII)(B)(2)(e) Supervision of (h) exercising of extremities. ☒ ☐ ☐ Restraint 1358.5 USE OF RESTRAINT DEVICES FOR Policy 4.3.3(III) Resident Movement-Use of MOVEMENT AND TRANSPORTATION WITHIN Restraint Devices for Movement and THE FACILITY. Transportation within the Facility The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health A review of incident reports involving the use director, shall develop and implement written policies of mechanical restraints by staff indicates their and procedures for the use of restraint devices when the use was for assaultive or non-compliant purpose is for movement or transportation within the behavior resulting in a safety or security issue. ☒ ☐ ☐ facility that shall include the following: The youth were transported away from the (a) identification of acceptable restraint devices, staff incident to their rooms or other locations where approved to utilize restraint devices and the required the restraints were removed. Reports also training. indicate youth were not placed in mechanical restraints if staff were able to use the least restrictive means. This information is consistently documented. (b) the circumstances leading to the application of Policy 4.3.3(III)(3)(9) Use of Restraint Devices restraints must be documented. for Movement and Transportation within the ☒ ☐ ☐ Facility Movement (c) an individual assessment of the need to apply Policy 4.3.3(III)(4),(5),(6) Use of Restraint restraints for movement or transportation that includes Devices for Movement and Transportation consideration of less restrictive alternatives, within the Facility consideration of a youth’s known medical or mental Movement ☒ ☐ ☐ 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(III)(10) Use of Restraint Devices with a clearly defined expectation that restraint devices for Movement and Transportation within the shall not be used for the purposes of discipline or ☒ ☐ ☐ Facility retaliation. Movement (e) the use of restraints on pregnant youth is limited in Policy 4.3.3(III)(7) Use of Restraint Devices for accordance with Penal Code Section 6030(f) and Movement and Transportation within the Welfare and Institutions Code Section 222. ☒ ☐ ☐ Facility Movement 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 31 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1359 SAFETY ROOM PROCEDURES Policy 5.3.3 Safety Room (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall BSCC staff reviewed eight safety room develop and implement written policies and procedures placements involving three separate youth. governing the use of safety rooms, as described in Title One youth was placed in the safety room four 24, Part 2, Section 1230.1.13. The room shall be used times and another youth three times for to hold only those youth who present an immediate suicidal and self-harming behavior. The facility danger to themselves or others, who exhibit behavior utilizes an Observation Sheet when youth are ☒ ☐ ☐ which results in the destruction of property, or reveals placed in the safety room. The documentation the intent to cause self-inflicted physical harm. A safety reviewed included incident reports, room shall not be used for punishment or discipline, or Observation Sheets, Safety Plans, and as a substitute for treatment. Suicidal Disposition Forms. In addition, BSCC Policies and procedures shall: staff interviewed medical, mental health staff, and facility staff regarding responses to determine compliance with this regulation. (1) include provisions for administration of necessary Policy 5.3.3 (I)(F) Safety Room 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 (I)(C) Safety Room designee, before a youth is placed into a safety room; ☒ ☐ ☐ (3) provide for continuous direct visual supervision Policy 5.3.3 (I)(E) Safety Room and documentation of the youth's behavior and any Policy 5.3.3 (J)(c)(III) Safety Room- staff interventions every 15 minutes, with actual time ☒ ☐ ☐ Documentation-Time Lines recorded; (4) provide that the youth shall be evaluated by the Policy 5.3.3 (I)(H) Safety Room facility manager, or designee, every four hours; Policy 5.3.3 (J)(c)(iv) Safety Room- ☒ ☐ ☐ Documentation-Medical Evaluations (5) provide for immediate medical assessment, Policy 5.3.3 (J) Safety Room-Documentation where appropriate, or an assessment at the next ☒ ☐ ☐ daily sick call; and, (6) provide a process for documenting the reason for Policy 5.3.3 (J) Safety Room-Documentation 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 (I)(A) Safety Room accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of Policy 5.3.3 (I)(B) Safety Room punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. (3) safety room shall not be used to the extent that it Policy 5.3.3 (I)(D) Safety Room 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 (I)(G) Safety Room room. After the youth has been held in the safety room for a period of four hours, staff shall do one or more of ☒ ☐ ☐ the following: (1) return the youth to general population. Policy 5.3.3 (I)(G)(1) Safety Room ☒ ☐ ☐ (2) consult with mental health or medical staff, Policy 5.3.3 (I)(G)(2) Safety Room ☒ ☐ ☐ 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 32 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) develop an individualized plan that includes the Policy 5.3.3 (I)(G)(3) Safety Room goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (d) If confinement in the safety room must be extended Policy 5.3.3 (I)(H) 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 The facility administrator shall develop and implement written policies and procedures governing the search of ☒ ☐ ☐ youth, the facility, and visitors. Policies and procedures shall provide that: (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. At the beginning of each shift, youth supervision staff are to conduct a walk-through of their assigned post. Random room and ☒ ☐ ☐ common room searches are to be conducted each day and documented in eProbation case management system, Pod, or Control Log book. (b) Searches shall be conducted in a manner that Policy 4.4 Searches of Residents preserves the privacy and dignity of the person being Policy 4.4 (VI)(F) Strip Searches searched and shall not be conducted for harassment or as a form of discipline or punishment. ☒ ☐ ☐ The Secure Track Treatment Program had no youth subjected to a strip search this inspection cycle. (c) Strip searches and visual or physical body cavity Policy 4.4 (B) Authority searches shall comply with Penal Code Section 4030. ☒ ☐ ☐ (d) Physical body cavity searches shall only be Policy 4.4 (VIII) Physical Body Cavity Search conducted by a medical professional. ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only be Policy 4.4 (B) Authority 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 (VI)(D) Strip Searches comply with Section 1352.5. Policy 5.2.6: Transgender and Intersex ☒ ☐ ☐ Residents (g) Cross-gender pat-down searches and strip searches Policy 4.4 (II)(D) and (H) Searches of are prohibited except in exigent circumstances or when Residents conducted by a medical professional. Such searches must be justified and documented in writing. BSCC staff interviewed youth who confirmed ☒ ☐ ☐ searches are conducted by their same gender staff. None of the youth interviewed had been strip-searched. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 33 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1361 GRIEVANCE PROCEDURE Policy 5.9 Resident Grievances The facility administrator shall develop and implement written policies and procedures whereby any youth may The STTP only had one grievance filed since appeal and have resolved grievances relating to any the Targeted Inspection in September 2024. condition of confinement, including but not limited to The Juvenile Rehabilitation Facility has a health care services, classification decisions, program grievance log for each month separated by participation, telephone, mail or visiting procedures, pods. BSCC staff discussed with facility food, clothing, bedding, mistreatment, harassment or administration ensuring all required signature violations of the nondiscrimination policy. There shall be ☒ ☐ ☐ and corresponding boxes are filled out on no time limit on filing grievances. Policies and grievance forms or indicate a reason for the procedures shall include provisions whereby the facility lack of documentation. manager ensures: The Secure Track Treatment Program has a monthly meeting with administration, facility staff, STTP probation officer, and youth to address the program and any concerns. (a) a grievance form and instructions for registering a Policy 5.9 (II)(E) Resident Access to grievance, which includes provisions for the youth to Grievance Form have free access to the form; ☒ ☐ ☐ All youth interviewed knew of the grievance process and the location of the forms in the housing unit. (b) the youth shall have the option to confidentially file Policy 5.9 (I)(I) Resident Grievances the grievance or to deliver the form to any youth supervision staff working in the facility; A locked grievance box was observed in each living unit. All youth interviewed knew the ☒ ☐ ☐ location of the box to confidentially file grievances. The Supervisor/OIC is to check the confidential grievance box on each pod prior to the end of their shift. (c) resolution of the grievance at the lowest appropriate Policy 5.9 (I)(J) Resident Grievances staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to Policy 5.9 (III)(1) Grievance Review Process grievances within three (3) business days, grievances Policy 5.9 (III)(C) Grievance Review Process that relate to health and safety issues must be ☒ ☐ ☐ addressed immediately; (1) The youth may elect to be present to explain Policy 5.9 (III)(3)(d)Grievance Review Process his/her version of the grievance to a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance. (2) Provision for a staff representative approved by Policy 5.9 (II)(A)(3)(c) Resident Access to the facility administrator to assist the youth. ☒ ☐ ☐ Grievance Form (e) provision for a written response to the grievance Policy 5.9 (III)(3)(B) Grievance Review which includes the reasons for the decisions; ☒ ☐ ☐ Process (f) a system which provides that any appeal of a Policy 5.9 (III)(3)(D) Grievance Review grievance shall be heard by a person not directly Process ☒ ☐ ☐ involved in the circumstances which led to the grievance; 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 34 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) resolution of the grievance must occur within ten (10) Policy 5.9 (III)(2) Grievance Review Process business days unless circumstances dictate a longer time frame. The youth shall be notified of any delay; and, When a Supervisor/OIC receives a grievance form, they will attempt to resolve the grievance in 48 hours. If unable to address, it will be handled by the Supervisor on the next shift. ☒ ☐ ☐ Grievances not resolved will be forwarded to the Division Director for a decision within 72 hours of receiving the grievance. Grievances reviewed were addressed within the required time frame. (h) the policy shall provide multiple internal and external Policy 5.9 (IV) Reporting Sexual Abuse and methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Sexual Harassment Whether or not associated with a grievance, concerns of Policy 5.9 (I)(E) and (K) Resident Grievances parents, guardians, staff or other parties shall be Policy 3.4 Citizen Complaints addressed and documented in accordance with written policies and procedures within a specified timeframe. ☒ ☐ ☐ Concerns of parents, guardians, staff, or other parties are to be addressed within 72 hours and documented in an incident report. 1362 REPORTING OF INCIDENTS Policy 5.8.4 Reports and Documentation A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or BSCC staff reviewed incident reports for use death of an employee, youth or other person(s) shall be of force, room confinement, suicide watch, maintained. Such written record shall be prepared by the ☒ ☐ ☐ safety rooms, and restraints which affirmed staff and submitted to the facility manager by the end of compliance with this regulation. All incidents the shift, unless additional time is necessary and are documented through the eProbation case authorized by the facility manager or designee. management system. 1363 USE OF REASONABLE FORCE TO COLLECT Policy 6.4 (I)(A) Use of Reasonable Force to DNA SPECIMENS, SAMPLES, IMPRESSIONS Collect Specimens, Samples, and (a) Pursuant to Penal Code Section 298.1 authorized Impressions law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force The facility does not collect DNA specimens, to collect blood specimens, saliva samples, and thumb samples, or impressions. The case carrying or palm print impressions from individuals who are probation officer is responsible for collecting at required to provide such samples, specimens or the Juvenile Division offices. impressions pursuant to Penal Code Section 296 and ☐ ☐ ☒ who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that 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. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 35 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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. 1370 EDUCATION PROGRAM Policy 11.1 School Programs (a) School Programs The County Board of Education shall provide for the The Tri Mountain Academy is operated by administration and operation of juvenile court schools in Shasta County Office of Education. The most conjunction with the Chief Probation Officer, or designee recent Education Program Evaluation was pursuant to applicable State laws. The school and facility conducted on November 21, 2024, by Nick administrators shall develop and implement written policy Catomerisios, Senior Directive of Alternative and procedures to ensure communication and Education and Linda Mullick-Wahl, Student coordination between educators and probation staff. Outcome Program Coordinator with Butte Culturally responsive and trauma-informed approaches County Office of Education. Additionally, should be applied when providing instruction. Education educational programs are provided to high staff should collaborate with the facility administrator to school graduates connecting students to use technology to facilitate learning and ensure safe community college courses along with technology practices. The facility administrator shall academic support to assist them with the request an annual review of each required element of the successful completion of their courses. program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and ☒ ☐ ☐ BSCC staff interviewed the school principal corrective action needed to achieve compliance with this and a teacher who indicated robust section. Such a review, when conducted, cannot be communication and support with facility staff delegated to the principal or any other staff of any juvenile and administration. The principal is assigned court school site. The Superintendent of Schools shall to the campus full-time. In total, Tri Mountain conduct this review in conjunction with a qualified outside Academy has three general education agency or individual. Upon receipt of the review, the teachers and one resource/intervention facility administrator or designee shall review each item teacher, a fine arts teacher, a mental health with the Superintendent of Schools and shall take clinician, part-time psychologist, four behavior whatever corrective action is necessary to address each management assistants, College and Career deficiency and to fully protect the educational interests of Project Coordinator, and a Community all youth in the facility. Connect Coordinator. Typical class size fluctuates between 8 and 12 students in each of the three pods. The three general education teachers rotate between the three housing unit classrooms for each block of instruction. (b) Required Elements Policy 11.2 (I)(A) Educational Program The facility school program shall comply with the State Required Elements Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education Policy 11.2 (I)(B) Educational Program program shall be free from discriminatory action. Staff Required Elements shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 36 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (1) The course of study shall comply with the State Policy 11.2 (I)(A) Educational Program Education Code and include, but not be limited to, Required Elements ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Policy 11.2 (I)(E) Educational Program Equivalency Test as approved by the California Required Elements Department of Education shall be made available to ☒ ☐ ☐ eligible youth. (3) Youth shall be informed of post-secondary Policy 11.2(I)(F) Educational Program education and vocational opportunities. ☒ ☐ ☐ Required Elements (4) Administration of the High School Equivalency Policy 11.2 (I)(G) Educational Program Tests as approved by the California Department of Required Elements ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Policy 11.2 (I)(H) Educational Program who do not demonstrate sufficient progress towards Required Elements ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Policy 11.2 (I)(I) Educational Program State Education Code Requirements for juvenile court Required Elements schools. The facility administrator, in conjunction with education staff, must ensure that operational School hours are 8:30 a.m. to 2:00 p.m. procedures do not interfere with the time afforded for ☒ ☐ ☐ Monday, Tuesday, Thursday, and Friday. Each the minimum instructional day. Absences, time out of Wednesday is a minimum day. class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless Policy 11.2 (I)(K) Educational Program of classification, housing, security status, disciplinary Required Elements 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 (I)(A) School Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action School staff evaluate the youth’s behavior in the school setting and be integrated into the facility's ☒ ☐ ☐ through the school day and provide a scoring overall behavioral management plan and security as outlined in the facility’s Behavior system. Management System. (2) School staff shall be advised of administrative Policy 11.3 (1(C)(2) School Discipline decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Policy 11.3 (I)(B) 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 (I)(D) School Discipline education staff will develop policies and procedures that address the rights of any student who has ☒ ☐ ☐ continuing difficulty completing a school day. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 37 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) Provisions for Special Populations Policy 11.4 Education Program: Provisions for (1) State and federal laws and regulations shall be Special Populations observed for all individuals with disabilities or suspected disabilities. This includes but is not limited to child find, assessment, continuum of alternative ☒ ☐ ☐ placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be Policy 11.4 (I)(C) Education Program: afforded an educational program that addresses their Provisions for Special Populations 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 (I)(B)(1) Educational Screening (1) Youth shall be interviewed after admittance and a and Admission record maintained that documents a youth's ☒ ☐ ☐ educational history, including but not limited to: (A) School progress/school history; Policy 11.5 (I)(B)(1)(a) Educational Screening ☒ ☐ ☐ and Admission (B) Home Language Survey and the results of the Policy 11.5 (I)(B)(1)(b) Educational Screening State Test used for English language proficiency; ☒ ☐ ☐ and Admission (C) Needs and services of special populations as Policy 11.5 (I)(B)(1)(c) Educational Screening defined by the State Education Code, including but and Admission ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. Policy 11.5 (I)(B)(1)(d) Educational Screening ☒ ☐ ☐ and Admission (2) Youth will be immediately enrolled in school. Policy 11.5 (I)(A) and (B)(2) Educational Educational staff shall conduct an assessment to Screening and Admission determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Policy 11.5 (I)(B)(1)(a) Educational Screening education plan shall be developed for each youth and Admission ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with Policy 11.5 (I)(B)(3) Educational Screening the State Education Code and request the youth's and Admission records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, immunization records, exit grades, and partial credits. ☒ ☐ ☐ Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Policy 11.6 (I)(A) Educational Reporting, (1) The complete facility educational record of the Transition and Re-Entry Planning youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall Policy 11.6 (I)(B) Educational Reporting, provide appropriate credit (full or partial) for course Transition and Re-Entry Planning work completed while in juvenile court school in ☒ ☐ ☐ accordance with the State Education Code. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 38 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) Transition and Re-Entry Planning Policy 11.6(I)(C) Educational Reporting, (1) The Superintendent of Schools and the Chief Transition and Re-Entry Planning 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 (1) The school and facility administrator should, Computing Technology and Post-Secondary whenever possible, collaborate with local post- Education Opportunities. secondary education providers to facilitate access to ☒ ☐ ☐ educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. Policy 5.7.2 Programs, Recreation and The facility administrator shall develop and implement Exercise written policies and procedures for programs, recreation, and exercise for all youth. The intent is to minimize the BSCC staff reviewed the October 2024, amount of time youth are in their rooms or their bed area. January, and March 2025 program, recreation, and exercise logs for each living unit and the 2024 and 2025 JRF Daily Programming schedule. In addition, BSCC staff reviewed excel spreadsheets from the same months of programming services provided to youth by collaborative providers. BSCC staff discussed with facility administration that supervising staff need to routinely audit the paper logs to ensure clear documentation on the ☒ ☐ ☐ programming being offered and for consistency among staff as they work throughout the various living units. As the agency is migrating their tracking of programs, recreation, and exercise to the eProbation case management system, alerts will be sent to the living units and the supervisors if youth have not received the minimum hours as required by the regulation. Further, BSCC staff provided a recommendation to build into the eProbation system more detail about the programs outlined in the regulation to further capture the type of programming provided to youth. Juvenile facilities shall provide the opportunity for Policy 5.7.2(I)(B) 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 ☒ ☐ ☐ one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy 5.7.2 (II)(B) Resident Access to exercise may be suspended only upon a written finding Programs, Recreation and Exercise by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 39 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Such program, recreation, and exercise schedule shall Policy 5.7.2 (I)(D) Programs, Recreation and be posted in the living units. Exercise ☒ ☐ ☐ BSCC staff observed the schedule posted in all living units. 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 memorandum dated September 16, 2024, ☒ ☐ ☐ and July 7, 2025, by Division Director, Jeremy Kenyon, outlined programming, recreation, and exercise. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 40 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (a) Programs. All youth shall be provided with the Policy 5.7.2 (VI) Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, The facility utilizes community-based evidence-based, best practice interventions that are organizations, service providers, and facility culturally relevant and linguistically appropriate, or pro- staff to ensure programming needs are met. social interventions and activities designed to reduce The following is a list of programming offered recidivism. These programs should be based on the to the youth: youth’s individual needs as required by Sections 1355 and 1356. Such programs may be provided under the Baking and Culinary direction of the Chief Probation Officer or the County GROW Office of Education and can be administered by county ROP Kitchen Help partners such as mental health agencies, community Group Rehabilitative Programming based organizations, faith-based organizations or Individual Therapy Probation staff. Aggression Replacement Training Programs may include but are not limited to: Moral Reconation Therapy (1) Cognitive Behavior Interventions; Intensive Cognitive Behavioral Therapy (2) Management of Stress and Trauma; Forward Leap (3) Anger Management; Smart Recovery (4) Conflict Resolution; Mentoring (5) Juvenile Justice System; Change Company Journaling (6) Trauma-related interventions; Competency Restoration Training (7) Victim Awareness; NA/AA (8) Self-Improvement; Book Club (9) Parenting Skills and support; Rise Above (10) Tolerance and Diversity; Hope City Bridge (11) Healing Informed Approaches; ☒ ☐ ☐ Girls Circle (12) Interventions by Credible Messengers; Shasta Arts Council Mural Project (13) Gender Specific Programming; Restorative Justice Educators (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; GEO Re-Entry Services provides additional (16) Restorative Justice or Civic Engagement; services to youth in the Secure Track (17) Career and leadership opportunities; and, Treatment Program. BSCC staff reviewed (18) Other topics suitable to the youth population. STTP Activity Summary Reports of services provided by GEO to individual youth. Programming includes the following: Morale Reconation Therapy Power Source CBISA13 Social Skills Individual Cognitive Behavioral Individual Success Plans Motivational Regulations Change Company Journaling General Life Skills BSCC interviewed youth who affirmed programming occurs daily by either collaborative partners, community-based organizations, or facility staff. (b) Recreation. All youth shall be provided the opportunity Policy 5.7.2 (VI) Dayroom Recreational for at least one hour of daily access to unscheduled Activities activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and include Recreational activities available to the youth orientation and may include coaching of youth. include arts and crafts, board games, movies, ☒ ☐ ☐ reading, letter writing, bingo, bunko, ping pong, and video games. BSCC staff interviewed youth who affirmed they have the opportunity for recreation daily. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 41 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) Exercise. All youth shall be provided with the Policy 5.7.2 (IV) Large Muscle Exercise opportunity for at least one hour of large muscle activity each day. Exercise available to the youth include basketball, football, volleyball, whiffle ball, ☒ ☐ ☐ soccer, weight/cardio workouts, and exercise yards. BSCC staff interviewed youth who affirmed they have the opportunity for exercise daily. The administrator/manager may suspend, for a period not Policy 5.7.2 (II)(B) Resident Access to to exceed 24 hours, access to recreation and programs. Programs, Recreation and Exercise 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 once each Religious services, communion, and bible week. Attendance shall be voluntary. A youth shall be study are provided to youth by Forward Leap, allowed to participate in an activity outside of their room if ☒ ☐ ☐ Shasta Baptist, and Bethel Church. Youth he/she elects not to participate in religious programs. interviewed affirmed that religious services are Religious programs shall provide for: available weekly and they are not required to participate. Policy 5.7.3 (I)(A) Access to Religious (a) opportunity for religious services and practices; ☒ ☐ ☐ Programming-General Information Policy 5.7.3 (II) Providers of Religious (b) availability of clergy; and, ☒ ☐ ☐ Programs (c) availability of religious diets. Policy 5.7.3 (III) Religious Diets ☒ ☐ ☐ 1373 WORK PROGRAM Policy 5.7.8 Work Program The facility administrator shall develop policies and procedures regarding the fair and consistent assignment Youth who have reach a level two may be of youth to work programs. Work assigned to a youth shall eligible for the facility’s work programs offered be meaningful, constructive and related to vocational on the Pod or elsewhere in the facility. Work training or increasing a youth's sense of responsibility. ☒ ☐ ☐ programs also include Baking and Culinary, Work programs shall not be imposed as a disciplinary the Grow Program, and the Oliview measure Community Building Farm Project. The work program has job terms and conditions youth are to adhere to as part of the program. 1374 VISITING Policy 5.6 Visiting Procedures The facility administrator shall develop and implement written policies and procedures for visiting, that include Visiting is held at three designated times for provisions for special visits. Youth shall be allowed to one hour on Saturday and Sunday, total of two receive visits by parents, guardians or persons standing hours per week. In addition to regularly in loco parentis, and children of youth. Other family scheduled weekend visits, a youth can members, such as grandparents and siblings, and purchase a commissary visit for up to four supportive adults, may be allowed to visit with the visitors which can include parents, guardians, ☒ ☐ ☐ approval of the facility administrator or designee, and in siblings, and others approved by their conjunction with the youth’s case plan or in the best assigned probation officer. Snacks and a interest of the youth. photo are provided at these visits. Unlimited special visiting is facilitated by the probation officer. The facility offers two hours per week visitation through Goto Meeting for those youth who are unable to get in-person visits. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 42 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 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 criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours Policy 5.6 (I)(A) and (D) Visiting Procedures per week. Visits may be supervised, but conversations Policy 5.7.7 (I)(C) Counseling and Casework shall not be monitored unless there is a security or safety Services need. Policy 5.11.2 (I)(E) Access to Mental Health Services BSCC staff interviewed youth who, for the most part, indicated visiting always occurred as scheduled. Some youth indicated visiting had recently been cancelled due to short staffing which was confirmed by facility administration. In response, facility ☒ ☐ ☐ administration reported plans to extend visitation periods from one to two hours per session, with the intent of improving accessibility. They also committed to discussing with their senior administration the need for additional resources to ensure scheduled visitation occurs as scheduled. BSCC staff advised that, in order to support ongoing compliance, this issue will remain under review during future inspections, which may be scheduled or conducted unannounced. Provisions for special visits, in addition to the two-hour Policy 5.6 (II)(B) and (C) Visiting Procedures minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. Family therapy and professional visits shall be accommodated outside ☒ ☐ ☐ the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an Policy 5.6 (I)(G) Visiting Procedures alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ 1375 CORRESPONDENCE Policy 5.4.10 (1)(B) Resident Mail The facility administrator shall develop and implement written policies and procedures for correspondence which Youth indicate there is no limit on the amount provide that: ☒ ☐ ☐ of mail they can receive. (a) there is no limitation on the volume of mail that youth may send or receive; (b) youth may send two letters per week postage free; Policy 5.4.10 (1)(B)(1) Resident Mail The facility will pay for postage for one letter each day to parents/guardians and one letter ☒ ☐ ☐ each week to non-parents or guardians. The youth may also purchase additional postage with points earned from the facility’s BMS program. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 43 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) youth may correspond confidentially with state and Policy 5.4.10 (III) 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 5.4.1 (IV) Resident Mail-Inspection of in (c), may be read by staff only when there is reasonable Mail cause to believe facility safety and security, public safety, ☒ ☐ ☐ or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy 5.4.9 Resident Access to Telephone The administrator of each juvenile facility shall develop and implement written policies and procedures to provide Per policy, youth are allowed one personal youth with access to telephone communications. phone call per week using the telephones in the Pod. Additional phone call privileges are available as part of the facility’s Behavior ☒ ☐ ☐ Management System. Youth interviewed were aware of policies for telephone use and had regular access to the telephone. BSCC staff confirmed all telephones in the housing units were operational. 1377 ACCESS TO LEGAL SERVICES Policy 5.11.4 Access to Legal Services The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: ☒ ☐ ☐ (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; Policy 5.11.4 (I)(A) Access to Legal Services- and, ☒ ☐ ☐ Procedures (c) unlimited postage free, legal correspondence and Policy 5.11.4 (III) Access to Legal Services- cost-free telephone access as appropriate. Correspondence with Attorneys and Legal ☒ ☐ ☐ Service Providers 1390 DISCIPLINE Policy 5.8.1 Behavior Management System The facility administrator shall develop and implement Policy 5.8.2 Facility Rules written policies and procedures for the discipline of youth Policy 5.8.3 Discipline that shall promote acceptable behavior; including the use of positive behavior interventions and supports. Discipline The Secure Track Treatment Program has a shall be imposed at the least restrictive level which five-phase system to promote and encourage promotes the desired behavior and shall not include positive behavior. The phase program tracks corporal punishment, group punishment, physical or daily behavior and progress in meeting their psychological degradation. rehabilitative goals. The STTP team will ☒ ☐ ☐ Deprivation of the following is not permitted: conduct progress reviews every two weeks for promotion. BSCC staff interviewed youth who affirmed being orientated to the facility rules and behavior management system upon admission. The facility rules were posted in each Pod. (a) bed and bedding; Policy 5.8.3 (F)(1) Discipline ☒ ☐ ☐ (b) daily shower, access to drinking fountain, toilet and Policy 5.8.3 (F)(2) Discipline personal hygiene items, and clean clothing; ☒ ☐ ☐ (c) full nutrition; Policy 5.8.3 (F)(3) Discipline ☒ ☐ ☐ (d) contact with parent or attorney; Policy 5.8.3 (F)(4) Discipline ☒ ☐ ☐ (e) exercise; Policy 5.8.3 (F)(5) Discipline ☒ ☐ ☐ 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 44 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (f) medical services and counseling; Policy 5.8.3 (F)(6) Discipline ☒ ☐ ☐ (g) religious services; Policy 5.8.3 (F)(7) Discipline ☒ ☐ ☐ (h) clean and sanitary living conditions; Policy 5.8.3 (F)(8) Discipline ☒ ☐ ☐ (i) the right to send and receive mail; Policy 5.8.3 (F)(9) Discipline ☒ ☐ ☐ (j) education; and, Policy 5.8.3 (F)(10) Discipline ☒ ☐ ☐ (k) rehabilitative programming. Policy 5.8.3 (F)(11) Discipline ☒ ☐ ☐ The facility administrator shall establish rules of conduct Policy 5.8.1 Behavior Management System and disciplinary penalties to guide the conduct of youth. Policy 5.8.2 Facility Rules Such rules and penalties shall include both major Policy 5.8.3 Discipline violations and minor violations, be stated simply and affirmatively, and be made available to all youth. Provision A matrix has been developed to ensure an shall be made to provide accessible information to youth appropriate and consistent level of sanction is with disabilities, limited English proficiency, or limited imposed based upon the behavior. Depending literacy. on the rule violation, sanctions can include ☒ ☐ ☐ verbal warnings, counseling, writing sentences, loss of level or privileges, or alternative programming. BSCC staff discussed with facility administration updating their Behavior Matrix to adhere to the language in regulation and their current practices. 1391 DISCIPLINE PROCESS Policy 5.8.1 Behavior Management System The facility administrator shall develop and implement Policy 5.8.2 Facility Rules written policies and procedures for the administration of Policy 5.8.3 Discipline discipline which shall include, but not be limited to: Policy 5.8.5 Due Process (a) designation of personnel authorized to impose discipline for violation of rules; BSCC staff reviewed six examples involving the discipline process for major rule violations. The documents reviewed included incident ☒ ☐ ☐ reports and the SCJRF Due Process form. Youth are provided a due process hearing in all instances as the facility’s process provides a hearing on all major rule violations. BSCC staff discussed with facility administration the importance of ensuring staff completely fill out and obtain signatures required on the forms. (b) prohibiting discipline to be delegated to any youth; Policy 5.8.(I)(B)(1) Discipline ☒ ☐ ☐ (c) definition of major and minor rule violations and their Policy 5.8.2 Facility Rules consequences, and due process requirements; Policy 5.8.3 (II)(A) Discipline-Minor Rule Violations ☒ ☐ ☐ Policy 5.8.3 (II)(B) Discipline-Major Rule Violations Policy 5.8.5 Due Process (d) trauma-informed approaches and positive behavior Policy 5.8.1 Behavior Management System interventions; Policy 5.8.2 (I)(E) Facility Rules ☒ ☐ ☐ Policy 5.8.3 Discipline (e) minor rule violations may be handled informally by Policy 5.8.3(II)(A) Discipline-Minor Rule counseling, advising the youth of expected conduct Violations imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 45 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (f) major rule violations and the discipline process shall Policy 5.8.3(II)(B) Discipline-Major Rule be documented and require the following: Violations (1) written notice of violation prior to a hearing; Policy 5.8.5 (II) Due Process-Documentation ☒ ☐ ☐ Process Policy 5.8.5 (III) Due Process Hearing Process (2) accommodations provided to youth with Policy 5.8.5 (III)(C) Due Process Hearing disabilities, limited literacy, and English language Process ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the Policy 5.8.5 (III)(A) Due Process Hearing incident; ☒ ☐ ☐ Process (4) opportunity for the youth to be heard, present Policy 5.8.5 (III)(D) Due Process Hearing evidence and testimony; ☒ ☐ ☐ Process (5) provision for youth to be assisted by staff in the Policy 5.8.5 (III)(B) Due Process Hearing hearing process; ☒ ☐ ☐ Process Policy 5.8.5 (IV) Appeal Process Five of the ten examples reviewed included an (6) provision for administrative review. ☒ ☐ ☐ appeal of the discipline imposed. In one instance, the discipline was changed to a lesser sanction. (g) violations that result in a removal from camp or The facility is not a camp or commitment commitment program, but not a return to court, will follow program. ☐ ☐ ☒ the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE Policy 10.11 Management of Communicable DISEASES. Diseases. The health administrator/responsible physician, in cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: Policy 10.11 (1) Management of (a) Intake health screening procedures; Communicable Diseases-Intake Health ☒ ☐ ☐ Screening Policy 10.11(2) Management of (b) Identification of relevant symptoms; ☒ ☐ ☐ Communicable Diseases-Identify Symptoms Policy 10.11 (3) Management of (c) Referral for medical evaluation; Communicable Diseases-Refer for Medical ☒ ☐ ☐ Evaluation Policy 10.11 (4) Management of (d) Treatment responsibilities during detention; Communicable Diseases-Treatment ☒ ☐ ☐ Responsibilities Policy 10.11 (5) Management of (e) Coordination with public and private community- Communicable Diseases-Treatment Plan based resources for follow-up treatment; ☒ ☐ ☐ Upon Release Policy 10.11 (6) Management of (f) Applicable reporting requirements; and, Communicable Diseases-Reporting ☒ ☐ ☐ Requirements Policy 10.11 (7) Management of (g) Strategies for handling disease outbreaks. Communicable Diseases-Strategies for ☒ ☐ ☐ Handling Disease Outbreaks in the JRF 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 46 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The policies and procedures shall be updated as Policy 10.11(II) Management of necessary to reflect communicable disease priorities Communicable Diseases-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 The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to A locked box is accessible in living units for the establish a daily routine for youth to convey requests for youth to confidentially convey requests for emergency and non-emergency medical, dental and medical, dental, and mental health services. behavioral/mental health care services. The youth interviewed were aware of the confidential medical box. Youth also indicated they could directly seek services from medical ☒ ☐ ☐ staff, mental health staff, or ask facility staff to be seen. BSCC staff discussed with facility administration to provide clarity in policy and procedure that youth have a right to confidentially convey requests to behavioral/mental health as this is a separate agency than the medical provider. 1480 STANDARD FACILTY CLOTHING ISSUE Policy 5.2.3 Resident Dress Code The youth’s personal clothing, undergarments and Policy 5.3.4 Booking Procedures-Initial footwear may be substituted for the institutional clothing Shower, Clothing and Bedding Issue and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and The clothing worn by the youth was observed footwear. Clothing provisions shall ensure that: ☒ ☐ ☐ to be in good repair, free of stains, and well- fitted. The youth interviewed indicated if they needed new underwear, outer clothing, or shoes, they could ask staff and they would receive the items. (a) Clothing is clean, reasonably fitted, durable, easily Policy 5.2.3 (I)(A)(4) Resident Dress Code laundered, in good repair, and free of holes and tears. Policy 5.3.4 (IV)(B) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue (b) The standard issue of climatically suitable clothing Policy 5.2.3 (I)(A)(1)(d) and (e) Resident Dress for youth shall consist of but not be limited to: Code (1) Socks and serviceable footwear; Policy 5.3.4 (IV)(B)(2) and (7) Booking ☒ ☐ ☐ Procedures-Initial Shower, Clothing and Bedding Issue Policy 5.2.3 (I)(A)(1)(a),(f) and (g) Resident Dress Code (2) Outer garments; Policy 5.3.4 (IV)(B)(3),(4) and (5) Booking ☒ ☐ ☐ Procedures-Initial Shower, Clothing and Bedding Issue (3) New non-disposable underwear which shall Policy 5.2.3 (I)(A)(1)(b) Resident Dress Code remain with the youth throughout their stay, and; Policy 5.3.4 (IV)(B)(1) Booking Procedures- ☒ ☐ ☐ Initial Shower, Clothing and Bedding Issue (4) Undergarments, that are freshly laundered and Policy 5.2.3 (I)(A)(1)(b) and (c) Resident Dress free of stains, including tee shirts and bras. Code ☒ ☐ ☐ Policy 5.3.4 (IV)(B)(1) Booking Procedures- Initial Shower, Clothing and Bedding Issue (c) Clothing is laundered at the temperature required by Policy 5.4.8 (I)(D) and (E) Laundry Operations local ordinances for the commercial laundries and dried completely in a mechanical dryer or other laundry ☒ ☐ ☐ method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. Policy 5.2.3 (I)(A)(3)Resident Dress Code Policy 5.3.4 (IV)(B)(7) Booking Procedures- ☒ ☐ ☐ Initial Shower, Clothing and Bedding Issue 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 47 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1482 CLOTHING EXCHANGE Policy 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement written policies and site-specific procedures for the Interviews with youth confirm they are cleaning and scheduled exchange of clothing. Unless receiving clean clothing daily. work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S Policy 5.4.8 (III) Laundry Operations- PERSONAL CLOTHING Resident’s Personal Clothing There shall be written policies and site-specific Policy 5.4.8 (III) Laundry Operations-Control procedures developed and implemented by the facility of Vermin in Issued Clothing 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 Policy 5.4.5 Resident Hygiene There shall be written policies and site-specific Policy 5.4.5 (I)(A) and (D) Issue of Personal procedures developed and implemented by the facility Care Items administrator for the availability of personal hygiene items. Each female youth shall be provided with sanitary ☒ ☐ ☐ napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; Policy 5.4.5 (I)(A)(1) Issue of Personal Care (a) Toothbrush; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(2) Issue of Personal Care (b) Toothpaste; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(3) Issue of Personal Care (c) Soap; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(4) Issue of Personal Care (d) Comb; ☒ ☐ ☐ Items (e) Shaving implements; Policy 5.4.5 (III) Resident Hygiene-Shaving ☒ ☐ ☐ Policy 5.4.5 (I)(A)(5) Issue of Personal Care (f) Deodorant; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(6) Issue of Personal Care (g) Lotion; ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(7) Issue of Personal Care (h) Shampoo; and, ☒ ☐ ☐ Items Policy 5.4.5 (I)(A)(8) Issue of Personal Care (i) Post-shower conditioning hair products. ☒ ☐ ☐ Items Youth shall not be required to share any personal care Policy 5.4.5 (I)(B) Issue of Personal Care items listed in items (a) through (d). Liquid soap provided Items through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving instruments capable of breaking the skin, when shared among youth, ☒ ☐ ☐ shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 48 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1486 PERSONAL HYGIENE Policy 5.4.5 (II) Resident Hygiene-Showering There shall be written policies and site specific and Hygiene procedures developed and implemented by the facility administrator for showering/bathing and brushing of Interviews with youth confirm they are teeth. Youth shall be permitted to shower/bathe up on ☒ ☐ ☐ receiving all required personal care items. assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Policy 5.4.5 (III) Resident Hygiene-Shaving Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of BSCC staff interviewed youth who indicate identification in Court. All youth shall have equal they typically have the opportunity to shave opportunity to shave face and body hair. The facility daily, however, sometimes staff will forget to administrator may suspend this requirement in relation get the razors, be too busy, or run out of time. to youth who are considered to be a danger to ☒ ☐ ☐ BSCC staff discussed with facility themselves or others. administration the need to ensure sufficient staff and allotted time is available for youth to shave daily. Documentation of youth opportunity to shave will be maintained in the eProbation case management system. 1488 HAIR CARE SERVICES Policy 5.4.5 (IV) Resident Hygiene-Hair Care Hair care services shall be available in all juvenile Services facilities. Youth shall receive hair care services monthly. Equipment shall be cleaned and disinfected after each Youth are to request a haircut to the supervisor haircut or procedure, by a method approved by the State in charge of haircuts. Once completed, a note Board of Barbering and Cosmetology. will be placed in the youth’s case file. If a youth did not receive their requested haircut, the reason must also be documented. BSCC staff reviewed documentation tracking haircuts ☒ ☐ ☐ from November 2023 through June 2025. Youth haircuts were provided by facility staff and volunteers. The facility is considering contracting with a licensed barber or cosmologist for haircare services. The facility tracking and documentation procedures have changed during the inspection cycle. Youth haircuts will be tracked in the eProbation case management system. 1500 STANDARD BEDDING AND LINEN ISSUE Policy 5.4.7 Clothing and Bedding Exchange Clean laundered, suitable bedding and linens, in good Policy 5.3.4 Booking Procedures-Initial repair, shall be provided for each youth entering a living Shower, Clothing and Bedding Issue ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which Policy 5.4.7 Clothing and Bedding Exchange meets the requirements of Section 1502 of these Policy 5.3.4 (D)(5) Booking Procedures-Initial ☒ ☐ ☐ regulations; Shower, Clothing and Bedding Issue (b) One pillow and a pillow case unless provided for in Policy 5.4.7 Clothing and Bedding Exchange (a) above; Policy 5.3.4 (D)(5) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue Policy 5.4.7 Clothing and Bedding Exchange (c) One mattress cover and a sheet or two sheets; Policy 5.3.4 (D)(3) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue Policy 5.4.7 Clothing and Bedding Exchange (d) One towel; and, Policy 5.3.4 (D)(4) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 49 of 51 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Policy 5.4.7 Clothing and Bedding Exchange (e) One blanket or more, up on request Policy 5.3.4 (D)(1) Booking Procedures-Initial ☒ ☐ ☐ Shower, Clothing and Bedding Issue 1501 BEDDING LINEN EXCHANGE Policy 5.4.7 Clothing and Bedding Exchange The facility administrator shall develop and implement site specific written policies and procedures for the Interviews with youth confirm they are scheduled exchange of laundered bedding and linen exchanging linen, including their blankets, issued to each youth housed. Washable items such as ☒ ☐ ☐ each week. They can receive clean linen or sheets, mattress covers, pillow cases and towels shall blankets if needed before exchange day. be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once Policy 5.4.7 Clothing and Bedding Exchange a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND Policy 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). 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 50 of 51 J453 JUV PRO eff. 01.01.25 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 The facility is not a Camp. Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 7623 Shasta Secure Track Treatment Program SYTF CI PRO 25-26 Page 51 of 51 J453 JUV PRO eff. 01.01.25 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009; 2014; 2018 BSCC Code: 7621, 7622, & 7623 FACILITY NAME: Shasta County Juvenile Rehabilitation Facility (JH), Rivers Edge FACILITY TYPE: JH, Camp, and Academy (Camp), and Shasta Secure Youth Treatment Facility (SYTF) SYTF 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That Apply): ☐ ☐ ☐ ☒ ☐ ☐ FIELD REPRESENTATIVE: Shay Molennor DATE: July 17, 2025 TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.1 Reception/intake admission. The weapons locker is located in the sally port outside the booking entrance. In each juvenile hall, space used for the reception of ☒ ☐ ☐ youth pending admission to juvenile hall shall have the following space and equipment: 1. Weapons lockers as specified in Section 1230.2.9; ☒ ☐ ☐ 2. A secure room for the confinement of youth pending admission to juvenile hall as specified in Section 1230.1.2; In each juvenile hall, camp and ranch, space used ☒ ☐ ☐ for the reception of youth pending admission to these facilities shall have the following space and equipment: 3. Access to a shower; The shower is located in the booking area. ☒ ☐ ☐ 4. A secure vault or storage space for youth, valuables; A lockable property room is located in the ☒ ☐ ☐ booking area. 5. Telephone accessible to youth; and Phones are located in the booking area. ☒ ☐ ☐ 6. Access to hot and cold running water for staff use. The staff bathroom is located in the booking ☒ ☐ ☐ area. 1230.1.2 Locked holding room. A locked holding room shall: 1. Contain a minimum of 15 square feet of floor area per youth; ☒ ☐ ☐ 2. Provide no less than 45 square feet of floor space and have a clear ceiling height of 8 feet or more; ☒ ☐ ☐ 3. Contain seating to accommodate all youth as specified in Section 1230.2.8; ☒ ☐ ☐ 4. Be equipped with a toilet, wash basin, mirror and drinking fountain unless as specified in Section 1230.2, unless a procedure is in effect to give the ☒ ☐ ☐ youth access to a toilet, wash basin and drinking fountain; 5. Maximize visual supervision of youth by staff; and ☒ ☐ ☐ 6. Have an outward swinging or lateral sliding door. ☒ ☐ ☐ 7621+ Shasta PROB JH CAMP SYTF CI PHY 25-26 - 1 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.3 Natural light. Each sleeping room has a window to the exterior measuring 90.5” x 41”. Outer-facing exterior windows where youth’s privacy is not at risk shall be provided in locked sleeping rooms, single occupancy sleeping rooms, double occupancy sleeping rooms, dormitories and dayrooms. Natural ☒ ☐ ☐ light may be provided by, but is not limited to, skylights or windows in dayrooms, windows in adjacent exterior exercise areas, and in sleeping rooms and/or dormitories. 1230.1.4 Corridors Corridors in living areas shall be at least eight feet ☒ ☐ ☐ wide. 1230.1.5 Living unit. Each living unit houses 30 youth. A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy ☒ ☐ ☐ sleeping rooms, or dormitories, dayroom space, toilet, wash basins, drinking fountains and showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention or other action if needed. In juvenile halls, the number of ☒ ☐ ☐ youth housed in a living unit shall not exceed 30. 1230.1.6 Locked sleeping rooms. Locked sleeping rooms shall be equipped with an ☒ ☐ ☐ individual or combination toilet, wash basin, mirror and drinking fountain. Doors to locked sleeping rooms shall swing outward or slide laterally. ☒ ☐ ☐ 1230.1.7 Single occupancy sleeping rooms. Single Occupancy rooms are 84 sq. ft. ADA Single Occupancy rooms are 84.7 sq. ft. Single occupancy sleeping rooms shall provide the ☒ ☐ ☐ following: 1. A minimum of 70 square feet of floor area; 2. A minimum ceiling height of eight feet; and, ☒ ☐ ☐ 3. The door into this room shall swing outward or The door view panel is 180 inches. slide laterally and be provided with a view panel, a minimum of 144 square inches, constructed of security ☒ ☐ ☐ glazing. 4. Contain a bed as specified in 1230.2.5. ☒ ☐ ☐ 1230.1.8 Double occupancy sleeping rooms. Double occupancy rooms are 114 sq. ft. Double occupancy sleeping rooms shall provide the ☒ ☐ ☐ following: 1. A minimum of 100 square feet of floor area; 2. A minimum clear ceiling height of 8 feet and a minimum width of 7 feet; and, ☒ ☐ ☐ 7621+ Shasta PROB JH CAMP SYTF CI PHY 25-26 - 2 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 3. The door into this room shall swing outward or Double occupancy rooms are 114 sq. ft. slide laterally and be provided with a view panel, a minimum of 144 square inches, constructed of security ☒ ☐ ☐ glazing. 4. Contain a bed as specified in 1230.2.5. ☒ ☐ ☐ 1230.1.9 Dormitories There are no dormitory units in this facility. Dormitories shall provide the following: 1. A minimum of 50 square feet of floor area per ☐ ☐ ☒ youth with the minimum size of a dormitory being 200 square feet of floor area and a minimum 8- foot clear ceiling height; 2. Designed for no fewer than four youth; ☐ ☐ ☒ 3. Dormitories in juvenile halls shall be designed for no more than 30 youth; ☐ ☐ ☒ 4. Camps shall conform to Items 1 and 2. ☐ ☐ ☒ 1230.1.10 Dayrooms Dayrooms exceed 2,488 sq. ft, or 82 sq. ft. per youth. Dayrooms shall contain 35 square feet of floor area per youth, contain tables and seating to accommodate the ☒ ☐ ☐ maximum numbers of youth allowed access at a given time. Access must be provided to toilets, wash basins, drinking fountains and showers as specified in Section 1230.2. ☒ ☐ ☐ 1230.1.11 Physical activity and recreation areas. The exercise area includes full basketball courts, playing fields, and a covered asphalt Indoor/outdoor physical activity and recreation areas secure area. shall be designed as follows: 1. Minimum indoor outdoor recreation space for facility capacity: 40 or less is 9,000 square feet; ☒ ☐ ☐ 41-274 is 225 square feet per youth up to 61,650 square feet; 275 or more is 61,650 square feet, plus 145 square feet for each youth beyond 274 [up to a maximum of 87,120 square feet] 1.1 At least one quarter of the dedicated There are two large, paved areas. indoor/outdoor space shall be a paved or like ☒ ☐ ☐ surface. 1.2 The required recreation area shall contain no single dimension less than 40 feet. ☒ ☐ ☐ 2. A portion of the dedicated space for physical activity and recreation shall be out-of-doors and be sufficient size and equipped in such a manner to allow compliance with Title 15, Section 1371, which requires ☒ ☐ ☐ at least one hour per day of outdoor activity for each detained youth. 3. Lighting of outdoor recreation areas shall be provided to allow for evening activities and to provide ☒ ☐ ☐ security. 4. Access must be provided to a toilet, wash basin and drinking fountain as specified in Section 1230.2. ☒ ☐ ☐ 7621+ Shasta PROB JH CAMP SYTF CI PHY 25-26 - 3 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.12 Academic classrooms. There shall be a dedicated classroom space for every ☒ ☐ ☐ juvenile in every facility. The primary purpose for the academic classroom shall Each living unit includes two classrooms. be for education. ☒ ☐ ☐ Each academic classroom shall contain a minimum of The classrooms are 651 sq. ft. and 595 sq. ft. 160 square feet of floor space for the teacher’s desk which can accommodate 17 youth in and work area and a minimum of 28 square feet of ☒ ☐ ☐ classroom 1 and 15 youth in classroom 2. floor space per minor. A communication system shall be provided in each classroom to allow for immediate response to ☒ ☐ ☐ emergencies. The classroom shall be designed for a maximum of 20 minors. ☒ ☐ ☐ There shall be space available in every juvenile facility that may be used for specialized, one-on-one or small group educational purposes. ☒ ☐ ☐ 1230.1.13 Safety room. The safety room is 75.89 sq. ft. A safety room shall: ☐ ☐ ☐ 1. Contain a minimum of 48 square feet of floor area and a minimum clear ceiling height of 8 feet; 2. Be limited to one youth; ☒ ☐ ☐ 3. Be padded as specified in Section 1230.2.7; ☒ ☐ ☐ 4. Provide one or more vertical view panels Two window view panels are 4” x 28” each. constructed of security glazing. These view panels shall be no more than 4 inches wide nor less than 24 ☒ ☐ ☐ inches long, which shall provide a view of the entire room; 5. Provide an audio monitoring system as specified The intercom box is recessed into padding. in Section 1230.1.22; ☒ ☐ ☐ 6. Contain a flushing ring toilet, capable of accepting solid waste, mounted flush with the floor, the controls ☒ ☐ ☐ for which must be located outside of the room; 7. Be equipped with a variable intensity, security- type lighting fixture with controls located outside the ☒ ☐ ☐ room; 8. Any wall or ceiling-mounted devices must be designed to prohibit access to the youth occupant; ☒ ☐ ☐ and, 9. Provide a food pass with lockable shutter, no more than 4 inches high, and located between 26 inches and 32 inches as measured from the bottom of the ☒ ☐ ☐ food pass to the floor. 1230.1.14 Medical examination room. There is a central medical clinic area containing two (2) 145 sq. ft. examination There must be a minimum of one suitably equipped ☒ ☐ ☐ rooms. medical examination room in every juvenile facility. 7621+ Shasta PROB JH CAMP SYTF CI PHY 25-26 - 4 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS Medical examination rooms shall provide the following: Each housing unit also has a room designated for daily clinic visits. 1. Space for carrying out routine medical ☒ ☐ ☐ examinations and emergency care and used for no other purpose; 2. Privacy for youth; ☒ ☐ ☐ 3. Lockable storage space for medical supplies; ☒ ☐ ☐ 4. Not less than 144 square feet of floor space with Clinic rooms are 145 sq. ft. no single dimension less than 7 feet; ☒ ☐ ☐ 5. Hot and cold running water; ☒ ☐ ☐ 6. Smooth, nonporous, washable surface; ☒ ☐ ☐ 7. A medical exam table; and, ☒ ☐ ☐ 8. Adequate lighting. ☒ ☐ ☐ 1230.1.15 Pharmaceutical storage. The pharmacy has both a lockable door and cabinets. Provide lockable storage space for medical supplies and pharmaceutical preparations as specified by Title ☒ ☐ ☐ 15, Section 1438. 1230.1.16 Dining areas. Youth will be fed inside their housing unit. Dining areas in juvenile facilities shall contain a ☒ ☐ ☐ minimum of 15 square feet of floor space and sufficient tables and seating for each person being fed. Persons being fed include youth, staff and visitors. ☒ ☐ ☐ Dining areas shall not contain toilets or showers in the Showers have modesty panels. same room without appropriate visual barrier. ☒ ☐ ☐ 1230.1.17 Visiting space. The facility will use a central visiting room with entry from both secure and non-secure areas. Space shall be provided in all juvenile facilities for in- person visiting which shall be unobstructed by barriers ☒ ☐ ☐ such as, but not limited to, security glazing for mesh. 1230.1.18 Institutional storage. There are large storage rooms throughout the facility. One or more storage rooms shall be provided to ☒ ☐ ☐ accommodate a minimum of 80 cubic feet of storage space per minor. Items to be stored shall be institutional clothing, bedding, supplies and activity equipment. ☒ ☐ ☐ 1230.1.19 Personal storage. The concrete slab has a built-in alcove to store personal items. Each youth in a juvenile facility shall be provided with a minimum of 9 cubic feet of secure storage space for ☒ ☐ ☐ personal clothing and belongings. 7621+ Shasta PROB JH CAMP SYTF CI PHY 25-26 - 5 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.20 Safety equipment storage. In all juvenile facilities, a secure area shall be provided for the storage of safety equipment, such as fire ☒ ☐ ☐ extinguishers, self-contained breathing apparatus, wire and bar cutters, emergency lights, etc. 1230.1.21 Janitorial closet. Janitor closets are located in each living unit and at various locations throughout the facility. In all juvenile facilities, at least one securely lockable janitorial closet, containing a mop sink and sufficient ☒ ☐ ☐ area for the storage of cleaning implements, must be provided within a security area of the facility. 1230.1.22 Audio monitoring system. Audio systems are located in the living units and sleeping rooms. In safety rooms, locked holding rooms, locked sleeping rooms, single and double occupancy rooms and dormitories, there must be an audio monitoring ☒ ☐ ☐ system capable of actuation by the minor that alerts personnel. 1230.1.23 Emergency power. There shall be a source of emergency power in all juvenile facilities capable of providing minimal lighting in all living units, activities areas, corridors, stairs and ☒ ☐ ☐ central control points, and to maintain fire and life safety, security, communications and alarm systems (Title 24, Part 2, Chapter 27). Such an emergency power source shall conform to the requirements specified in Title, 24, Part 3, Article 700, California Electrical Code, California Code of ☒ ☐ ☐ Regulations. 1230.1.24 Confidential interview room. There are interview rooms in the living areas, at booking, and in the visiting area. Confidential interview rooms shall contain a minimum ☒ ☐ ☐ of 60 square feet of floor area. In juvenile halls there shall be a minimum of one suitably furnished interview room for each 30 youth. ☒ ☐ ☐ In camps there shall be a minimum of one suitably furnished interview room for each facility. ☒ ☐ ☐ This interview room shall provide for confidential consultations with youth. ☒ ☐ ☐ 1230.1.25 Special-purpose juvenile halls. The facility is not a Special Purpose Juvenile Hall. Special-purpose juvenile halls shall conform to all ☐ ☐ ☒ minimum standards for juvenile facilities contained in this section with the following exceptions: 1. Physical activity and recreation areas as specified in Section 1230.1.11; ☐ ☐ ☒ 2. Academic classrooms as specified in Section 1230.1.12; ☐ ☐ ☒ 7621+ Shasta PROB JH CAMP SYTF CI PHY 25-26 - 6 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 3. Medical examination room as specified in Section 1230.1.14; and, ☐ ☐ ☒ 4. Dining areas as specified in Section 1230.1.16. ☐ ☐ ☒ 1230.1.26 Court holding room for youth. There are no court-holding cells in this facility. A court holding room shall: ☐ ☐ ☒ 1. Contain a minimum of 10 square feet of floor area per youth; 2. Be limited to no more than 16 youth; ☐ ☐ ☒ 3. Provide no less than 40 square feet of floor area and have a ceiling height of 8 feet or more; ☐ ☐ ☒ 4. Contain seating to accommodate all youth as specified in Section 1230.2.8; ☐ ☐ ☒ 5. Contain a toilet, wash basin and drinking fountain as specified in Section 1230.2; ☐ ☐ ☒ 6. Maximize visual supervision of youth by staff; and, ☐ ☐ ☒ 7. A mirror of material appropriate to the level of security shall be provided as specified in Section 1230.2.11. ☐ ☐ ☒ 1230.1.27 Programs and activity areas. All juvenile facilities shall include adequate space for specific programs in addition to recreation and ☒ ☐ ☐ exercise areas. 1230.2.1 Toilets/urinals. Each sleeping room contains a combo unit. All toilet areas shall provide privacy for the youth and ☒ ☐ ☐ help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Toilets must be available in a ratio to youth as follows: 1. Juvenile halls 1:6; ☒ ☐ ☐ 2. Camps 1:10; and ☒ ☐ ☐ 3. Locked holding rooms 1:8: ☒ ☐ ☐ One toilet and one urinal may be substituted for every 15 males. ☒ ☐ ☐ 1230.2.2 Wash basins. Each sleeping room contains a combo unit. In living units, wash basins must be available in a ratio ☒ ☐ ☐ to youth as follows: 1. Juvenile halls 1:6; 2. Camps 1:10; and ☒ ☐ ☐ 3. Locked holding rooms 1:8: ☒ ☐ ☐ Wash basis must be provided with hot and cold or tempered water. ☒ ☐ ☐ 7621+ Shasta PROB JH CAMP SYTF CI PHY 25-26 - 7 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.3 Drinking fountains. Each sleeping room contains a combo unit. In living areas and indoor and outdoor recreation ☒ ☐ ☐ areas, drinking fountains must be accessible to youth and to staff. 1. The drinking fountain bubbler shall be on an angle which prevents waste water from flowing over the ☒ ☐ ☐ drinking bubbler; and, 2. The water flow shall be actuated by a mechanical means. ☒ ☐ ☐ 1230.2.4 Showers. Each living area has a total of 5 temperature- controlled showers. Shower areas shall provide privacy for the youth and ☒ ☐ ☐ help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Showers shall be available to all youth on a ratio of at Each single shower unit has a half door to least one shower or bathtub to every six youth. afford modesty and still provide supervision. Showers shall be provided with tempered water. ☒ ☐ ☐ 1230.2.5 Beds. The concrete platform is 30” x 80”. Beds shall be at least 30 inches wide and 76 inches ☒ ☐ ☐ long and be of the solid bottom type. Beds shall be at least 12 inches off the floor and spaced no less than 36 inches apart ☒ ☐ ☐ Bunk beds must have no less than 33 inches vertically between the solid bottoms. ☒ ☐ ☐ In secure facilities, the bunks shall be securely anchored and flushed against the floor and/or wall. ☒ ☐ ☐ 1230.2.6 Lighting. Lighting in locked sleeping rooms, single occupancy rooms, double occupancy rooms, dormitories, day ☒ ☐ ☐ rooms and activity areas shall provide not less than 20 foot candles of illumination at desk level. Night lighting is required in these areas to provide for good visibility for supervision and be conducive to sleep. ☒ ☐ ☐ 1230.2.7 Padding. Padding in safety rooms, padding shall cover the ☒ ☐ ☐ entire floor, door, walls and everything on walls to a clear height of eight feet. Benches or platforms are not to be placed on the floor of this room. ☒ ☐ ☐ All padded rooms must be equipped with a tamper resistant fire sprinkler as approved by the State Fire ☒ ☐ ☐ Marshal. All padding must be: 1. Approved for use by the State Fire Marshal; ☒ ☐ ☐ 2. Nonporous to facilitate cleaning; ☒ ☐ ☐ 3. At least 112 inch thick; ☒ ☐ ☐ 7621+ Shasta PROB JH CAMP SYTF CI PHY 25-26 - 8 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 4. Of a unitary or laminated construction to prevent its destruction by teeth, hand tearing or small metal ☒ ☐ ☐ objects; 5. Firmly bonded to all padded surfaces to prevent tearing or ripping; and, ☒ ☐ ☐ 6. Without any exposed seams susceptible to tearing or ripping. ☒ ☐ ☐ 1230.2.8 Seating. Booking area holding cells have a 72” bench to afford a rated capacity of four (4). Security Seating shall be designed for the level of security. ☒ ☐ ☐ calking seals tie off areas between the wall and the bench. When bench seating is used, 18 inches of bench is seating for one person. ☒ ☐ ☐ 1230.2.9 Weapons lockers. Weapons lockers are located in the sally port immediately adjacent to entry to the booking Weapons lockers are required in all secure juvenile unit. ☒ ☐ ☐ facilities and shall be located outside the secure area of the facility. Weapons lockers shall be equipped with individual compartments, each with an individual locking device. ☒ ☐ ☐ 1230.2.10 Security glazing. Security glazing shall comply with the minimum requirements of one of the following test standards: American Society for Testing and Materials, ASTM F 1233-98, Class III glass, or; California Department of ☒ ☐ ☐ Corrections, CDC 860-94d, Class C glass or; H.P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. 1230.2.11 Mirrors. Not applicable to facility construction date. A mirror of a material appropriate to the level of security must be provided near each wash basin ☐ ☐ ☒ specified in these regulations. 7621+ Shasta PROB JH CAMP SYTF CI PHY 25-26 - 9 - J456 JUV PHY eff. 1.1.20 (25-26) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7621, 7622, & 7623 FACILITY: Shasta County Juvenile Rehabilitation Facility (JH), Rivers Edge TYPE: JH, Camp, RC: JH 52 Academy (Camp), and Shasta Secure Youth Treatment Facility (SYTF) & SYTF Camp 30 SYTF 8 FIELD REPRESENTATIVE: Shay Molennor DATE: July 17, 2025 ROOMS EACH ROOM EACH ROOM FIXTURES* Unit Room Applicable # Total DIMENSIONS Designation Type Standards Rooms RC (L x W x H) # Beds RC 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. Medical Unit 1 Exam 2009 145 Sq. Ft. 2 Exam 2009 145 Sq. Ft. 3 Exam 2009 Pod 700 - River’s Edge Academy (30 Camp beds) 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 651 Sq. Ft. Class 2 Room 2009 595 Sq. Ft. Pod 800 - Shasta JRF 30 Beds 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 651 Sq. Ft. Class 2 Room 2009 595 Sq. Ft. Pod 900 - Shasta JRF and SYTF (22 JH beds and 8 SYTF beds) 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 *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 PROB JH Camp SYTF CI LASE 25-26 Page 1 of 2 J460 LASE Juvenile.dot (rev.12/23) ROOMS EACH ROOM EACH ROOM FIXTURES* Unit Room Applicable # Total DIMENSIONS Designation Type Standards Rooms RC (L x W x H) # Beds RC T U W F S ADA 2009 1 1 1 1 84.7 Sq. Ft 1 1 1 Class 1 Room 2009 651 Sq. Ft. Class 2 Room 2009 595 Sq. Ft. 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 PROB JH Camp SYTF CI LASE 25-26 Page 2 of 2 J460 LASE Juvenile.dot (rev.12/23)