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Solano County Probation Comp Inspection Rpt (2023-2024 inspection cycle)

Board of State and Community Corrections · inspection-7645p-2023-2024 · Juvenile inspection · 2023-08-09 · Solano County Probation Comp Inspection Rpt

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August 9, 2023 Christopher Hansen, Chief Probation Officer Solano Probation Department 475 Union Avenue Fairfield, CA 94533 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SOLANO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Hansen: The 2023-2024 Comprehensive Inspection of the Solano County Probation Department has been completed. A pre-inspection briefing was held on Tuesday, April 18, 2023, and the following facilities were inspected between Tuesday, June 27, 2023, and Thursday, June 29, 2023: FACILITY NAME BSCC # FACILITY TYPE Solano Juvenile Hall 7645 JH Solano Challenge Academy 7647 CAMP Secure Youth Treatment Facility 7646 SYTF These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, Board of State and Community Corrections (BSCC) staff conducted compliance monitoring pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles and adults. In addition to inspection(s), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified one item of noncompliance with Title 15 Minimum Standards. Title 15 Section, 1357 Use of Force: Per section (a)(7), notification to mental health and parent or legal guardian is required. The agency was not notifying mental health, parents, or legal guardians when a youth was involved in a use of force incident. Christopher Hansen, Chief Probation Officer Page 2 Refer to the attached Title 15 Procedures Checklist for detailed information. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity and Title 24 compliance. Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified, and no areas of noncompliance were noted. CORRECTIVE ACTION PLAN (CAP) An Exit Briefing with your staff was held on Thursday, June 29, 2023; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. BSCC staff reviewed and provided an Initial Inspection Report for the noncompliant item found during the inspection. On July 20, 2023, a site visit was conducted to review progress toward meeting compliance with the regulation. Your agency corrected the item of noncompliance following the inspection, therefore there was no requirement to provide BSCC staff with a CAP addressing this issue. * * * 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, Solano County Juvenile Court* Chair, Juvenile Justice Commission, Solano County* Chair, Board of Supervisors, Solano County* County Administrator, Solano County* Shawn Albright, Division Chief (electronic copy) Dean Wilder, Program Services Manager (electronic copy) Joseph Herman, Juvenile Correctional Counselor Manager (electronic copy) *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7645+ Solano Probation JH Camp SYTF LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7645 FACILITY NAME: Solano County Juvenile Hall FACILITY TYPE: JH PERSON(S) INTERVIEWED: Shawna Albright, Division Chief, Dean Wilder, Probation Services Manager, Joseph Herman, Juvenile Correctional Counselor Manager, Dr. Valerie Garrett-Director of Educational Options for Solano County Office of Education (SCOE), Tonya Sanchez, Aramark Food Services Manager, Darlla Roesler, WellPath Health Services Administrator, Lisa Castillo, WellPath Mental Health Provider, C. Sloan, Supervising Juvenile Correctional Counselor, K. Brooks-Senior Programming Correctional Counselor, Xavier J.-age 16, AJ W.-age 16 FIELD REPRESENTATIVE: Shay Molennor DATE: June 27-29, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS June 29, 2021 June 14. 2023 On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ A building inspection was not completed in documented inspection and evaluation from the ☐ ☐ 2022. The agency indicated they are now following: tracking all required inspections in the (a) county building inspector or person designated by PowerDMS system to ensure compliance with the Board of Supervisors to approve building safety; this regulation. (b) fire authority having jurisdiction, including a fire January 23, 2022 clearance as required by Health and Safety Code Section ☒ June 27, 2023 (Pending final report) ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Nutrition: December 9, 2021 Environmental: December 9, 2021 Medical/Mental Health: October 26-28, 2021 ☒ ☐ ☐ Nutrition: December 21, 2022 Environmental: December 7, 2022 (All areas of non-compliance have been addressed by facility administration.) Medical/Mental Health: December 6-8, 2022 (d) county superintendent of schools on the adequacy of December 15, 2021 educational services and facilities as required in Section ☒ December 15, 2022 ☐ ☐ 1370; (e) juvenile court as required by Section 209 of the December 30, 2021 ☒ Welfare and Institutions Code; and, ☐ ☐ December 16, 2022 (f) the Juvenile Justice Commission as required by March 12, 2021 Section 229 of the Welfare and Institutions Code or March 27, 2023 Probation Commission as required by Section 240 of the Welfare and Institutions Code. ☒ A JJC inspection was not completed in 2022. ☐ ☐ The agency indicated they are now tracking all required inspections in the PowerDMS system to ensure compliance with this regulation. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7645 Solano Juvenile Hall PRO 23-24 Page 1 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS A memorandum dated June 1, 2023, by Chief Probation Officer Chris Hansen addressed all BSCC Note: Compliance with this section is determined elements of this regulation. by receipt of the Chief Probation Officer’s certification letter confirming that all elements of regulation are met. (a) Appointment ☒ ☐ ☐ 301.4 Facility Administrative Officer 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 303.6 Job Descriptions/Position 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 303.6 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 303.6 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 303.6 employee, and psychological examination in ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- 303.6 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. 7645 Solano Juvenile Hall PRO 23-24 Page 2 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING 303.2 Staff Requirements 309.5 Staff/Supervisory Deployment Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The agency staffs for their JH, Camp, and carry out the overall facility operation and its SYTF, which are on the same campus. The programming, to provide for safety and security of youth combined population was 23 on the first day and staff, and meet established standards and of the inspection, dispersed between two regulations; living units. JH and Challenge Camp youth are currently co-mingled in the same living unit. JH youth with charges which could result in an SYTF commitment are housed with SYTF youth in the same living unit. Population numbers: JH 12 Challenge 1 RISE SYTF 10 Reviewed Shift pattern for January 8, 2023, to July 15, 2023. ☒ ☐ ☐ Management/Administration 1 Division Chief 1 Probation Services Manager 1 Juvenile Correctional Counselor 6 Supervising Juvenile Correctional Counselors Youth Supervision 6 Senior Juvenile Correctional Counselors 51 Juvenile Correctional Counselors (11 vacancies and pending one new hire in July 2023) 5 Extra Help Juvenile Correctional Counselors 2 Support staff 24 Deputy Probation Officers are eligible to work overtime to help provide coverage. The agency is in compliance with this regulation. (b) ensure that no required services shall be denied 303.2 because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to 303.2 ☒ ensure adequate supervision of all staff members; ☐ ☐ (d) have a clearly identified person on duty at all times 309.5 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 309.5 ☒ unit whenever there are youth in the living unit; ☐ ☐ 7645 Solano Juvenile Hall PRO 23-24 Page 3 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) have sufficient food service personnel relative to the 308.1 Food Services Management number and security of living units, including staff qualified and available to: plan menus meeting nutritional Aramark provides food services to the facility. requirements of youth; provide kitchen supervision; direct One Food Services Manager, 2 cooks, and ☒ food preparation and servings; conduct related training ☐ ☐ pending a part-time new hire. Youth are programs for culinary staff; and maintain necessary served 3 hot meals a day and two snacks. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, 303.2 medical, dental, mental health, building maintenance, transportation, control room, facility security and other WellPath provides medical coverage 7 days a support staff for the efficient management of the facility, week from 7:00 a.m. to 11:00 p.m. and to ensure that youth supervision staff shall not be ☒ diverted from supervising youth; and, ☐ ☐ WellPath provides mental health coverage from 7 days a week from noon to 8:00 p.m. (h) assign sufficient youth supervision staff to provide 309.5 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 309.5 (A) during the hours that youth are awake, one wide-awake youth supervision staff member on The agency operates with Prison Rape ☒ duty for each 10 youth in detention; ☐ ☐ Elimination Act (PREA) staffing ratios of 1 youth supervision staff to 8 youth during awake hours. (B) during the hours that youth are confined to their 309.5 room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each ☒ The agency operates with PREA staffing ☐ ☐ 30 youth in detention; ratios of 1 youth supervision staff to 16 youth during sleeping hours. (C) at least two wide-awake youth supervision staff 309.5 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 309.5 duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other 309.5 duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☒ awake youth supervision staff member on duty for ☐ ☐ each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; 7645 Solano Juvenile Hall PRO 23-24 Page 4 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (A) during the hours that youth are awake, one ☒ wide-awake youth supervision staff member on ☐ ☐ duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth present in the facility; (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 304.4 New Employee Orientation AND TRAINING A memorandum dated June 1, 2023, by Chief (a) Prior to assuming any responsibilities each youth Probation Officer Chris Hansen addressed all supervision staff member shall be properly oriented to ☒ elements of this regulation. their duties, including: ☐ ☐ (1) youth supervision duties; Reviewed Solano Juvenile Correctional Counselor Training Curriculum and PowerPoint training presentation. (2) scope of decisions they shall make; ☒ 304.4 ☐ ☐ (3) the identity of their supervisor; ☒ 304.4 ☐ ☐ (4) the identity of persons who are responsible to 304.4 ☒ them; ☐ ☐ (5) persons to contact for decisions that are beyond 304.4 ☒ their responsibility; and ☐ ☐ 7645 Solano Juvenile Hall PRO 23-24 Page 5 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (6) ethical responsibilities. ☒ 304.4 ☐ ☐ (b) Prior to assuming any responsibility for the 304.4 supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- Staff receive 80 hours of facility-specific specific orientation, including: orientation and training prior to being assigned ☒ ☐ ☐ the supervision of youth. In addition to these required hours, the staff complete the Solano Juvenile Correctional Counselor Training Curriculum. (1) individual and group supervision techniques; ☒ 304.4 ☐ ☐ (2) regulations and policies relating to discipline and 304.4 rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ 304.4 ☐ ☐ (4) suicide prevention and response to suicide 304.4 ☒ attempts ☐ ☐ (5) policies regarding use of force, de-escalation 304.4 techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing 304.4 ☒ trauma and trauma-informed approaches; ☐ ☐ (7) procedures to follow in the event of emergencies; ☒ 304.4 ☐ ☐ (8) routine security measures, including facility 304.4 ☒ perimeter and grounds; ☐ ☐ (9) crisis intervention and mental health referrals to 304.4 ☒ mental health services; ☐ ☐ (10) documentation; and ☒ 304.4 ☐ ☐ (11) fire/life safety training ☒ 304.4 ☐ ☐ (c) Prior to assuming sole supervision of youth, each 304.4 youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ The BSCC Standards and Training for ☐ ☐ Officer Core Course pursuant to Penal Code Section Corrections found the agency in compliance 6035. with this regulation. (d) Prior to exercising the powers of a peace officer youth 304.4 supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Youth supervision staff receive Fire and Life Safety training through CORE. The Whenever there is a youth in a juvenile facility, there shall memorandum as to staff training dated June be at least one wide awake person on duty at all times ☒ ☐ ☐ 1, 2023, by Chief Probation Officer Chris who meets the training standards established by the Hansen confirmed compliance with this Board for general fire and life safety which relate regulation. specifically to the facility. 7645 Solano Juvenile Hall PRO 23-24 Page 6 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1324 POLICY AND PROCEDURES MANUAL 301.1 Purpose and Mission 301.2 Format, Development, Review, All facility administrators shall develop, publish, and Distribution and Storage implement a manual of written policies and procedures that address, at a minimum, all regulations that are The policy and procedures manual applicable to the facility. Such a manual shall be made incorporates American Correctional available to all employees, reviewed by all employees, Association standards and Title 15 and shall be administratively reviewed at a minimum regulations. The Facility Manager was every two years, and updated, as necessary. Those provided with recommendations to enhance records relating to the standards and requirements set their policies and procedures to address forth in these regulations shall be accessible to the Board consistency and clarity. on request. ☒ ☐ ☐ The manual shall include: Policies and Procedures are available to staff using their own staff log in through PowerDMS. The agency tracks ongoing policy and procedure review by staff through this system. The Division Chief utilizes a spreadsheet indicating status of policies in review. The agency is in compliance with this regulation. (a) table of organization, including channels of 301.6 Table of Organization communications and a description of job classifications; ☒ 301.7 Channels of Communication ☐ ☐ 303.6 Job Descriptions/Position Qualifications (b) responsibility of the probation department, purpose of 301.1 programs, relationship to the juvenile court, the Juvenile 303.6 Justice/Delinquency Prevention Commission or ☒ Probation Committee, probation staff, school personnel ☐ ☐ and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; ☒ 304 Training and Staff Development ☐ ☐ (d) initial orientation and training program for employees; 304.4 New Employee Orientation ☒ ☐ ☐ 304.5 Annual Training Requirements (e) initial orientation, including safety and security issues 304.5 and anti-discrimination policies, for support staff, contract 311.3 Protection from Discrimination and ☒ employees, school, mental/behavioral health and ☐ ☐ Harassment medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and 301.2 ☒ communication system to ensure: ☐ ☐ (1) efficient operation of the juvenile facility; ☒ 301.2 ☐ ☐ (2) legal and proper care of youth; ☒ 301.2 ☐ ☐ (3) maintenance of individual youth's records; ☒ 301.2 ☐ ☐ (4) supply of information to the juvenile court and 301.2 ☒ those authorized by the court or by the law; and, ☐ ☐ (5) release of information regarding youth. ☒ 301.2 ☐ ☐ (g) ethical responsibilities; ☒ 303.28 Code of Ethics ☐ ☐ 304.4 304.5 (h) trauma-informed approaches; ☒ ☐ ☐ 309.12 Use of Mechanical Restraints 313.4 Educational Program 7645 Solano Juvenile Hall PRO 23-24 Page 7 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 304.5 305.16 Personal Hygiene Products 307.2 Medical Personal 311.11 Lesbian, Gay Bisexual, Transgender, (i) culturally responsive approaches; ☒ ☐ ☐ Questioning, Intersex (LGBTQIA+) Youth 313.4 Education Program 313.12 Library Services 313.13 Recreation and Activities Program 309.5 Staff/Supervisory Deployment 309.13 Searches and Control of Contraband 311.3 (j) gender responsive approaches; ☒ ☐ ☐ 311.11 313.16 Protection from Harm/Rights and Responsibilities of Youth (k) a non-discrimination provision that provides that all 311.3 youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any The agency does not use chemical agents. chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- 313.2 Counseling Services Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of 303.4 Sexual Harassment sexual abuse, sexual assault and sexual harassment. 303.30 Equal Employment Opportunity The policy shall include an approach to preventing, 311.3 detecting and responding to such conduct and any 311.8 Information Provided to Juvenile About ☒ retaliation for reporting such conduct, as well as a ☐ ☐ Sexual Abuse/Assault provision for reporting such conduct by youth, staff or a 311.9 Sexual Misconduct third party. 311.11 311.12 Prison Rape Elimination (PREA) 1325 FIRE SAFETY PLAN 306.1 Fire Safety 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 Reviewed monthly fire and life safety with two-year retention of the inspection record; inspections from January 2022 through May ☒ 2023. The graveyard supervisor is responsible ☐ ☐ to address areas of concern. The agency is in compliance with this regulation. (c) fire prevention inspections as required by Health and Fire prevention inspection completed January ☒ Safety Code Section 13146.1(a) and (b); ☐ ☐ 23, 2022. (d) an evacuation plan; ☒ 306.10 Emergency Evacuation Procedures ☐ ☐ 7645 Solano Juvenile Hall PRO 23-24 Page 8 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; The facility conducted 34 fire drills from January 2022 through May 2023. Some ☒ months had 3 fire drills conducted. Missed ☐ ☐ February 2023 but drills exceed the regulation requirement of quarterly drills. (f) a written plan for the emergency housing of youth in 306.10 Emergency Evacuation the case of fire; and, Procedures/Prompt Release 306.16 Emergency Plan-Long Term ☒ Evacuation Plan ☐ ☐ The agency is in the process of developing a specific plan in case of a need for long term housing of evacuated youth. (g) development of a fire suppression pre-plan in A fire pre-plan was developed with and cooperation with the local fire department. approved by the Fairfield City Fire Department. ☒ ☐ ☐ On June 27, 2023, the City of Fairfield Fire Marshall and their team was onsite to review a fire pre-plan and conducted the bi-annual fire inspection. 1326 SECURITY REVIEW 309.1 Security, Control and Supervision Manual Each facility administrator shall develop policies and procedures to annually review, evaluate, and document A memorandum dated June 5, 2023, by security of the facility. The review and evaluation shall Division Chief Shawna Albright addressed all include internal and external security, including, but not elements of this regulation. limited to, key control, equipment, and staff training. This inspection cycle security upgrades were made to the Trades classrooms with additional cameras and a metal detector. The RISE unit received 6 additional cameras. ☒ ☐ ☐ The agency measures 15 data collection points as to safety and security. The agency credits their Behavior Management System, Rational Self-Analysis Tool, Multi-disciplinary Team meetings, increased case planning and goal setting, introduction of the incentive room and expanding CBT programming for an 80 percent reduction in assaults on staff and 47 percent reduction of assaults on youth from 2021 to 2022. 1327 EMERGENCY PROCEDURES 306 Safety and Emergency Procedures The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: 306.17 Major Disturbance/Riot (a) escape, disturbances, and the taking of hostages; ☒ 306.18 Hostage/Assault on the Facility ☐ ☐ 306.19 Escape-Attempts (b) civil disturbance, active shooter and terrorist 306.17 Major Disturbances/Riot ☒ attack; ☐ ☐ 306.11 Emergency Plan-Fire (c) fire and natural disasters; ☒ 306.12 Earthquake/Weather Emergency/ ☐ ☐ Disasters (d) periodic testing of emergency equipment; ☒ 306.9 Emergency Equipment Testing ☐ ☐ (e) emergency evacuation of the facility; and ☒ 306.10 Evacuation/Prompt Release ☐ ☐ 7645 Solano Juvenile Hall PRO 23-24 Page 9 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A memorandum dated June 5, 2023, by Division Chief Shawna Albright addressed elements of this regulation. (f) a program to provide all youth supervision staff ☒ Every 6 months, at the start of a new shift with an annual review of emergency procedures. ☐ ☐ rotation, supervisors review safety and emergency procedures which include fire and life safety, fire drill and evacuation elements, and response to incidents within the facility. 1328 SAFETY CHECKS 309.29 Safety Checks The facility administrator shall develop and implement Reviewed safety checks for July and October policy and procedures that provide for direct visual 2022 and January of 2023. The facility utilizes observation of youth at a minimum of every 15 minutes, Guard1 Plus to record safety checks. at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in The agency has a system in place to conduct holding cells or confined to their bed in a dormitory. regular audits of safety checks. The Senior Supervision is not replaced, but may be supplemented and/or Supervisor will pull the data from the by, an audio/visual electronic surveillance system Guard 1 Plus two times per shift and review. designed to detect overt, aggressive or assaultive They will investigate any late checks and behavior and to summon aid in emergencies. All safety safety checks which are not random and checks shall be documented with the actual time the ☒ ☐ ☐ varied. A shift summary at the end of each shift check is completed. will also report on any incident reports in which checks were late or not random and varied. Safety checks are one of 15 areas of data the agency collects and this data is reviewed each month. A room check discrepancy report will be addressed by assigned supervisors. The agency is upgrading their current system for real time notification. The documentation reviewed affirms the facility is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN 307.5 Suicide/Self Injury Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Discussion with the facility administration and shall plan and implement written policies and WellPath indicate responses to suicidal youth procedures which delineate a Suicide Prevention Plan. are based upon acuity and are in the least The plan shall consider the needs of youth experiencing ☒ ☐ ☐ invasive manner. past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner The agency had no incidents of suicidal consistent with the level of suicide risk. The plan shall behavior without injury and no suicidal include the following elements: behavior with injury in 2021, 2022, and through the date of the inspection. (a) Suicide prevention training as required in Section 307.5 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and 307.5 Precautionary Protocols 307.7 Health Screenings and Evaluation ☒ (1) All youth shall be screened for risk of suicide at ☐ ☐ intake and as needed during detention. (2) All youth supervision staff who perform intake 307.5 processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the 307.5 intake screening process to be at risk of suicide shall ☒ be referred to behavioral/mental health staff for a ☐ ☐ suicide risk assessment. 7645 Solano Juvenile Hall PRO 23-24 Page 10 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) Precautionary protocols shall be developed to 307.5 ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for 307.5 ☒ assessment and/or services. ☐ ☐ (d) Procedures for monitoring of youth identified at risk 307.5 ☒ for suicide. ☐ ☐ (e) Safety Interventions 307.5 (1) Procedures to address intervention protocols for ☒ youth identified at risk for suicide which may include, ☐ ☐ but are not limited to: (A) Housing consideration ☒ 307.5 ☐ ☐ (B) Treatment strategies including trauma- 307.5 ☒ informed approaches ☐ ☐ (2) Procedures to instruct youth supervision staff 307.5 how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication 307.5 (1) The intake process shall include communication 310.2 Admissions Procedures with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current information 307.5 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 307.5 Attempts 306.21 Critical Incident Debriefing (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 306.21 ☒ staff. ☐ ☐ (3) Process for a debriefing event with affected 306.21 ☒ youth. ☐ ☐ (h) Documentation 307.5 (1) Documentation processes shall be developed to ☒ 309.22 Special Incident Reports ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the 307.5 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ youth or security of the facility. Any deprivation of ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS 301.13 Management and Information System Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ There are no pending legal actions. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 7645 Solano Juvenile Hall PRO 23-24 Page 11 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR INJURY 306.15 Emergency Plan-Death, Homicide, OF A YOUTH WHILE DETAINED Suicide Attempted/Actual (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 306.15 facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to 306.15 the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth 306.15 from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. 306.14 Serious Medical/Dental Emergency (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to ☒ necessary parties, which may include the Juvenile ☐ ☐ Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING 309.9 Juvenile Counts 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) 309.21 Security Procedures When Facility Exceeds Rated Capacity When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 7645 Solano Juvenile Hall PRO 23-24 Page 12 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES 310.1 JDF Intake Unit 310.2 Admission Procedures The facility administrator shall develop and implement written policies and procedures for admittance of youth Reviewed 10 Admittance packets consisting that emphasize respectful and humane engagement of Admittance Sheet, Intake Health Screening, with youth, and reflect that the admission process may ☒ ☐ ☐ Booking Information Sheet, Property Record, be traumatic to youth who may have already Custody Classification Assessment, and experienced trauma. Policies shall be trauma-informed, Minor Orientation Checklist forms. The culturally relevant, and responsive to the language and agency is in compliance with this regulation. literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: 310.2 (1) Access to two free phone calls within one hour of 310.6 Telephone Calls During Admission ☒ admittance in accordance with the provisions of ☐ ☐ Welfare and Institution Code Section 627; 310.2 310.15 Shower policy (2) Offer of a shower; ☒ All youth are given a shower by policy and any ☐ ☐ exception would be documented in an incident report. Recommended to agency to document a shower was offered upon admission. 310.2 (3) Documented secure storage of personal ☒ 310.5 Personal Property Control and belongings; ☐ ☐ Safeguarding 310.2 All youth are offered food by policy. During (4) Offer of food upon arrival; ☒ ☐ ☐ interviews, youth affirmed being offered food upon intake. Recommended to agency to document food being offered upon admission. (5) Screening for physical and behavioral health 310.2 and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental 310.2 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the 310.2 Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ 309.25 Housing Classification ☐ ☐ (b) juvenile hall administrators shall establish written 309.25 criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in 313.2 Counseling Services juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform The youth’s assigned counselor will advise ☒ them of program guidelines and provide written ☐ ☐ youth of length of stay. screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures 313.2 that advise any committed youth of the estimated length ☒ of his/her stay. ☐ ☐ The youth’s assigned counselor will advise youth of length of stay. 7645 Solano Juvenile Hall PRO 23-24 Page 13 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350.5 SCREENING FOR THE RISK OF SEXUAL 311.12 PREA ABUSE The Victimization and Sexual/Physical The facility administrator shall develop and implement written policies and procedures to reduce the risk of ☒ ☐ ☐ Aggression Screener is completed within 72 hours by the mental health clinician. sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of admission based on the following information: 307.7 Health Screening Process (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ (b) Gender nonconforming appearance or manner; or 309.25 Housing Classification identification as lesbian, gay or bisexual, transgender, 311.12 ☒ queer or intersex, and whether the youth may, therefore, ☐ ☐ be vulnerable to sexual abuse; 309.25 (c) Current charges and offense history; ☒ ☐ ☐ 311.12 309.25 (d) Age; ☒ ☐ ☐ 311.12 307.7 (e) Level of emotional and cognitive development; ☒ ☐ ☐ 311.12 311.12 (f) Physical size and stature; ☒ ☐ ☐ 307.7 (g) Mental illness or mental disabilities; ☒ ☐ ☐ 311.12 307.7 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ 311.12 309.25 (i) Physical disabilities; ☒ ☐ ☐ 311.12 311.12 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ (k) Any other specific information about the individual 311.12 youth that may indicate heightened needs for ☒ supervision, additional safety precautions, or separation ☐ ☐ from certain other youth. Staff shall ascertain this information through 307.7 conversations with the youth during the admittance 309.25 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 311.12 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 310.8 Release Preparation/Procedures for Release The facility administrator shall develop and implement ☒ written policies and procedures for release of youth from ☐ ☐ Reviewed 10 Order of Release and 10 custody which provide for: Property Records. (a) verification of identity/release papers; ☒ 310.8 ☐ ☐ 310.8 (b) return of personal clothing and valuables; ☒ 310.5 Personal Property Control and ☐ ☐ Safeguarding (c) notification to the youth's parents or guardian; ☒ 310.8 ☐ ☐ 7645 Solano Juvenile Hall PRO 23-24 Page 14 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) notification to the facility health care provider in 310.8 accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; and, Verbal notification of a release during hours medical staff is onsite. A facility roster is ☒ provided daily which will notify medical of ☐ ☐ releases outside their operating hours. Interview with medical staff confirmed compliance with this regulation. 310.8 Verbal notification during school hours and advance notice if possible. An updated facility € notification of school staff; ☒ roster is shared with the school Monday ☐ ☐ through Friday. Interview with school staff confirmed compliance with this regulation. 310.8 Verbal notification during hours mental health staff is onsite. A facility roster is provided daily (f) notification of facility mental health personnel. ☒ which will notify mental health of releases ☐ ☐ outside their operating hours. Interview with mental health staff confirmed compliance with this regulation. The facility administrator shall develop and implement 310.8 policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry Multi-disciplinary and Child Family Team ☒ services including, but not limited to, medical and ☐ ☐ meetings are held to address transitional and behavioral health, education, probation supervision and re-entry services. community-based services. The facility administrator shall develop and implement 310.9 Escorted/Unescorted Leaves written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION 309.25 Housing Classification The facility administrator shall develop and implement Reviewed 10 custody classification written policies and procedures on classification of youth documents, 4 shift summary documents, and for the purpose of determining housing placement in the 10 Intake Health Screenings. The agency is in facility. ☒ compliance with this regulation. Such procedures shall: ☐ ☐ (a) provide for the safety of the youth, other youth, 309.25 facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ settings. Housing assignments shall consider the need ☐ ☐ for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of 309.25 ☒ the facility; ☐ ☐ 7645 Solano Juvenile Hall PRO 23-24 Page 15 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) provide that a youth shall be classified upon 309.25 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 309.25 provisions that consider the level of supervision and the ☒ youth's behavior while in custody; and, ☐ ☐ Classification is reviewed daily and changes would be documented in a shift summary. (e) provide that facility staff shall not separate youth from 309.25 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, 309.25 transgender, questioning or intersex identification or 311.12 PREA ☒ status as an indicator of likelihood of being sexually ☐ ☐ abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. 311.1 Lesbian, Gay Bisexual, Transgender, Questioning, Intersex (LGBTQIA+) Youth The facility administrator shall develop written policies and procedures ensuring respectful and equitable ☒ Reviewed 4 documents to indicate youth’s treatment of transgender and intersex youth. The ☐ ☐ preferred pronoun, name, and pat-down policies shall provide that: search preference. The agency is compliant with this regulation. (a) Facility staff shall respect every youth’s gender 311.1 identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ gang or slang names or names that otherwise ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present 311.1 themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that 311.1 best meets their individual needs and promotes their 309.25 Housing Classification 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 311.1 and intersex youth have access to medical and ☒ behavioral health providers qualified to provide care and ☐ ☐ treatment to transgender and intersex youth. 7645 Solano Juvenile Hall PRO 23-24 Page 16 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Consistent with the facility’s reasonable and 311.11 necessary security considerations and physical plant, 311.12 PREA 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 311.11 youth for the purpose of determining the youth’s 311.12 anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION 310.7 Reception and Orientation of Youth 312.2 Publish/Distribute Youth Opportunity The facility administrator shall develop and implement Handbook written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Each program has their own youth handbook. information shall be provided and supplemented with ☒ ☐ ☐ video orientation if feasible. Provision shall be made to provide accessible orientation information to all detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses: (a) facility rules including contraband and searches and 310.7 ☒ disciplinary procedures; ☐ ☐ (b) facility’s system of positive behavior interventions 310.7 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 310.7 facility’s policy prohibiting sexual abuse and sexual ☒ harassment and how to report incidents or suspicions of ☐ ☐ sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ 310.7 ☐ ☐ (e) the existence of the grievance procedure, the steps 310.7 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 310.7 ☒ court process; ☐ ☐ (g) access to routine and emergency health and mental 310.7 ☒ health care; ☐ ☐ (h) access to education, religious services, and 310.7 ☒ recreational activities; ☐ ☐ (i) housing assignments; ☒ 310.7 ☐ ☐ (j) opportunity for personal hygiene and daily showers 310.7 ☒ including the availability of personal care items ☐ ☐ (k) rules and access to correspondence, visits and 310.7 ☒ telephone use; ☐ ☐ (l) availability of reading materials, programming, and 310.7 ☒ other activities; ☐ ☐ (m) facility policies on the use of force, use of restraints, 310.7 ☒ chemical agents and room confinement; ☐ ☐ (n) immigration legal services; ☒ 310.7 ☐ ☐ (o) emergencies including evacuation procedures; ☒ 310.7 ☐ ☐ (p) non-discrimination policy and the right to be free from 310.7 physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; 7645 Solano Juvenile Hall PRO 23-24 Page 17 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (q) availability of services and programs in a language 310.7 ☒ other than English if appropriate; ☐ ☐ (r) the process for requesting different housing, 310.7 ☒ education, programming and work assignments; ☐ ☐ (s) a process for which parents/guardians receive 310.7 information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Parents get this information through intake questions and provides contact information for the ☒ notifications and informational visiting ☐ ☐ facility, medical, school and mental health; and, handout. Recommended to agency formalizing a process for parents to receive standardized information. (t) a process by which youth may request access to Title 310.7 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ All youth interviewed were aware of Title 15 and indicated they could ask staff for access. 1354 SEPARATION 312.20 Separation The facility administrator shall develop and implement The facility has developed procedures for written policies and procedures that address: ☒ when youth choose to self-separate. ☐ ☐ Reviewed 15 voluntary separations and the majority were for wanting to sleep in later or needing a nap. (a) separation of youth for reasons that include, but are 312.20 not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and As part of their Behavior Management protective custody. System, the agency uses a 30/5 technique as a type of remediation where the youth de- ☒ ☐ ☐ escalate in a designated unsecured area for 30 minutes while they complete a Rational Self Analysis (RSA) tool followed by a 5 minute cool down in which they process the RSA with staff. (b) consideration of positive youth development and 312.20 ☒ trauma-informed care. ☐ ☐ (c) separated youth shall not be denied normal 312.20 privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, 312.20 ☒ Title 15 Section 1390 shall apply. ☐ ☐ (e) when separation results in room confinement, the 312.20 separation shall occur in accordance with Welfare and 312.4 Room Confinement ☒ Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review 312.20 of separated youth to determine if separation remains ☒ ☐ ☐ necessary. 7645 Solano Juvenile Hall PRO 23-24 Page 18 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT 312.4 Room Confinement (a) The facility administrator shall develop and In 2022, the agency had 54 incidents of room implement written policies and procedures addressing confinement. Reviewed 15 instances of room the confinement of youth in their room that are confinement which consisted of consistent with Welfare and Institutions Code Section documentation outlined in Room Confinement 208.3. The placement of a youth in room confinement Stages Form, Reintegration Plan, Special shall be accomplished in accordance with the following Incident Report, and Safety Room Check log. guidelines: Twelve of the 15 incidents involved fights or assaultive behavior. Three were for threatening other youth. Discussed with ☒ agency room confinement should only be ☐ ☐ used for youth presenting an immediate threat and after all other options have been exhausted. Interviews with youth who had been placed on room confinement indicate it was for fighting and they were removed once they completed a conflict resolution. The agency is in compliance with this regulation. (1) Room confinement shall not be used before 312.4 other, less restrictive, options have been attempted and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the 312.4 purposes of punishment, coercion, convenience, or ☒ 312.7 Disciplinary Room Confinement ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent 312.4 that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room 312.4 confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one Eleven of the 15 room confinements reviewed or more of the following: were in excess of four hours due to the youth not willing to complete a conflict resolution, ☒ comply with their reintegration plan, or ☐ ☐ complete a Rational Self Analysis tool. Discussed with agency room confinement does not have a set time and youth should be removed if no longer presenting a threat to the safety and security of the facility. (1) Return the youth to general population. ☒ 312.4 ☐ ☐ (2) Consult with mental health or medical staff. ☒ 312.4 ☐ ☐ (3) Develop an individualized plan that includes the 312.4 goals and objectives to be met in order to reintegrate ☒ 312.18 Individual Treatment Plan (ITP)/Room ☐ ☐ the youth to general population. Confinement (4) If room confinement must be extended beyond 312.4 ☒ four hours, staff shall do each of the following: ☐ ☐ 7645 Solano Juvenile Hall PRO 23-24 Page 19 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) Document the reasons for room confinement 312.4 and the basis for the extension, the date and time the youth was first placed in room confinement, Discussed with agency the importance of and when he or she is eventually released from adding more detail to documentation for the room confinement. need for continuation of room confinement. If ☒ ☐ ☐ a youth is refusing to complete a conflict resolution or comply with reintegration plan it is important to clearly document behavior, comments, and steps taken to justify continuation of room confinement. (B) Develop an individualized plan that includes 312.4 the goals and objectives to be met in order to ☒ 312.18 ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the 312.4 facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of 312.4 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 312.4 ☒ court holding facilities or adult facilities. ☐ ☐ (7) Nothing in this section shall be construed to 312.4 conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an 312.4 extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ wide threat that poses an imminent and substantial ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is 312.4 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. 7645 Solano Juvenile Hall PRO 23-24 Page 20 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN 313.2 Counseling Services The facility administrator shall develop and implement Reviewed 10 Weekly Case Plan reports written policies and procedures for assessment and documenting goals, action statements, case planning. services provided during the week, and a summary of the youth’s behavior. Reviewed eleven 30 Day Counseling Report and Treatment Plans documenting goals, action statements, services provided or assigned, pod behavior, and progress toward meeting goals. ☒ ☐ ☐ Signatures of youth, assigned counselor, senior, and supervisor are required on all case plan reports. Reviewed 4 Multi-Disciplinary Team Meetings involving youth to address their needs and monitor an action plan. Youth are reviewed by the team if they are experiencing difficulty in the program, pending release, or have an upcoming court review. The agency is in compliance with this regulation. (a) Assessment: 313.2 The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ strengths including, but not limited to, identification of ☐ ☐ substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: 313.2 (1) A case plan shall be developed for each youth ☒ held for at least 30 days or more and created within ☐ ☐ 40 days of admission. (2) The institutional plan shall include, but not be 313.2 ☒ limited to, written documentation that provides: ☐ ☐ (A) objectives and time frame for the resolution of 313.2 ☒ problems identified in the assessment; ☐ ☐ (B) a plan for meeting the objectives that includes 313.2 a description of program resources needed and ☒ individuals responsible for assuring that the plan ☐ ☐ is implemented; (3) periodic evaluation of progress towards meeting 313.2 the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; (4) a transition plan, the contents of which shall be 313.2 subject to existing resources, shall be developed for ☒ post dispositional youth in accordance with Section ☐ ☐ 1351; and, (5) in as much as possible and if appropriate, the 313.2 plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 7645 Solano Juvenile Hall PRO 23-24 Page 21 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1356 COUNSELING AND CASEWORK SERVICES 313.2 Counseling Services 313.1 Social Services Programs The facility administrator shall develop and implement written policies and procedures ensuring the availability Reviewed documentation of weekly case plan of appropriate counseling and casework services for all reports and MDT meetings. Written comments youth. Policies and procedures shall ensure: ☒ are transcribed daily into Eprobation which is ☐ ☐ the case management system the agency uses to track youth information. Incident reports are also put in Eprobation. This information is utilized for ongoing case plan and transition planning. (a) youth will receive assistance with needs or concerns 313.2 ☒ that may arise; ☐ ☐ (b) youth will receive assistance in requesting contact 313.2 with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources 313.2 ☒ to meet the youth’s needs. ☐ ☐ 1357 USE OF FORCE 309.17 Use of Physical Force The facility administrator, in cooperation with the Reviewed 15 Use of Force (UOF) Reports. responsible physician, shall develop and implement The reports involved youth involved in fights, written policies and procedures for the use of force, which may include chemical agents. Force shall never ☒ ☐ ☐ threatening staff or other youth, and attempts to de-escalate were documented. Interview be applied as punishment, discipline, retaliation or with youth indicate staff give warnings prior to treatment. use of force occurring. (a) At a minimum, each facility shall develop policies and procedures which: (1) restricts the use of force to that which is deemed 309.17 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 309.17 both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are 309.17 ☒ expressly prohibited by the facility. ☐ ☐ (4) describe the requirements of staff to report any 309.17 inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7645 Solano Juvenile Hall PRO 23-24 Page 22 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that 309.17 includes time period and procedure for documenting and reporting the use of force, including reporting The agency had 41 UOF incidents in 2022. requirements of management and line staff and Use of Force is one of 15 data elements which procedures for reviewing and tracking use of force are tracked and reported monthly and incidents by supervisory and or management staff, addressed accordingly. which include procedures for debriefing a particular incident with staff and/or youth for the purposes of After every UOF incident, the Senior and/or training as well as mitigating the effects of trauma that Supervisor will respond to the unit and debrief may have been experienced by staff and /or the youth initially with staff and then involved youth. involved. ☒ Interview with supervisory staff confirmed this ☐ ☐ practice. Recommended to agency having this information documented. Recommended to agency adding the title or position of the author of the special incident report. In addition, suggested to the agency to document in the special incident report if a youth who was secured in their room post- incident resumed programming or if a room confinement was initiated. (6) Include an administrative review and a system for 309.17 ☒ investigating unreasonable use of force. ☐ ☐ (7) define the role, notification, and follow-up 309.17 procedures required after use of force incidents for medical, mental health staff and parents or legal Though policy and procedures required guardians. notification of mental health and parents or legal guardians, the agency was not complying with this element of the regulation. ☒ ☐ ☐ The agency corrected this issue by training and having staff review and sign off on this policy. On July 20, 2023, a site visit was conducted which verified the agency is following this regulation. (8) describe the limitations of use of force on pregnant 309.17 youth in accordance with Penal Code Section 6030(f) ☒ ☐ ☐ and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force The agency does not use Chemical Agents. option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize ☒ chemical agents in the facility and the type, size and ☐ ☐ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts ☒ ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ to chemical agents shall not be left unattended until ☐ ☐ that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents ☒ involving chemical agents for medical, mental health ☐ ☐ staff and parents or legal guardians. 7645 Solano Juvenile Hall PRO 23-24 Page 23 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which 309.17 require that agencies provide initial and regular training ☒ ☐ in use of force and chemical agents when appropriate ☐ that address: (1) known medical and behavioral health conditions 309.17 ☒ ☐ that would contraindicate certain types of force; ☐ (2) acceptable chemical agents and the methods of The agency does not use Chemical Agents. ☒ application. ☐ ☐ (3) signs or symptoms that should result in 309.17 ☒ ☐ immediate referral to medical or behavioral health. ☐ (4) instruction on the Constitutional Limitations of 309.17 ☒ ☐ Use of Force. ☐ (5) physical training force options that may require 309.17 ☒ ☐ the use of perishable skills. ☐ (6) timelines the facility uses to define regular 309.17 ☒ ☐ training. ☐ 1358 USE OF PHYSICAL RESTRAINTS 309.12 Use of Mechanical Restraints The facility administrator, in cooperation with the There were no instances of the use of physical responsible physician and mental health director, shall restraints as it pertains to the elements of 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 309.12 who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ self-inflicted physical harm. 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 309.12 discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ of hands and feet together behind the back (hogtying) is ☐ ☐ prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of 309.12 handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ the facility. Movement within the facility shall be governed ☐ ☐ by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval 309.12 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. 7645 Solano Juvenile Hall PRO 23-24 Page 24 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A medical opinion on the safety of placement and 309.12 retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as 309.12 possible, but in no case longer than four hours from the ☒ time of placement, to assess the need for mental health ☐ ☐ treatment. Continuous direct visual supervision shall be conducted 309.12 to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ Observations of the youth's behavior and any staff ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and 309.12 procedures shall address: ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate 309.12 ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☒ ☐ ☐ 309.12 (d) signs or symptoms which should result in immediate 309.12 ☒ ☐ ☐ medical/mental health referral. (e) availability of cardiopulmonary resuscitation 307.10 First Aid ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in 309.12 restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ 309.12 (h) exercising of extremities. ☒ ☐ ☐ 309.12 1358.5 USE OF RESTRAINT DEVICES FOR 309.12 Use of Mechanical Restraints MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. A Mechanical Restraint Assessment Form is The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health ☒ ☐ ☐ used to determine the minimum level of restraint for routine transport. director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff 309.12 approved to utilize restraint devices and the required training. ☒ ☐ ☐ Handcuffs, leg restraints, waist chains, and quick cuffs are authorized for use by the agency. (b) the circumstances leading to the application of 309.12 restraints must be documented. A review of incident reports involving the use of mechanical restraints by staff indicates their use was for assaultive or noncompliant ☒ ☐ ☐ behavior resulting in a safety or security issue. The youth were transported away from the incident to their rooms where the restraints were removed. Reports also indicate youth were not placed in mechanical restraints if staff were able to use least restrictive means. 7645 Solano Juvenile Hall PRO 23-24 Page 25 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) an individual assessment of the need to apply 309.12 restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, 309.12 with a clearly defined expectation that restraint devices ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in 309.12 accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ 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 punishment, coercion, convenience, or retaliation by ☐ ☐ ☒ staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☐ ☐ ☒ youth. 7645 Solano Juvenile Hall PRO 23-24 Page 26 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) A youth may be held up to four hours in the safety 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. ☐ ☐ ☒ (2) consult with mental health or medical staff, ☐ ☐ ☒ (3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☐ ☐ ☒ the youth to general population. (d) If confinement in the safety room must be extended 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 309.13 Searches and Control of Contraband The facility administrator shall develop and implement Reviewed 7 strip search authorization forms written policies and procedures governing the search of from 2022 to March of 2023. Four incidents youth, the facility, and visitors. Policies and procedures ☒ ☐ ☐ occurred at Intake and 3 were post-detention. shall provide that: The majority were for weapons or drugs. Marijuana was found in one of the searches. The agency is in compliance with this regulation. (a) Searches shall be conducted to ensure the safety 309.13 and security of the facility, public, visitors, youth, and staff. A monthly calendar gives a breakdown of room and pod searches which is documented ☒ ☐ ☐ in the pod logbook and shift summary reports. Twice a day, the senior/supervisor will conduct a perimeter search which is documented in a shift summary report. (b) Searches shall be conducted in a manner that 309.13 preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity 309.13 ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be 309.13 ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only 309.13 be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall 309.13 ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches 309.13 are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 7645 Solano Juvenile Hall PRO 23-24 Page 27 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE 311.10 Grievance Procedure The facility administrator shall develop and implement Reviewed the requested grievances from July written policies and procedures whereby any youth may and October 2022 and January 2023. appeal and have resolved grievances relating to any Reviewed the 2022 Grievance Log for 23 condition of confinement, including but not limited to grievances which were filed for the year. health care services, classification decisions, program Twelve of the 23 grievances were not participation, telephone, mail or visiting procedures, ☒ ☐ ☐ reviewed or responded to within 3 business food, clothing, bedding, mistreatment, harassment or days. Of the 23, four pertained to food quality violations of the nondiscrimination policy. There shall be or portions. Only three grievances were filed no time limit on filing grievances. Policies and in 2023 and all were addressed timely. The procedures shall include provisions whereby the facility agency was given technical assistance to manager ensures: ensure they track and review grievances within the required time frames as outlined in this regulation. (a) a grievance form and instructions for registering a 311.10 grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; (b) the youth shall have the option to confidentially file 311.10 the grievance or to deliver the form to any youth supervision staff working in the facility; Youth interviewed were aware of the grievance procedure, had free access to the ☒ ☐ ☐ forms, and were able to file confidentially. The youth who reported they had filed a grievance indicated they felt their concern was heard and fairly addressed. (c) resolution of the grievance at the lowest appropriate 311.10 ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to 311.10 grievances within three (3) business days, grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain 311.10 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 311.10 ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance 311.10 ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a 311.10 grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) 311.10 business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external 311.10 methods to report sexual abuse and sexual harassment. 311.8 Information Provided to Youth about ☒ ☐ ☐ Sexual Abuse and Assault 311.12 PREA Whether or not associated with a grievance, concerns 311.10 of parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 7645 Solano Juvenile Hall PRO 23-24 Page 28 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1362 REPORTING OF INCIDENTS 309.22 Special Incident Reports A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT 309.17 Use of Physical Force DNA SPECIMENS, SAMPLES, IMPRESSIONS Though the agency has a policy which covers (a) Pursuant to Penal Code Section 298.1 authorized most elements of this regulation, they do not law enforcement, custodial, or corrections personnel use force to collect DNA. including peace officers, may employ reasonable force ☐ ☐ ☒ to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are 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. 7645 Solano Juvenile Hall PRO 23-24 Page 29 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM 313.4 Educational Programming (a) School Programs The Solano County Office of Education The County Board of Education shall provide for the (SCOE) operates Evergreen Academy which administration and operation of juvenile court schools in serves students through high school conjunction with the Chief Probation Officer, or designee completion. Additionally, educational pursuant to applicable State laws. The school and facility programs are provided to high school administrators shall develop and implement written policy graduates connecting students to community and procedures to ensure communication and college courses along with academic support coordination between educators and probation staff. to assist them with the successful completion Culturally responsive and trauma-informed approaches of their courses. should be applied when providing instruction. Education staff should collaborate with the facility administrator to Students can earn a food handlers’ use technology to facilitate learning and ensure safe certification and Work Ready Certification. technology practices. The facility administrator shall request an annual review of each required element of the ☒ ☐ ☐ Met with Dr. Valerie Garrett, School program by the Superintendent of Schools, and a report Administrator, who indicated she values the or review checklist on compliance, deficiencies, and close partnership with Solano Probation corrective action needed to achieve compliance with this Department as the agency is providing section. Such a review, when conducted, cannot be solutions to issues impacting youth in the delegated to the principal or any other staff of any juvenile community. She indicated school and court school site. The Superintendent of Schools shall probation staff are a part of the same team conduct this review in conjunction with a qualified outside and have a sincere commitment to support the agency or individual. Upon receipt of the review, the learning environment. facility administrator or designee shall review each item with the Superintendent of Schools and shall take School Staff whatever corrective action is necessary to address each 3 Teachers deficiency and to fully protect the educational interests of 1 Intervention Specialist all youth in the facility. 1 Student Support Specialist 2 Licensed Clinician Wellness Support Specialists (b) Required Elements 313.4 The facility school program shall comply with the State Education Code and County Board of Education policies, This year, 12 youth received their high school all applicable federal education statutes and regulations diploma through the onsite school. High and provide for an annual evaluation of the educational school graduations are celebrated two times a program offerings. As stated in the 2009 California year. 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 313.4 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State 313.4 Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School 313.4 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. 7645 Solano Juvenile Hall PRO 23-24 Page 30 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Youth shall be informed of post-secondary 313.4 education and vocational opportunities. SCOE provides post-secondary and vocational opportunities from the College and Career Development Specialist that work daily ☒ ☐ ☐ in the Challenge Academy and weekly in the other housing pods/classrooms. SCOE also provides an intervention teacher who provides information on post-secondary education and vocational opportunities to graduates. (4) Administration of the High School Equivalency 313.4 Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth 313.4 who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with 313.4 State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with Reviewed Daily Instructional Schedule. education staff, must ensure that operational School day is 300 minutes Monday, Tuesday, ☒ ☐ ☐ procedures do not interfere with the time afforded for Thursday, and Friday and 240 minutes on the the minimum instructional day. Absences, time out of first and third Wednesdays. class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless 313.4 of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline 313.4 (1) Positive behavior management will be implemented to reduce the need for disciplinary action Positive Behavioral Interventions and ☒ ☐ ☐ in the school setting and be integrated into the facility's Supports (PBIS) have been implemented overall behavioral management plan and security within the school and facility. system. (2) School staff shall be advised of administrative 313.4 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State 313.4 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 313.4 education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. 7645 Solano Juvenile Hall PRO 23-24 Page 31 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Provisions for Special Populations 313.4 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be 313.4 afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission 313.9 Academic/Vocational Assessments/ (1) Youth shall be interviewed after admittance and a Youth Needs ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ 313.9 (B) Home Language Survey and the results of the 313.9 ☒ ☐ ☐ State Test used for English language proficiency; (C) Needs and services of special populations as 313.9 defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ 313.9 (2) Youth will be immediately enrolled in school. 313.9 Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary 313.9 education plan shall be developed for each youth ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with 313.9 the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting 313.9 (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall 313.9 provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning 313.9 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. 7645 Solano Juvenile Hall PRO 23-24 Page 32 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Post-Secondary Education Opportunities 313.9 (1) The school and facility administrator should, whenever possible, collaborate with local post- SCOE offers diploma programs, access to secondary education providers to facilitate access to ☒ ☐ ☐ community college courses, and Career educational and vocational opportunities for youth that Technical Education opportunities focusing on considers the use of technology to implement these residential and commercial construction programs. trades. 1371 PROGRAMS, RECREATION, AND 313.13 Recreation and Activities Program EXERCISE. The facility administrator shall develop and implement written policies and procedures for programs, ☒ ☐ ☐ recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for 313.13 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and 313.13 exercise may be suspended only upon a written finding 312.14 Room Confinement 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 313.13 be posted in the living units. ☒ ☐ ☐ Reviewed facility program schedule and this is posted in the living units. There will be a written annual review of the programs, 313.13 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ A memorandum dated June 8, 2023, by relevant to the population. Division Chief Shawna Albright addressed all elements of this regulation. (a) Programs. All youth shall be provided with the 313.13 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, A senior Juvenile Correctional Counselor evidence-based, best practice interventions that are (JJC) and two JJC staff are dedicated to culturally relevant and linguistically appropriate, or pro- providing programming. The two JJC staff social interventions and activities designed to reduce provide Carey Guide and Journaling groups, recidivism. These programs should be based on the Reasoning and Rehabilitation II, Aggression youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ Replacement Training, and Thinking for a and 1356. Such programs may be provided under the Change groups. The agency also utilizes direction of the Chief Probation Officer or the County Cognitive Behavioral Training 2.0 and youth Office of Education and can be administered by county actively engage in check in/check out partners such as mental health agencies, community sessions to support cognitive learning. based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7645 Solano Juvenile Hall PRO 23-24 Page 33 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; 313.13 (2) Management of Stress and Trauma; 312.9 Youth Self-Improvement Programs (3) Anger Management; 313.3 Social and Life Skills Programs (4) Conflict Resolution; (5) Juvenile Justice System; The agency has partnered with several (6) Trauma-related interventions; community-based organizations including (7) Victim Awareness; Omega Men’s Group, Hidden Genius, and (8) Self-Improvement; community churches. Alternative Restorative (9) Parenting Skills and support; Communities provides Restorative Justice (10) Tolerance and Diversity; and the XL Mentoring program. Leaders in (11) Healing Informed Approaches; Community Alternatives provide employment (12) Interventions by Credible Messengers; skills development and education support (13) Gender Specific Programming; services. Aldea conducts substance use (14) Art, creative writing, or self-expression; disorder treatment as needed. (15) CPR and First Aid training; ☒ ☐ ☐ (16) Restorative Justice or Civic Engagement; The contracted mental health clinician (17) Career and leadership opportunities; and, provides services focusing on Crisis (18) Other topics suitable to the youth population. Management, Anger Management, and Coping and Life Skills. Youth interviewed indicate they participate in several different programs each week. Some indicated they may participate in multiple programs each day. The agency has robust services offered to youth due to their commitment to dedicating their own agency staff to programming and strong collaboration with SCOE, WellPath, and local community- based organizations. (b) Recreation. All youth shall be provided the opportunity 313.13 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and The agency program staff have engaged with entertainment. Activities shall be supervised and include County Librarians to assist with the facility orientation and may include coaching of youth. library. Youth access the library weekly to check out books. Recreational activities ☒ ☐ ☐ include bingo, movies, wellness, painting, and art activities. Interviews with youth indicate they have the opportunity to choose their recreational activity and several available options to choose from during their leisure time. (c) Exercise. All youth shall be provided with the 313.13 opportunity for at least one hour of large muscle activity each day. ☒ ☐ ☐ The agency has also partnered with Travis Air Force Base Ravens for a weekly workout program for youth. The administrator/manager may suspend, for a period 313.13 not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM 313.14 Religious Programs The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 7645 Solano Juvenile Hall PRO 23-24 Page 34 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) opportunity for religious services and practices; ☒ ☐ ☐ 313.14 (b) availability of clergy; and, ☒ ☐ ☐ 313.14 313.14 (c) availability of religious diets. ☒ ☐ ☐ 308.4 Special Diets 1373 WORK PROGRAM 313.11 Vocational Work Programs The facility administrator shall develop policies and The agency provides opportunities for basic procedures regarding the fair and consistent assignment housekeeping, internal paint and cleanup of youth to work programs. Work assigned to a youth shall ☒ ☐ ☐ crews, and youth receive instruction on how to be meaningful, constructive and related to vocational raise fruits and vegetables through a training or increasing a youth's sense of responsibility. partnership with Sustainable Solano. Work programs shall not be imposed as a disciplinary measure 1374 VISITING 313.8 Visitation Program The facility administrator shall develop and implement Visiting occurs on Tuesday, Wednesday, and written policies and procedures for visiting, that include Saturday at various times for each housing provisions for special visits. Youth shall be allowed to pod. receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family ☒ ☐ ☐ During the inspection, BSCC staff observed members, such as grandparents and siblings, and visiting occurring in the visiting room. supportive adults, may be allowed to visit with the Interviews with youth indicate visiting occurs approval of the facility administrator or designee, and in as scheduled and has not been canceled. The conjunction with the youth’s case plan or in the best facility is in compliance with this regulation. interest of the youth. All visits shall occur at reasonable times, subject only to 313.8 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 313.8 per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour 313.8 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 313.8 ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE 313.15 Mail Programs The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth 313.15 ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; 313.15 ☒ ☐ ☐ Postage is provided for youth’s outgoing mail. 7645 Solano Juvenile Hall PRO 23-24 Page 35 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) youth may correspond confidentially with state and 313.15 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 313.15 in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS 313.7 Access to Telephone The administrator of each juvenile facility shall develop ☒ ☐ ☐ The agency recently added another telephone and implement written policies and procedures to provide in the living units for youth to use. youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES Chapter 311.1 Access to Courts Chapter 311.2 Access to Counsel 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 311.2 ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; 311.2 ☒ ☐ ☐ and, (c) unlimited postage free, legal correspondence and 311.2 ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE 312.15 Formal Disciplinary Process The facility administrator shall develop and implement The agency utilizes a Behavior Management written policies and procedures for the discipline of youth Program which focuses on being safe, that shall promote acceptable behavior; including the use responsible, respectful, and kind. Youth who of positive behavior interventions and supports. Discipline ☒ ☐ ☐ display positive behavior earn points which shall be imposed at the least restrictive level which can be used for commissary and incentive promotes the desired behavior and shall not include weekly game room. The agency indicates, corporal punishment, group punishment, physical or since implementation of BMS, they have seen psychological degradation. Deprivation of the following is a significant reduction in youth violence, room not permitted: confinement, and staff and youth injuries. (a) bed and bedding; ☒ ☐ ☐ 312.15 (b) daily shower, access to drinking fountain, toilet and 312.15 ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ 312.15 (d) contact with parent or attorney; ☒ ☐ ☐ 312.15 (e) exercise; ☒ ☐ ☐ 312.15 (f) medical services and counseling; ☒ ☐ ☐ 312.15 (g) religious services; ☒ ☐ ☐ 312.15 (h) clean and sanitary living conditions; ☒ ☐ ☐ 312.15 (i) the right to send and receive mail; ☒ ☐ ☐ 312.15 (j) education; and, ☒ ☐ ☐ 312.15 (k) rehabilitative programming. ☒ ☐ ☐ 312.15 The facility administrator shall establish rules of conduct 312.15 and disciplinary penalties to guide the conduct of youth. 312.11 Rules of Conduct Such rules and penalties shall include both major 312.12 Publish/Distribute Youth Opportunity violations and minor violations, be stated simply and Handbook ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7645 Solano Juvenile Hall PRO 23-24 Page 36 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1391 DISCIPLINE PROCESS 312.15 Formal Disciplinary Process The facility administrator shall develop and implement Reviewed 16 discipline process packages written policies and procedures for the administration of which include Major Rule Violation discipline which shall include, but not be limited to: Notification, Special Incident Report, and Due Process Hearing forms. All were with the 24- ☒ ☐ ☐ hour timeframe and most incidents were for fighting. Discipline imposed could include a reduction in steps, points, and/or privileges. Youth may be required to complete a Rational Self Analysis Tool or participate in a conflict resolution session. The agency is in compliance with the regulation. (a) designation of personnel authorized to impose 312.15 ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ 312.15 (c) definition of major and minor rule violations and their 312.11 Definitions of Minor and Major Rule ☒ ☐ ☐ consequences, and due process requirements; Violations (d) trauma-informed approaches and positive behavior 312.11 ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by 312.13 Informal Resolution of Minor counseling, advising the youth of expected conduct Misbehavior 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 312.16 Disciplinary Hearings, Appeals and ☒ ☐ ☐ be documented and require the following: Administrative Review (1) written notice of violation prior to a hearing; ☒ ☐ ☐ 312.16 (2) accommodations provided to youth with 312.16 disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the 312.16 ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present 312.16 ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the 312.16 ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ 312.16 (g) violations that result in a removal from camp or 312.16 commitment program, but not a return to court, will ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE 307.14 Serious, Infectious and DISEASES. Communicable Diseases The health administrator/responsible physician, in 306.22 Emergency Plan-Pandemic Influenza cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ Outbreak 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: 307.14 (a) Intake health screening procedures; ☒ ☐ ☐ 307.7 Health Screenings and Evaluation 307.14 (b) Identification of relevant symptoms; ☒ ☐ ☐ 306.22 307.14 (c) Referral for medical evaluation; ☒ ☐ ☐ 307.7 7645 Solano Juvenile Hall PRO 23-24 Page 37 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 306.22 (d) Treatment responsibilities during detention; ☒ ☐ ☐ 307.7 (e) Coordination with public and private community- 307.7 ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ 307.14 307.14 (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ 306.22 The policies and procedures shall be updated as The agency necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES 307.3 Unimpeded Access to Care (EXCERPT) A locked box is accessible in the units for the The health administrator, in cooperation with the facility youth to confidentially convey requests for administrator, shall develop policy and procedures to ☒ ☐ ☐ health care services. Youth interviewed were establish a daily routine for youth to convey requests for aware of the confidential box and indicated emergency and non-emergency medical, dental and they could also just ask staff or the nurse to be behavioral/mental health care services. seen. 1480 STANDARD FACILTY CLOTHING ISSUE 305.14 Clothing, Bedding and Linen Supplies The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily 305.14 laundered, in good repair, and free of holes and tears. The clothing worn by youth were observed to be in good repair, free of stains, and well fitted. ☒ ☐ ☐ The youth interviewed indicated if they needed any new underwear, outer clothing, or shoes they could just ask staff and they would receive the items. (b) The standard issue of climatically suitable clothing 305.14 ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ 305.14 (2) Outer garments; ☒ ☐ ☐ 305.14 (3) New non-disposable underwear which shall 305.14 ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and 305.14 ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by 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. ☒ ☐ ☐ 1482 CLOTHING EXCHANGE 305.14 Clothing, Bedding and Linen Supplies The facility administrator shall develop and implement written policies and site-specific procedures for the 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. 7645 Solano Juvenile Hall PRO 23-24 Page 38 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1484 CONTROL OF VERMIN IN YOUTH’S 305.11 Vermin and Pest Control PERSONAL CLOTHING 305.14 Clothing, Bedding and Linen Supplies There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS 305.16 Personal Hygiene Articles There shall be written policies and site-specific 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; (a) Toothbrush; ☒ ☐ ☐ 305.16 (b) Toothpaste; ☒ ☐ ☐ 305.16 (c) Soap; ☒ ☐ ☐ 305.16 (d) Comb; ☒ ☐ ☐ 305.16 (e) Shaving implements; ☒ ☐ ☐ 305.16 (f) Deodorant; ☒ ☐ ☐ 305.16 (g) Lotion; ☒ ☐ ☐ 305.16 (h) Shampoo; and, ☒ ☐ ☐ 305.16 305.16 (i) Post-shower conditioning hair products. ☒ ☐ ☐ Youth shall not be required to share any personal care 305.16 items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE 305.16 Personal Hygiene Articles 305.15 Showers There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ 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 305.16 Personal Hygiene Articles Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 7645 Solano Juvenile Hall PRO 23-24 Page 39 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1488 HAIR CARE SERVICES (EXCERPT) 305.17 Hair Care Services Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE 305.14 Clothing, Bedding and Linen Supplies Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which 305.14 meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in 305.14 ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ 305.14 (d) One towel; and, ☒ ☐ ☐ 305.14 (e) One blanket or more, up on request ☒ ☐ ☐ 305.14 1501 BEDDING LINEN EXCHANGE 305.14 Clothing, Bedding and Linen Supplies The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered 305.14 once a month. ☒ ☐ ☐ Procedures indicate blankets are washed weekly. 1510 FACILITY SANITATION, SAFETY AND 305.11 Vermin and Pest Control MAINTENANCE 305.12 Housekeeping and Maintenance Plan The facility administrator shall develop and implement The intake/admission, housing units, sleeping written policies and site-specific procedures for the rooms, restrooms, visiting room, medical maintenance of an acceptable level of cleanliness, offices, hallways, and recreation areas were repair and safety throughout the facility. The plan shall organized, clean smelling, free from graffiti or provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ damage. The facility is well maintained. 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). 7645 Solano Juvenile Hall PRO 23-24 Page 40 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ ☐ ☒ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☐ ☒ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐ ☐ ☒ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7645 Solano Juvenile Hall PRO 23-24 Page 41 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7646 FACILITY NAME: Solano Secure Youth Treatment Facility-RISE FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Shawna Albright, Division Chief, Dean Wilder, Probation Services Manager, Joseph Herman, Juvenile Correctional Counselor Manager, Dr. Valerie Garrett-Director of Educational Options for Solano County Office of Education (SCOE), Tonya Sanchez, Aramark Food Services Manager, Darlla Roesler, WellPath Health Services Administrator, Lisa Castillo, WellPath Mental Health Provider, C. Sloan, Supervising Juvenile Correctional Counselor, K. Brooks-Senior Programming Correctional Counselor, Isaiah T.- age 19 RISE SYTF FIELD REPRESENTATIVE: Shay Molennor DATE: June 27-29, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS June 29, 2021 June 14. 2023 On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ A building inspection was not completed in documented inspection and evaluation from the ☐ 2022. The agency indicated they are now following: tracking all required inspections in the (a) county building inspector or person designated by PowerDMS system to ensure compliance with the Board of Supervisors to approve building safety; this regulation. (b) fire authority having jurisdiction, including a fire January 23, 2022 clearance as required by Health and Safety Code Section ☒ June 27, 2023 (Pending final report) ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Nutrition: December 9, 2021 Environmental: December 9, 2021 Medical/Mental Health: October 26-28, 2021 ☒ ☐ ☐ Nutrition: December 21, 2022 Environmental: December 7, 2022 (All areas of non-compliance have been addressed by facility administration.) Medical/Mental Health: December 6-8, 2022 (d) county superintendent of schools on the adequacy of December 15, 2021 educational services and facilities as required in Section ☒ December 15, 2022 ☐ ☐ 1370; (e) juvenile court as required by Section 209 of the December 30, 2021 ☒ Welfare and Institutions Code; and, ☐ ☐ December 16, 2022 (f) the Juvenile Justice Commission as required by March 12, 2021 Section 229 of the Welfare and Institutions Code or March 27, 2023 Probation Commission as required by Section 240 of the Welfare and Institutions Code. ☒ A JJC inspection was not completed in 2022. ☐ ☐ The agency indicated they are now tracking all required inspections in the PowerDMS system to ensure compliance with this regulation. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7646 Solano SYTF PRO 23-24 Page 1 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS A memorandum dated June 1, 2023, by Chief Probation Officer Chris Hansen addressed all BSCC Note: Compliance with this section is determined elements of this regulation. by receipt of the Chief Probation Officer’s certification letter confirming that all elements of regulation are met. (a) Appointment ☒ ☐ ☐ 301.4 Facility Administrative Officer 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 303.6 Job Descriptions/Position 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 303.6 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 303.6 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 303.6 employee, and psychological examination in ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- 303.6 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. 7646 Solano SYTF PRO 23-24 Page 2 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING 303.2 Staff Requirements 309.5 Staff/Supervisory Deployment Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The agency staffs for their JH, Camp, and carry out the overall facility operation and its SYTF which are on the same campus. The programming, to provide for safety and security of youth combined population was 23 on the first day and staff, and meet established standards and of the inspection, dispersed between two regulations; living units. JH and Challenge Camp youth are currently co-mingled in the same living unit. JH youth with charges which could result in a SYTF commitment are housed with SYTF youth in the same living unit. Population numbers: JH 12 Challenge 1 RISE SYTF 10 Reviewed Shift pattern for January 8, 2023, to July 15, 2023. ☒ ☐ ☐ Management/Administration 1 Division Chief 1 Probation Services Manager 1 Juvenile Correctional Counselor 6 Supervising Juvenile Correctional Counselors Youth Supervision 6 Senior Juvenile Correctional Counselors 51 Juvenile Correctional Counselors (11 vacancies and pending one new hire in July 2023) 5 Extra Help Juvenile Correctional Counselors 2 Support staff 24 Deputy Probation Officers are eligible to work overtime to help provide coverage. The agency is in compliance with this regulation. (b) ensure that no required services shall be denied 303.2 because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to 303.2 ☒ ensure adequate supervision of all staff members; ☐ ☐ (d) have a clearly identified person on duty at all times 309.5 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 309.5 ☒ unit whenever there are youth in the living unit; ☐ ☐ 7646 Solano SYTF PRO 23-24 Page 3 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) have sufficient food service personnel relative to the 308.1 Food Services Management number and security of living units, including staff qualified and available to: plan menus meeting nutritional Aramark provides food services to the facility. requirements of youth; provide kitchen supervision; direct One Food Services Manager, 2 cooks, and ☒ food preparation and servings; conduct related training ☐ ☐ pending a part-time new hire. Youth are programs for culinary staff; and maintain necessary served 3 hot meals a day and two snacks. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, 303.2 medical, dental, mental health, building maintenance, transportation, control room, facility security and other WellPath provides medical coverage 7 days a support staff for the efficient management of the facility, week from 7:00 a.m. to 11:00 p.m. and to ensure that youth supervision staff shall not be ☒ diverted from supervising youth; and, ☐ ☐ WellPath provides mental health coverage from 7 days a week from noon to 8:00 p.m. (h) assign sufficient youth supervision staff to provide 309.5 continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls (A) during the hours that youth are awake, one ☐ ☒ wide-awake youth supervision staff member on ☐ duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☒ youth supervision staff member on duty for each ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☒ arrangement has been made for backup support ☐ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☒ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☒ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☒ awake youth supervision staff member on duty for ☐ ☐ each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, 7646 Solano SYTF PRO 23-24 Page 4 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps 309.5 (A) during the hours that youth are awake, one wide-awake youth supervision staff member on The agency operates with Prison Rape ☒ ☐ duty for each 15 youth in the camp population; ☐ Elimination Act (PREA) staffing ratios of 1 youth supervision staff to 8 youth during awake hours. (B) during the hours that youth are confined to their 309.5 room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each ☒ ☐ The agency operates with PREA staffing ☐ 30 youth present in the facility; ratios of 1 youth supervision staff to 16 youth during sleeping hours. (C) at least two wide-awake youth supervision staff 309.5 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 309.5 duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio 309.5 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 309.5 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 304.4 New Employee Orientation AND TRAINING A memorandum dated June 1, 2023, by Chief (a) Prior to assuming any responsibilities each youth Probation Officer Chris Hansen addressed all supervision staff member shall be properly oriented to ☒ elements of this regulation. their duties, including: ☐ ☐ (1) youth supervision duties; Reviewed Solano Juvenile Correctional Counselor Training Curriculum and PowerPoint training presentation. (2) scope of decisions they shall make; ☒ 304.4 ☐ ☐ (3) the identity of their supervisor; ☒ 304.4 ☐ ☐ (4) the identity of persons who are responsible to 304.4 ☒ them; ☐ ☐ (5) persons to contact for decisions that are beyond 304.4 ☒ their responsibility; and ☐ ☐ (6) ethical responsibilities. ☒ 304.4 ☐ ☐ 7646 Solano SYTF PRO 23-24 Page 5 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the 304.4 supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- Staff receive 80 hours of facility-specific specific orientation, including: orientation and training prior to being assigned ☒ ☐ ☐ the supervision of youth. In addition to these required hours, the staff complete the Solano Juvenile Correctional Counselor Training Curriculum. (1) individual and group supervision techniques; ☒ 304.4 ☐ ☐ (2) regulations and policies relating to discipline and 304.4 rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ 304.4 ☐ ☐ (4) suicide prevention and response to suicide 304.4 ☒ attempts ☐ ☐ (5) policies regarding use of force, de-escalation 304.4 techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing 304.4 ☒ trauma and trauma-informed approaches; ☐ ☐ (7) procedures to follow in the event of emergencies; ☒ 304.4 ☐ ☐ (8) routine security measures, including facility 304.4 ☒ perimeter and grounds; ☐ ☐ (9) crisis intervention and mental health referrals to 304.4 ☒ mental health services; ☐ ☐ (10) documentation; and ☒ 304.4 ☐ ☐ (11) fire/life safety training ☒ 304.4 ☐ ☐ (c) Prior to assuming sole supervision of youth, each 304.4 youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ The BSCC Standards and Training for ☐ ☐ Officer Core Course pursuant to Penal Code Section Corrections found the agency in compliance 6035. with this regulation. (d) Prior to exercising the powers of a peace officer youth 304.4 supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Youth supervision staff receive Fire and Life Safety training through CORE. The Whenever there is a youth in a juvenile facility, there shall memorandum as to staff training dated June be at least one wide awake person on duty at all times ☒ ☐ ☐ 1, 2023, by Chief Probation Officer Chris who meets the training standards established by the Hansen confirmed compliance with this Board for general fire and life safety which relate regulation. specifically to the facility. 7646 Solano SYTF PRO 23-24 Page 6 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1324 POLICY AND PROCEDURES MANUAL 301.1 Purpose and Mission 301.2 Format, Development, Review, All facility administrators shall develop, publish, and Distribution and Storage implement a manual of written policies and procedures that address, at a minimum, all regulations that are The policy and procedures manual applicable to the facility. Such a manual shall be made incorporates American Correctional available to all employees, reviewed by all employees, Association standards and Title 15 and shall be administratively reviewed at a minimum regulations. The Facility Manager was every two years, and updated, as necessary. Those provided with recommendations to enhance records relating to the standards and requirements set their policies and procedures to address forth in these regulations shall be accessible to the Board consistency and clarity. on request. ☒ ☐ ☐ The manual shall include: Policies and Procedures are available to staff using their own staff log-in through PowerDMS. The agency tracks ongoing policy and procedure review by staff through this system. The Division Chief utilizes a spreadsheet indicating status of policies in review. The agency is in compliance with this regulation. (a) table of organization, including channels of 301.6 Table of Organization communications and a description of job classifications; ☒ 301.7 Channels of Communication ☐ ☐ 303.6 Job Descriptions/Position Qualifications (b) responsibility of the probation department, purpose of 301.1 programs, relationship to the juvenile court, the Juvenile 303.6 Justice/Delinquency Prevention Commission or ☒ Probation Committee, probation staff, school personnel ☐ ☐ and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; ☒ 304 Training and Staff Development ☐ ☐ (d) initial orientation and training program for employees; 304.4 New Employee Orientation ☒ ☐ ☐ 304.5 Annual Training Requirements (e) initial orientation, including safety and security issues 304.5 and anti-discrimination policies, for support staff, contract 311.3 Protection from Discrimination and ☒ employees, school, mental/behavioral health and ☐ ☐ Harassment medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and 301.2 ☒ communication system to ensure: ☐ ☐ (1) efficient operation of the juvenile facility; ☒ 301.2 ☐ ☐ (2) legal and proper care of youth; ☒ 301.2 ☐ ☐ (3) maintenance of individual youth's records; ☒ 301.2 ☐ ☐ (4) supply of information to the juvenile court and 301.2 ☒ those authorized by the court or by the law; and, ☐ ☐ (5) release of information regarding youth. ☒ 301.2 ☐ ☐ (g) ethical responsibilities; ☒ 303.28 Code of Ethics ☐ ☐ 304.4 304.5 (h) trauma-informed approaches; ☒ ☐ ☐ 309.12 Use of Mechanical Restraints 313.4 Educational Program 7646 Solano SYTF PRO 23-24 Page 7 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 304.5 305.16 Personal Hygiene Products 307.2 Medical Personal 311.11 Lesbian, Gay Bisexual, Transgender, (i) culturally responsive approaches; ☒ ☐ ☐ Questioning, Intersex (LGBTQIA+) Youth 313.4 Education Program 313.12 Library Services 313.13 Recreation and Activities Program 309.5 Staff/Supervisory Deployment 309.13 Searches and Control of Contraband 311.3 (j) gender responsive approaches; ☒ ☐ ☐ 311.11 313.16 Protection from Harm/Rights and Responsibilities of Youth (k) a non-discrimination provision that provides that all 311.3 youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any The agency does not use chemical agents. chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- 313.2 Counseling Services Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of 303.4 Sexual Harassment sexual abuse, sexual assault and sexual harassment. 303.30 Equal Employment Opportunity The policy shall include an approach to preventing, 311.3 detecting and responding to such conduct and any 311.8 Information Provided to Juvenile About ☒ retaliation for reporting such conduct, as well as a ☐ ☐ Sexual Abuse/Assault provision for reporting such conduct by youth, staff or a 311.9 Sexual Misconduct third party. 311.11 311.12 Prison Rape Elimination (PREA) 1325 FIRE SAFETY PLAN 306.1 Fire Safety 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 Reviewed monthly fire and life safety with two-year retention of the inspection record; inspections from January 2022 through May ☒ 2023. The graveyard supervisor is responsible ☐ ☐ to address areas of concern. The agency is in compliance with this regulation. (c) fire prevention inspections as required by Health and Fire prevention inspection completed January ☒ Safety Code Section 13146.1(a) and (b); ☐ ☐ 23, 2022. (d) an evacuation plan; ☒ 306.10 Emergency Evacuation Procedures ☐ ☐ 7646 Solano SYTF PRO 23-24 Page 8 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; The facility conducted 34 fire drills from January 2022 through May 2023. Some ☒ months had 3 fire drills conducted. Missed ☐ ☐ February 2023 but drills exceed the regulation requirement of quarterly drills. (f) a written plan for the emergency housing of youth in 306.10 Emergency Evacuation Procedures/ the case of fire; and, Prompt Release 306.16 Emergency Plan-Long Term ☒ Evacuation Plan ☐ ☐ The agency is in the process of developing a specific plan in case of a need for long-term housing of evacuated youth. (g) development of a fire suppression pre-plan in A fire pre-plan was developed with and cooperation with the local fire department. approved by the Fairfield City Fire Department. ☒ ☐ ☐ On June 27, 2023, the City of Fairfield Fire Marshall and their team was onsite to review a fire pre-plan and conducted the bi-annual fire inspection. 1326 SECURITY REVIEW 309.1 Security, Control and Supervision Manual Each facility administrator shall develop policies and procedures to annually review, evaluate, and document A memorandum dated June 5, 2023, by security of the facility. The review and evaluation shall Division Chief Shawna Albright addressed all include internal and external security, including, but not elements of this regulation. limited to, key control, equipment, and staff training. This inspection cycle security upgrades were made to the Trades classrooms with additional cameras and a metal detector. The RISE unit received 6 additional cameras. ☒ ☐ ☐ The agency measures 15 data collection points as to safety and security. The agency credits their Behavior Management System, Rational Self-Analysis Tool, Multi-disciplinary Team meetings, increased case planning and goal setting, introduction of the incentive room, and expanding CBT programming for an 80 percent reduction in assaults on staff and 47 percent reduction of assaults on youth from 2021 to 2022. 1327 EMERGENCY PROCEDURES 306 Safety and Emergency Procedures The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: 306.17 Major Disturbance/Riot (a) escape, disturbances, and the taking of hostages; ☒ 306.18 Hostage/Assault on the Facility ☐ ☐ 306.19 Escape-Attempts (b) civil disturbance, active shooter and terrorist 306.17 Major Disturbances/Riot ☒ attack; ☐ ☐ 306.11 Emergency Plan-Fire (c) fire and natural disasters; ☒ 306.12 Earthquake/Weather Emergency/ ☐ ☐ Disasters (d) periodic testing of emergency equipment; ☒ 306.9 Emergency Equipment Testing ☐ ☐ (e) emergency evacuation of the facility; and ☒ 306.10 Evacuation/Prompt Release ☐ ☐ 7646 Solano SYTF PRO 23-24 Page 9 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A memorandum dated June 5, 2023, by Division Chief Shawna Albright addressed elements of this regulation. (f) a program to provide all youth supervision staff ☒ Every 6 months, at the start of a new shift with an annual review of emergency procedures. ☐ ☐ rotation, supervisors review safety and emergency procedures which include fire and life safety, fire drill and evacuation elements, and response to incidents within the facility. 1328 SAFETY CHECKS 309.29 Safety Checks The facility administrator shall develop and implement Reviewed safety checks for July and October policy and procedures that provide for direct visual 2022 and January of 2023. The facility utilizes observation of youth at a minimum of every 15 minutes, Guard1 Plus to record safety checks. at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in The agency has a system in place to conduct holding cells or confined to their bed in a dormitory. regular audits of safety checks. The Senior Supervision is not replaced, but may be supplemented and/or Supervisor will pull the data from the by, an audio/visual electronic surveillance system Guard 1 Plus two times per shift and review. designed to detect overt, aggressive or assaultive They will investigate any late checks and behavior and to summon aid in emergencies. All safety safety checks which are not random and checks shall be documented with the actual time the ☒ ☐ ☐ varied. A shift summary at the end of each shift check is completed. will also report on any incident reports in which checks were late or not random and varied. Safety checks are one of 15 areas of data the agency collects and this data is reviewed each month. A room check discrepancy report will be addressed by assigned supervisors. The agency is upgrading their current system for real-time notification. The documentation reviewed affirms the facility is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN 307.5 Suicide/Self Injury Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Discussion with the facility administration and shall plan and implement written policies and WellPath indicate responses to suicidal youth procedures which delineate a Suicide Prevention Plan. are based upon acuity and are in the least The plan shall consider the needs of youth experiencing invasive manner. past or current trauma. Suicide prevention responses ☒ shall be respectful and in the least invasive manner ☐ ☐ The agency had no incidents of suicidal consistent with the level of suicide risk. The plan shall behavior without injury and no suicidal include the following elements: behavior with injury in 2021, 2022, and through the date of the inspection. (a) Suicide prevention training as required in Section 307.5 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and 307.5 Precautionary Protocols 307.7 Health Screenings and Evaluation ☒ (1) All youth shall be screened for risk of suicide at ☐ ☐ intake and as needed during detention. (2) All youth supervision staff who perform intake 307.5 processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. 7646 Solano SYTF PRO 23-24 Page 10 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) All youth who have been identified during the 307.5 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 307.5 ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for 307.5 ☒ assessment and/or services. ☐ ☐ (d) Procedures for monitoring of youth identified at risk 307.5 ☒ for suicide. ☐ ☐ (e) Safety Interventions 307.5 (1) Procedures to address intervention protocols for ☒ youth identified at risk for suicide which may include, ☐ ☐ but are not limited to: (A) Housing consideration ☒ 307.5 ☐ ☐ (B) Treatment strategies including trauma- 307.5 ☒ informed approaches ☐ ☐ (2) Procedures to instruct youth supervision staff 307.5 how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication 307.5 (1) The intake process shall include communication 310.2 Admissions Procedures with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current information 307.5 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 307.5 Attempts 306.21 Critical Incident Debriefing (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 306.21 ☒ staff. ☐ ☐ (3) Process for a debriefing event with affected 306.21 ☒ youth. ☐ ☐ (h) Documentation 307.5 (1) Documentation processes shall be developed to ☒ 309.22 Special Incident Reports ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the 307.5 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ youth or security of the facility. Any deprivation of ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS 301.13 Management and Information System Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ There are no pending legal actions. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 7646 Solano SYTF PRO 23-24 Page 11 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR INJURY 306.15 Emergency Plan-Death, Homicide, OF A YOUTH WHILE DETAINED Suicide Attempted/Actual (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 306.15 facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to 306.15 the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth 306.15 from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. 306.14 Serious Medical/Dental Emergency (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to ☒ necessary parties, which may include the Juvenile ☐ ☐ Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING 309.9 Juvenile Counts 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) 309.21 Security Procedures When Facility Exceeds Rated Capacity When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 7646 Solano SYTF PRO 23-24 Page 12 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES 310.1 JDF Intake Unit 310.2 Admission Procedures The facility administrator shall develop and implement written policies and procedures for admittance of youth Reviewed 10 Admittance packets consisting that emphasize respectful and humane engagement of Admittance Sheet, Intake Health Screening, with youth, and reflect that the admission process may ☒ ☐ ☐ Booking Information Sheet, Property Record, be traumatic to youth who may have already Custody Classification Assessment, and experienced trauma. Policies shall be trauma-informed, Minor Orientation Checklist forms. The culturally relevant, and responsive to the language and agency is in compliance with this regulation. literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: 310.2 (1) Access to two free phone calls within one hour of 310.6 Telephone Calls During Admission ☒ admittance in accordance with the provisions of ☐ ☐ Welfare and Institution Code Section 627; 310.2 310.15 Shower policy (2) Offer of a shower; ☒ All youth are given a shower by policy and any ☐ ☐ exception would be documented in an incident report. Recommended to agency to document a shower was offered upon admission. 310.2 (3) Documented secure storage of personal ☒ 310.5 Personal Property Control and belongings; ☐ ☐ Safeguarding 310.2 All youth are offered food by policy. During (4) Offer of food upon arrival; ☒ ☐ ☐ interviews, youth affirmed being offered food upon intake. Recommended to agency to document food being offered upon admission. (5) Screening for physical and behavioral health 310.2 and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental 310.2 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the 310.2 Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ 309.25 Housing Classification ☐ ☐ (b) juvenile hall administrators shall establish written 309.25 criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in 313.2 Counseling Services juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform The youth’s assigned counselor will advise ☒ them of program guidelines and provide written ☐ ☐ youth of length of stay. screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures 313.2 that advise any committed youth of the estimated length ☒ of his/her stay. ☐ ☐ The youth’s assigned counselor will advise youth of length of stay. 7646 Solano SYTF PRO 23-24 Page 13 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350.5 SCREENING FOR THE RISK OF SEXUAL 311.12 PREA ABUSE The Victimization and Sexual/Physical The facility administrator shall develop and implement written policies and procedures to reduce the risk of ☒ ☐ ☐ Aggression Screener is completed within 72 hours by the mental health clinician. sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of admission based on the following information: 307.7 Health Screening Process (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ (b) Gender nonconforming appearance or manner; or 309.25 Housing Classification identification as lesbian, gay or bisexual, transgender, 311.12 ☒ queer or intersex, and whether the youth may, therefore, ☐ ☐ be vulnerable to sexual abuse; 309.25 (c) Current charges and offense history; ☒ ☐ ☐ 311.12 309.25 (d) Age; ☒ ☐ ☐ 311.12 307.7 (e) Level of emotional and cognitive development; ☒ ☐ ☐ 311.12 311.12 (f) Physical size and stature; ☒ ☐ ☐ 307.7 (g) Mental illness or mental disabilities; ☒ ☐ ☐ 311.12 307.7 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ 311.12 309.25 (i) Physical disabilities; ☒ ☐ ☐ 311.12 311.12 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ (k) Any other specific information about the individual 311.12 youth that may indicate heightened needs for ☒ supervision, additional safety precautions, or separation ☐ ☐ from certain other youth. Staff shall ascertain this information through 307.7 conversations with the youth during the admittance 309.25 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 311.12 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 310.8 Release Preparation/Procedures for Release The facility administrator shall develop and implement ☒ written policies and procedures for release of youth from ☐ ☐ Reviewed 10 Order of Release and 10 custody which provide for: Property Records. (a) verification of identity/release papers; ☒ 310.8 ☐ ☐ 310.8 (b) return of personal clothing and valuables; ☒ 310.5 Personal Property Control and ☐ ☐ Safeguarding (c) notification to the youth's parents or guardian; ☒ 310.8 ☐ ☐ 7646 Solano SYTF PRO 23-24 Page 14 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) notification to the facility health care provider in 310.8 accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; and, Verbal notification of a release during hours medical staff is onsite. A facility roster is ☒ provided daily which will notify medical of ☐ ☐ releases outside their operating hours. Interview with medical staff confirmed compliance with this regulation. 310.8 Verbal notification during school hours and advance notice if possible. An updated facility (e) notification of school staff; ☒ roster is shared with the school Monday ☐ ☐ through Friday. Interview with school staff confirmed compliance with this regulation. 310.8 Verbal notification during hours mental health staff is onsite. A facility roster is provided daily (f) notification of facility mental health personnel. ☒ which will notify mental health of releases ☐ ☐ outside their operating hours. Interview with mental health staff confirmed compliance with this regulation. The facility administrator shall develop and implement 310.8 policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry Multi-disciplinary and Child Family Team ☒ services including, but not limited to, medical and ☐ ☐ meetings are held to address transitional and behavioral health, education, probation supervision and re-entry services. community-based services. The facility administrator shall develop and implement 310.9 Escorted/Unescorted Leaves written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION 309.25 Housing Classification The facility administrator shall develop and implement Reviewed 10 custody classification written policies and procedures on classification of youth documents, 4 shift summary documents, and for the purpose of determining housing placement in the 10 Intake Health Screenings. The agency is in facility. ☒ compliance with this regulation. Such procedures shall: ☐ ☐ (a) provide for the safety of the youth, other youth, 309.25 facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ settings. Housing assignments shall consider the need ☐ ☐ for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of 309.25 ☒ the facility; ☐ ☐ 7646 Solano SYTF PRO 23-24 Page 15 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) provide that a youth shall be classified upon 309.25 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 309.25 provisions that consider the level of supervision and the ☒ youth's behavior while in custody; and, ☐ ☐ Classification is reviewed daily and changes would be documented in a shift summary. (e) provide that facility staff shall not separate youth from 309.25 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, 309.25 transgender, questioning or intersex identification or 311.12 PREA ☒ status as an indicator of likelihood of being sexually ☐ ☐ abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. 311.1 Lesbian, Gay Bisexual, Transgender, Questioning, Intersex (LGBTQIA+) Youth The facility administrator shall develop written policies and procedures ensuring respectful and equitable ☒ Reviewed 4 documents to indicate youth’s treatment of transgender and intersex youth. The ☐ ☐ preferred pronoun, name, and pat-down policies shall provide that: search preference. The agency is compliant with this regulation. (a) Facility staff shall respect every youth’s gender 311.1 identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ gang or slang names or names that otherwise ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present 311.1 themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that 311.1 best meets their individual needs and promotes their 309.25 Housing Classification 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 311.1 and intersex youth have access to medical and ☒ behavioral health providers qualified to provide care and ☐ ☐ treatment to transgender and intersex youth. 7646 Solano SYTF PRO 23-24 Page 16 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Consistent with the facility’s reasonable and 311.11 necessary security considerations and physical plant, 311.12 PREA 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 311.11 youth for the purpose of determining the youth’s 311.12 anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION 310.7 Reception and Orientation of Youth 312.2 Publish/Distribute Youth Opportunity The facility administrator shall develop and implement Handbook written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Each program has their own youth handbook. information shall be provided and supplemented with ☒ ☐ ☐ video orientation if feasible. Provision shall be made to provide accessible orientation information to all detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses: (a) facility rules including contraband and searches and 310.7 ☒ disciplinary procedures; ☐ ☐ (b) facility’s system of positive behavior interventions 310.7 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 310.7 facility’s policy prohibiting sexual abuse and sexual ☒ harassment and how to report incidents or suspicions of ☐ ☐ sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ 310.7 ☐ ☐ (e) the existence of the grievance procedure, the steps 310.7 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 310.7 ☒ court process; ☐ ☐ (g) access to routine and emergency health and mental 310.7 ☒ health care; ☐ ☐ (h) access to education, religious services, and 310.7 ☒ recreational activities; ☐ ☐ (i) housing assignments; ☒ 310.7 ☐ ☐ (j) opportunity for personal hygiene and daily showers 310.7 ☒ including the availability of personal care items ☐ ☐ (k) rules and access to correspondence, visits and 310.7 ☒ telephone use; ☐ ☐ (l) availability of reading materials, programming, and 310.7 ☒ other activities; ☐ ☐ (m) facility policies on the use of force, use of restraints, 310.7 ☒ chemical agents and room confinement; ☐ ☐ (n) immigration legal services; ☒ 310.7 ☐ ☐ (o) emergencies including evacuation procedures; ☒ 310.7 ☐ ☐ (p) non-discrimination policy and the right to be free from 310.7 physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; 7646 Solano SYTF PRO 23-24 Page 17 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (q) availability of services and programs in a language 310.7 ☒ other than English if appropriate; ☐ ☐ (r) the process for requesting different housing, 310.7 ☒ education, programming and work assignments; ☐ ☐ (s) a process for which parents/guardians receive 310.7 information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Parents get this information through intake questions and provides contact information for the ☒ notifications and informational visiting ☐ ☐ facility, medical, school and mental health; and, handout. Recommended to agency formalizing a process for parents to receive standardized information. (t) a process by which youth may request access to Title 310.7 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ All youth interviewed were aware of Title 15 and indicated they could ask staff for access. 1354 SEPARATION 312.20 Separation The facility administrator shall develop and implement The facility has developed procedures for written policies and procedures that address: ☒ when youth choose to self-separate. ☐ ☐ Reviewed 15 voluntary separations and the majority were for wanting to sleep in later or needing a nap. (a) separation of youth for reasons that include, but are 312.20 not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and As part of their Behavior Management protective custody. System, the agency uses a 30/5 technique as a type of remediation where the youth de- ☒ ☐ ☐ escalate in a designated unsecured area for 30 minutes while they complete a Rational Self Analysis (RSA) tool followed by a 5 minute cool down in which they process the RSA with staff. (b) consideration of positive youth development and 312.20 ☒ trauma-informed care. ☐ ☐ (c) separated youth shall not be denied normal 312.20 privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, 312.20 ☒ Title 15 Section 1390 shall apply. ☐ ☐ (e) when separation results in room confinement, the 312.20 separation shall occur in accordance with Welfare and 312.4 Room Confinement ☒ Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review 312.20 of separated youth to determine if separation remains ☒ ☐ ☐ necessary. 7646 Solano SYTF PRO 23-24 Page 18 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT 312.4 Room Confinement (a) The facility administrator shall develop and In 2022, the agency had 54 incidents of room implement written policies and procedures addressing confinement. Reviewed 15 instances of room the confinement of youth in their room that are confinement which consisted of consistent with Welfare and Institutions Code Section documentation outlined in Room Confinement 208.3. The placement of a youth in room confinement Stages Form, Reintegration Plan, Special shall be accomplished in accordance with the following Incident Report, and Safety Room Check log. guidelines: Twelve of the 15 incidents involved fights or assaultive behavior. Three were for threatening other youth. Discussed with ☒ agency room confinement should only be ☐ ☐ used for youth presenting an immediate threat and after all other options have been exhausted. Interviews with youth who had been placed on room confinement indicate it was for fighting and they were removed once they completed a conflict resolution. The agency is in compliance with this regulation. (1) Room confinement shall not be used before 312.4 other, less restrictive, options have been attempted and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the 312.4 purposes of punishment, coercion, convenience, or ☒ 312.7 Disciplinary Room Confinement ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent 312.4 that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room 312.4 confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one Eleven of the 15 room confinements reviewed or more of the following: were in excess of four hours due to the youth not willing to complete a conflict resolution, ☒ comply with their reintegration plan, or ☐ ☐ complete a Rational Self Analysis tool. Discussed with agency room confinement does not have a set time and youth should be removed if no longer presenting a threat to the safety and security of the facility. (1) Return the youth to general population. ☒ 312.4 ☐ ☐ (2) Consult with mental health or medical staff. ☒ 312.4 ☐ ☐ (3) Develop an individualized plan that includes the 312.4 goals and objectives to be met in order to reintegrate ☒ 312.18 Individual Treatment Plan (ITP)/Room ☐ ☐ the youth to general population. Confinement (4) If room confinement must be extended beyond 312.4 ☒ four hours, staff shall do each of the following: ☐ ☐ 7646 Solano SYTF PRO 23-24 Page 19 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) Document the reasons for room confinement 312.4 and the basis for the extension, the date and time the youth was first placed in room confinement, Discussed with agency the importance of and when he or she is eventually released from adding more detail to documentation for the room confinement. need for continuation of room confinement. If ☒ ☐ ☐ a youth is refusing to complete a conflict resolution or comply with reintegration plan, it is important to clearly document behavior, comments, and steps taken to justify continuation of room confinement. (B) Develop an individualized plan that includes 312.4 the goals and objectives to be met in order to ☒ 312.18 ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the 312.4 facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of 312.4 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 312.4 ☒ court holding facilities or adult facilities. ☐ ☐ (7) Nothing in this section shall be construed to 312.4 conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an 312.4 extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ wide threat that poses an imminent and substantial ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is 312.4 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. 7646 Solano SYTF PRO 23-24 Page 20 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN 313.2 Counseling Services The facility administrator shall develop and implement Reviewed 10 Weekly Case Plan reports written policies and procedures for assessment and documenting goals, action statements, case planning. services provided during the week, and a summary of the youth’s behavior. Reviewed eleven 30 Day Counseling Report and Treatment Plans documenting goals, action statements, services provided or assigned, pod behavior, and progress toward meeting goals. ☒ ☐ ☐ Signatures of youth, assigned counselor, senior, and supervisor are required on all case plan reports. Reviewed 4 Multi-Disciplinary Team Meetings involving youth to address their needs and monitor an action plan. Youth are reviewed by the team if they are experiencing difficulty in the program, pending release, or have an upcoming court review. The agency is in compliance with this regulation. (a) Assessment: 313.2 The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ strengths including, but not limited to, identification of ☐ ☐ substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: 313.2 (1) A case plan shall be developed for each youth ☒ held for at least 30 days or more and created within ☐ ☐ 40 days of admission. (2) The institutional plan shall include, but not be 313.2 ☒ limited to, written documentation that provides: ☐ ☐ (A) objectives and time frame for the resolution of 313.2 ☒ problems identified in the assessment; ☐ ☐ (B) a plan for meeting the objectives that includes 313.2 a description of program resources needed and ☒ individuals responsible for assuring that the plan ☐ ☐ is implemented; (3) periodic evaluation of progress towards meeting 313.2 the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; (4) a transition plan, the contents of which shall be 313.2 subject to existing resources, shall be developed for ☒ post dispositional youth in accordance with Section ☐ ☐ 1351; and, (5) in as much as possible and if appropriate, the 313.2 plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 7646 Solano SYTF PRO 23-24 Page 21 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1356 COUNSELING AND CASEWORK SERVICES 313.2 Counseling Services 313.1 Social Services Programs The facility administrator shall develop and implement written policies and procedures ensuring the availability Reviewed documentation of weekly case plan of appropriate counseling and casework services for all reports and MDT meetings. Written comments youth. Policies and procedures shall ensure: ☒ are transcribed daily into Eprobation which is ☐ ☐ the case management system the agency uses to track youth information. Incident reports are also put in Eprobation. This information is utilized for ongoing case plan and transition planning. (a) youth will receive assistance with needs or concerns 313.2 ☒ that may arise; ☐ ☐ (b) youth will receive assistance in requesting contact 313.2 with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources 313.2 ☒ to meet the youth’s needs. ☐ ☐ 1357 USE OF FORCE 309.17 Use of Physical Force The facility administrator, in cooperation with the Reviewed 15 Use of Force (UOF) Reports. responsible physician, shall develop and implement The reports involved youth involved in fights, written policies and procedures for the use of force, which may include chemical agents. Force shall never ☒ ☐ ☐ threatening staff or other youth, and attempts to de-escalate were documented. Interview be applied as punishment, discipline, retaliation or with youth indicate staff give warnings prior to treatment. use of force occurring. (a) At a minimum, each facility shall develop policies and procedures which: (1) restricts the use of force to that which is deemed 309.17 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 309.17 both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are 309.17 ☒ expressly prohibited by the facility. ☐ ☐ (4) describe the requirements of staff to report any 309.17 inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7646 Solano SYTF PRO 23-24 Page 22 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that 309.17 includes time period and procedure for documenting and reporting the use of force, including reporting The agency had 41 UOF incidents in 2022. requirements of management and line staff and Use of Force is one of 15 data elements which procedures for reviewing and tracking use of force are tracked and reported monthly and incidents by supervisory and or management staff, addressed accordingly. which include procedures for debriefing a particular incident with staff and/or youth for the purposes of After every UOF incident, the Senior and/or training as well as mitigating the effects of trauma that Supervisor will respond to the unit and debrief may have been experienced by staff and /or the youth initially with staff and then involved youth. involved. ☒ Interview with supervisory staff confirmed this ☐ ☐ practice. Recommended to agency having this information documented. Recommended to agency adding the title or position of the author of the special incident report. In addition, suggested to the agency to document in the special incident report if a youth who was secured in their room post- incident resumed programming or if a room confinement was initiated. (6) Include an administrative review and a system for 309.17 ☒ investigating unreasonable use of force. ☐ ☐ (7) define the role, notification, and follow-up 309.17 procedures required after use of force incidents for medical, mental health staff and parents or legal Though policy and procedures required guardians. notification of mental health and parents or legal guardians the agency was not complying with this element of the regulation. ☒ ☐ ☐ The agency corrected this issue by training and having staff review and sign off on this policy. On July 20, 2023, a site visit was conducted which verified the agency is following this regulation. (8) describe the limitations of use of force on pregnant 309.17 youth in accordance with Penal Code Section 6030(f) ☒ ☐ ☐ and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force The agency does not use Chemical Agents. option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize ☒ chemical agents in the facility and the type, size and ☐ ☐ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts ☒ ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ to chemical agents shall not be left unattended until ☐ ☐ that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents ☒ involving chemical agents for medical, mental health ☐ ☐ staff and parents or legal guardians. 7646 Solano SYTF PRO 23-24 Page 23 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which 309.17 require that agencies provide initial and regular training ☒ ☐ in use of force and chemical agents when appropriate ☐ that address: (1) known medical and behavioral health conditions 309.17 ☒ ☐ that would contraindicate certain types of force; ☐ (2) acceptable chemical agents and the methods of The agency does not use Chemical Agents. ☒ application. ☐ ☐ (3) signs or symptoms that should result in 309.17 ☒ ☐ immediate referral to medical or behavioral health. ☐ (4) instruction on the Constitutional Limitations of 309.17 ☒ ☐ Use of Force. ☐ (5) physical training force options that may require 309.17 ☒ ☐ the use of perishable skills. ☐ (6) timelines the facility uses to define regular 309.17 ☒ ☐ training. ☐ 1358 USE OF PHYSICAL RESTRAINTS 309.12 Use of Mechanical Restraints The facility administrator, in cooperation with the There were no instances of the use of physical responsible physician and mental health director, shall restraints as it pertains to the elements of 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 309.12 who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ self-inflicted physical harm. 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 309.12 discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ of hands and feet together behind the back (hogtying) is ☐ ☐ prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of 309.12 handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ the facility. Movement within the facility shall be governed ☐ ☐ by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval 309.12 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. 7646 Solano SYTF PRO 23-24 Page 24 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A medical opinion on the safety of placement and 309.12 retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as 309.12 possible, but in no case longer than four hours from the ☒ time of placement, to assess the need for mental health ☐ ☐ treatment. Continuous direct visual supervision shall be conducted 309.12 to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ Observations of the youth's behavior and any staff ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and 309.12 procedures shall address: ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate 309.12 ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☒ ☐ ☐ 309.12 (d) signs or symptoms which should result in immediate 309.12 ☒ ☐ ☐ medical/mental health referral. (e) availability of cardiopulmonary resuscitation 307.10 First Aid ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in 309.12 restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ 309.12 (h) exercising of extremities. ☒ ☐ ☐ 309.12 1358.5 USE OF RESTRAINT DEVICES FOR 309.12 Use of Mechanical Restraints MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. A Mechanical Restraint Assessment Form is The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health ☒ ☐ ☐ used to determine the minimum level of restraint for routine transport. director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff 309.12 approved to utilize restraint devices and the required training. ☒ ☐ ☐ Handcuffs, leg restraints, waist chains, and quick cuffs are authorized for use by the agency. (b) the circumstances leading to the application of 309.12 restraints must be documented. A review of incident reports involving the use of mechanical restraints by staff indicate their use was for assaultive or noncompliant ☒ ☐ ☐ behavior resulting in a safety or security issue. The youth were transported away from the incident to their rooms where the restraints were removed. Reports also indicate youth were not placed in mechanical restraints if staff were able to use least restrictive means. 7646 Solano SYTF PRO 23-24 Page 25 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) an individual assessment of the need to apply 309.12 restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, 309.12 with a clearly defined expectation that restraint devices ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in 309.12 accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ 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 punishment, coercion, convenience, or retaliation by ☐ ☐ ☒ staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☐ ☐ ☒ youth. 7646 Solano SYTF PRO 23-24 Page 26 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) A youth may be held up to four hours in the safety 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. ☐ ☐ ☒ (2) consult with mental health or medical staff, ☐ ☐ ☒ (3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☐ ☐ ☒ the youth to general population. (d) If confinement in the safety room must be extended 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 309.13 Searches and Control of Contraband The facility administrator shall develop and implement Reviewed 7 strip search authorization forms written policies and procedures governing the search of from 2022 to March of 2023. Four incidents youth, the facility, and visitors. Policies and procedures ☒ ☐ ☐ occurred at Intake and 3 were post-detention. shall provide that: The majority were for weapons or drugs. Marijuana was found in one of the searches. The agency is in compliance with this regulation. (a) Searches shall be conducted to ensure the safety 309.13 and security of the facility, public, visitors, youth, and staff. A monthly calendar gives a breakdown of room and pod searches which is documented ☒ ☐ ☐ in the pod logbook and shift summary reports. Twice a day, the senior/supervisor will conduct a perimeter search which is documented in shift summary report. (b) Searches shall be conducted in a manner that 309.13 preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity 309.13 ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be 309.13 ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only 309.13 be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall 309.13 ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches 309.13 are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 7646 Solano SYTF PRO 23-24 Page 27 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE 311.10 Grievance Procedure The facility administrator shall develop and implement Reviewed the requested grievances from July written policies and procedures whereby any youth may and October 2022 and January 2023. appeal and have resolved grievances relating to any Reviewed the 2022 Grievance Log for 23 condition of confinement, including but not limited to grievances which were filed for the year. health care services, classification decisions, program Twelve of the 23 grievances were not participation, telephone, mail or visiting procedures, ☒ ☐ ☐ reviewed or responded to within 3 business food, clothing, bedding, mistreatment, harassment or days. Of the 23, four pertained to food quality violations of the nondiscrimination policy. There shall be or portions. Only three grievances were filed no time limit on filing grievances. Policies and in 2023 and all were addressed timely. The procedures shall include provisions whereby the facility agency was given technical assistance to manager ensures: ensure they track and review grievances within the required time frames as outlined in this regulation. (a) a grievance form and instructions for registering a 311.10 grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; (b) the youth shall have the option to confidentially file 311.10 the grievance or to deliver the form to any youth supervision staff working in the facility; Youth interviewed were aware of the grievance procedure, had free access to the ☒ ☐ ☐ forms, and were able to file confidentially. The youth who reported they had filed a grievance indicated they felt their concern was heard and fairly addressed. (c) resolution of the grievance at the lowest appropriate 311.10 ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to 311.10 grievances within three (3) business days, grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain 311.10 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 311.10 ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance 311.10 ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a 311.10 grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) 311.10 business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external 311.10 methods to report sexual abuse and sexual harassment. 311.8 Information Provided to Youth about ☒ ☐ ☐ Sexual Abuse and Assault 311.12 PREA Whether or not associated with a grievance, concerns 311.10 of parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 7646 Solano SYTF PRO 23-24 Page 28 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1362 REPORTING OF INCIDENTS 309.22 Special Incident Reports A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT 309.17 Use of Physical Force DNA SPECIMENS, SAMPLES, IMPRESSIONS Though the agency has a policy which covers (a) Pursuant to Penal Code Section 298.1 authorized most elements of this regulation, they do not law enforcement, custodial, or corrections personnel use force to collect DNA. including peace officers, may employ reasonable force ☐ ☐ ☒ to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are 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. 7646 Solano SYTF PRO 23-24 Page 29 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM 313.4 Educational Programming (a) School Programs The Solano County Office of Education The County Board of Education shall provide for the (SCOE) operates Evergreen Academy which administration and operation of juvenile court schools in serves students through high school conjunction with the Chief Probation Officer, or designee completion. Additionally, educational pursuant to applicable State laws. The school and facility programs are provided to high school administrators shall develop and implement written policy graduates connecting students to community and procedures to ensure communication and college courses along with academic support coordination between educators and probation staff. to assist them with the successful completion Culturally responsive and trauma-informed approaches of their courses. should be applied when providing instruction. Education staff should collaborate with the facility administrator to Students can earn a food handlers’ use technology to facilitate learning and ensure safe certification and Work Ready Certification. technology practices. The facility administrator shall request an annual review of each required element of the ☒ ☐ ☐ Met with Dr. Valerie Garrett, School program by the Superintendent of Schools, and a report Administrator, who indicated she values the or review checklist on compliance, deficiencies, and close partnership with Solano Probation corrective action needed to achieve compliance with this Department as the agency is providing section. Such a review, when conducted, cannot be solutions to issues impacting youth in the delegated to the principal or any other staff of any juvenile community. She indicated school and court school site. The Superintendent of Schools shall probation staff are a part of the same team conduct this review in conjunction with a qualified outside and have a sincere commitment to support the agency or individual. Upon receipt of the review, the learning environment. facility administrator or designee shall review each item with the Superintendent of Schools and shall take School Staff whatever corrective action is necessary to address each 3 Teachers deficiency and to fully protect the educational interests of 1 Intervention Specialist all youth in the facility. 1 Student Support Specialist 2 Licensed Clinician Wellness Support Specialists (b) Required Elements 313.4 The facility school program shall comply with the State Education Code and County Board of Education policies, This year, 12 youth received their high school all applicable federal education statutes and regulations diploma through the onsite school. High and provide for an annual evaluation of the educational school graduations are celebrated two times a program offerings. As stated in the 2009 California year. 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 313.4 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State 313.4 Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School 313.4 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. 7646 Solano SYTF PRO 23-24 Page 30 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Youth shall be informed of post-secondary 313.4 education and vocational opportunities. SCOE provides post-secondary and vocational opportunities from the College and Career Development Specialist that work daily ☒ ☐ ☐ in the Challenge Academy and weekly in the other housing pods/classrooms. SCOE also provides an intervention teacher who provides information on post-secondary education and vocational opportunities to graduates (4) Administration of the High School Equivalency 313.4 Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth 313.4 who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with 313.4 State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with Reviewed Daily Instructional Schedule. education staff, must ensure that operational School day is 300 minutes Monday, Tuesday, ☒ ☐ ☐ procedures do not interfere with the time afforded for Thursday, and Friday and 240 minutes on the the minimum instructional day. Absences, time out of first and third Wednesdays. class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless 313.4 of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline 313.4 (1) Positive behavior management will be implemented to reduce the need for disciplinary action Positive Behavioral Interventions and ☒ ☐ ☐ in the school setting and be integrated into the facility's Supports (PBIS) have been implemented overall behavioral management plan and security within the school and facility. system. (2) School staff shall be advised of administrative 313.4 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State 313.4 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 313.4 education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. 7646 Solano SYTF PRO 23-24 Page 31 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Provisions for Special Populations 313.4 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be 313.4 afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission 313.9 Academic/Vocational Assessments/ (1) Youth shall be interviewed after admittance and a Youth Needs ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ 313.9 (B) Home Language Survey and the results of the 313.9 ☒ ☐ ☐ State Test used for English language proficiency; (C) Needs and services of special populations as 313.9 defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ 313.9 (2) Youth will be immediately enrolled in school. 313.9 Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary 313.9 education plan shall be developed for each youth ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with 313.9 the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting 313.9 (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall 313.9 provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning 313.9 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. 7646 Solano SYTF PRO 23-24 Page 32 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Post-Secondary Education Opportunities 313.9 (1) The school and facility administrator should, whenever possible, collaborate with local post- SCOE offers diploma programs, access to secondary education providers to facilitate access to ☒ ☐ ☐ community college courses, and Career educational and vocational opportunities for youth that Technical Education opportunities focusing on considers the use of technology to implement these residential and commercial construction programs. trades. 1371 PROGRAMS, RECREATION, AND 313.13 Recreation and Activities Program EXERCISE. The facility administrator shall develop and implement written policies and procedures for programs, ☒ ☐ ☐ recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for 313.13 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and 313.13 exercise may be suspended only upon a written finding 312.14 Room Confinement 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 313.13 be posted in the living units. ☒ ☐ ☐ Reviewed facility program schedule and this is posted in the living units. There will be a written annual review of the programs, 313.13 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ A memorandum dated June 8, 2023, by relevant to the population. Division Chief Shawna Albright addressed all elements of this regulation. (a) Programs. All youth shall be provided with the 313.13 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, A senior Juvenile Correctional Counselor evidence-based, best practice interventions that are (JJC) and two JJC staff are dedicated to culturally relevant and linguistically appropriate, or pro- providing programming. The two JJC staff social interventions and activities designed to reduce provide Carey Guide and Journaling groups, recidivism. These programs should be based on the Reasoning and Rehabilitation II, Aggression youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ Replacement Training, and Thinking for a and 1356. Such programs may be provided under the Change groups. The agency also utilizes direction of the Chief Probation Officer or the County Cognitive Behavioral Training 2.0 and youth Office of Education and can be administered by county actively engage in check in/check out partners such as mental health agencies, community sessions to support cognitive learning. based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7646 Solano SYTF PRO 23-24 Page 33 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; 313.13 (2) Management of Stress and Trauma; 312.9 Youth Self-Improvement Programs (3) Anger Management; 313.3 Social and Life Skills Programs (4) Conflict Resolution; (5) Juvenile Justice System; The agency has partnered with several (6) Trauma-related interventions; community-based organizations including (7) Victim Awareness; Omega Men’s Group, Hidden Genius, and (8) Self-Improvement; community churches. Alternative Restorative (9) Parenting Skills and support; Communities provides Restorative Justice (10) Tolerance and Diversity; and the XL Mentoring program. Leaders in (11) Healing Informed Approaches; Community Alternatives provide employment (12) Interventions by Credible Messengers; skills development and education support (13) Gender Specific Programming; services. Aldea conducts substance use (14) Art, creative writing, or self-expression; disorder treatment as needed. (15) CPR and First Aid training; ☒ ☐ ☐ (16) Restorative Justice or Civic Engagement; The contracted mental health clinician (17) Career and leadership opportunities; and, provides services focusing on Crisis (18) Other topics suitable to the youth population. Management, Anger Management, and Coping and Life Skills. Youth interviewed indicate they participate in several different programs each week. Some indicated they may participate in multiple programs each day. The agency has robust services offered to youth due to their commitment to dedicating their own agency staff to programming and strong collaboration with SCOE, WellPath, and local community- based organizations. (b) Recreation. All youth shall be provided the opportunity 313.13 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and The agency program staff have engaged with entertainment. Activities shall be supervised and include County Librarians to assist with the facility orientation and may include coaching of youth. library. Youth access the library weekly to check out books. Recreational activities ☒ ☐ ☐ include bingo, movies, wellness, painting, and art activities. Interviews with youth indicate they have the opportunity to choose their recreational activity and several available options to choose from during their leisure time. (c) Exercise. All youth shall be provided with the 313.13 opportunity for at least one hour of large muscle activity each day. ☒ ☐ ☐ The agency has also partnered with Travis Air Force Base Ravens for a weekly workout program for youth. The administrator/manager may suspend, for a period 313.13 not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM 313.14 Religious Programs The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 7646 Solano SYTF PRO 23-24 Page 34 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) opportunity for religious services and practices; ☒ ☐ ☐ 313.14 (b) availability of clergy; and, ☒ ☐ ☐ 313.14 313.14 (c) availability of religious diets. ☒ ☐ ☐ 308.4 Special Diets 1373 WORK PROGRAM 313.11 Vocational Work Programs The facility administrator shall develop policies and The agency provides opportunities for basic procedures regarding the fair and consistent assignment housekeeping, internal paint and cleanup of youth to work programs. Work assigned to a youth shall ☒ ☐ ☐ crews, and youth receive instruction on how to be meaningful, constructive and related to vocational raise fruits and vegetables through a training or increasing a youth's sense of responsibility. partnership with Sustainable Solano. Work programs shall not be imposed as a disciplinary measure 1374 VISITING 313.8 Visitation Program The facility administrator shall develop and implement Visiting occurs on Tuesday, Wednesday, and written policies and procedures for visiting, that include Saturday at various times for each housing provisions for special visits. Youth shall be allowed to pod. receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family ☒ ☐ ☐ During the inspection, observed visiting members, such as grandparents and siblings, and occurring in the visiting room. Interviews with supportive adults, may be allowed to visit with the youth indicate visiting occurs as scheduled approval of the facility administrator or designee, and in and has not been canceled. The facility is in conjunction with the youth’s case plan or in the best compliance with this regulation. interest of the youth. All visits shall occur at reasonable times, subject only to 313.8 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 313.8 per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour 313.8 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 313.8 ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE 313.15 Mail Programs The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth 313.15 ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; 313.15 ☒ ☐ ☐ Postage is provided for youth’s outgoing mail. 7646 Solano SYTF PRO 23-24 Page 35 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) youth may correspond confidentially with state and 313.15 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 313.15 in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS 313.7 Access to Telephone The administrator of each juvenile facility shall develop ☒ ☐ ☐ The agency recently added another telephone and implement written policies and procedures to provide in the living units for youth to use. youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES Chapter 311.1 Access to Courts Chapter 311.2 Access to Counsel 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 311.2 ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; 311.2 ☒ ☐ ☐ and, (c) unlimited postage free, legal correspondence and 311.2 ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE 312.15 Formal Disciplinary Process The facility administrator shall develop and implement The agency utilizes a Behavior Management written policies and procedures for the discipline of youth Program which focuses on being safe, that shall promote acceptable behavior; including the use responsible, respectful, and kind. Youth who of positive behavior interventions and supports. Discipline ☒ ☐ ☐ display positive behavior earn points which shall be imposed at the least restrictive level which can be used for commissary and incentive promotes the desired behavior and shall not include weekly game room. The agency indicates corporal punishment, group punishment, physical or since implementation of BMS they have seen psychological degradation. Deprivation of the following is a significant reduction in youth violence, room not permitted: confinement, and staff and youth injuries. (a) bed and bedding; ☒ ☐ ☐ 312.15 (b) daily shower, access to drinking fountain, toilet and 312.15 ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ 312.15 (d) contact with parent or attorney; ☒ ☐ ☐ 312.15 (e) exercise; ☒ ☐ ☐ 312.15 (f) medical services and counseling; ☒ ☐ ☐ 312.15 (g) religious services; ☒ ☐ ☐ 312.15 (h) clean and sanitary living conditions; ☒ ☐ ☐ 312.15 (i) the right to send and receive mail; ☒ ☐ ☐ 312.15 (j) education; and, ☒ ☐ ☐ 312.15 (k) rehabilitative programming. ☒ ☐ ☐ 312.15 The facility administrator shall establish rules of conduct 312.15 and disciplinary penalties to guide the conduct of youth. 312.11 Rules of Conduct Such rules and penalties shall include both major 312.12 Publish/Distribute Youth Opportunity violations and minor violations, be stated simply and Handbook ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7646 Solano SYTF PRO 23-24 Page 36 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1391 DISCIPLINE PROCESS 312.15 Formal Disciplinary Process The facility administrator shall develop and implement Reviewed 16 discipline process packages written policies and procedures for the administration of which include Major Rule Violation discipline which shall include, but not be limited to: Notification, Special Incident Report, and Due Process Hearing forms. All were within the 24- ☒ ☐ ☐ hour timeframe and most incidents were for fighting. Discipline imposed could include a reduction in steps, points, and/or privileges. Youth may be required to complete a Rational Self Analysis Tool or participate in a conflict resolution session. The agency is in compliance with the regulation. (a) designation of personnel authorized to impose 312.15 ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ 312.15 (c) definition of major and minor rule violations and their 312.11 Definitions of Minor and Major Rule ☒ ☐ ☐ consequences, and due process requirements; Violations (d) trauma-informed approaches and positive behavior 312.11 ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by 312.13 Informal Resolution of Minor counseling, advising the youth of expected conduct Misbehavior 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 312.16 Disciplinary Hearings, Appeals and ☒ ☐ ☐ be documented and require the following: Administrative Review (1) written notice of violation prior to a hearing; ☒ ☐ ☐ 312.16 (2) accommodations provided to youth with 312.16 disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the 312.16 ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present 312.16 ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the 312.16 ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ 312.16 (g) violations that result in a removal from camp or 312.16 commitment program, but not a return to court, will ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE 307.14 Serious, Infectious and DISEASES. Communicable Diseases The health administrator/responsible physician, in 306.22 Emergency Plan-Pandemic Influenza cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ Outbreak 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: 307.14 (a) Intake health screening procedures; ☒ ☐ ☐ 307.7 Health Screenings and Evaluation 307.14 (b) Identification of relevant symptoms; ☒ ☐ ☐ 306.22 307.14 (c) Referral for medical evaluation; ☒ ☐ ☐ 307.7 7646 Solano SYTF PRO 23-24 Page 37 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 306.22 (d) Treatment responsibilities during detention; ☒ ☐ ☐ 307.7 (e) Coordination with public and private community- 307.7 ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ 307.14 307.14 (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ 306.22 The policies and procedures shall be updated as The agency necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES 307.3 Unimpeded Access to Care (EXCERPT) A locked box is accessible in the units for the The health administrator, in cooperation with the facility youth to confidentially convey requests for administrator, shall develop policy and procedures to ☒ ☐ ☐ health care services. Youth interviewed were establish a daily routine for youth to convey requests for aware of the confidential box and indicated emergency and non-emergency medical, dental and they could also just ask staff or the nurse to be behavioral/mental health care services. seen. 1480 STANDARD FACILTY CLOTHING ISSUE 305.14 Clothing, Bedding and Linen Supplies The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily 305.14 laundered, in good repair, and free of holes and tears. The clothing worn by youth were observed to be in good repair, free of stains, and well fitted. ☒ ☐ ☐ The youth interviewed indicated if they needed any new underwear, outer clothing, or shoes, they could just ask staff and they would receive the items. (b) The standard issue of climatically suitable clothing 305.14 ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ 305.14 (2) Outer garments; ☒ ☐ ☐ 305.14 (3) New non-disposable underwear which shall 305.14 ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and 305.14 ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by 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. ☒ ☐ ☐ 1482 CLOTHING EXCHANGE 305.14 Clothing, Bedding and Linen Supplies The facility administrator shall develop and implement written policies and site-specific procedures for the 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. 7646 Solano SYTF PRO 23-24 Page 38 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1484 CONTROL OF VERMIN IN YOUTH’S 305.11 Vermin and Pest Control PERSONAL CLOTHING 305.14 Clothing, Bedding and Linen Supplies There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS 305.16 Personal Hygiene Articles There shall be written policies and site-specific 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; (a) Toothbrush; ☒ ☐ ☐ 305.16 (b) Toothpaste; ☒ ☐ ☐ 305.16 (c) Soap; ☒ ☐ ☐ 305.16 (d) Comb; ☒ ☐ ☐ 305.16 (e) Shaving implements; ☒ ☐ ☐ 305.16 (f) Deodorant; ☒ ☐ ☐ 305.16 (g) Lotion; ☒ ☐ ☐ 305.16 (h) Shampoo; and, ☒ ☐ ☐ 305.16 305.16 (i) Post-shower conditioning hair products. ☒ ☐ ☐ Youth shall not be required to share any personal care 305.16 items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE 305.16 Personal Hygiene Articles 305.15 Showers There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ 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 305.16 Personal Hygiene Articles Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 7646 Solano SYTF PRO 23-24 Page 39 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1488 HAIR CARE SERVICES (EXCERPT) 305.17 Hair Care Services Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE 305.14 Clothing, Bedding and Linen Supplies Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which 305.14 meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in 305.14 ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ 305.14 (d) One towel; and, ☒ ☐ ☐ 305.14 (e) One blanket or more, up on request ☒ ☐ ☐ 305.14 1501 BEDDING LINEN EXCHANGE 305.14 Clothing, Bedding and Linen Supplies The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered 305.14 once a month. ☒ ☐ ☐ Procedures indicate blankets are washed weekly. 1510 FACILITY SANITATION, SAFETY AND 305.11 Vermin and Pest Control MAINTENANCE 305.12 Housekeeping and Maintenance Plan The facility administrator shall develop and implement The intake/admission, housing units, sleeping written policies and site-specific procedures for the rooms, restrooms, visiting room, medical maintenance of an acceptable level of cleanliness, offices, hallways, and recreation areas were repair and safety throughout the facility. The plan shall organized, clean smelling, free from graffiti or provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ damage. The facility is well maintained. 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). 7646 Solano SYTF PRO 23-24 Page 40 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ ☐ ☒ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☐ ☒ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐ ☐ ☒ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7646 Solano SYTF PRO 23-24 Page 41 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009; 2014; 2018 BSCC Code: 7645 & 7646 FACILITY NAME: Solano County Juvenile Hall and Secure Youth Treatment Facility FACILITY TYPE: JH & SYTF 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That Apply): X FIELD REPRESENTATIVE: Shay Molennor DATE: June 29, 2023 TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.1 Reception/intake admission. 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; ☒ ☐ The weapons locker is in the sally port. ☐ 2. A secure room for the confinement of youth pending There are 3 holding rooms in intake/ admission to juvenile hall as specified in Section admissions area. 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; There are 2 showers in intake/admissions ☒ ☐ ☐ area. 4. A secure vault or storage space for youth, valuables; ☒ ☐ ☐ 5. Telephone accessible to youth; and There are 2 telephones for youth to access in ☒ ☐ ☐ the intake/admission area. 6. Access to hot and cold running water for staff use. ☒ ☐ ☐ 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. ☒ ☐ ☐ 7645+ Solano JH SYTF PHY 23-24 - 1 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.3 Natural light. 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. 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 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 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 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, ☐ 3. The door into this room shall swing outward or 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. ☒ ☐ ☐ 7645+ Solano JH SYTF PHY 23-24 - 2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.9 Dormitories 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 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. Indoor/outdoor physical activity and recreation areas 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 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. ☐ 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 ☒ ☐ be for education. ☐ 7645+ Solano JH SYTF PHY 23-24 - 3 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Each academic classroom shall contain a minimum of 160 square feet of floor space for the teacher’s desk ☒ ☐ and work area and a minimum of 28 square feet of ☐ floor space per minor. A communication system shall be provided in each Teachers are trained to use handheld radios classroom to allow for immediate response to for communication. In addition, a youth ☒ ☐ emergencies. ☐ supervision staff is present in the classroom during instruction. 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. 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 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 ☐ ☒ 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 are 3 medical exam rooms. ☒ ☐ There must be a minimum of one suitably equipped ☐ medical examination room in every juvenile facility. Medical examination rooms shall provide the following: 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 ☒ ☐ no single dimension less than 7 feet; ☐ 5. Hot and cold running water; ☒ ☐ ☐ 7645+ Solano JH SYTF PHY 23-24 - 4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 6. Smooth, nonporous, washable surface; ☒ ☐ ☐ 7. A medical exam table; and, ☒ ☐ ☐ 8. Adequate lighting. ☒ ☐ ☐ 1230.1.15 Pharmaceutical storage. Provide lockable storage space for medical supplies ☒ ☐ ☐ and pharmaceutical preparations as specified by Title 15, Section 1438. 1230.1.16 Dining areas. Youth eat in the day room with seats for 32 youth. 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 ☒ ☐ same room without appropriate visual barrier. ☐ 1230.1.17 Visiting space. 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. 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. 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. 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. There is a locked janitor closet in each housing unit and one in the intake/admission area. 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. 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. 7645+ Solano JH SYTF PHY 23-24 - 5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. ☒ ☐ 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. 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; ☐ 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. 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. 7645+ Solano JH SYTF PHY 23-24 - 6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. 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. 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. ☐ 1230.2.3 Drinking fountains. 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. 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 least one shower or bathtub to every six youth. ☒ ☐ ☐ Showers shall be provided with tempered water. 1230.2.5 Beds. ☒ ☐ 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. ☐ 7645+ Solano JH SYTF PHY 23-24 - 7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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; ☐ ☒ ☐ 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. ☒ ☐ ☐ Seating shall be designed for the level of security. When bench seating is used, 18 inches of bench is ☒ ☐ seating for one person. ☐ 1230.2.9 Weapons lockers. Weapons lockers are required in all secure juvenile ☒ ☐ ☐ 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. 7645+ Solano JH SYTF PHY 23-24 - 8 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.11 Mirrors. A mirror of a material appropriate to the level of ☒ ☐ ☐ security must be provided near each wash basin specified in these regulations. 7645+ Solano JH SYTF PHY 23-24 - 9 - J456 PHY 98 01 03 09 14 18 dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7645, 7646 FACILITY: Solano Juvenile Hall and Secure Youth Treatment Facility TYPE: JH, SYTF RC: JH 103 SYTF 15 FIELD REPRESENTATIVE: Shay Molennor DATE: June 29, 2023 ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # RC RC (L x W x H) T U W F S Beds Intake/Reception Holding 1 Holding 2001 1 (3) (3) 73 square feet 1 1 1 Holding 2 Holding 2001 1 (3) (3) 73 square feet Holding 3 Holding 2001 1 (4) (4) 73 square feet Note: There are two showers, two bathrooms, and one drinking fountain in the intake hallway. Building 1 Living Units Sycamore Single 2001 20 1 20 130 square feet 1 1 1 5 Double 2001 5 2 10 130 square feet 1 1 1 Note: There are two showers upstairs and three showers downstairs, one of which is an ADA shower. Rooms 103 and 105 are ADA rooms. The dayroom space is 1232 square feet. There are two classrooms, 592 square feet each. Palo Verde Single 2001 15 1 15 73 square feet 1 1 1 3 Note: The dayroom space is 857 square feet. There is one classroom, 592 square feet. Redwood Single 2001 15 1 15 73 square feet 1 1 1 3 Note: The dayroom space is 857 square feet. There is one classroom, 592 square feet. Sequoia Single 2001 20 1 20 130 square feet 1 1 1 5 JH/SYTF Double 2001 5 2 10 130 square feet 1 1 1 Note: The SYTF program is housed in the Sequoia living unit. There are two showers upstairs and three showers downstairs, one of which is an ADA shower. Rooms 107 and 108 are ADA rooms. The dayroom space is 1232 square feet. There are two classrooms, 592 square feet each. Building 2 Single 1997 28 1 1 28 65 square feet 1 1 1 5 Note: This building houses the Construction Trades Program and is used for incentive programming. There are two classrooms, 592 square feet each. *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. 7645+ Solano JH SYTF LASE 23-24 - 1 - J460 LAS JUV-05.dot (rev.12/2022) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7647 FACILITY NAME: Solano Challenge Program FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Shawna Albright, Division Chief, Dean Wilder, Probation Services Manager, Joseph Herman, Juvenile Correctional Counselor Manager, Dr. Valerie Garrett-Director of Educational Options for Solano County Office of Education (SCOE), Tonya Sanchez, Aramark Food Services Manager, Darlla Roesler, WellPath Health Services Administrator, Lisa Castillo, WellPath Mental Health Provider, C. Sloan, Supervising Juvenile Correctional Counselor, K. Brooks-Senior Programming Correctional Counselor, Caravee S.- age 16-Challenge FIELD REPRESENTATIVE: Shay Molennor DATE: June 27-29, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS June 29, 2021 June 14. 2023 On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ A building inspection was not completed in documented inspection and evaluation from the ☐ ☐ 2022. The agency indicated they are now following: tracking all required inspections in the (a) county building inspector or person designated by PowerDMS system to ensure compliance with the Board of Supervisors to approve building safety; this regulation. (b) fire authority having jurisdiction, including a fire January 23, 2022 clearance as required by Health and Safety Code Section ☒ June 27, 2023 (Pending final report) ☐ ☐ 13146.1(a) and (b); (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Nutrition: December 9, 2021 Environmental: December 9, 2021 Medical/Mental Health: October 26-28, 2021 ☒ ☐ ☐ Nutrition: December 21, 2022 Environmental: December 7, 2022 (All areas of noncompliance have been addressed by facility administration.) Medical/Mental Health: December 6-8, 2022 (d) county superintendent of schools on the adequacy of December 15, 2021 educational services and facilities as required in Section ☒ December 15, 2022 ☐ ☐ 1370; (e) juvenile court as required by Section 209 of the December 30, 2021 ☒ Welfare and Institutions Code; and, ☐ ☐ December 16, 2022 (f) the Juvenile Justice Commission as required by March 12, 2021 Section 229 of the Welfare and Institutions Code or March 27, 2023 Probation Commission as required by Section 240 of the Welfare and Institutions Code. ☒ A JJC inspection was not completed in 2022. ☐ ☐ The agency indicated they are now tracking all required inspections in the PowerDMS system to ensure compliance with this regulation. 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7647 Solano Challenge Program PRO 23-24 Page 1 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS A memorandum dated June 1, 2023, by Chief Probation Officer Chris Hansen addressed all BSCC Note: Compliance with this section is determined elements of this regulation. by receipt of the Chief Probation Officer’s certification letter confirming that all elements of regulation are met. (a) Appointment ☒ ☐ ☐ 301.4 Facility Administrative Officer 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 303.6 Job Descriptions/Position 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 303.6 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 303.6 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 303.6 employee, and psychological examination in ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- 303.6 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. 7647 Solano Challenge Program PRO 23-24 Page 2 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING 303.2 Staff Requirements 309.5 Staff/Supervisory Deployment Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The agency staffs for their JH, Camp, and carry out the overall facility operation and its SYTF which are on the same campus. The programming, to provide for safety and security of youth combined population was 23 on the first day and staff, and meet established standards and of the inspection, dispersed between two regulations; living units. JH and Challenge Camp youth are currently co-mingled in the same living unit. JH youth with charges which could result in an SYTF commitment are housed with SYTF youth in the same living unit. Population numbers: JH 12 Challenge 1 RISE SYTF 10 Reviewed Shift pattern for January 8, 2023, to July 15, 2023. ☒ ☐ ☐ Management/Administration 1 Division Chief 1 Probation Services Manager 1 Juvenile Correctional Counselor 6 Supervising Juvenile Correctional Counselors Youth Supervision 6 Senior Juvenile Correctional Counselors 51 Juvenile Correctional Counselors (11 vacancies and pending one new hire in July 2023) 5 Extra Help Juvenile Correctional Counselors 2 Support staff 24 Deputy Probation Officers are eligible to work overtime to help provide coverage. The agency is in compliance with this regulation. (b) ensure that no required services shall be denied 303.2 because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to 303.2 ☒ ensure adequate supervision of all staff members; ☐ ☐ (d) have a clearly identified person on duty at all times 309.5 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 309.5 ☒ unit whenever there are youth in the living unit; ☐ ☐ 7647 Solano Challenge Program PRO 23-24 Page 3 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) have sufficient food service personnel relative to the 308.1 Food Services Management number and security of living units, including staff qualified and available to: plan menus meeting nutritional Aramark provides food services to the facility. requirements of youth; provide kitchen supervision; direct One Food Services Manager, 2 cooks, and ☒ food preparation and servings; conduct related training ☐ ☐ pending a part-time new hire. Youth are programs for culinary staff; and maintain necessary served 3 hot meals a day and two snacks. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, 303.2 medical, dental, mental health, building maintenance, transportation, control room, facility security and other WellPath provides medical coverage 7 days a support staff for the efficient management of the facility, week from 7:00 a.m. to 11:00 p.m. and to ensure that youth supervision staff shall not be ☒ diverted from supervising youth; and, ☐ ☐ WellPath provides mental health coverage from 7 days a week from noon to 8:00 p.m. (h) assign sufficient youth supervision staff to provide 309.5 continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls (A) during the hours that youth are awake, one ☐ ☒ wide-awake youth supervision staff member on ☐ duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☒ youth supervision staff member on duty for each ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☒ arrangement has been made for backup support ☐ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☒ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☒ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☒ awake youth supervision staff member on duty for ☐ ☐ each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, 7647 Solano Challenge Program PRO 23-24 Page 4 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps 309.5 (A) during the hours that youth are awake, one wide-awake youth supervision staff member on The agency operates with Prison Rape ☒ ☐ duty for each 15 youth in the camp population; ☐ Elimination Act (PREA) staffing ratios of 1 youth supervision staff to 8 youth during awake hours. (B) during the hours that youth are confined to their 309.5 room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each ☒ ☐ The agency operates with PREA staffing ☐ 30 youth present in the facility; ratios of 1 youth supervision staff to 16 youth during sleeping hours. (C) at least two wide-awake youth supervision staff 309.5 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 309.5 duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio 309.5 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 309.5 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 304.4 New Employee Orientation AND TRAINING A memorandum dated June 1, 2023, by Chief (a) Prior to assuming any responsibilities each youth Probation Officer Chris Hansen addressed all supervision staff member shall be properly oriented to ☒ elements of this regulation. their duties, including: ☐ ☐ (1) youth supervision duties; Reviewed Solano Juvenile Correctional Counselor Training Curriculum and PowerPoint training presentation. (2) scope of decisions they shall make; ☒ 304.4 ☐ ☐ (3) the identity of their supervisor; ☒ 304.4 ☐ ☐ (4) the identity of persons who are responsible to 304.4 ☒ them; ☐ ☐ (5) persons to contact for decisions that are beyond 304.4 ☒ their responsibility; and ☐ ☐ (6) ethical responsibilities. ☒ 304.4 ☐ ☐ 7647 Solano Challenge Program PRO 23-24 Page 5 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the 304.4 supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility- Staff receive 80 hours of facility-specific specific orientation, including: orientation and training prior to being assigned ☒ ☐ ☐ the supervision of youth. In addition to these required hours, the staff complete the Solano Juvenile Correctional Counselor Training Curriculum. (1) individual and group supervision techniques; ☒ 304.4 ☐ ☐ (2) regulations and policies relating to discipline and 304.4 rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; ☒ 304.4 ☐ ☐ (4) suicide prevention and response to suicide 304.4 ☒ attempts ☐ ☐ (5) policies regarding use of force, de-escalation 304.4 techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing 304.4 ☒ trauma and trauma-informed approaches; ☐ ☐ (7) procedures to follow in the event of emergencies; ☒ 304.4 ☐ ☐ (8) routine security measures, including facility 304.4 ☒ perimeter and grounds; ☐ ☐ (9) crisis intervention and mental health referrals to 304.4 ☒ mental health services; ☐ ☐ (10) documentation; and ☒ 304.4 ☐ ☐ (11) fire/life safety training ☒ 304.4 ☐ ☐ (c) Prior to assuming sole supervision of youth, each 304.4 youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ The BSCC Standards and Training for ☐ ☐ Officer Core Course pursuant to Penal Code Section Corrections found the agency in compliance 6035. with this regulation. (d) Prior to exercising the powers of a peace officer youth 304.4 supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Youth supervision staff receive Fire and Life Safety training through CORE. The Whenever there is a youth in a juvenile facility, there shall memorandum as to staff training dated June be at least one wide awake person on duty at all times ☒ ☐ ☐ 1, 2023, by Chief Probation Officer Chris who meets the training standards established by the Hansen confirmed compliance with this Board for general fire and life safety which relate regulation. specifically to the facility. 7647 Solano Challenge Program PRO 23-24 Page 6 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1324 POLICY AND PROCEDURES MANUAL 301.1 Purpose and Mission 301.2 Format, Development, Review, All facility administrators shall develop, publish, and Distribution and Storage implement a manual of written policies and procedures that address, at a minimum, all regulations that are The policy and procedures manual applicable to the facility. Such a manual shall be made incorporates American Correctional available to all employees, reviewed by all employees, Association standards and Title 15 and shall be administratively reviewed at a minimum regulations. The Facility Manager was every two years, and updated, as necessary. Those provided with recommendations to enhance records relating to the standards and requirements set their policies and procedures to address forth in these regulations shall be accessible to the Board consistency and clarity. on request. ☒ ☐ ☐ The manual shall include: Policies and Procedures are available to staff using their own staff log-in through PowerDMS. The agency tracks ongoing policy and procedure review by staff through this system. The Division Chief utilizes a spreadsheet indicating status of policies in review. The agency is in compliance with this regulation. (a) table of organization, including channels of 301.6 Table of Organization communications and a description of job classifications; ☒ 301.7 Channels of Communication ☐ ☐ 303.6 Job Descriptions/Position Qualifications (b) responsibility of the probation department, purpose of 301.1 programs, relationship to the juvenile court, the Juvenile 303.6 Justice/Delinquency Prevention Commission or ☒ Probation Committee, probation staff, school personnel ☐ ☐ and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; ☒ 304 Training and Staff Development ☐ ☐ (d) initial orientation and training program for employees; 304.4 New Employee Orientation ☒ ☐ ☐ 304.5 Annual Training Requirements (e) initial orientation, including safety and security issues 304.5 and anti-discrimination policies, for support staff, contract 311.3 Protection from Discrimination and ☒ employees, school, mental/behavioral health and ☐ ☐ Harassment medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and 301.2 ☒ communication system to ensure: ☐ ☐ (1) efficient operation of the juvenile facility; ☒ 301.2 ☐ ☐ (2) legal and proper care of youth; ☒ 301.2 ☐ ☐ (3) maintenance of individual youth's records; ☒ 301.2 ☐ ☐ (4) supply of information to the juvenile court and 301.2 ☒ those authorized by the court or by the law; and, ☐ ☐ (5) release of information regarding youth. ☒ 301.2 ☐ ☐ (g) ethical responsibilities; ☒ 303.28 Code of Ethics ☐ ☐ 304.4 304.5 (h) trauma-informed approaches; ☒ ☐ ☐ 309.12 Use of Mechanical Restraints 313.4 Educational Program 7647 Solano Challenge Program PRO 23-24 Page 7 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 304.5 305.16 Personal Hygiene Products 307.2 Medical Personal 311.11 Lesbian, Gay Bisexual, Transgender, (i) culturally responsive approaches; ☒ ☐ ☐ Questioning, Intersex (LGBTQIA+) Youth 313.4 Education Program 313.12 Library Services 313.13 Recreation and Activities Program 309.5 Staff/Supervisory Deployment 309.13 Searches and Control of Contraband 311.3 (j) gender responsive approaches; ☒ ☐ ☐ 311.11 313.16 Protection from Harm/Rights and Responsibilities of Youth (k) a non-discrimination provision that provides that all 311.3 youth within the facility shall have fair and equal access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any The agency does not use chemical agents. chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- 313.2 Counseling Services Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of 303.4 Sexual Harassment sexual abuse, sexual assault and sexual harassment. 303.30 Equal Employment Opportunity The policy shall include an approach to preventing, 311.3 detecting and responding to such conduct and any 311.8 Information Provided to Juvenile About ☒ retaliation for reporting such conduct, as well as a ☐ ☐ Sexual Abuse/Assault provision for reporting such conduct by youth, staff or a 311.9 Sexual Misconduct third party. 311.11 311.12 Prison Rape Elimination (PREA) 1325 FIRE SAFETY PLAN 306.1 Fire Safety 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 Reviewed monthly fire and life safety with two-year retention of the inspection record; inspections from January 2022 through May ☒ 2023. The graveyard supervisor is responsible ☐ ☐ to address areas of concern. The agency is in compliance with this regulation. (c) fire prevention inspections as required by Health and Fire prevention inspection completed January ☒ Safety Code Section 13146.1(a) and (b); ☐ ☐ 23, 2022. (d) an evacuation plan; ☒ 306.10 Emergency Evacuation Procedures ☐ ☐ 7647 Solano Challenge Program PRO 23-24 Page 8 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; The facility conducted 34 fire drills from January 2022 through May 2023. Some ☒ months had 3 fire drills conducted. Missed ☐ ☐ February 2023 but drills exceed the regulation requirement of quarterly drills. (f) a written plan for the emergency housing of youth in 306.10 Emergency Evacuation Procedures/ the case of fire; and, Prompt Release 306.16 Emergency Plan-Long Term ☒ Evacuation Plan ☐ ☐ The agency is in the process of developing a specific plan in case of a need for long-term housing of evacuated youth. (g) development of a fire suppression pre-plan in A fire pre-plan was developed with and cooperation with the local fire department. approved by the Fairfield City Fire Department. ☒ ☐ ☐ On June 27, 2023, the City of Fairfield Fire Marshall and their team was onsite to review a fire pre-plan and conducted the bi-annual fire inspection. 1326 SECURITY REVIEW 309.1 Security, Control and Supervision Manual Each facility administrator shall develop policies and procedures to annually review, evaluate, and document A memorandum dated June 5, 2023, by security of the facility. The review and evaluation shall Division Chief Shawna Albright addressed all include internal and external security, including, but not elements of this regulation. limited to, key control, equipment, and staff training. This inspection cycle, security upgrades were made to the Trades classrooms with additional cameras and a metal detector. The RISE unit received 6 additional cameras. ☒ ☐ ☐ The agency measures 15 data collection points as to safety and security. The agency credits their Behavior Management System, Rational Self-Analysis Tool, Multi-disciplinary Team meetings, increased case planning and goal setting, introduction of the incentive room, and expanding CBT programming for an 80 percent reduction in assaults on staff and 47 percent reduction of assaults on youth from 2021 to 2022. 1327 EMERGENCY PROCEDURES 306 Safety and Emergency Procedures The facility administrator shall develop facility-specific ☒ ☐ ☐ policies and procedures for emergencies that shall include, but not be limited to: 306.17 Major Disturbance/Riot (a) escape, disturbances, and the taking of hostages; ☒ 306.18 Hostage/Assault on the Facility ☐ ☐ 306.19 Escape-Attempts (b) civil disturbance, active shooter and terrorist 306.17 Major Disturbances/Riot ☒ attack; ☐ ☐ 306.11 Emergency Plan-Fire (c) fire and natural disasters; ☒ 306.12 Earthquake/Weather Emergency/ ☐ ☐ Disasters (d) periodic testing of emergency equipment; ☒ 306.9 Emergency Equipment Testing ☐ ☐ (e) emergency evacuation of the facility; and ☒ 306.10 Evacuation/Prompt Release ☐ ☐ 7647 Solano Challenge Program PRO 23-24 Page 9 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A memorandum dated June 5, 2023, by Division Chief Shawna Albright addressed elements of this regulation. (f) a program to provide all youth supervision staff ☒ Every 6 months, at the start of a new shift with an annual review of emergency procedures. ☐ ☐ rotation, supervisors review safety and emergency procedures which include fire and life safety, fire drill and evacuation elements, and response to incidents within the facility. 1328 SAFETY CHECKS 309.29 Safety Checks The facility administrator shall develop and implement Reviewed safety checks for July and October policy and procedures that provide for direct visual 2022 and January of 2023. The facility utilizes observation of youth at a minimum of every 15 minutes, Guard1 Plus to record safety checks. at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in The agency has a system in place to conduct holding cells or confined to their bed in a dormitory. regular audits of safety checks. The Senior Supervision is not replaced, but may be supplemented and/or Supervisor will pull the data from the by, an audio/visual electronic surveillance system Guard 1 Plus two times per shift and review. designed to detect overt, aggressive or assaultive They will investigate any late checks and behavior and to summon aid in emergencies. All safety safety checks which are not random and checks shall be documented with the actual time the ☒ ☐ ☐ varied. A shift summary at the end of each shift check is completed. will also report on any incident reports in which checks were late or not random and varied. Safety checks are one of 15 areas of data the agency collects and this data is reviewed each month. A room check discrepancy report will be addressed by assigned supervisors. The agency is upgrading their current system for real-time notification. The documentation reviewed affirms the facility is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN 307.5 Suicide/Self Injury Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Discussion with the facility administration and shall plan and implement written policies and WellPath indicate responses to suicidal youth procedures which delineate a Suicide Prevention Plan. are based upon acuity and are in the least The plan shall consider the needs of youth experiencing invasive manner. past or current trauma. Suicide prevention responses ☒ shall be respectful and in the least invasive manner ☐ ☐ The agency had no incidents of suicidal consistent with the level of suicide risk. The plan shall behavior without injury and no suicidal include the following elements: behavior with injury in 2021, 2022, and through the date of the inspection. (a) Suicide prevention training as required in Section 307.5 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and 307.5 Precautionary Protocols 307.7 Health Screenings and Evaluation ☒ (1) All youth shall be screened for risk of suicide at ☐ ☐ intake and as needed during detention. (2) All youth supervision staff who perform intake 307.5 processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. 7647 Solano Challenge Program PRO 23-24 Page 10 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) All youth who have been identified during the 307.5 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 307.5 ensure the youth’s safety pending the ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for 307.5 ☒ assessment and/or services. ☐ ☐ (d) Procedures for monitoring of youth identified at risk 307.5 ☒ for suicide. ☐ ☐ (e) Safety Interventions 307.5 (1) Procedures to address intervention protocols for ☒ youth identified at risk for suicide which may include, ☐ ☐ but are not limited to: (A) Housing consideration ☒ 307.5 ☐ ☐ (B) Treatment strategies including trauma- 307.5 ☒ informed approaches ☐ ☐ (2) Procedures to instruct youth supervision staff 307.5 how to respond to youth who exhibit suicidal ☒ ☐ ☐ behaviors. (f) Communication 307.5 (1) The intake process shall include communication 310.2 Admissions Procedures with the arresting officer and family guardians ☒ ☐ ☐ regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current information 307.5 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 307.5 Attempts 306.21 Critical Incident Debriefing (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 306.21 ☒ staff. ☐ ☐ (3) Process for a debriefing event with affected 306.21 ☒ youth. ☐ ☐ (h) Documentation 307.5 (1) Documentation processes shall be developed to ☒ 309.22 Special Incident Reports ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the 307.5 opportunity to participate in facility programs, services and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ youth or security of the facility. Any deprivation of ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS 301.13 Management and Information System Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ There are no pending legal actions. of confinement, filed against persons or legal entities responsible for juvenile facility operation. 7647 Solano Challenge Program PRO 23-24 Page 11 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR INJURY 306.15 Emergency Plan-Death, Homicide, OF A YOUTH WHILE DETAINED Suicide Attempted/Actual (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 306.15 facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to 306.15 the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth 306.15 from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. 306.14 Serious Medical/Dental Emergency (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to ☒ necessary parties, which may include the Juvenile ☐ ☐ Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING 309.9 Juvenile Counts 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) 309.21 Security Procedures When Facility Exceeds Rated Capacity When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 7647 Solano Challenge Program PRO 23-24 Page 12 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES 310.1 JDF Intake Unit 310.2 Admission Procedures The facility administrator shall develop and implement written policies and procedures for admittance of youth Reviewed 10 Admittance packets consisting that emphasize respectful and humane engagement of Admittance Sheet, Intake Health Screening, with youth, and reflect that the admission process may ☒ ☐ ☐ Booking Information Sheet, Property Record, be traumatic to youth who may have already Custody Classification Assessment, and experienced trauma. Policies shall be trauma-informed, Minor Orientation Checklist forms. The culturally relevant, and responsive to the language and agency is in compliance with this regulation. literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: 310.2 (1) Access to two free phone calls within one hour of 310.6 Telephone Calls During Admission ☒ admittance in accordance with the provisions of ☐ ☐ Welfare and Institution Code Section 627; 310.2 310.15 Shower policy (2) Offer of a shower; ☒ All youth are given a shower by policy and any ☐ ☐ exception would be documented in an incident report. Recommended to agency to document a shower was offered upon admission. 310.2 (3) Documented secure storage of personal ☒ 310.5 Personal Property Control and belongings; ☐ ☐ Safeguarding 310.2 All youth are offered food by policy. During (4) Offer of food upon arrival; ☒ ☐ ☐ interviews, youth affirmed being offered food upon intake. Recommended to agency to document food being offered upon admission. (5) Screening for physical and behavioral health 310.2 and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; (6) Screening for physical and developmental 310.2 disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the 310.2 Developmentally Disabled for youth that are suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ 309.25 Housing Classification ☐ ☐ (b) juvenile hall administrators shall establish written 309.25 criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in 313.2 Counseling Services juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform The youth’s assigned counselor will advise ☒ them of program guidelines and provide written ☐ ☐ youth of length of stay. screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures 313.2 that advise any committed youth of the estimated length ☒ of his/her stay. ☐ ☐ The youth’s assigned counselor will advise youth of length of stay. 7647 Solano Challenge Program PRO 23-24 Page 13 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350.5 SCREENING FOR THE RISK OF SEXUAL 311.12 PREA ABUSE The Victimization and Sexual/Physical The facility administrator shall develop and implement written policies and procedures to reduce the risk of ☒ ☐ ☐ Aggression Screener is completed within 72 hours by the mental health clinician. sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of admission based on the following information: 307.7 Health Screening Process (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ (b) Gender nonconforming appearance or manner; or 309.25 Housing Classification identification as lesbian, gay or bisexual, transgender, 311.12 ☒ queer or intersex, and whether the youth may, therefore, ☐ ☐ be vulnerable to sexual abuse; 309.25 (c) Current charges and offense history; ☒ ☐ ☐ 311.12 309.25 (d) Age; ☒ ☐ ☐ 311.12 307.7 (e) Level of emotional and cognitive development; ☒ ☐ ☐ 311.12 311.12 (f) Physical size and stature; ☒ ☐ ☐ 307.7 (g) Mental illness or mental disabilities; ☒ ☐ ☐ 311.12 307.7 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ 311.12 309.25 (i) Physical disabilities; ☒ ☐ ☐ 311.12 311.12 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ (k) Any other specific information about the individual 311.12 youth that may indicate heightened needs for ☒ supervision, additional safety precautions, or separation ☐ ☐ from certain other youth. Staff shall ascertain this information through 307.7 conversations with the youth during the admittance 309.25 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 311.12 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 310.8 Release Preparation/Procedures for Release The facility administrator shall develop and implement ☒ written policies and procedures for release of youth from ☐ ☐ Reviewed 9 Permanent Release custody which provide for: Authorization and 3 Property Records. (a) verification of identity/release papers; ☒ 310.8 ☐ ☐ 310.8 (b) return of personal clothing and valuables; ☒ 310.5 Personal Property Control and ☐ ☐ Safeguarding (c) notification to the youth's parents or guardian; ☒ 310.8 ☐ ☐ 7647 Solano Challenge Program PRO 23-24 Page 14 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) notification to the facility health care provider in 310.8 accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; and, Verbal notification of a release during hours medical staff is onsite. A facility roster is ☒ provided daily which will notify medical of ☐ ☐ releases outside their operating hours. Interview with medical staff confirmed compliance with this regulation. 310.8 Verbal notification during school hours and advance notice if possible. An updated facility (e) notification of school staff; ☒ roster is shared with the school Monday ☐ ☐ through Friday. Interview with school staff confirmed compliance with this regulation. 310.8 Verbal notification during hours mental health staff is onsite. A facility roster is provided daily (f) notification of facility mental health personnel. ☒ which will notify mental health of releases ☐ ☐ outside their operating hours. Interview with mental health staff confirmed compliance with this regulation. The facility administrator shall develop and implement 310.8 policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry Multi-disciplinary and Child Family Team ☒ services including, but not limited to, medical and ☐ ☐ meetings are held to address transitional and behavioral health, education, probation supervision and re-entry services. community-based services. The facility administrator shall develop and implement 310.9 Escorted/Unescorted Leaves written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION 309.25 Housing Classification The facility administrator shall develop and implement Reviewed 10 custody classification written policies and procedures on classification of youth documents, 4 shift summary documents, and for the purpose of determining housing placement in the 10 Intake Health Screenings. The agency is in facility. ☒ compliance with this regulation. Such procedures shall: ☐ ☐ (a) provide for the safety of the youth, other youth, 309.25 facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ settings. Housing assignments shall consider the need ☐ ☐ for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of 309.25 ☒ the facility; ☐ ☐ 7647 Solano Challenge Program PRO 23-24 Page 15 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) provide that a youth shall be classified upon 309.25 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 309.25 provisions that consider the level of supervision and the ☒ youth's behavior while in custody; and, ☐ ☐ Classification is reviewed daily and changes would be documented in a shift summary. (e) provide that facility staff shall not separate youth from 309.25 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, 309.25 transgender, questioning or intersex identification or 311.12 PREA ☒ status as an indicator of likelihood of being sexually ☐ ☐ abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. 311.1 Lesbian, Gay Bisexual, Transgender, Questioning, Intersex (LGBTQIA+) Youth The facility administrator shall develop written policies and procedures ensuring respectful and equitable ☒ Reviewed 4 documents to indicate youth’s treatment of transgender and intersex youth. The ☐ ☐ preferred pronoun, name, and pat-down policies shall provide that: search preference. The agency is compliant with this regulation. (a) Facility staff shall respect every youth’s gender 311.1 identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ gang or slang names or names that otherwise ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present 311.1 themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that 311.1 best meets their individual needs and promotes their 309.25 Housing Classification 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 311.1 and intersex youth have access to medical and ☒ behavioral health providers qualified to provide care and ☐ ☐ treatment to transgender and intersex youth. 7647 Solano Challenge Program PRO 23-24 Page 16 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) Consistent with the facility’s reasonable and 311.11 necessary security considerations and physical plant, 311.12 PREA 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 311.11 youth for the purpose of determining the youth’s 311.12 anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION 310.7 Reception and Orientation of Youth 312.2 Publish/Distribute Youth Opportunity The facility administrator shall develop and implement Handbook written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal Each program has their own youth handbook. information shall be provided and supplemented with ☒ ☐ ☐ video orientation if feasible. Provision shall be made to provide accessible orientation information to all detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses: (a) facility rules including contraband and searches and 310.7 ☒ disciplinary procedures; ☐ ☐ (b) facility’s system of positive behavior interventions 310.7 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 310.7 facility’s policy prohibiting sexual abuse and sexual ☒ harassment and how to report incidents or suspicions of ☐ ☐ sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ 310.7 ☐ ☐ (e) the existence of the grievance procedure, the steps 310.7 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 310.7 ☒ court process; ☐ ☐ (g) access to routine and emergency health and mental 310.7 ☒ health care; ☐ ☐ (h) access to education, religious services, and 310.7 ☒ recreational activities; ☐ ☐ (i) housing assignments; ☒ 310.7 ☐ ☐ (j) opportunity for personal hygiene and daily showers 310.7 ☒ including the availability of personal care items ☐ ☐ (k) rules and access to correspondence, visits and 310.7 ☒ telephone use; ☐ ☐ (l) availability of reading materials, programming, and 310.7 ☒ other activities; ☐ ☐ (m) facility policies on the use of force, use of restraints, 310.7 ☒ chemical agents and room confinement; ☐ ☐ (n) immigration legal services; ☒ 310.7 ☐ ☐ (o) emergencies including evacuation procedures; ☒ 310.7 ☐ ☐ (p) non-discrimination policy and the right to be free from 310.7 physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; 7647 Solano Challenge Program PRO 23-24 Page 17 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (q) availability of services and programs in a language 310.7 ☒ other than English if appropriate; ☐ ☐ (r) the process for requesting different housing, 310.7 ☒ education, programming and work assignments; ☐ ☐ (s) a process for which parents/guardians receive 310.7 information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Parents get this information through intake questions and provides contact information for the ☒ notifications and informational visiting ☐ ☐ facility, medical, school and mental health; and, handout. Recommended to agency formalizing a process for parents to receive standardized information. (t) a process by which youth may request access to Title 310.7 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ All youth interviewed were aware of Title 15 and indicated they could ask staff for access. 1354 SEPARATION 312.20 Separation The facility administrator shall develop and implement The facility has developed procedures for written policies and procedures that address: ☒ when youth choose to self-separate. ☐ ☐ Reviewed 7 voluntary separations and the reasons documented were for being tired or needing time alone. (a) separation of youth for reasons that include, but are 312.20 not be limited to, medical and mental health conditions, assaultive behavior, disciplinary consequences and As part of their Behavior Management protective custody. System, the agency uses a 30/5 technique as a type of remediation where the youth de- ☒ ☐ ☐ escalate in a designated unsecured area for 30 minutes while they complete a Rational Self Analysis (RSA) tool followed by a 5- minute cool down in which they process the RSA with staff. (b) consideration of positive youth development and 312.20 ☒ trauma-informed care. ☐ ☐ (c) separated youth shall not be denied normal 312.20 privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, 312.20 ☒ Title 15 Section 1390 shall apply. ☐ ☐ (e) when separation results in room confinement, the 312.20 separation shall occur in accordance with Welfare and 312.4 Room Confinement ☒ Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review 312.20 of separated youth to determine if separation remains ☒ ☐ ☐ necessary. 7647 Solano Challenge Program PRO 23-24 Page 18 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT 312.4 Room Confinement (a) The facility administrator shall develop and In 2022, the agency had 54 incidents of room implement written policies and procedures addressing confinement. Reviewed 15 instances of room the confinement of youth in their room that are confinement which consisted of consistent with Welfare and Institutions Code Section documentation outlined in Room Confinement 208.3. The placement of a youth in room confinement Stages Form, Reintegration Plan, Special shall be accomplished in accordance with the following Incident Report, and Safety Room Check log. guidelines: Twelve of the 15 incidents involved fights or assaultive behavior. Three were for threatening other youth. Discussed with ☒ agency room confinement should only be ☐ ☐ used for youth presenting an immediate threat and after all other options have been exhausted. Interviews with youth who had been placed on room confinement indicate it was for fighting and they were removed once they completed a conflict resolution. The agency is in compliance with this regulation. (1) Room confinement shall not be used before 312.4 other, less restrictive, options have been attempted and exhausted, unless attempting those options ☒ ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the 312.4 purposes of punishment, coercion, convenience, or ☒ 312.7 Disciplinary Room Confinement ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent 312.4 that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room 312.4 confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one Eleven of the 15 room confinements reviewed or more of the following: were in excess of four hours due to the youth not willing to complete a conflict resolution, ☒ comply with their reintegration plan, or ☐ ☐ complete a Rational Self Analysis tool. Discussed with agency room confinement does not have a set time and youth should be removed if no longer presenting a threat to the safety and security of the facility. (1) Return the youth to general population. ☒ 312.4 ☐ ☐ (2) Consult with mental health or medical staff. ☒ 312.4 ☐ ☐ (3) Develop an individualized plan that includes the 312.4 goals and objectives to be met in order to reintegrate ☒ 312.18 Individual Treatment Plan (ITP)/Room ☐ ☐ the youth to general population. Confinement (4) If room confinement must be extended beyond 312.4 ☒ four hours, staff shall do each of the following: ☐ ☐ 7647 Solano Challenge Program PRO 23-24 Page 19 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) Document the reasons for room confinement 312.4 and the basis for the extension, the date and time the youth was first placed in room confinement, Discussed with agency the importance of and when he or she is eventually released from adding more detail to documentation for the room confinement. need for continuation of room confinement. If ☒ ☐ ☐ a youth is refusing to complete a conflict resolution or comply with reintegration plan, it is important to clearly document behavior, comments, and steps taken to justify continuation of room confinement. (B) Develop an individualized plan that includes 312.4 the goals and objectives to be met in order to ☒ 312.18 ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the 312.4 facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of 312.4 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 312.4 ☒ court holding facilities or adult facilities. ☐ ☐ (7) Nothing in this section shall be construed to 312.4 conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an 312.4 extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ wide threat that poses an imminent and substantial ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is 312.4 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. 7647 Solano Challenge Program PRO 23-24 Page 20 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN 313.2 Counseling Services The facility administrator shall develop and implement Reviewed 9 Client Progress reports written policies and procedures for assessment and addressing behavior, adjustments and case planning. relationships, services provided, and furlough/visitation behavior. A meeting is held with the youth, assigned facility staff, assigned PO, parent, and CBO. Recommended to agency having participants who attended the meeting sign the client ☒ ☐ ☐ progress form. Reviewed 4 Multi-Disciplinary Team Meetings involving youth to address their needs and monitor an action plan. Youth are reviewed by the team if they are experiencing difficulty in the program, pending release, or have an upcoming court review. The agency is in compliance with this regulation. (a) Assessment: 313.2 The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and ☒ strengths including, but not limited to, identification of ☐ ☐ substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: 313.2 (1) A case plan shall be developed for each youth ☒ held for at least 30 days or more and created within ☐ ☐ 40 days of admission. (2) The institutional plan shall include, but not be 313.2 ☒ limited to, written documentation that provides: ☐ ☐ (A) objectives and time frame for the resolution of 313.2 ☒ problems identified in the assessment; ☐ ☐ (B) a plan for meeting the objectives that includes 313.2 a description of program resources needed and ☒ individuals responsible for assuring that the plan ☐ ☐ is implemented; (3) periodic evaluation of progress towards meeting 313.2 the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; (4) a transition plan, the contents of which shall be 313.2 subject to existing resources, shall be developed for ☒ post dispositional youth in accordance with Section ☐ ☐ 1351; and, (5) in as much as possible and if appropriate, the 313.2 plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 7647 Solano Challenge Program PRO 23-24 Page 21 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1356 COUNSELING AND CASEWORK SERVICES 313.2 Counseling Services 313.1 Social Services Programs The facility administrator shall develop and implement written policies and procedures ensuring the availability Reviewed documentation of weekly case plan of appropriate counseling and casework services for all reports and MDT meetings. Written comments youth. Policies and procedures shall ensure: ☒ are transcribed daily into Eprobation which is ☐ ☐ the case management system the agency uses to track youth information. Incident reports are also put in Eprobation. This information is utilized for ongoing case plan and transition planning. (a) youth will receive assistance with needs or concerns 313.2 ☒ that may arise; ☐ ☐ (b) youth will receive assistance in requesting contact 313.2 with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources 313.2 ☒ to meet the youth’s needs. ☐ ☐ 1357 USE OF FORCE 309.17 Use of Physical Force The facility administrator, in cooperation with the Reviewed 2 Challenge Use of Force incidents responsible physician, shall develop and implement and 15 Use of Force Reports for the agency’s written policies and procedures for the use of force, JH and SYTF. The reports involved youth which may include chemical agents. Force shall never ☒ ☐ ☐ involved in fights, threatening staff or other be applied as punishment, discipline, retaliation or youth, and attempts to de-escalate were treatment. documented. Interview with youth indicate (a) At a minimum, each facility shall develop policies and staff give warnings prior to use of force procedures which: occurring. (1) restricts the use of force to that which is deemed 309.17 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 309.17 both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are 309.17 ☒ expressly prohibited by the facility. ☐ ☐ (4) describe the requirements of staff to report any 309.17 inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7647 Solano Challenge Program PRO 23-24 Page 22 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that 309.17 includes time period and procedure for documenting and reporting the use of force, including reporting The agency had 41 Use of Force (UOF) requirements of management and line staff and incidents in 2022. Use of Force is one of 15 procedures for reviewing and tracking use of force data elements which are tracked and reported incidents by supervisory and or management staff, monthly and addressed accordingly. which include procedures for debriefing a particular incident with staff and/or youth for the purposes of After every UOF incident, the Senior and/or training as well as mitigating the effects of trauma that Supervisor will respond to the unit and debrief may have been experienced by staff and /or the youth initially with staff and then involved youth. involved. ☒ Interview with supervisory staff confirmed this ☐ ☐ practice. Recommended to agency having this information documented. Recommended to agency adding the title or position of the author of the special incident report. In addition, suggested to the agency to document in the special incident report if a youth who was secured in their room post- incident resumed programming or if a room confinement was initiated. (6) Include an administrative review and a system for 309.17 ☒ investigating unreasonable use of force. ☐ ☐ (7) define the role, notification, and follow-up 309.17 procedures required after use of force incidents for medical, mental health staff and parents or legal Though policy and procedures required guardians. notification of mental health and parents or legal guardians, the agency was not complying with this element of the regulation. ☒ ☐ ☐ The agency corrected this issue by training and having staff review and sign off on this policy. On July 20, 2023, a site visit was conducted which verified the agency is following this regulation. (8) describe the limitations of use of force on pregnant 309.17 youth in accordance with Penal Code Section 6030(f) ☒ ☐ ☐ and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force The agency does not use Chemical Agents. option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize ☒ chemical agents in the facility and the type, size and ☐ ☐ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts ☒ ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ to chemical agents shall not be left unattended until ☐ ☐ that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents ☒ involving chemical agents for medical, mental health ☐ ☐ staff and parents or legal guardians. 7647 Solano Challenge Program PRO 23-24 Page 23 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which 309.17 require that agencies provide initial and regular training ☒ ☐ in use of force and chemical agents when appropriate ☐ that address: (1) known medical and behavioral health conditions 309.17 ☒ ☐ that would contraindicate certain types of force; ☐ (2) acceptable chemical agents and the methods of The agency does not use Chemical Agents. ☒ application. ☐ ☐ (3) signs or symptoms that should result in 309.17 ☒ ☐ immediate referral to medical or behavioral health. ☐ (4) instruction on the Constitutional Limitations of 309.17 ☒ ☐ Use of Force. ☐ (5) physical training force options that may require 309.17 ☒ ☐ the use of perishable skills. ☐ (6) timelines the facility uses to define regular 309.17 ☒ ☐ training. ☐ 1358 USE OF PHYSICAL RESTRAINTS 309.12 Use of Mechanical Restraints The facility administrator, in cooperation with the There were no instances of the use of physical responsible physician and mental health director, shall restraints as it pertains to the elements of 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 309.12 who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ self-inflicted physical harm. 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 309.12 discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through affixing ☒ of hands and feet together behind the back (hogtying) is ☐ ☐ prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of 309.12 handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ the facility. Movement within the facility shall be governed ☐ ☐ by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval 309.12 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. 7647 Solano Challenge Program PRO 23-24 Page 24 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A medical opinion on the safety of placement and 309.12 retention shall be secured as soon as possible, but no later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as 309.12 possible, but in no case longer than four hours from the ☒ time of placement, to assess the need for mental health ☐ ☐ treatment. Continuous direct visual supervision shall be conducted 309.12 to ensure that the restraints are properly employed, and to ensure the safety and well-being of the youth. ☒ Observations of the youth's behavior and any staff ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and 309.12 procedures shall address: ☒ ☐ ☐ (a) documentation of the circumstances leading to an application of restraints. (b) known medical conditions that would contraindicate 309.12 ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. ☒ ☐ ☐ 309.12 (d) signs or symptoms which should result in immediate 309.12 ☒ ☐ ☐ medical/mental health referral. (e) availability of cardiopulmonary resuscitation 307.10 First Aid ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in 309.12 restraint devices, all youth shall be housed alone or in a ☒ ☐ ☐ specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ 309.12 (h) exercising of extremities. ☒ ☐ ☐ 309.12 1358.5 USE OF RESTRAINT DEVICES FOR 309.12 Use of Mechanical Restraints MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. A Mechanical Restraint Assessment Form is The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health ☒ ☐ ☐ used to determine the minimum level of restraint for routine transport. director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff 309.12 approved to utilize restraint devices and the required training. ☒ ☐ ☐ Handcuffs, leg restraints, waist chains, and quick cuffs are authorized for use by the agency. (b) the circumstances leading to the application of 309.12 restraints must be documented. A review of incident reports involving the use of mechanical restraints by staff indicate their use was for assaultive or noncompliant ☒ ☐ ☐ behavior resulting in a safety or security issue. The youth were transported away from the incident to their rooms where the restraints were removed. Reports also indicate youth were not placed in mechanical restraints if staff were able to use least restrictive means. 7647 Solano Challenge Program PRO 23-24 Page 25 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) an individual assessment of the need to apply 309.12 restraints for movement or transportation that includes consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, 309.12 with a clearly defined expectation that restraint devices ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in 309.12 accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☐ ☐ ☒ danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☐ ☐ ☒ clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any ☐ ☐ ☒ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☐ ☐ ☒ means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ 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 punishment, coercion, convenience, or retaliation by ☐ ☐ ☒ staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☐ ☐ ☒ youth. 7647 Solano Challenge Program PRO 23-24 Page 26 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) A youth may be held up to four hours in the safety 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. ☐ ☐ ☒ (2) consult with mental health or medical staff, ☐ ☐ ☒ (3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☐ ☐ ☒ the youth to general population. (d) If confinement in the safety room must be extended 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 309.13 Searches and Control of Contraband The facility administrator shall develop and implement Reviewed 7 strip search authorization forms written policies and procedures governing the search of from 2022 to March of 2023. Four incidents youth, the facility, and visitors. Policies and procedures ☒ ☐ ☐ occurred at Intake and 3 were post-detention. shall provide that: The majority were for weapons or drugs. Marijuana was found in one of the searches. The agency is in compliance with this regulation. (a) Searches shall be conducted to ensure the safety 309.13 and security of the facility, public, visitors, youth, and staff. A monthly calendar gives a breakdown of room and pod searches which is documented ☒ ☐ ☐ in the pod logbook and shift summary reports. Twice a day, the senior/supervisor will conduct a perimeter search which is documented in shift summary report. (b) Searches shall be conducted in a manner that 309.13 preserves the privacy and dignity of the person being ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity 309.13 ☒ ☐ ☐ searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be 309.13 ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only 309.13 be strip searched with prior approval of a supervisor when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall 309.13 ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches 309.13 are prohibited except in exigent circumstances or when ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 7647 Solano Challenge Program PRO 23-24 Page 27 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE 311.10 Grievance Procedure The facility administrator shall develop and implement Reviewed the requested grievances from July written policies and procedures whereby any youth may and October 2022 and January 2023. appeal and have resolved grievances relating to any Reviewed the 2022 Grievance Log for 23 condition of confinement, including but not limited to grievances which were filed for the year. health care services, classification decisions, program Twelve of the 23 grievances were not participation, telephone, mail or visiting procedures, ☒ ☐ ☐ reviewed or responded to within 3 business food, clothing, bedding, mistreatment, harassment or days. Of the 23, four pertained to food quality violations of the nondiscrimination policy. There shall be or portions. Only three grievances were filed no time limit on filing grievances. Policies and in 2023 and all were addressed timely. The procedures shall include provisions whereby the facility agency was given technical assistance to manager ensures: ensure they track and review grievances within the required time frames as outlined in this regulation. (a) a grievance form and instructions for registering a 311.10 grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; (b) the youth shall have the option to confidentially file 311.10 the grievance or to deliver the form to any youth supervision staff working in the facility; Youth interviewed were aware of the grievance procedure, had free access to the ☒ ☐ ☐ forms, and were able to file confidentially. The youth who reported they had filed a grievance indicated they felt their concern was heard and fairly addressed. (c) resolution of the grievance at the lowest appropriate 311.10 ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to 311.10 grievances within three (3) business days, grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain 311.10 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 311.10 ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance 311.10 ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a 311.10 grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) 311.10 business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external 311.10 methods to report sexual abuse and sexual harassment. 311.8 Information Provided to Youth about ☒ ☐ ☐ Sexual Abuse and Assault 311.12 PREA Whether or not associated with a grievance, concerns 311.10 of parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 7647 Solano Challenge Program PRO 23-24 Page 28 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1362 REPORTING OF INCIDENTS 309.22 Special Incident Reports A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT 309.17 Use of Physical Force DNA SPECIMENS, SAMPLES, IMPRESSIONS Though the agency has a policy which covers (a) Pursuant to Penal Code Section 298.1 authorized most elements of this regulation, they do not law enforcement, custodial, or corrections personnel use force to collect DNA. including peace officers, may employ reasonable force ☐ ☐ ☒ to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are 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. 7647 Solano Challenge Program PRO 23-24 Page 29 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM 313.4 Educational Programming (a) School Programs The Solano County Office of Education The County Board of Education shall provide for the (SCOE) operates Evergreen Academy which administration and operation of juvenile court schools in serves students through high school conjunction with the Chief Probation Officer, or designee completion. Additionally, educational pursuant to applicable State laws. The school and facility programs are provided to high school administrators shall develop and implement written policy graduates connecting students to community and procedures to ensure communication and college courses along with academic support coordination between educators and probation staff. to assist them with the successful completion Culturally responsive and trauma-informed approaches of their courses. should be applied when providing instruction. Education staff should collaborate with the facility administrator to Students can earn a food handlers’ use technology to facilitate learning and ensure safe certification and Work Ready Certification. technology practices. The facility administrator shall request an annual review of each required element of the ☒ ☐ ☐ Met with Dr. Valerie Garrett, School program by the Superintendent of Schools, and a report Administrator, who indicated she values the or review checklist on compliance, deficiencies, and close partnership with Solano Probation corrective action needed to achieve compliance with this Department as the agency is providing section. Such a review, when conducted, cannot be solutions to issues impacting youth in the delegated to the principal or any other staff of any juvenile community. She indicated school and court school site. The Superintendent of Schools shall probation staff are a part of the same team conduct this review in conjunction with a qualified outside and have a sincere commitment to support the agency or individual. Upon receipt of the review, the learning environment. facility administrator or designee shall review each item with the Superintendent of Schools and shall take School Staff whatever corrective action is necessary to address each 3 Teachers deficiency and to fully protect the educational interests of 1 Intervention Specialist all youth in the facility. 1 Student Support Specialist 2 Licensed Clinician Wellness Support Specialists (b) Required Elements 313.4 The facility school program shall comply with the State Education Code and County Board of Education policies, This year, 12 youth received their high school all applicable federal education statutes and regulations diploma through the onsite school. High and provide for an annual evaluation of the educational school graduations are celebrated two times a program offerings. As stated in the 2009 California year. 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 313.4 program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State 313.4 Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School 313.4 Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. 7647 Solano Challenge Program PRO 23-24 Page 30 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Youth shall be informed of post-secondary 313.4 education and vocational opportunities. SCOE provides post-secondary and vocational opportunities from the College and Career Development Specialist that works ☒ ☐ ☐ daily in the Challenge Academy and weekly in the other housing pods/classrooms. SCOE also provides an intervention teacher who provides information on post-secondary education and vocational opportunities to graduates. (4) Administration of the High School Equivalency 313.4 Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth 313.4 who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with 313.4 State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with Reviewed Daily Instructional Schedule. education staff, must ensure that operational School day is 300 minutes Monday, Tuesday, ☒ ☐ ☐ procedures do not interfere with the time afforded for Thursday, and Friday and 240 minutes on the the minimum instructional day. Absences, time out of first and third Wednesdays. class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless 313.4 of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline 313.4 (1) Positive behavior management will be implemented to reduce the need for disciplinary action Positive Behavioral Interventions and ☒ ☐ ☐ in the school setting and be integrated into the facility's Supports (PBIS) have been implemented overall behavioral management plan and security within the school and facility. system. (2) School staff shall be advised of administrative 313.4 decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State 313.4 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 313.4 education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. 7647 Solano Challenge Program PRO 23-24 Page 31 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Provisions for Special Populations 313.4 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be 313.4 afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission 313.9 Academic/Vocational Assessments/ (1) Youth shall be interviewed after admittance and a Youth Needs ☒ ☐ ☐ record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ 313.9 (B) Home Language Survey and the results of the 313.9 ☒ ☐ ☐ State Test used for English language proficiency; (C) Needs and services of special populations as 313.9 defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ 313.9 (2) Youth will be immediately enrolled in school. 313.9 Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary 313.9 education plan shall be developed for each youth ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with 313.9 the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting 313.9 (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall 313.9 provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning 313.9 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. 7647 Solano Challenge Program PRO 23-24 Page 32 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Post-Secondary Education Opportunities 313.9 (1) The school and facility administrator should, whenever possible, collaborate with local post- SCOE offers diploma programs, access to secondary education providers to facilitate access to ☒ ☐ ☐ community college courses, and Career educational and vocational opportunities for youth that Technical Education opportunities focusing on considers the use of technology to implement these residential and commercial construction programs. trades. 1371 PROGRAMS, RECREATION, AND 313.13 Recreation and Activities Program EXERCISE. The facility administrator shall develop and implement written policies and procedures for programs, ☒ ☐ ☐ recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for 313.13 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and 313.13 exercise may be suspended only upon a written finding 312.14 Room Confinement 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 313.13 be posted in the living units. ☒ ☐ ☐ Reviewed facility program schedule and this is posted in the living units. There will be a written annual review of the programs, 313.13 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ A memorandum dated June 8, 2023, by relevant to the population. Division Chief Shawna Albright addressed all elements of this regulation. (a) Programs. All youth shall be provided with the 313.13 opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, A senior Juvenile Correctional Counselor evidence-based, best practice interventions that are (JJC) and two JJC staff are dedicated to culturally relevant and linguistically appropriate, or pro- providing programming. The two JJC staff social interventions and activities designed to reduce provide Carey Guide and Journaling groups, recidivism. These programs should be based on the Reasoning and Rehabilitation II, Aggression youth’s individual needs as required by Sections 1355 ☒ ☐ ☐ Replacement Training, and Thinking for a and 1356. Such programs may be provided under the Change groups. The agency also utilizes direction of the Chief Probation Officer or the County Cognitive Behavioral Training 2.0 and youth Office of Education and can be administered by county actively engage in check-in/check-out partners such as mental health agencies, community sessions to support cognitive learning. based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7647 Solano Challenge Program PRO 23-24 Page 33 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; 313.13 (2) Management of Stress and Trauma; 312.9 Youth Self-Improvement Programs (3) Anger Management; 313.3 Social and Life Skills Programs (4) Conflict Resolution; (5) Juvenile Justice System; The agency has partnered with several (6) Trauma-related interventions; community-based organizations including (7) Victim Awareness; Omega Men’s Group, Hidden Genius, and (8) Self-Improvement; community churches. Alternative Restorative (9) Parenting Skills and support; Communities provides Restorative Justice (10) Tolerance and Diversity; and the XL Mentoring program. Leaders in (11) Healing Informed Approaches; Community Alternatives provide employment (12) Interventions by Credible Messengers; skills development and education support (13) Gender Specific Programming; services. Aldea conducts substance use (14) Art, creative writing, or self-expression; disorder treatment as needed. (15) CPR and First Aid training; ☒ ☐ ☐ (16) Restorative Justice or Civic Engagement; The contracted mental health clinician (17) Career and leadership opportunities; and, provides services focusing on Crisis (18) Other topics suitable to the youth population. Management, Anger Management, and Coping and Life Skills. Youth interviewed indicate they participate in several different programs each week. Some indicated they may participate in multiple programs each day. The agency has robust services offered to youth due to their commitment to dedicating their own agency staff to programming and strong collaboration with SCOE, WellPath, and local community- based organizations. (b) Recreation. All youth shall be provided the opportunity 313.13 for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and The agency program staff have engaged with entertainment. Activities shall be supervised and include County Librarians to assist with the facility orientation and may include coaching of youth. library. Youth access the library weekly to check out books. Recreational activities ☒ ☐ ☐ include bingo, movies, wellness, painting, and art activities. Interviews with youth indicate they have the opportunity to choose their recreational activity and several available options to choose from during their leisure time. (c) Exercise. All youth shall be provided with the 313.13 opportunity for at least one hour of large muscle activity each day. ☒ ☐ ☐ The agency has also partnered with Travis Air Force Base Ravens for a weekly workout program for youth. The administrator/manager may suspend, for a period 313.13 not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM 313.14 Religious Programs The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 7647 Solano Challenge Program PRO 23-24 Page 34 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) opportunity for religious services and practices; ☒ ☐ ☐ 313.14 (b) availability of clergy; and, ☒ ☐ ☐ 313.14 313.14 (c) availability of religious diets. ☒ ☐ ☐ 308.4 Special Diets 1373 WORK PROGRAM 313.11 Vocational Work Programs The facility administrator shall develop policies and The agency provides opportunities for basic procedures regarding the fair and consistent assignment housekeeping, internal paint, and cleanup of youth to work programs. Work assigned to a youth shall ☒ ☐ ☐ crews and youth receive instruction on how to be meaningful, constructive and related to vocational raise fruits and vegetables through a training or increasing a youth's sense of responsibility. partnership with Sustainable Solano. Work programs shall not be imposed as a disciplinary measure 1374 VISITING 313.8 Visitation Program The facility administrator shall develop and implement Visiting occurs on Tuesday, Wednesday, and written policies and procedures for visiting, that include Saturday at various times for each housing provisions for special visits. Youth shall be allowed to pod. receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family ☒ ☐ ☐ During the inspection, observed visiting members, such as grandparents and siblings, and occurring in the visiting room. Interviews with supportive adults, may be allowed to visit with the youth indicate visiting occurs as scheduled approval of the facility administrator or designee, and in and has not been canceled. The facility is in conjunction with the youth’s case plan or in the best compliance with this regulation. interest of the youth. All visits shall occur at reasonable times, subject only to 313.8 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 313.8 per week. Visits may be supervised, but conversations ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour 313.8 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 313.8 ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE 313.15 Mail Programs The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth 313.15 ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; 313.15 ☒ ☐ ☐ Postage is provided for youth’s outgoing mail. 7647 Solano Challenge Program PRO 23-24 Page 35 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) youth may correspond confidentially with state and 313.15 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 313.15 in (c), may be read by staff only when there is reasonable ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS 313.7 Access to Telephone The administrator of each juvenile facility shall develop ☒ ☐ ☐ The agency recently added another telephone and implement written policies and procedures to provide in the living units for youth to use. youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES Chapter 311.1 Access to Courts Chapter 311.2 Access to Counsel 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 311.2 ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; 311.2 ☒ ☐ ☐ and, (c) unlimited postage free, legal correspondence and 311.2 ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE 312.15 Formal Disciplinary Process The facility administrator shall develop and implement The agency utilizes a Behavior Management written policies and procedures for the discipline of youth Program which focuses on being safe, that shall promote acceptable behavior; including the use responsible, respectful, and kind. Youth who of positive behavior interventions and supports. Discipline ☒ ☐ ☐ display positive behavior earn points which shall be imposed at the least restrictive level which can be used for commissary and incentive promotes the desired behavior and shall not include weekly game room. The agency indicates, corporal punishment, group punishment, physical or since implementation of BMS, they have seen psychological degradation. Deprivation of the following is a significant reduction in youth violence, room not permitted: confinement, and staff and youth injuries. (a) bed and bedding; ☒ ☐ ☐ 312.15 (b) daily shower, access to drinking fountain, toilet and 312.15 ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ 312.15 (d) contact with parent or attorney; ☒ ☐ ☐ 312.15 (e) exercise; ☒ ☐ ☐ 312.15 (f) medical services and counseling; ☒ ☐ ☐ 312.15 (g) religious services; ☒ ☐ ☐ 312.15 (h) clean and sanitary living conditions; ☒ ☐ ☐ 312.15 (i) the right to send and receive mail; ☒ ☐ ☐ 312.15 (j) education; and, ☒ ☐ ☐ 312.15 (k) rehabilitative programming. ☒ ☐ ☐ 312.15 The facility administrator shall establish rules of conduct 312.15 and disciplinary penalties to guide the conduct of youth. 312.11 Rules of Conduct Such rules and penalties shall include both major 312.12 Publish/Distribute Youth Opportunity violations and minor violations, be stated simply and Handbook ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7647 Solano Challenge Program PRO 23-24 Page 36 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1391 DISCIPLINE PROCESS 312.15 Formal Disciplinary Process The facility administrator shall develop and implement Reviewed 16 discipline process packages written policies and procedures for the administration of which include Major Rule Violation discipline which shall include, but not be limited to: Notification, Special Incident Report, Due Process Hearing forms. All were within the 24 ☒ ☐ ☐ hour timeframe and most incidents were for fighting. Discipline imposed could include a reduction in steps, points, and/or privileges. Youth may be required to complete a Rational Self Analysis Tool or participate in a conflict resolution session. The agency is in compliance with the regulation. (a) designation of personnel authorized to impose 312.15 ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ 312.15 (c) definition of major and minor rule violations and their 312.11 Definitions of Minor and Major Rule ☒ ☐ ☐ consequences, and due process requirements; Violations (d) trauma-informed approaches and positive behavior 312.11 ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by 312.13 Informal Resolution of Minor counseling, advising the youth of expected conduct Misbehavior 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 312.16 Disciplinary Hearings, Appeals and ☒ ☐ ☐ be documented and require the following: Administrative Review (1) written notice of violation prior to a hearing; ☒ ☐ ☐ 312.16 (2) accommodations provided to youth with 312.16 disabilities, limited literacy, and English language ☒ ☐ ☐ learners; (3) hearing by a person who is not a party to the 312.16 ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present 312.16 ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the 312.16 ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ 312.16 (g) violations that result in a removal from camp or 312.16 commitment program, but not a return to court, will ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE 307.14 Serious, Infectious and DISEASES. Communicable Diseases The health administrator/responsible physician, in 306.22 Emergency Plan-Pandemic Influenza cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ Outbreak 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: 307.14 (a) Intake health screening procedures; ☒ ☐ ☐ 307.7 Health Screenings and Evaluation 307.14 (b) Identification of relevant symptoms; ☒ ☐ ☐ 306.22 307.14 (c) Referral for medical evaluation; ☒ ☐ ☐ 307.7 7647 Solano Challenge Program PRO 23-24 Page 37 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 306.22 (d) Treatment responsibilities during detention; ☒ ☐ ☐ 307.7 (e) Coordination with public and private community- 307.7 ☒ ☐ ☐ based resources for follow-up treatment; (f) Applicable reporting requirements; and, ☒ ☐ ☐ 307.14 307.14 (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ 306.22 The policies and procedures shall be updated as The agency necessary to reflect communicable disease priorities ☒ ☐ ☐ identified by the local health officer and currently recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES 307.3 Unimpeded Access to Care (EXCERPT) A locked box is accessible in the units for the The health administrator, in cooperation with the facility youth to confidentially convey requests for administrator, shall develop policy and procedures to ☒ ☐ ☐ health care services. Youth interviewed were establish a daily routine for youth to convey requests for aware of the confidential box and indicated emergency and non-emergency medical, dental and they could also just ask staff or the nurse to be behavioral/mental health care services. seen. 1480 STANDARD FACILTY CLOTHING ISSUE 305.14 Clothing, Bedding and Linen Supplies The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily 305.14 laundered, in good repair, and free of holes and tears. The clothing worn by youth were observed to be in good repair, free of stains, and well-fitted. ☒ ☐ ☐ The youth interviewed indicated if they needed any new underwear, outer clothing, or shoes, they could just ask staff and they would receive the items. (b) The standard issue of climatically suitable clothing 305.14 ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ 305.14 (2) Outer garments; ☒ ☐ ☐ 305.14 (3) New non-disposable underwear which shall 305.14 ☒ ☐ ☐ remain with the youth throughout their stay, and; (4) Undergarments, that are freshly laundered and 305.14 ☒ ☐ ☐ free of stains, including tee shirts and bras. (c) Clothing is laundered at the temperature required by 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. ☒ ☐ ☐ 1482 CLOTHING EXCHANGE 305.14 Clothing, Bedding and Linen Supplies The facility administrator shall develop and implement written policies and site-specific procedures for the 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. 7647 Solano Challenge Program PRO 23-24 Page 38 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1484 CONTROL OF VERMIN IN YOUTH’S 305.11 Vermin and Pest Control PERSONAL CLOTHING 305.14 Clothing, Bedding and Linen Supplies There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS 305.16 Personal Hygiene Articles There shall be written policies and site-specific 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; (a) Toothbrush; ☒ ☐ ☐ 305.16 (b) Toothpaste; ☒ ☐ ☐ 305.16 (c) Soap; ☒ ☐ ☐ 305.16 (d) Comb; ☒ ☐ ☐ 305.16 (e) Shaving implements; ☒ ☐ ☐ 305.16 (f) Deodorant; ☒ ☐ ☐ 305.16 (g) Lotion; ☒ ☐ ☐ 305.16 (h) Shampoo; and, ☒ ☐ ☐ 305.16 305.16 (i) Post-shower conditioning hair products. ☒ ☐ ☐ Youth shall not be required to share any personal care 305.16 items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE 305.16 Personal Hygiene Articles 305.15 Showers There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ 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 305.16 Personal Hygiene Articles Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 7647 Solano Challenge Program PRO 23-24 Page 39 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1488 HAIR CARE SERVICES (EXCERPT) 305.17 Hair Care Services Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE 305.14 Clothing, Bedding and Linen Supplies Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which 305.14 meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in 305.14 ☒ ☐ ☐ (a) above; (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ 305.14 (d) One towel; and, ☒ ☐ ☐ 305.14 (e) One blanket or more, up on request ☒ ☐ ☐ 305.14 1501 BEDDING LINEN EXCHANGE 305.14 Clothing, Bedding and Linen Supplies The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered 305.14 once a month. ☒ ☐ ☐ Procedures indicate blankets are washed weekly. 1510 FACILITY SANITATION, SAFETY AND 305.11 Vermin and Pest Control MAINTENANCE 305.12 Housekeeping and Maintenance Plan The facility administrator shall develop and implement The intake/admission, housing units, sleeping written policies and site-specific procedures for the rooms, restrooms, visiting room, medical maintenance of an acceptable level of cleanliness, offices, hallways, and recreation areas were repair and safety throughout the facility. The plan shall organized, clean smelling, and free from provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ graffiti or damage. The facility is well equipment, including restraint devices, and physical maintained. 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). 7647 Solano Challenge Program PRO 23-24 Page 40 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ ☐ ☒ Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) ☐ ☒ ☐ AND FEDERAL MINORS Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the ☐ ☐ ☒ Detention of Status Offenders/Federal Minors is submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐ ☐ ☒ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the Violation facility in a manner that allows contact with minors. 7647 Solano Challenge Program PRO 23-24 Page 41 of 41 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009; 2014; 2018 BSCC Code: 7647 FACILITY NAME: Solano Challenge Program FACILITY TYPE: Camp 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That Apply): 1996 X FIELD REPRESENTATIVE: Shay Molennor DATE: June 29, 2023 TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.1 Reception/intake admission. 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; ☐ ☒ ☐ 4. A secure vault or storage space for youth, valuables; ☐ ☒ ☐ 5. Telephone accessible to youth; and ☐ ☒ ☐ 6. Access to hot and cold running water for staff use. ☐ ☒ ☐ 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. ☐ ☒ ☐ 7647 Solano Challenge Program PHY 23-24 - 1 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.3 Natural light. 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. 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 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 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 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, ☐ 3. The door into this room shall swing outward or 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. ☐ ☒ ☐ 7647 Solano Challenge Program PHY 23-24 - 2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.9 Dormitories 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 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. Indoor/outdoor physical activity and recreation areas 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 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. ☐ 1230.1.12 Academic classrooms. The classrooms are in the dayroom, pre-1998 standards. ☒ ☐ There shall be a dedicated classroom space for every ☐ juvenile in every facility. The primary purpose for the academic classroom shall ☒ ☐ be for education. ☐ 7647 Solano Challenge Program PHY 23-24 - 3 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Each academic classroom shall contain a minimum of 160 square feet of floor space for the teacher’s desk ☒ ☐ and work area and a minimum of 28 square feet of ☐ 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. 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 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 ☐ ☒ 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 must be a minimum of one suitably equipped ☐ medical examination room in every juvenile facility. Medical examination rooms shall provide the following: 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 ☒ ☐ no single dimension less than 7 feet; ☐ 5. Hot and cold running water; ☒ ☐ ☐ 6. Smooth, nonporous, washable surface; ☒ ☐ ☐ 7647 Solano Challenge Program PHY 23-24 - 4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 7. A medical exam table; and, ☒ ☐ ☐ 8. Adequate lighting. ☒ ☐ ☐ 1230.1.15 Pharmaceutical storage. Provide lockable storage space for medical supplies ☒ ☐ ☐ and pharmaceutical preparations as specified by Title 15, Section 1438. 1230.1.16 Dining areas. 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 ☒ ☐ same room without appropriate visual barrier. ☐ 1230.1.17 Visiting space. 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. 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. 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. 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. 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. 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. 7647 Solano Challenge Program PHY 23-24 - 5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. ☒ ☐ 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. 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; ☐ 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. 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. 7647 Solano Challenge Program PHY 23-24 - 6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. 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. 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. ☐ 1230.2.3 Drinking fountains. 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. 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 least one shower or bathtub to every six youth. ☒ ☐ ☐ Showers shall be provided with tempered water. 1230.2.5 Beds. ☒ ☐ 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. ☐ 7647 Solano Challenge Program PHY 23-24 - 7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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; ☐ ☒ ☐ 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. ☒ ☐ ☐ Seating shall be designed for the level of security. When bench seating is used, 18 inches of bench is ☒ ☐ seating for one person. ☐ 1230.2.9 Weapons lockers. Weapons lockers are required in all secure juvenile ☒ ☐ ☐ 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. 7647 Solano Challenge Program PHY 23-24 - 8 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.11 Mirrors. A mirror of a material appropriate to the level of ☒ ☐ ☐ security must be provided near each wash basin specified in these regulations. 7647 Solano Challenge Program PHY 23-24 - 9 - J456 PHY 98 01 03 09 14 18 dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7647 FACILITY: Solano Challenge Program TYPE: Camp RC: 30 FIELD REPRESENTATIVE: Shay Molennor DATE: June 29, 2023 ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S East Wing Single Pre 98 1 1 1 1 77.9 square feet 1 1 1 Single Pre 98 14 1 1 14 66.5 square feet 1 1 1 3 West Wing Single Pre 98 15 1 1 15 66.5 square feet 1 1 1 3 Note: One ADA room. The dayroom/classroom space on each wing is 1343 square feet. The multipurpose room between the wings is 1957 square feet. The agency currently has no youth housed in the Challenge Academy Building. *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. 7647 Solano Challenge Program LASE 23-24 - 1 - J460 LAS JUV-05.dot (rev.12/2022)