Solano Probation (2023-2024 inspection cycle)

July 16, 2024 Dean Farrah, Chief Probation Officer Solano Probation Department 475 Union Avenue Fairfield, CA 94533 2023-2024 TARGETED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885 SOLANO COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Farrah: The 2023-2024 Targeted Inspection of the Solano County Probation Department has been completed. The following facilities were inspected between Tuesday, June 11, 2024, and Wednesday, June 12, 2024: FACILITY NAME BSCC # FACILITY TYPE Solano Juvenile Hall 7645 JH 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. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. An Exit Briefing with your staff was held on Wednesday, June 12, 2024; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at shay.molennor@bscc.ca.gov or call (916) 708-2062 if you have any questions. Dean Farrah, Chief Probation Officer Page 2 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* Dean Wilder, Division Chief (electronic copy) *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7645+ Solano Probation Targeted LTR JH SYTF 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: Dean Wilder-Division Chief, Amy Potts-Probation Services Manager, Joseph Herman-Juvenile Correctional Counselor Manager, C. Celones-Supervising Correctional Counselor, K. Sinning-Juvenile Correctional Counselor, Lisa Castillo-WellPath Lead MH Clinician, Grace Cavanaugh-WellPath Medical Facility Coordinator, Dr. Valerie Garrett-Director of Educational Options for Solano County Office of Education, two male youth ages 16, one male youth age 17 FIELD REPRESENTATIVE: Shay Molennor DATE: June 11-12, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Policy 303.2 Staff Requirements Policy 309.5 Staff/Supervisory Deployment Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The agency staffs for their JH and SYTF, carry out the overall facility operation and its which are on the same campus. The programming, to provide for safety and security of youth combined population was 30 on the first day and staff, and meet established standards and of the inspection, dispersed between two regulations; living units. JH youth with charges which could result in an SYTF commitment are housed with SYTF youth in the same living unit. Population numbers: • JH 18 • RISE SYTF 12 Reviewed facility organization chart and Shift Bid Pattern for January 7, 2024, to July 20, 2024. In addition, reviewed daily roster, shift ☒ ☐ ☐ summaries, and Sycamore and Sequoia pod logs from March 1, 2024, to March 15, 2024. The agency has the following filled positions: • 1 Division Chief • 1 Probation Services Manager • 1 Juvenile Correctional Counselor • 6 Supervising Juvenile Correctional Counselors • 7 Senior Juvenile Correctional Counselors • 38 Juvenile Correctional Counselors • 13 JCC Extra Help • 2 Support staff Currently, the agency has 14 Juvenile Correctional Counselor vacancies. Deputy Probation Officers with facility-specific training 1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 1 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 Policy 303.2 (2)(A)(2) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 303.2 (2)(A)(3) ☒ ☐ ☐ ensure adequate supervision of all staff members; (d) have a clearly identified person on duty at all times Policy 309.5 (3)(1)(a) who is responsible for operations and activities and has ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Policy 309.5 (3)(1)(b) ☒ ☐ ☐ unit whenever there are youth in the living unit; (f) have sufficient food service personnel relative to the Policy 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 and three cooks. ☒ ☐ ☐ food preparation and servings; conduct related training Youth are served three hot meals a day and programs for culinary staff; and maintain necessary two snacks. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, Policy 303.2 (2)(A)(1) medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the agency provides an appropriate and to ensure that youth supervision staff shall not be level of staff to operate booking, diverted from supervising youth; and, transportation, laundry, and clerical services. Maintenance, janitorial, and groundskeeping provided by Solano County General Services. ☒ ☐ ☐ WellPath provides medical coverage 7 days a week from 7:00 a.m. to 11:00 p.m. After hours on call services are provided. WellPath provides mental health coverage 5 days a week from noon to 8:00 p.m. On the weekend, per diem mental health coverage is provided. After hours on call services are available. (h) assign sufficient youth supervision staff to provide Policy 309.5 (3)(1) continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Policy 303.2 (2)(A)(3) (A) during the hours that youth are awake, one Policy 309.5 (3)(1)(c) wide-awake youth supervision staff member on duty for each 10 youth in detention; ☒ ☐ ☐ The agency operates with Prison Rape Elimination Act (PREA) staffing ratios of 1 youth supervision staff to 8 youth during awake hours. 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 2 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) during the hours that youth are confined to their Policy 303.2 (2)(A)(4) room for the purpose of sleeping, one wide-awake Policy 309.5 (3)(1)(d) youth supervision staff member on duty for each ☒ ☐ ☐ 30 youth in detention; The agency operates with PREA staffing ratios of 1 youth supervision staff to 16 youth during sleeping hours. (C) at least two wide-awake youth supervision staff Policy 309.5 (3)(1)(e) members on duty at all times, regardless of the number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on Policy 309.5 (3)(1)(h) duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Policy 309.5 (3)(1)(i) duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps The facility is not a Camp. (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 15 youth in the camp population; (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; 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 3 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1328 SAFETY CHECKS Policy 309.29 Safety Checks The facility administrator shall develop and implement Reviewed safety checks for December 2023 policy and procedures that provide for direct visual and February and April of 2024. The facility observation of youth at a minimum of every 15 minutes, utilizes Guard 1 Plus to record safety checks. at random or varied intervals during hours when youth In January 2024, the facility modernized their are asleep or when youth are in their rooms, confined in Guard 1 Plus system to include updated holding cells or confined to their bed in a dormitory. technology and equipment. The agency now Supervision is not replaced, but may be supplemented has the ability to notate specifics for youth on by, an audio/visual electronic surveillance system room confinement and voluntary separation. designed to detect overt, aggressive or assaultive In addition, the program has the ability to alert behavior and to summon aid in emergencies. All safety in real-time specified parameters which is in checks shall be documented with the actual time the the process of being implemented. check is completed. The agency has a system in place to conduct regular audits of safety checks. The Senior and/or Supervisor is to pull the data from the Guard 1 Plus two times per shift and review. ☒ ☐ ☐ They are to investigate any late checks and safety checks which are not random and varied. A shift summary at the end of each shift 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. BSCC discussed with the agency many of the safety checks reviewed predominately occur every thirteen minutes. We provided technical assistance to ensure safety checks are random and varied. The agency had minimal late room checks. The documentation reviewed affirms the facility is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN Policy 307.5 (1) Suicide/Self Injury Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Interviews with facility administration and shall plan and implement written policies and procedures WellPath affirm suicide responses are based which delineate a Suicide Prevention Plan. The plan ☒ ☐ ☐ upon acuity and level of risk. shall consider the needs of youth experiencing past or current trauma. Suicide prevention responses shall be The agency is in compliance with this respectful and in the least invasive manner consistent regulation. with the level of suicide risk. The plan shall include the following elements: 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 4 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section Policy 307.5 (4)(A)(1)(a) and (2) Training 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ Responsibility and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Policy 307.5 (3)(B)(1)(c)(i)(a) Precautionary Protocols Policy 307.7 (C)(1) Health Screenings and (1) All youth shall be screened for risk of suicide at Evaluations ☒ ☐ ☐ intake and as needed during detention. Policy 1350 (3)(C)(2)(i) Admission Procedures (2) All youth supervision staff who perform intake Policy 307.5 (3)(B)(1)(c)(i)(a) processes shall be trained in screening youth for risk ☒ ☐ ☐ Policy 307.7 (C)(1) of suicide. (3) All youth who have been identified during the Policy 307.5 (3)(B)(1)(c)(i)(c) intake screening process to be at risk of suicide shall Policy 307.7 (B)(4) ☒ ☐ ☐ be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to Policy 307.5 (3)(B)(1)(c)(i)(c) ensure the youth’s safety pending the behavioral/mental health assessment. Youth identified during the screening process ☒ ☐ ☐ will be placed on line-of-sight supervision until cleared by a Qualified Mental Health Professional. (c) Referral process to behavioral/mental health staff for Policy 307.5 (3)(B)(2) ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk Policy 307.5 (3)(C) for suicide. BSCC staff reviewed eight Special Incident Reports outlining communication with ☒ ☐ ☐ probation staff as to monitoring of youth which included placement and discontinuation of line-of-sight supervision and staggered suicide 10-minute safety checks. (e) Safety Interventions Policy 307.5 (3)(C) (1) Procedures to address intervention protocols for youth identified at risk for suicide which may ☒ ☐ ☐ include, but are not limited to: (A) Housing consideration (B) Treatment strategies including trauma- Policy 307.5 (3)(F)(2) ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff how Policy 307.5 (3)(B)(2) ☒ ☐ ☐ to respond to youth who exhibit suicidal behaviors. (f) Communication Policy 307.5 (3)(B)(1)(b) (1) The intake process shall include communication Policy 307.7 (C)(2),(3),(4) with the arresting officer and family guardians Policy 1350 (3)(C)(2)(c) Admission regarding the youth’s past or present suicidal Procedures ideations, behaviors or attempts. ☒ ☐ ☐ Custody classification assessment and booking information forms reviewed document communication with law enforcement and parents/guardians. 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 5 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Procedures for clear and current information Policy 307.5 (3)(C)(3) sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental A Suicide/Self Injury Safety Plan provides health staff. protocols of supervision, allowable items in room, removal of bedding, and use of a suicide ☒ ☐ ☐ blanket or suicide smock if behavior warrants. Provided technical assistance to clarify in policy the use of suicide blankets and smocks are consistent with their respectful and least invasive responses. (g) Debriefing of Critical Incidents Related to Suicides or Policy 307.5 (3)(H)(2) Attempts Policy 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 staff. ☒ ☐ ☐ Policy 306.21 (3)(A)(1) (3) Process for a debriefing event with affected youth. ☒ ☐ ☐ Policy 306.21 (3)(A)(1) (h) Documentation Policy 307.5 (3)(I) (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy 307.5 (3)(B)(1)(g) 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. 1354.5 ROOM CONFINEMENT Policy 312.4 Room Confinement (a) The facility administrator shall develop and Reviewed 16 instances of room confinement implement written policies and procedures addressing which consisted of documentation outlined in the confinement of youth in their room that are Room Confinement Stages Form, Rational consistent with Welfare and Institutions Code Section Self Analysis/Thinking Report, Reintegration 208.3. The placement of a youth in room confinement Plan, and Special Incident Report. Seven shall be accomplished in accordance with the following incidents involved fighting, four were for guidelines: assaults on other youth, and five were for threatening the safety and security of the facility. An interview with one youth who had been placed on room confinement stated it was for ☒ ☐ ☐ laughing; however, reports reviewed indicated they were involved in fight and an assault on another youth with both instances resulting in room confinement. Once the youth completed a conflict resolution, they were removed from room confinement. Another youth interviewed indicated he was involved in a fight and reports reviewed indicate they were removed after completing a conflict resolution. Neither of these youth were held in room confinement longer than four hours. The agency is in compliance with this regulation. 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 6 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Room confinement shall not be used before Policy 312.4 (3)(A)(2) 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 Policy 312.4 (3)(A)(5) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 312.4 (3)(A)(3) that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room Policy 312.4 (3)(B)(1) confinement. After the youth has been held in room Policy 312.4 (3)(B)(2) confinement for a period of four hours, staff shall do one or more of the following: Six of the 16 room confinements reviewed ☒ ☐ ☐ 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. (1) Return the youth to general population. ☒ ☐ ☐ Policy 312.4 (3)(B)(2)(a) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Policy 312.4 (3)(B)(2)(c) (3) Develop an individualized plan that includes the Policy 312.4 (3)(B)(2)(b) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ Policy 312.8 Individual Treatment the youth to general population. Plan/Room Confinement (4) If room confinement must be extended beyond Policy 312.4 (3)(B)(3)(a) four hours, staff shall do each of the following: (A) Document the reasons for room confinement We discussed with agency the importance of and the basis for the extension, the date and time adding clear details to documentation for the the youth was first placed in room confinement, need for continuation of room confinement. If ☒ ☐ ☐ and when he or she is eventually released from a youth is refusing to complete a conflict room confinement. 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 Policy 312.4 (3)(B)(3)(b) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 312.4 (3)(B)(3)(c) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy 312.4 (3)(B)(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 Policy 312.4 (3)(B)(5) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Policy 312.4 (3)(B)(6) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 312.4 (1) 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. 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 7 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is Policy 312.4 (3)(A)(1) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1357 USE OF FORCE Policy 309.17 Use of Physical Force The facility administrator, in cooperation with the Reviewed ten 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, assaults on other youth, and threatening and which may include chemical agents. Force shall never aggressive actions toward staff. An interview be applied as punishment, discipline, retaliation or with a youth who was involved in a use of force treatment. incident indicated staff told him to stop fighting (a) At a minimum, each facility shall develop policies and ☒ ☐ ☐ prior to the use of force occurring. One youth procedures which: who had never been involved in a use of force incident did state he felt the response of the staff was too much as too many respond to the incident. The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Policy 309.17 (3)(A)(3) reasonable and necessary, as defined in Section 1302 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Policy 309.17(B) Use of Force Continuum both physical and non-physical options and define when those force options are appropriate. The agency has four levels of force: Officer ☒ ☐ ☐ presence, maintaining control with verbal directions and warnings, supervisory response, and use of physical force. (3) describe force options or techniques that are Policy 309.17 (3)(A)(12),(13) expressly prohibited by the facility. ☒ ☐ ☐ Policy 309.17(B)(3)(e)(i) (4) describe the requirements of staff to report any Policy 309.17 (3)(D)(4),(6),(7) Inappropriate inappropriate use of force, and to take affirmative ☒ ☐ ☐ Use of Force/Duty to Intercede action to immediately stop it. (5) define a standardized reporting format that Policy 309.17 (3)(E)(6) Administrative Review includes time period and procedure for documenting Policy 309.17 (5)(A) Data Management and reporting the use of force, including reporting Policy 309.22 Special Incident Reports requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Policy 309.17(3)(E) Administrative Review ☒ ☐ ☐ investigating unreasonable use of force. 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 8 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) define the role, notification, and follow-up Policy 309.17 (3)(17)(a),(b),(c) procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ Documentation reviewed and interviews with guardians. facility and WellPath staff confirmed required notifications are being made. (8) describe the limitations of use of force on pregnant Policy 309.17 (3)(A)(4),(5),(6) 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. (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 Policy 309.17(4) Training Responsibility require that agencies provide initial and regular training Policy 309.17 (4)(A)(5)(a) in use of force and chemical agents when appropriate ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of The agency does not use chemical agents. ☐ ☐ ☒ application. (3) signs or symptoms that should result in Policy 309.17 (4)(A)(5)(b) ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Policy 309.17 (4)(A)(5)(c) Use of Force. ☒ ☐ ☐ (5) physical training force options that may require Policy 309.17 (4)(A)(5)(d) ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Policy 309.17(4) ☒ ☐ ☐ training. Policy 309.17 (5)(B)(1) Training 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 9 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE Policy 311.10 (3)(A)(1) Grievance Procedure The facility administrator shall develop and implement Reviewed fifteen grievances filed by juvenile written policies and procedures whereby any youth may hall detained youth since the last appeal and have resolved grievances relating to any comprehensive inspection in June 2023. Five condition of confinement, including but not limited to were filed in December 2023 concerning the health care services, classification decisions, program facility telephone provider not granting access participation, telephone, mail or visiting procedures, to approved numbers. Other grievances food, clothing, bedding, mistreatment, harassment or ☒ ☐ ☐ involved visiting, food, school, and staffing violations of the nondiscrimination policy. There shall be issues. As three grievances involved a school no time limit on filing grievances. Policies and issue, BSCC staff recommended the principal procedures shall include provisions whereby the facility be contacted to resolve the issue as specified manager ensures: in their policy and procedure. The agency is in compliance with this regulation. (a) a grievance form and instructions for registering a Policy 311.10 (3)(A)(3) grievance, which includes provisions for the youth to Policy 311.10 (3)(C)(2) have free access to the form; ☒ ☐ ☐ BSCC staff observed grievance forms accessible to the youth in the living unit. (b) the youth shall have the option to confidentially file Policy 311.10 (3)(A)(4) the grievance or to deliver the form to any youth Policy 311.10 (3)(C)(6) 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. (c) resolution of the grievance at the lowest appropriate Policy 311.10 (3)(A)(7) staff level; ☒ ☐ ☐ Policy 311.10 (3)(D)(1) (d) provision for a prompt review and initial response to Policy 311.10 (3)(A)(5) grievances within three (3) business days, grievances Policy 311.10 (3)(J)(1) Emergency that relate to health and safety issues must be Grievances addressed immediately; Policy requires the grievances to be collected ☒ ☐ ☐ each shift. The agency was given technical assistance to ensure grievances are collected and an initial response provided to the youth within the required time frame as outlined in this regulation. (1) The youth may elect to be present to explain Policy 311.10 (3)(A)(8) his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy 311.10 (3)(A)(8)(a) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy 311.10 (3)(C)(8)(a) ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a Policy 311.10 (3)(A)(9) 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) Policy 311.10 (3)(I) business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; All grievances reviewed were resolved within and, the required timeframe. 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 10 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) the policy shall provide multiple internal and external Policy 311.10 (4)(a) Sexual Abuse and methods to report sexual abuse and sexual harassment. Harassment ☒ ☐ ☐ Policy 311.8 Information Provided to Youth about Sexual Abuse and Assault Policy 311.12 PREA Whether or not associated with a grievance, concerns of Policy 311.10 (3)(A)(11)(a) parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND Policy 313.13 Recreation and Exercise EXERCISE. Policy 313.3 Programming The facility administrator shall develop and implement Reviewed daily programming schedule, shift written policies and procedures for programs, ☒ ☐ ☐ summaries, and pod logs from August 2023, recreation, and exercise for all youth. The intent is to December 2023, and February 2024. The minimize the amount of time youth are in their rooms or documentation reviewed pertaining to their bed area. programs, recreation, and exercise affirms the facility is in compliance with this regulation. Juvenile facilities shall provide the opportunity for Policy 313.13 (3)(A)(4)(a) 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 Policy 313.13 (3)(A)(6)(c) exercise may be suspended only upon a written finding Policy 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 Policy 313.13 (3)(A)(4) 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, Policy 313.13 (4)(A)(1) recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ A memorandum dated May 17, 2024, by relevant to the population. Division Chief Dean Wilder, addressed all elements of this regulation. (a) Programs. All youth shall be provided with the Policy 313.3 (3)(A)(2) Programming opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, A Supervising Correctional Officer, one senior evidence-based, best practice interventions that are Juvenile Correctional Counselor (JJC), and culturally relevant and linguistically appropriate, or pro- two JJC staff are dedicated to providing social interventions and activities designed to reduce programming. The two JJC staff provide recidivism. These programs should be based on the Cognitive Behavioral Training programming to youth’s individual needs as required by Sections 1355 the youth which consist of Carey Guide and and 1356. Such programs may be provided under the Journaling groups, Reasoning and direction of the Chief Probation Officer or the County Rehabilitation II, Aggression Replacement Office of Education and can be administered by county Training, and Thinking for a Change groups. ☒ ☐ ☐ partners such as mental health agencies, community The agency also utilizes Cognitive Behavioral based organizations, faith-based organizations or Training 2.0 and youth actively engage in Probation staff. check-in/check-out sessions to support Programs may include but are not limited to: cognitive learning. (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; The agency has partnered with several (3) Anger Management; community-based organizations including (4) Conflict Resolution; Omega Men’s Group, Hidden Genius, El (5) Juvenile Justice System; Joven Noble, and community churches who (6) Trauma-related interventions; provide programming. In addition, Alternative (7) Victim Awareness; Restorative Communities provides 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 11 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) Self-Improvement; Restorative Justice and the XL Mentoring (9) Parenting Skills and support; program. Leaders in Community Alternatives (10) Tolerance and Diversity; provide employment skills development and (11) Healing Informed Approaches; facilitate transition planning including re-entry (12) Interventions by Credible Messengers; planning, identifying community support (13) Gender Specific Programming; services, and family reunification. Aldea (14) Art, creative writing, or self-expression; conducts substance use disorder treatment as (15) CPR and First Aid training; needed. (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, Two contracted SCOE mental health (18) Other topics suitable to the youth population. clinicians provide services focusing on Crisis 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. Provided technical assistance to consistently document in their unit logs programming provided by facility staff and through their collaboration with SCOE, WellPath, and local community-based organizations. (b) Recreation. All youth shall be provided the opportunity Policy 313.13 (3)(A)(7) for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Recreational activities include bingo, movies, entertainment. Activities shall be supervised and include wellness, painting, library, and art activities. orientation and may include coaching of youth. ☒ ☐ ☐ Interviews with youth indicate they have the opportunity to choose their recreational activity. Youth indicated they go outside to play basketball, use the phone, play dominoes and video games, and watch television. (c) Exercise. All youth shall be provided with the Policy 313.13 (3)(A)(6) opportunity for at least one hour of large muscle activity each day. ☒ ☐ ☐ In addition to daily large muscle exercise, yoga is offered weekly by a contracted provider. The administrator/manager may suspend, for a period not Policy 313.13 (3)(A)(10) to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7645 Solano County Juvenile Hall Targeted Inspection PRO 23-24 Page 12 of 12 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7646 FACILITY NAME: Solano County Juvenile Hall Secure Youth Treatment Facility FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Dean Wilder-Division Chief, Amy Potts-Probation Services Manager, Joseph Herman-Juvenile Correctional Counselor Manager, C. Celones-Supervising Correctional Counselor, K. Sinning-Juvenile Correctional Counselor, Lisa Castillo-WellPath Lead MH Clinician, Grace Cavanaugh-WellPath Medical Facility Coordinator, Dr. Valerie Garrett-Director of Educational Options for Solano County Office of Education, male youth ages 21, male youth age 18, male youth age 16 FIELD REPRESENTATIVE: Shay Molennor DATE: June 11-12, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Policy 303.2 Staff Requirements Policy 309.5 Staff/Supervisory Deployment Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The agency staffs for their JH and SYTF, carry out the overall facility operation and its which are on the same campus. The programming, to provide for safety and security of youth combined population was 30 on the first day and staff, and meet established standards and of the inspection, dispersed between two regulations; living units. JH youth with charges which could result in an SYTF commitment are housed with SYTF youth in the same living unit. Population numbers: • JH 18 • RISE SYTF 12 Reviewed facility organization chart and Shift Bid Pattern for January 7, 2024, to July 20, 2024. In addition, reviewed daily roster, shift ☒ ☐ ☐ summaries, and Sycamore and Sequoia pod logs from March 1, 2024, to March 15, 2024. The agency has the following filled positions: • 1 Division Chief • 1 Probation Services Manager • 1 Juvenile Correctional Counselor • 6 Supervising Juvenile Correctional Counselors • 7 Senior Juvenile Correctional Counselors • 38 Juvenile Correctional Counselors • 13 JCC Extra Help • 2 Support staff Currently, the agency has 14 Juvenile Correctional Counselor vacancies. Deputy Probation Officers with facility-specific training 1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 1 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 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 Policy 303.2 (2)(A)(2) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 303.2 (2)(A)(3) ☒ ☐ ☐ ensure adequate supervision of all staff members; (d) have a clearly identified person on duty at all times Policy 309.5 (3)(1)(a) who is responsible for operations and activities and has ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Policy 309.5 (3)(1)(b) ☒ ☐ ☐ unit whenever there are youth in the living unit; (f) have sufficient food service personnel relative to the Policy 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 and three cooks. ☒ ☐ ☐ food preparation and servings; conduct related training Youth are served three hot meals a day and programs for culinary staff; and maintain necessary two snacks. records; or, a facility may serve food that meets nutritional standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, Policy 303.2 (2)(A)(1) medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the agency provides an appropriate and to ensure that youth supervision staff shall not be level of staff to operate booking, diverted from supervising youth; and, transportation, laundry, and clerical services. Maintenance, janitorial, and groundskeeping provided by Solano County General Services. ☒ ☐ ☐ WellPath provides medical coverage 7 days a week from 7:00 a.m. to 11:00 p.m. After hours on call services are provided. WellPath provides mental health coverage 5 days a week from noon to 8:00 p.m. On the weekend, per diem mental health coverage is provided. After hours on call services are available. (h) assign sufficient youth supervision staff to provide Policy 309.5 (3)(1) continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Policy 303.2 (2)(A)(3) (A) during the hours that youth are awake, one Policy 309.5 (3)(1)(c) wide-awake youth supervision staff member on duty for each 10 youth in detention; ☒ ☐ ☐ The agency operates with Prison Rape Elimination Act (PREA) staffing ratios of 1 youth supervision staff to 8 youth during awake hours. 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 2 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) during the hours that youth are confined to their Policy 303.2 (2)(A)(4) room for the purpose of sleeping, one wide-awake Policy 309.5 (3)(1)(d) youth supervision staff member on duty for each ☒ ☐ ☐ 30 youth in detention; The agency operates with PREA staffing ratios of 1 youth supervision staff to 16 youth during sleeping hours. (C) at least two wide-awake youth supervision staff Policy 309.5 (3)(1)(e) members on duty at all times, regardless of the number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on Policy 309.5 (3)(1)(h) duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other Policy 309.5 (3)(1)(i) duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps The facility is not a camp. (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 15 youth in the camp population; (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; 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 3 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1328 SAFETY CHECKS Policy 309.29 Safety Checks The facility administrator shall develop and implement Reviewed safety checks for December 2023 policy and procedures that provide for direct visual and February and April of 2024. The facility observation of youth at a minimum of every 15 minutes, utilizes Guard 1 Plus to record safety checks. at random or varied intervals during hours when youth In January 2024, the facility modernized their are asleep or when youth are in their rooms, confined in Guard 1 Plus system to include updated holding cells or confined to their bed in a dormitory. technology and equipment. The agency now Supervision is not replaced, but may be supplemented has the ability to notate specifics for youth on by, an audio/visual electronic surveillance system room confinement and voluntary separation. designed to detect overt, aggressive or assaultive In addition, the program has the ability to alert behavior and to summon aid in emergencies. All safety in real-time specified parameters which is in checks shall be documented with the actual time the the process of being implemented. check is completed. The agency has a system in place to conduct regular audits of safety checks. The Senior and/or Supervisor is to pull the data from the Guard 1 Plus two times per shift and review. ☒ ☐ ☐ They are to investigate any late checks and safety checks which are not random and varied. A shift summary at the end of each shift 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. BSCC discussed with the agency that many of the safety checks reviewed predominately occur every thirteen minutes. Provided technical assistance to ensure safety checks are random and varied. The agency had minimal late room checks. The documentation reviewed affirms the facility is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN Policy 307.5 (1) Suicide/Self Injury Prevention and Intervention The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures Interviews with facility administration and which delineate a Suicide Prevention Plan. The plan ☒ ☐ ☐ WellPath affirm suicide responses are based shall consider the needs of youth experiencing past or upon acuity and level of risk. current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent The agency is in compliance with this with the level of suicide risk. The plan shall include the regulation. following elements: 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 4 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section Policy 307.5 (4)(A)(1)(a) and (2) Training 1322, Youth Supervision Staff Orientation, and Training ☒ ☐ ☐ Responsibility and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and Policy 307.5 (3)(B)(1)(c)(i)(a) Precautionary Protocols Policy 307.7 (C)(1) Health Screenings and (1) All youth shall be screened for risk of suicide at Evaluations ☒ ☐ ☐ intake and as needed during detention. Policy 1350 (3)(C)(2)(i) Admission Procedures (2) All youth supervision staff who perform intake Policy 307.5 (3)(B)(1)(c)(i)(a) processes shall be trained in screening youth for risk ☒ ☐ ☐ Policy 307.7 (C)(1) of suicide. (3) All youth who have been identified during the Policy 307.5 (3)(B)(1)(c)(i)(c) intake screening process to be at risk of suicide shall Policy 307.7 (B)(4) ☒ ☐ ☐ be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed to Policy 307.5 (3)(B)(1)(c)(i)(c) ensure the youth’s safety pending the behavioral/mental health assessment. Youth identified during the screening process ☒ ☐ ☐ will be placed on line-of-sight supervision until cleared by a Qualified Mental Health Professional. (c) Referral process to behavioral/mental health staff for Policy 307.5 (3)(B)(2) ☒ ☐ ☐ assessment and/or services. (d) Procedures for monitoring of youth identified at risk Policy 307.5 (3)(C) for suicide. BSCC staff reviewed eight Special Incident Reports outlining communication with ☒ ☐ ☐ probation staff as to monitoring of youth which included placement and discontinuation of line-of-sight supervision and staggered suicide 10-minute safety checks. (e) Safety Interventions Policy 307.5 (3)(C) (1) Procedures to address intervention protocols for youth identified at risk for suicide which may ☒ ☐ ☐ include, but are not limited to: (A) Housing consideration (B) Treatment strategies including trauma- Policy 307.5 (3)(F)(2) ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff how Policy 307.5 (3)(B)(2) ☒ ☐ ☐ to respond to youth who exhibit suicidal behaviors. (f) Communication Policy 307.5 (3)(B)(1)(b) (1) The intake process shall include communication Policy 307.7 (C)(2),(3),(4) with the arresting officer and family guardians Policy 1350 (3)(C)(2)(c) Admission regarding the youth’s past or present suicidal Procedures ideations, behaviors or attempts. Custody classification assessment and ☐ ☐ ☒ booking information forms reviewed document communication with law enforcement and parents/guardians. These are completed upon a youth’s entry into juvenile hall and are not applicable to the Secure Youth Treatment Facility. 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 5 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Procedures for clear and current information Policy 307.5 (3)(C)(3) sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental A Suicide/Self Injury Safety Plan provides health staff. protocols of supervision, allowable items in room, removal of bedding, and use of a suicide ☒ ☐ ☐ blanket or suicide smock if behavior warrants. Provided technical assistance to clarify in policy the use of suicide blankets and smocks are consistent with their respectful and least invasive responses. (g) Debriefing of Critical Incidents Related to Suicides or Policy 307.5 (3)(H)(2) Attempts Policy 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 staff. ☒ ☐ ☐ Policy 306.21 (3)(A)(1) (3) Process for a debriefing event with affected youth. ☒ ☐ ☐ Policy 306.21 (3)(A)(1) (h) Documentation Policy 307.5 (3)(I) (1) Documentation processes shall be developed to ☒ ☐ ☐ ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy 307.5 (3)(B)(1)(g) 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. 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 6 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Policy 312.4 Room Confinement (a) The facility administrator shall develop and Reviewed five instances of room confinement implement written policies and procedures addressing which consisted of documentation outlined in the confinement of youth in their room that are Room Confinement Stages Form, Rational consistent with Welfare and Institutions Code Section Self Analysis/Thinking Report, Reintegration 208.3. The placement of a youth in room confinement Plan, and Special Incident Report. One shall be accomplished in accordance with the following incident involved fighting, two were for guidelines: assaults on other youth, and three were for threatening the safety and security of the facility. One of the three youths interviewed had been ☒ ☐ ☐ placed on room confinement. They indicated they were on for two days. Documentation reviewed indicate this youth was placed on room confinement in two separate instances for fighting and assaulting another youth. One instance of room confinement was for nine hours which encompassed two days as sleeping hours are not calculated. The youth was removed upon completion of a conflict resolution. The agency is in compliance with this regulation. (1) Room confinement shall not be used before Policy 312.4 (3)(A)(2) 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 Policy 312.4 (3)(A)(5) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 312.4 (3)(A)(3) that it compromises the mental and physical health ☒ ☐ ☐ of the youth. (b) A youth may be held up to four hours in room Policy 312.4 (3)(B)(1) confinement. After the youth has been held in room Policy 312.4 (3)(B)(2) ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Policy 312.4 (3)(B)(2)(a) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Policy 312.4 (3)(B)(2)(c) (3) Develop an individualized plan that includes the Policy 312.4 (3)(B)(2)(b) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ Policy 312.8 Individual Treatment the youth to general population. Plan/Room Confinement 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 7 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) If room confinement must be extended beyond Policy 312.4 (3)(B)(3)(a) four hours, staff shall do each of the following: (A) Document the reasons for room confinement Two of the five room confinements reviewed and the basis for the extension, the date and time was in excess of four hours. In one instance, the youth was first placed in room confinement, it was due to the youth’s inability to utilize self- and when he or she is eventually released from control and their behavior remained a safety room confinement. concern. After completing a targeted thinking report, the youth continued to indicate they would have to fight due to their gang affiliation. The youth was removed from room confinement after completing a conflict resolution and agreeing to co-exist with the ☒ ☐ ☐ other youth. In another instance involving this same youth, room confinement was extended for needing to complete a thinking report and conflict resolution. Discussed with agency the importance of adding clear details to documentation for the 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 Policy 312.4 (3)(B)(3)(b) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 312.4 (3)(B)(3)(c) facility superintendent or his or her designee ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of Policy 312.4 (3)(B)(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 Policy 312.4 (3)(B)(5) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Policy 312.4 (3)(B)(6) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 312.4 (1) 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. 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 8 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is Policy 312.4 (3)(A)(1) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1357 USE OF FORCE Policy 309.17 Use of Physical Force The facility administrator, in cooperation with the Reviewed two Use of Force (UOF) Reports. responsible physician, shall develop and implement The reports involved youth involved in a fight written policies and procedures for the use of force, or assault on another youth. Interviews with which may include chemical agents. Force shall never ☒ ☐ ☐ youth indicate staff attempt to de-escalate and be applied as punishment, discipline, retaliation or give warnings prior to use of force occurring. treatment. (a) At a minimum, each facility shall develop policies and The agency is in compliance with this procedures which: regulation. (1) restricts the use of force to that which is deemed Policy 309.17 (3)(A)(3) reasonable and necessary, as defined in Section 1302 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Policy 309.17(B) Use of Force Continuum both physical and non-physical options and define when those force options are appropriate. The agency has four levels of force: Officer ☒ ☐ ☐ presence, verbal directions and warnings, supervisory response, and use of physical force. (3) describe force options or techniques that are Policy 309.17 (3)(A)(12),(13) expressly prohibited by the facility. ☒ ☐ ☐ Policy 309.17(B)(3)(e)(i) (4) describe the requirements of staff to report any Policy 309.17 (3)(D)(4),(6),(7) Inappropriate inappropriate use of force, and to take affirmative ☒ ☐ ☐ Use of Force/Duty to Intercede action to immediately stop it. (5) define a standardized reporting format that Policy 309.17 (3)(E)(6) Administrative Review includes time period and procedure for documenting Policy 309.17 (5)(A) Data Management and reporting the use of force, including reporting Policy 309.22 Special Incident Reports requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Policy 309.17(3)(E) Administrative Review ☒ ☐ ☐ investigating unreasonable use of force. (7) define the role, notification, and follow-up Policy 309.17 (3)(17)(a),(b),(c) procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ Documentation reviewed and interviews with guardians. facility and WellPath staff confirmed required notifications are being made. 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 9 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (8) describe the limitations of use of force on pregnant Policy 309.17 (3)(A)(4),(5),(6) 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. (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 Policy 309.17(4) Training Responsibility require that agencies provide initial and regular training Policy 309.17 (4)(A)(5)(a) in use of force and chemical agents when appropriate ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of The agency does not use chemical agents. ☐ ☐ ☒ application. (3) signs or symptoms that should result in Policy 309.17 (4)(A)(5)(b) ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Policy 309.17 (4)(A)(5)(c) ☒ ☐ ☐ Use of Force. (5) physical training force options that may require Policy 309.17 (4)(A)(5)(d) ☒ ☐ ☐ the use of perishable skills. (6) timelines the facility uses to define regular Policy 309.17(4) ☒ ☐ ☐ training. Policy 309.17 (5)(B)(1) Training 1361 GRIEVANCE PROCEDURE Policy 311.10 (3)(A)(1) Grievance Procedure The facility administrator shall develop and implement No grievances were filed by SYTF youth since written policies and procedures whereby any youth may the last comprehensive inspection in June appeal and have resolved grievances relating to any 2023. condition of confinement, including but not limited to health care services, classification decisions, program ☒ ☐ ☐ participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 10 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) a grievance form and instructions for registering a Policy 311.10 (3)(A)(3) grievance, which includes provisions for the youth to Policy 311.10 (3)(C)(2) have free access to the form; ☒ ☐ ☐ BSCC staff observed grievance forms accessible to the youth in the living unit. (b) the youth shall have the option to confidentially file Policy 311.10 (3)(A)(4) the grievance or to deliver the form to any youth Policy 311.10 (3)(C)(6) 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. (c) resolution of the grievance at the lowest appropriate Policy 311.10 (3)(A)(7) staff level; ☒ ☐ ☐ Policy 311.10 (3)(D)(1) (d) provision for a prompt review and initial response to Policy 311.10 (3)(A)(5) grievances within three (3) business days, grievances Policy 311.10 (3)(J)(1) Emergency ☒ ☐ ☐ that relate to health and safety issues must be Grievances addressed immediately; (1) The youth may elect to be present to explain Policy 311.10 (3)(A)(8) his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy 311.10 (3)(A)(8)(a) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy 311.10 (3)(C)(8)(a) ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a Policy 311.10 (3)(A)(9) 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) Policy 311.10 (3)(I) 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 Policy 311.10 (4)(a) Sexual Abuse and methods to report sexual abuse and sexual harassment. Harassment ☒ ☐ ☐ Policy 311.8 Information Provided to Youth about Sexual Abuse and Assault Policy 311.12 PREA Whether or not associated with a grievance, concerns of Policy 311.10 (3)(A)(11)(a) parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND Policy 313.13 Recreation and Exercise EXERCISE. Policy 313.3 Programming The facility administrator shall develop and implement Reviewed daily programming schedule, shift written policies and procedures for programs, ☒ ☐ ☐ summaries, and pod logs from August 2023, recreation, and exercise for all youth. The intent is to December 2023, and February 2024. The minimize the amount of time youth are in their rooms or documentation reviewed pertaining to their bed area. programs, recreation, and exercise affirms the facility is in compliance with this regulation. Juvenile facilities shall provide the opportunity for Policy 313.13 (3)(A)(4)(a) 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. 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 11 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A youth’s participation in programs, recreation, and Policy 313.13 (3)(A)(6)(c) exercise may be suspended only upon a written finding Policy 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 Policy 313.13 (3)(A)(4) 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, Policy 313.13 (4)(A)(1) recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ A memorandum dated May 17, 2024, by relevant to the population. Division Chief Dean Wilder, addressed all elements of this regulation. (a) Programs. All youth shall be provided with the Policy 313.3 (3)(A)(2) Programming opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, A Supervising Correctional Officer, one senior evidence-based, best practice interventions that are Juvenile Correctional Counselor (JJC), and culturally relevant and linguistically appropriate, or pro- two JJC staff are dedicated to providing social interventions and activities designed to reduce programming. The two JJC staff provide recidivism. These programs should be based on the Cognitive Behavioral Training programming to youth’s individual needs as required by Sections 1355 the youth which consist of Carey Guide and and 1356. Such programs may be provided under the Journaling groups, Reasoning and direction of the Chief Probation Officer or the County Rehabilitation II, Aggression Replacement Office of Education and can be administered by county Training, and Thinking for a Change groups. partners such as mental health agencies, community The agency also utilizes Cognitive Behavioral based organizations, faith-based organizations or Training 2.0 and youth actively engage in Probation staff. check-in/check-out sessions to support Programs may include but are not limited to: cognitive learning. (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; The agency has partnered with several (3) Anger Management; community-based organizations including (4) Conflict Resolution; Omega Men’s Group, Hidden Genius, El (5) Juvenile Justice System; Joven Noble, and community churches who (6) Trauma-related interventions; provide programming. In addition, Alternative (7) Victim Awareness; Restorative Communities provides (8) Self-Improvement; ☒ ☐ ☐ Restorative Justice and the XL Mentoring (9) Parenting Skills and support; program. Leaders in Community Alternatives (10) Tolerance and Diversity; provide employment skills development and (11) Healing Informed Approaches; facilitate transition planning including re-entry (12) Interventions by Credible Messengers; planning, identifying community support (13) Gender Specific Programming; services, and family reunification. Aldea (14) Art, creative writing, or self-expression; conducts substance use disorder treatment as (15) CPR and First Aid training; needed. (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, Two contracted SCOE mental health (18) Other topics suitable to the youth population. clinicians provide services focusing on Crisis 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. Provided technical assistance to consistently document in their unit logs programming provided by facility staff and through their collaboration with SCOE, WellPath, and local community-based organizations. 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 12 of 13 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Recreation. All youth shall be provided the opportunity Policy 313.13 (3)(A)(7) for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Recreational activities include bingo, movies, entertainment. Activities shall be supervised and include wellness, painting, library, and art activities. orientation and may include coaching of youth. ☒ ☐ ☐ Interviews with youth indicate they have the opportunity to choose their recreational activity. Youth indicated they go outside to play basketball, use the phone, play dominoes and video games, and watch television. (c) Exercise. All youth shall be provided with the Policy 313.13 (3)(A)(6) opportunity for at least one hour of large muscle activity each day. ☒ ☐ ☐ In addition to daily large muscle exercise, yoga is offered weekly by a contracted provider. The administrator/manager may suspend, for a period not Policy 313.13 (3)(A)(10) to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7646 Solano County SYTF Targeted Inspection PRO 23-24 Page 13 of 13 A453 JUV Targeted PRO eff. 1/2024