Sonoma County Probation (2023-2024 inspection cycle)

January 18, 2024 Vanessa Fuchs, Chief of Probation Sonoma County Probation Department 370 Administration Drive Santa Rosa, CA 95403 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SONOMA COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Fuchs: The 2023-2024 Comprehensive Inspection of the Sonoma County Probation Department has been completed. A pre-inspection briefing was held on Wednesday, February 1, 2023, and the following facilities were inspected between Monday, June 26, 2023 and Thursday, June 29, 2023: FACILITY NAME BSCC # FACILITY TYPE Sonoma County Juvenile Hall 7658 JH Sonoma Secure Youth Treatment Facility 7659 SYTF at SCJH 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 the annual inspection, Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity. Vanessa Fuchs, Chief of Probation Page 2 Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified, and no areas of noncompliance were noted. An Exit Briefing with your staff was held on Thursday, June 29, 2023; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at forrest.coleman@bscc.ca.gov or call (916) 508-7559 if you have any questions. Sincerely, FORREST COLEMAN Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Sonoma County Juvenile Court* Chair, Juvenile Justice Commission, Sonoma County* Chair, Board of Supervisors, Sonoma County* County Administrator, Sonoma County* Kilee Wilson, Division Director II, Sonoma County Juvenile Hall *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7658 7659 Sonoma Probation LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7658 FACILITY NAME: Sonoma County Juvenile Hall (SCJH) FACILITY TYPE: JH PERSON(S) INTERVIEWED: Vanessa Fuchs, Deputy Chief Probation Officer; Dan Flamson, Division Director I, Juvenile Hall; Kilee Wilson, Division Director II, JH; Dawn Kemp, Administrative Assistant, JH; Ele Lozares-Lewis, Medical Director, Santa Rosa Community Health (Medical and Mental Health); Esin Zamorsa, BH Clinician Specialist; Mayra Perez Lopez, BH Clinician; Kristen Vela, Health Program Manager, Sonoma Co. DHS; Greg Hallihan, Chef; Valerie Spizarsky, Education Specialist, SCOE; Cynthia Trudeau JH Scheduling Sup; Melita Combs, JCC (JH); Cliff Scheuter, Principal, Sonoma County Office of Education; Male, 21yrs, Male age 20; female age 17; random youth. FIELD REPRESENTATIVE: Forrest Coleman DATE: June 26th through June 29th 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION Policy 1.1.4, 7-B Administrative OF BUILDING AND GROUNDS responsibilities On an annual basis, or as otherwise required by law, This inspection was conducted six months each juvenile facility administrator shall obtain a into the first year of the 2023-2024 inspection documented inspection and evaluation from the cycle. Therefore, BSCC staff requested that following: the Sonoma County Juvenile Hall (SCJH)), provide all "County Inspections and Evaluation of Grounds" inspection reports that occurred within a year of the current inspection date. In addition, we requested dates of pending annual reports and to forward reports as they occur leading up to December 31, 2023. (A) County building inspection by agency designated by 2022: the Board of Supervisors to approve building safety; Inspected on November 09, 2022, and completed by Aris Knoles, Supervising ☒ ☐ ☐ Building Inspector, Sonoma County. 2023: Report Pending. (B) Fire authority having jurisdiction, including a fire 2023: clearance as required by Health and Safety Code ☒ ☐ ☐ Inspected on January 17, 2023, and Section 13146.1 (a) and (b); completed by City of Santa Rosa Fire Dept. 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with 2022: Health and Safety Code Section 101045; Environmental Health: Inspected on November 1, 2022 and November 30, 2022, and completed by Dina Hernandez, Senior EHS; Nixsander Diaz, EHS; Phil McCauley, Supervising EHS (Sonoma County EH). Medical/Mental Health: Inspected on November 10, 2022, and completed by Kristen Vela, Health Program Manager, Sonoma County DPH. Nutritional Health: Inspected on December 13, 2022, and completed by Indira Wiebe, RD. ☒ ☐ ☐ 2023: Environmental Health: Inspected on October 2, 2023, and completed by Environmental Health Specialist, Emily Carzini, and Dina Hernandez, Senior EHS Supervising EHS (Sonoma County EH). Medical/Mental Health: Inspected on October 17, 2023, and completed by Kristen Vela, Health Program Manager, Sonoma County DPH. Nutrition: Inspected on October 17, 2023, and completed by Indira Wiebe, RD. (D) County superintendent of schools on the adequacy 2022: of educational services and facilities as required in Evaluated on December 15, 2022, and Section 1370; completed by Tawny Fernandez, Director ☒ ☐ ☐ Mendocino County Office of Education. 2023: Report Pending. (E) Juvenile court as required by Section 209 of the 2023: Welfare and Institutions Code Inspected on February 2, 2023, and ☒ ☐ ☐ completed by Kenneth J. Gnoss, Presiding Judge of the Juvenile Court, Sonoma County. (F) Juvenile Justice Commission as required by Section 2022: 229 of the Welfare and Institutions Code or Probation Inspected on November 17, 2022, and Commission as required by Section 240 of the completed by Commissioners Marc Andrade, ☒ ☐ ☐ Welfare and Institutions Code. Jean Ure, and Greg Schmid. 2023: Report Pending 7658 Sonoma County Juvenile Hall PRO 23-24 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS An Appointment and Qualification Letter, BSCC Note: Compliance with this section is dated May 17, 2023, was received from determined by receipt of the Chief Probation Officer’s Sonoma County Chief Probation Officer certification letter confirming that all elements of (CPO) Vanessa Fuchs certifying all appointments of staff are pursuant to the regulation are met. applicable laws including minimum standards (a) Appointment from BSCC, Penal Code 6035. Further, all In each juvenile facility there shall be a superintendent, ☒ ☐ ☐ staff who are present at the facility meet all director or facility manager in charge of its program and required qualifications and clearances including contract personnel, volunteers, and employees. Such superintendent, director, facility other non-employees. manager and other employees of the facility shall be appointed by the facility administrator pursuant to The letter confirms that the Sonoma County applicable provisions of law. Juvenile Hall meets Title 15 minimum standards for this regulation (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess The elements of this regulation are confirmed knowledge, skills and abilities appropriate to in the CPO Appointment and Qualifications their job classification and duties in accordance ☒ ☐ ☐ Letter, dated May 17, 2023. with applicable civil service or merit system rules; (2) require a medical evaluation and physical The elements of this regulation are confirmed examination including tuberculosis screening in the CPO Appointment and Qualifications test and evaluation for immunity to contagious ☒ ☐ ☐ Letter, dated May 17, 2023 illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the The Board of State and Community selection and training requirements adopted by Corrections, Standards and Training for the Board pursuant to Section 6035 of the Penal Corrections (STC) Division reports that the Code; and ☒ ☐ ☐ Sonoma County Probation Department meets Title 15 regulation minimum standards for staff training requirements. (4) conduct a criminal records review, on each new The elements of this regulation are confirmed employee, and psychological examination in in the CPO Appointment and Qualifications ☒ ☐ ☐ accordance with Section 1031 et seq. of the Letter, dated May 17, 2023. Government Code. (c) Contract personnel, volunteers, and other non- 3.3.14 Volunteer Program employees of the facility, who may be present at the facility, shall have such clearance and qualifications Unless always supervised, all contract as may be required by law, and their presence at the personnel, volunteers, and other non- members of the facility, who may be present facility shall be subject to the approval and control of ☒ ☐ ☐ at the facility, have had such clearance and the facility manager. qualifications as may be required by law and their presence is subject to the approval and control of the Chief Probation Officer or designee. 1321 STAFFING Each juvenile facility shall: 7658 Sonoma County Juvenile Hall PRO 23-24 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS a) have an adequate number of personnel sufficient to 2.1.4, 1-a Staffing Requirements carry out the overall facility operation and its We reviewed the above policy and procedure, programming, to provide for safety and security of as well as the agency’s Organization Chart, youth and staff, and meet established standards and random weekly staff schedule, and daily regulations; schedule covering two consecutive weeks in April, May, and June of 2023. In addition, we made personal observations. At the time of the inspection, the Sonoma County Juvenile Hall staffing consisted of: ☒ ☐ ☐ 1 Division Director II 2 Division Director I 9 Facility Supervisors 61 Juvenile Correctional Counselors 14 Extra Help Juvenile Correctional Counselors b) ensure that no required services shall be denied 2.1.4, 1-a Staffing Requirements because of insufficient numbers of staff on duty absent exigent circumstances; Per the above policy, absent exigent circumstances, the Facility Supervisor and Program Supervisor are responsible for the daily operation of the facility with regard to maintaining compliance with applicable Title 15 standards set by the Board of State and Community Corrections (BSCC). Through our review of the above policy, visual observations, a review of work schedules for April, May, and June 2023, as well as a review ☒ ☐ ☐ of the unit programming documentation, BSCC staff determined that SCJH regularly ensures that the staffing levels are adequate. We discussed the importance of ensuring that staffing levels are sufficient to provide programming for youth on all housing units at regularly scheduled times. BSCC staff appreciated the time and effort the facility took to complete the BSCC Facility Information Worksheet. The detail was helpful to BSCC staff during the inspection process. 7658 Sonoma County Juvenile Hall PRO 23-24 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS c) have a sufficient number of supervisory level staff to 2.1.4, 1-b Staffing Requirements ensure adequate supervision of all staff members; After a review of the daily staff schedule, as well as through interviews with youth housed at the facility and staff, BSCC staff confirmed ☒ ☐ ☐ that there is a Facility Supervisor present at the facility on each shift. BSCC observed that a Facility Supervisor is always on-site in the facility d) have a clearly identified person on duty at all times 2.1.4, 1-b, I Staffing Requirements who is responsible for operations and activities and 2.1.4, 1-c Staffing Requirements has completed the Juvenile Corrections Officer Core Course and PC 832 training; A Facility Supervisor is assigned to each shift. ☒ ☐ ☐ Facility Supervisor and Program Supervisor are responsible for the daily operation of the facility and clearly identified on the shift schedule. e) have at least one staff member present on each 2.1.4, 1-f Staffing Requirements living unit whenever there are youth in the living unit; Through personal observations, as well as through interviews with staff and youth ☒ ☐ ☐ housed at the facility, SCJH regularly ensures that there is always a staff present in the unit or where a youth is present. Youth are never left unsupervised. f) have sufficient food service personnel relative to the 2.1.4, 1-d Staffing Requirements number and security of living units, including staff qualified and available to: plan menus meeting BSCC staff interviewed the Food Service nutritional requirements of youth; provide kitchen Supervisor/Chef. The Chef intermittently supervision; direct food preparation and servings; assists in preparing meals, but primarily conduct related training programs for culinary staff; oversees kitchen operations. The contracted and maintain necessary records; or, a facility may Nutritionist provides the Chef with guidance serve food that meets nutritional standards prepared as it relates to nutritional guidelines, youth by an outside source; special diet requests, and other issues that may arise. The kitchen staff deliver meals to the units ☒ ☐ ☐ via hot carts and detention staff serve the meals to the youth. Youth are not allowed in the kitchen. Meals are prepared on-site. Current food service personnel staffing consists of: 1 Food Services Supervisor (Chef) 5 Cooks 7658 Sonoma County Juvenile Hall PRO 23-24 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, 2.1.4, 1-e Staffing Requirements medical, dental, mental health, building maintenance, transportation, control room, facility BSCC staff interviewed medical services, security and other support staff for the efficient behavioral health personnel, and education management of the facility, and to ensure that youth services. We also made personal ☒ ☐ ☐ supervision staff shall not be diverted from observations over the course of the inspection supervising youth; and, week. The agency is fortunate to have such a significant base of collaborative partners and support staff. h) assign sufficient youth supervision staff to provide 2.1.4, 2 Staffing Requirements continuous wide-awake supervision of youth, subject to temporary variations in staff assignments to meet BSCC staff interviewed detention staff and special program needs. Staffing shall be in reviewed housing unit logs, programming compliance with a minimum youth-staff ratio for the schedules, and employee daily schedules. ☒ ☐ ☐ following facility types: The Sonoma County SCJH regularly provides youth supervision staffing levels that enable the facility to meet the minimum standards for this regulation. (1) Juvenile Halls (minimum youth-staff ratio) 2.1.4, 2-a Staffing Requirements (A) during the hours that youth are awake, one wide- The Juvenile Hall’s overall population, at the awake youth supervision staff member on duty for each 10 youth in detention; time of the inspection, was 32 youths of which 11 were SYTF youths. There were 5 females in custody. Through documentation review, personal ☒ ☐ ☐ observations, as well as interviews with youth and detention staff, and a review of safety check logs, the facility regularly ensures that there is one wide-awake youth supervision staff member on duty for every 10 youths in detention. (B) during the hours that youth are confined to their 2.1.4, 2-b Staffing Requirements 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 2.1.4, 1-h Staffing Requirements members on duty at all times, regardless of the 2.1.4, 2-c Staffing Requirements number of youth in detention, unless an arrangement has been made for backup support In a review of the housing unit log, Safety services which allow for immediate response to ☒ ☐ ☐ Check documentation, and daily schedules, emergencies; and, SCJH ensures at least two wide-awake youth supervision staff members are always on duty. (D) at least one youth supervision staff member on duty 2.1.4, 1-g Staffing Requirements who is the same gender as youth housed in the facility. According to shift schedules, housing unit ☒ ☐ ☐ logs, visual observations, and interviews with staff and youth, there is always a male and female youth supervision staff in the unit. 7658 Sonoma County Juvenile Hall PRO 23-24 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (E) personnel with primary responsibility for other duties 2.1.4, 1-e Staffing Requirements such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or ☒ ☐ ☐ Only youth supervision staff provide maintenance shall not be classified as youth supervision of the youth. supervision staff positions. (2) Special Purpose Juvenile Halls (minimum The Sonoma County Juvenile Hall is not a youth-staff ratio) Special Purpose Juvenile Hall. The below (A) during hours that youth are awake, one wide-awake ☐ ☐ ☒ Sections A through E are not applicable to this youth supervision staff member is on duty for each facility. 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement ☐ ☐ ☒ has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or ☐ ☐ ☒ maintenance shall not be classified as youth supervision staff positions. (3) Camps (minimum youth -staff ratio) The Sonoma County Juvenile Hall is not a (A) during the hours that youth are awake, one wide- Camp. Therefore, the below camp sections A awake youth supervision staff member on duty for ☐ ☐ ☒ through F are not applicable to this facility each 15 youth in the camp population; inspection report. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless arrangements ☐ ☐ ☒ have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the function of ☐ ☐ ☒ the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; 7658 Sonoma County Juvenile Hall PRO 23-24 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (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 2.2.1 Training Program ORIENTATION AND TRAINING The elements of this regulation are confirmed in the Sonoma County Chief Probation (a) Prior to assuming any responsibilities each youth Officer’s (CPO) Appointment and supervision staff member shall be properly oriented Qualifications Letter provided by Sonoma to their duties, including: County CPO Vanessa Fuchs and dated May 17, 2023. The letter certifies that SCJH Probation Officers and Juvenile Correctional ☒ ☐ ☐ Counselors (JCC) have been appointed with applicable provisions of law. According to the Board of State and Community Corrections’ Standards and Training for Corrections (STC) Division, Sonoma County JH complies with this regulation regarding staff training and orientation. (1) youth supervision duties; 2.2.1, 4-D Training Program The elements of this regulation are identified ☒ ☐ ☐ in and confirmed in CPO Vanessa Fuchs’s Appointment and Qualifications Letter, dated May 17, 2023. (2) scope of decisions they shall make; ☒ ☐ ☐ 2.2.1, 4-D Training Program (3) the identity of their supervisor; 2.2.1, 4-D Training Program The elements of this regulation are identified ☒ ☐ ☐ in the SCJH training procedure. Peer Coaches are assigned to provide training to new employees to successfully complete the New Employee Training Program. (4) the identity of persons who are responsible to 2.2.1, 4-D Training Program them; Every Juvenile Correctional Counselor (JCC) ☒ ☐ ☐ receives 160 hours of orientation and training that includes this section of the regulation. This far exceeds the requirements for this regulation. (5) persons to contact for decisions that are beyond 2.2.1, 4-D Training Program their responsibility; and ☒ ☐ ☐ 7658 Sonoma County Juvenile Hall PRO 23-24 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) ethical responsibilities. 2.2.1, 4-D Training Program The elements of this regulation are identified in and confirmed in CPO Appointment and Qualifications Letter, dated May 17, 2023. ☒ ☐ ☐ The Training Coordinator ensures that newly hired detention staff and non-sworn staff are properly trained with the elements of this regulation. (b) Prior to assuming any responsibility for the 2.2.1, 4-E Training Program supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of All new full-time and temporary employees facility-specific orientation, including: receive Introductory Training. The training is a 160-hour, 5-Phased New Employee Orientation Training Program that consists of the following: • 52 hours Standards in Correction (STC)-certified classroom study • 8 hours observation • 20 hours of JH Policy and Procedure ☒ ☐ ☐ • 80 hours of shadowing The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter, dated May 17, 2023. According to the Board of State and Community Corrections’ Standards and Training for Corrections (STC) Division, Sonoma County Juvenile Hall ensures each youth supervision staff member shall receive a minimum of 40 hours of facility-specific orientation training. (1) individual and group supervision techniques; 2.2.1, 4-E Training Program ☒ ☐ ☐ The Training Coordinator ensures that newly hired detention staff are properly trained with the elements of this regulation. (2) regulations and policies relating to discipline and 2.2.1, 4-E Training Program rights of youth pursuant to law and the provisions of this chapter; BSCC staff were impressed with the JCC Staff Orientation/Training. Every Juvenile ☒ ☐ ☐ Correctional Counselor (JCC) receives 160 hours of orientation and training that includes this section of the regulation. This far exceeds the requirements for this regulation. (3) basic health, sanitation and safety measures; 2.2.1, 4-E Training Program The initial 52-hour training encompasses the ☒ ☐ ☐ elements of this regulation. Specifically, Blood-borne Pathogens and a Universal Precautions training are provided to detention staff. 7658 Sonoma County Juvenile Hall PRO 23-24 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) suicide prevention and response to suicide 2.2.1, 4-E Training Program attempts 3.3.21 Trauma-Informed Approaches ☒ ☐ ☐ Detention staff receive suicide prevention training as part of their initial training as well as annual suicide prevention update. (5) policies regarding use of force, de-escalation 2.2.1, 4-E Training Program techniques, chemical agents, mechanical and physical restraints; The elements of this regulation are identified ☒ ☐ ☐ in and confirmed in CPO Vanessa Fuchs’s Appointment and Qualifications Letter, dated May 17, 2023. (6) review of policies and procedures referencing 2.2.1, 4-E Training Program trauma and trauma-informed approaches; ☒ ☐ ☐ The Training Coordinator ensures that newly hired detention staff are properly trained with the elements of this regulation. (7) procedures to follow in the event of 2.2.1, 4-E Training Program ☒ ☐ ☐ emergencies; (8) routine security measures, including facility 2.2.1, 4-E Training Program perimeter and grounds; The elements of this regulation are identified ☒ ☐ ☐ in and confirmed in CPO Vanessa Fuchs’s Appointment and Qualifications Letter, dated May 17, 2023. (9) crisis intervention and mental health referrals to 2.2.1, 4-E Training Program mental health services; 3.3.21 Trauma Informed Approaches ☒ ☐ ☐ Staff receive initial training in addition to an annual suicide prevention update. (10) documentation; and ☒ ☐ ☐ 2.2.1, 4-E Training Program (11) fire/life safety training 2.2.1, 4-E Training Program The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’s Appointment and Qualifications Letter, dated May 17, 2023. ☒ ☐ ☐ The Training Coordinator ensures that newly hired detention staff are properly trained with the elements of this regulation. Staff also receive annual emergency procedures training and or acknowledge a review of policy and procedure. (c) Prior to assuming sole supervision of youth, each 2.2.1, 4-F Training Program youth supervision staff member shall successfully complete the requirements of the Juvenile The elements of this regulation are identified ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal in and confirmed in CPO Vanessa Fuchs’s Code Section 6035. Appointment and Qualifications Letter, dated May 17, 2023. 7658 Sonoma County Juvenile Hall PRO 23-24 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Prior to exercising the powers of a peace officer 2.2.1, 4-F Training Program youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal The elements of this regulation are identified Code. in and confirmed in CPO Vanessa Fuchs’s ☒ ☐ ☐ Appointment and Qualifications Letter, dated May 17, 2023. Staff complete PC 832 within the first year of permanent assignment. 1323 FIRE AND LIFE SAFETY 2.2.1, 4-E Training Program Whenever there is a youth in a juvenile facility, there shall After a review of documentation, all staff shall be at least one wide awake person on duty at all times receive Fire and Life Safety Training either who meets the training standards established by the through CORE training or other contracted Board for general fire and life safety which relate certified providers. ☒ ☐ ☐ specifically to the facility. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’s Appointment and Qualifications Letter, dated May 17, 2023. 1324 POLICY AND PROCEDURES MANUAL 1.1.4, I-A, B and C, Administrative Responsibilities All facility administrators shall develop, publish, and 1.1.5 Policy and Procedures Manual implement a manual of written policies and procedures that address, at a minimum, all regulations that are The facility manual is available to employees applicable to the facility. Such a manual shall be made in electronic and hard copy format. available to all employees, reviewed by all employees, and shall be administratively reviewed at a minimum Confirmed in a memorandum written by every two years, and updated, as necessary. Those Kilee Willson, Division Director II, and dated records relating to the standards and requirements set June 21, 2023, the policy and procedures forth in these regulations shall be accessible to the Board ☒ ☐ ☐ manual was administratively reviewed as of on request. the date indicated. Per the memo, selected The manual shall include: sections of the policy manual are reviewed bi- monthly. This effort is far exceeds the two- year Title 15 requirements. Per the agency’s policy, Juvenile Correctional Counselor (JCC) detention staff review the Policy and Procedures Manual during initial training. The policy is reviewed by staff annually and or as needed. (a) table of organization, including channels of 1.1.5 Policy and Procedures Manual communications and a description of job ☒ ☐ ☐ classifications; 7658 Sonoma County Juvenile Hall PRO 23-24 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) responsibility of the probation department, purpose 1.1.1 Mission Statement of programs, relationship to the juvenile court, the 1.1.2 Policy Statement Juvenile Justice/Delinquency Prevention 1.1.7 Juvenile Justice Commission Commission or Probation Committee, probation 1.1.8 Roles and Relationships with other staff, school personnel and other agencies that are Agencies, Departments and Divisions. involved in juvenile facility programs; In review of inspection and evaluation reports submitted, per Title 15 regulations, Section 1313 County Inspections and Evaluation of ☒ ☐ ☐ Building and Grounds, and through interviews with the probation staff, school personnel, and other agencies, BSCC staff concluded that all collaborative partners have a clear and articulable understanding of their roles and expectations as they relate to the relationship, responsibilities, and purpose of programs outlined by the Sonoma County Juvenile Hall’s policy and procedure manual. (c) responsibilities of all employees; 1.1.5, 1-f Policy and Procedure Manual 2.1.1 JCC Roles and Responsibilities ☒ ☐ ☐ Detention staff have access to the policy and procedure manuals in hard copy and or electronic format. (d) initial orientation and training program for 2.2.1 Training Sworn Staff employees; ☒ ☐ ☐ 2.2.1, G-I and Ii Volunteers, Providers and Support Staff Training and Orientation (e) initial orientation, including safety and security issues 2.2.1, 4-G, ii Training Sworn Staff and anti-discrimination policies, for support staff, 3.3.14 Volunteer Program contract employees, school, mental/behavioral health and medical staff, program providers and Prior to initial entry to the facility, via the ☒ ☐ ☐ volunteers; volunteer coordinator, the SCJH ensures new support staff, contractors, and or volunteers undergo a safety/security briefing and must complete an initial orientation training. (f) maintenance of record-keeping, statistics and The agency’s support staff reports and ☒ ☐ ☐ communication system to ensure: maintains records required by regulation. (1) efficient operation of the juvenile facility; 1.1.4 Administrative Responsibilities (Policy Statement) In part, a case management system, ☒ ☐ ☐ handwritten tracking forms, housing unit programming forms, and shift activity schedules are the main means of record keeping of day-to-day programming and facility operations. (2) legal and proper care of youth; 1.1.6, 2 Legal Origin, Establishment, and ☒ ☐ ☐ Purpose (3) maintenance of individual youth's records; The County of Sonoma has a retention of ☒ ☐ ☐ youth records schedule. 7658 Sonoma County Juvenile Hall PRO 23-24 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) supply of information to the juvenile court and 1.1.6, 2-D Legal Origin, Establishment, and those authorized by the court or by the law; and, Purpose 1.1.4 Policy Statement ☒ ☐ ☐ The agency utilizes a case management system for communication and record keeping with the courts, juvenile probation, and statistical data collection. (5) release of information regarding youth. 1.1.6, 2-D Legal Origin, Establishment, and ☒ ☐ ☐ Purpose 1.1.4 Policy Statement (g) ethical responsibilities; ☒ ☐ ☐ 2.1.2 Code of Conduct (h) trauma-informed approaches; 3.3.21 Trauma Informed Approaches In addition to following expectations to the ☒ ☐ ☐ above policy, as part of the annual review training, all SCJH detention staff participated in training that included but was not limited to trauma-informed approaches. (i) culturally responsive approaches; 3.3.21, I-A, v Trauma Informed Approaches In addition to following expectations to the ☒ ☐ ☐ above policy, as part of annual review training, all SCJH detention staff participated in training that included but was not limited to culturally-responsive approaches (j) gender responsive approaches; 3.6.4, 1-A Program, Recreation and Exercise As part of annual review training, all SCJH ☒ ☐ ☐ detention staff participated in training that included but was not limited to gender- responsive approaches. (k) a non-discrimination provision that provides that all 2.1.1, 2-A, vii JCC Roles and Responsibilities youth within the facility shall have fair and equal access to all available services, placement, care, BSCC staff reviewed the above policy and treatment, and benefits, and provides that no person orientation packets and interviewed youth to shall be subject to discrimination or harassment on conclude that the SCJH meets compliance the basis of actual or perceived race, ethnic group with the elements of this regulation. In ☒ ☐ ☐ identification, ancestry, national origin, immigration addition, detention staff and non-detention status, color, religion, gender, sexual orientation, staff are required to take non-discriminatory gender identity, gender expression, mental or trainings. Per Policy, Prison Rape Elimination physical disability, or HIV status, including restrictive Act (PREA) training is provided to employees housing or classification decisions based solely on every two years. any of the above mentioned categories; (l) storage and maintenance requirements for any 3.4.15, 6-A through C Use of Chemical Agent chemical agents related security devices, and weapons and ammunition, where applicable; ☒ ☐ ☐ Any law enforcement staff are responsible to store their weapons or equipment in the sallyport lockers prior to entering. (m) establishment of procedures for collection of Medi- 4.1.15 Medi-Cal Eligibility Cal eligibility information and enrollment of eligible ☒ ☐ ☐ youth; and, 7658 Sonoma County Juvenile Hall PRO 23-24 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (n) establishment of a policy that prohibits all forms of 1.1.4, 2 PREA Policy sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to The Division Director II serves as the PREA preventing, detecting and responding to such ☒ ☐ ☐ Compliance manager and works in conduct and any retaliation for reporting such conjunction with the PREA Coordinator to conduct, as well as a provision for reporting such assess annual compliance with PREA conduct by youth, staff or a third party. standards. 1325 FIRE SAFETY PLAN 5.1.9 Fire and Life 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 5.1.9, 5 Responding to a Fire ☒ ☐ ☐ manual of policy and procedures; b) monthly fire and life safety inspections by facility 5.1.9, 5 Responding to a Fire staff with two- year retention of the inspection record; To aid in ensuring compliance, the facility has a safety committee. Per policy, the committee meets quarterly to assess compliance ☒ ☐ ☐ standards. BSCC staff reviewed monthly fire and life safety inspections from January 2022 to the current inspection date. The inspections are very well-detailed and comprehensive. c) fire prevention inspections as required by Health 5.1.9, 9-a Responding to a Fire and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ The facility fire inspection was conducted on January 17, 2023, and completed by City of Santa Rosa Fire Dept. d) an evacuation plan; 5.1.7 Emergency Evacuation Plan BSCC staff acknowledged that the facility ☒ ☐ ☐ conducts periodic evacuation drills to keep youth and detention staff well-prepared for emergencies. e) documented fire drills not less than quarterly; 5.1.9, 6 Evacuation Procedures ☒ ☐ ☐ BSCC staff reviewed quarterly fire drills from the prior January 13, 2022 inspection date to the current inspection date. f) a written plan for the emergency housing of youth in 5.1.9, 7 Emergency Housing the case of fire; and, Per SCJH policy, there is a “mutual aid pact with other agencies” for the emergency ☒ ☐ ☐ housing of youth. BSCC staff suggest specificity in policy that includes, but not limited to, identifying the specific county participating in the pact. g) development of a fire suppression pre-plan in 5.1.9, 10 Fire Suppression Pre-Plan ☒ ☐ ☐ cooperation with the local fire department. 7658 Sonoma County Juvenile Hall PRO 23-24 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1326 SECURITY REVIEW 1.1.4, 3-A, I Security Review Each facility administrator shall develop policies and An annual security review memo, dated May procedures to annually review, evaluate, and document 22, 2023, was provided by Juvenile Hall security of the facility. The review and evaluation shall ☒ ☐ ☐ Director, Kilee Wilson. The memo was well include internal and external security, including, but not detailed and identified areas reviewed that limited to, key control, equipment, and staff training. included, but was not limited to, search practices, safety equipment, and assessment of video monitoring equipment. 1327 EMERGENCY PROCEDURES A memorandum dated June 10, 2023, and written by Division Director, Kristy Silva, The facility administrator shall develop facility-specific confirms that SCJH conducted an annual policies and procedures for emergencies that shall security review. The memo was well detailed include, but not be limited to: ☒ ☐ ☐ and identified areas reviewed that included, but was not limited to, policy review, emergency action plan, camera/video recording equipment, and facility safety. (a) escape, disturbances, and the taking of hostages; 3.4.26 Escape; 3.4.27 Riot (Disturbance); ☒ ☐ ☐ 3.4.28 Hostage Situation (b) civil disturbance, active shooter and terrorist attack; 3.4.27 Riot ☒ ☐ ☐ 3.4.32 Active Shooter/Terrorist Attack (c) fire and natural disasters; 5.1.9 Fire and Life Safety ☒ ☐ ☐ 5.1.11 Earthquake (d) periodic testing of emergency equipment; 5.1.5, 4 AED Inspections ☒ ☐ ☐ 5.1.9, 12 Fire Suppression Equipment and Maintenance (e) emergency evacuation of the facility; and 5.1.7 Emergency Evacuation Plan Per SCJH policy, there is a “mutual aid pact with other agencies” for the emergency ☒ ☐ ☐ housing of youth. BSCC staff suggest specificity in policy that include, but not limited to, identifying the specific county participating in the pact. (f) a program to provide all youth supervision staff with 5.1.9, 2-a, i and ii Emergency Training ☒ ☐ ☐ an annual review of emergency procedures. 1328 SAFETY CHECKS BSCC staff reviewed the facility’s safety checks for the months of April, May, and June The facility administrator shall develop and implement 2023. The documerntation included safety policy and procedures that provide for direct visual check “Round Summaries” , 15-minute Watch observation of youth at a minimum of every 15 minutes, logs, and Special Watch (5-minute checks) at random or varied intervals during hours when youth logs. are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ In review of safety check documentation, Supervision is not replaced, but may be supplemented safety checks are being completed at a by, an audio/visual electronic surveillance system minimum of every 15 minutes and at random designed to detect overt, aggressive or assaultive or varied intervals during the hours youth are behavior and to summon aid in emergencies. All safety confined to their rooms. The Intake and checks shall be documented with the actual time the Special Watch checks are signed off by a check is completed. supervisor and Director. 7658 Sonoma County Juvenile Hall PRO 23-24 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1329 SUICIDE PREVENTION PLAN 3.3.20 Suicide Prevention Program The facility’s Suicide Prevention Plan is a The facility administrator, in collaboration with the collaboration with Probation and Health healthcare and behavioral/mental health Services to ensure youth at risk or identified administrators, shall plan and implement written policies as at risk are supervised appropriately and and procedures which delineate a Suicide Prevention provided with necessary services. Plan. The plan shall consider the needs of youth experiencing past or current trauma. Suicide prevention responses shall be respectful and in the least invasive Specific criteria in the plan address intake ☒ ☐ ☐ manner consistent with the level of suicide risk. The assessments and screenings, communication plan shall include the following elements: amongst agency partners, response by staff and notifications to staff, administration, family, and the Court when appropriate. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’s Appointment and Qualifications Letter dated May 17, 2023. (a) Suicide prevention training as required in Section 3.3.20 Suicide Prevention Program 1322, Youth Supervision Staff Orientation, and 2.2.1, 4-E Training Program Training and the Juvenile Corrections Officer Core 3.3.21 Trauma Informed Approaches Course. BSCC staff reviewed annual STC Suicide prevention class rosters showing intake staff and detention staff received the appropriate suicide prevention training. We also reviewed suicide attempt and/or suicide ideation ☒ ☐ ☐ incidents from the prior 2022 BSCC inspection to the current inspection. The agency confirmed that an annual refresher suicide prevention training is included in the SCJH Suicide Prevention Plan. In addition, staff receive suicide prevention training during Counselor CORE training. (b) Screening, Identification Assessment and 3.3.20, 2-A Suicide Prevention Program Precautionary Protocols (1) All youth shall be screened for risk of BSCC staff reviewed 10 random youth intake suicide at intake and as needed during screenings and/or assessments completed detention. by intake facility staff between April, May, and June 2023. SCJH intake staff screen, assess, ☒ ☐ ☐ and identify youth who may be a suicide risk. The elements of this regulation are performed via detention intake staff’s personal observations, intake questions, interviews with the arresting officer, and information from parents. Medical staff conduct an assessment as well. 7658 Sonoma County Juvenile Hall PRO 23-24 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) All youth supervision staff who perform 3.3.20, 1-A Suicide Prevention Program intake processes shall be trained in screening youth for risk of suicide. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ ☒ ☐ ☐ Appointment and Qualifications Letter, dated May 17, 2023. In addition, an annual suicide prevention refresher training is provided to all staff (3) All youth who have been identified during 3.3.20, 2-B, I and ii Suicide Prevention the intake screening process to be at risk of Program suicide shall be referred to behavioral/mental health staff for a suicide Youths identified during the intake screening risk assessment. process to be at risk of suicide shall be immediately referred to behavioral health or ☒ ☐ ☐ the on-call provider if behavioral health is not present at the facility. After a review of the above policy, incident reports, and an interview with behavioral health services staff, BSCC staff confirmed compliance with this regulation. (4) Precautionary protocols shall be developed 3.3.20, 3-G Suicide Prevention Program to ensure the youth’s safety pending the behavioral/mental health assessment. Per the above policy, if a youth is found to be actively suicidal, the youth may be placed on Suicide Watch (5-minute Checks), Close ☒ ☐ ☐ Watch 1 or 2, or a Constant Watch status. The facility has a Special Management Room (SMR) used for youth needing close observartion. It is not considered a safety room. (c) Referral process to behavioral/mental health staff 3.3.20, 2-C Suicide Prevention Program for assessment and/or services. BSCC staff interviewed Behavioral Health staff. There is a Behavioral Health staff ☒ ☐ ☐ person on-site Monday through Friday and every other Sunday 8am to 4:30pm. There is an on-call crisis unit available to respond to suicide-related incidents on weekends and after hours. 7658 Sonoma County Juvenile Hall PRO 23-24 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Procedures for monitoring of youth identified at risk 3.3.20, 4 (Monitoring) Suicide Prevention for suicide. Program To monitor youth at risk for suicide, the facility utilizes the necessary suicide watch precautions. ☒ ☐ ☐ Per the above policy, youth found to be at risk for suicide may be placed on a suicide status. The facility has a comprehensive and well- detailed suicide classification and supervision system that identifies youth who are actively suicidal, recently suicidal, and or have a prior history of suicidal activities. (e) Safety Interventions 3.3.20, 3 Placing a Youth on Suicide Watch (1) Procedures to address intervention protocols for youth identified at risk for The facility has a well-detailed suicide suicide which may include, but are not ☒ ☐ ☐ classification and supervision system that limited to: identifies youth who are actively suicidal, recently suicidal, and or have a prior history of suicidal activities. A. Housing consideration 3.3.20, 5 Housing, Suicide Prevention ☒ ☐ ☐ Program B. Treatment strategies including 3.3.20, 3-E Suicide Prevention Program trauma-informed approaches Multi-Disciplinary Team (MDT) meetings provide collaboration needed to incorporate ☒ ☐ ☐ treatment strategies and trauma-informed approaches. Interviews with behavioral health staff confirm that youth receive ongoing weekly therapy. (2) Procedures to instruct youth supervision 3.3.20, 4 Suicide Prevention Program staff how to respond to youth who exhibit ☒ ☐ ☐ suicidal behaviors. Detention staff are provided initial and ongoing suicide prevention training. (f) Communication 3.3.20, 2-A Suicide Prevention Program (1) The intake process shall include communication with the arresting officer Communication between Probation, Health and family guardians regarding the youth’s Services and Behavioral Heath is past or present suicidal ideations, behaviors ☒ ☐ ☐ exceptional. Health Services and Behavioral or attempts. Health work operate under the same Sonoma County Department of Health Services. This provides seamless communication between the two providers. (2) Procedures for clear and current 3.3.20, 3 Suicide Prevention Program information sharing about youth at risk for suicide with youth supervision, healthcare, MDT meetings occur, that may include and behavioral/mental health staff. ☒ ☐ ☐ representatives from probation (staff and administrators), medical, behavioral health, and teachers or school administrators. 7658 Sonoma County Juvenile Hall PRO 23-24 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Debriefing of Critical Incidents Related to Suicides 6.1.11, 11-D, vii Medical Services Program or Attempts (1) Process for administrative review of the The Juvenile Hall had one (1) attempted circumstances and responses proceeding, ☒ ☐ ☐ suicide attempt during this inspection cycle. during and after the critical incident. Review of policy and procedure manual revealed compliance with this regulation. (2) Process for a debriefing event with affected 3.3.20, 10-G, iii Suicide Prevention Program ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected 3.3.20, 10-G, iv Suicide Prevention Program ☒ ☐ ☐ youth. (h) Documentation 3.3.20 Suicide Prevention Program (1) Documentation processes shall be developed to ensure compliance with this The documentation process is identified regulation ☒ ☐ ☐ throughout this policy, with specific requirements from sworn and non-sworn (mental health) staff. Youth identified at risk for suicide shall not be denied 3.3.20, 3-D Suicide Prevention Program the opportunity to participate in facility programs, services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety ☒ ☐ ☐ of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS 1.1.4, 4-A Administrative Responsibilities Each facility shall submit to the Board a letter of At the time of this inspection, there were no ☒ ☐ ☐ notification on each legal action, pertaining to conditions reports of legal action having occurred since of confinement, filed against persons or legal entities the prior inspection. responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY 5.1.14 Death or Serious Illness or Injury of OF A YOUTH WHILE DETAINED Youth in Custody 5.1.14, 3 Death of a Youth (1) Death of a Youth. 1.1.4, 4-A (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental This policy requires notification from the Chief health director, shall develop written policies and Probation Officer to the parent or legal procedures in the event of the death of a youth ☒ ☐ ☐ guardian and attorney of record. while detained, which include notifications to necessary parties, which may include the Juvenile This policy includes notification of the Juvenile Court, the parent, guardian or person standing in Court by the Chief Probation Officer. loco parentis and the youth’s attorney of record. At the time of this inspection, there were no reports of the death of a youth in custody having occurred since the prior inspection (b) The health administrator, in cooperation with the 5.1.14 Death or Serious Illness or Injury of facility administrator, shall develop written policies Youth in Custody 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) The administrator of the facility shall provide to the 5.1.14 Death or Serious Illness or Injury of Board a copy of the report submitted to the Attorney Youth in Custody General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from The agency is aware of this regulation. 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 5.1.14, 2 Serious Illness or Injury (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 1.1.4, 5-A through C, Administrative Responsibilities Each juvenile facility shall submit required population and profile survey reports to the Board within 10 Sonoma County Juvenile Hall submits working days after the end of each reporting period, in ☒ ☐ ☐ monthly reports to the BSCC. Per the Board a format to be provided by the Board. of State and Community Corrections, records show that the SCJH Profile Survey Reports are timely and meet minimum standards for this regulation. 1343 JUVENILE FACILITY CAPACITY 1.1.4, 6-A Administrative Responsibilities When the number of youth detained in a living unit of a SCJH building complex rated capacity is 130 juvenile facility exceeds its rated capacity for more than youth. fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the ☒ ☐ ☐ The rated capacity for the juvenile hall facility Board in a format provided by the Board. number 7658 is 117. At the time of the inspection, the JH detention youth population totaled 39 youth. This count does not include Secure Youth Treatment Facility youth. 7658 Sonoma County Juvenile Hall PRO 23-24 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350 ADMITTANCE PROCEDURES 4.1.1 Intake The facility administrator shall develop and implement BSCC staff reviewed the 10 most recent written policies and procedures for admittance of youth admission youth packets. that emphasize respectful and humane engagement with youth, and reflect that the admission process may A review of the documentation indicates be traumatic to youth who may have already SCJH complies with the minimum standards experienced trauma. Policies shall be trauma-informed, for this regulation. Further, a combination of a culturally relevant, and responsive to the language and variety of documentation reviews, interviews literacy needs of youth. In addition to the requirements with youth housed at the facilities, interviews of Sections 1324 and 1430 of these regulations: ☒ ☐ ☐ with detention staff, and interviews with medical and behavioral health partners confirm compliance. Per policy, the Intake and Release (IR) staff makes the initial intake determination based on legal status, age, and warrant type. Further, IR staff complete the Intake/Orientation Cover Page which includes information regarding all required elements of the intake process. (a) the admittance process shall include: 3.6.1, 3-A Access to Legal Services (1) Access to two free phone calls within one hour 4.1.1 Intake of admittance in accordance with the provisions of Welfare and Institution Code Section 627; ☒ ☐ ☐ BSCC staff reviewed documentation and interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers required phone calls at intake (2) Offer of a shower; 4.1.3, 1-F Initial Shower, Clothing and Bedding Issue BSCC staff reviewed documentation and ☒ ☐ ☐ interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers a shower during the intake process. (3) Documented secure storage of personal 4.1.4 Resident Property ☒ ☐ ☐ belongings; (4) Offer of food upon arrival; 4.1.1, 1-B, v Intake ☒ ☐ ☐ BSCC staff confirmed that youth are offered a meal at intake. 7658 Sonoma County Juvenile Hall PRO 23-24 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) Screening for physical and behavioral health 4.1.1, 1-G Intake Staff Screening and safety issues, intellectual or developmental 6.1.1, 10 Medical Screening disabilities; 6.1.8, 4 Mental Health Screening BSCC staff reviewed the above policies and youths’ intake documentation. BSCC staff confirmed that Intake and Release staff are responsible for asking health screening ☒ ☐ ☐ questions of the intake youth and forwarding the information to Health Services. The IR staff are trained to assess and screen each youth using the Medical Screening Questionnaire. Other useful information is gathered via the Admission Booking Sheet, Pre-PACT and the Detention Risk Assessment (DRAI). (6) Screening for physical and developmental 3.1.9; 3.3.20 Residents with Disabilities disabilities in accordance with Sections 1329, 6.1.1; 6.1.8 Medical Screening 1413, and 1430 of these regulations; Through documentation and interviews with ☒ ☐ ☐ medical and behavioral health staff, BSCC staff confirmed that SCJH ensures that all youth have a medical screening exam within 96 hours of intake. (7) Contact with Regional Center for the 3.3.6, 1-J, I Case Plans and Assessments 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. ☒ ☐ ☐ 4.1.1, 1-G, i-b Intake (b) juvenile hall administrators shall establish written 4.1.1, 1-A, i-iii Intake criteria for detention that considers the least restrictive environment. We observed documentation showing that all ☒ ☐ ☐ youth are screened by utilizing the DRAI and PACT Pre-Screen to assesses the housing unit placement of the youth based on the criminal sophistication of the youth. (c) juvenile camps and post-dispositional programs in 4.1.1, 6-B, I Intake juvenile halls shall develop policies and procedures that advise the youth of the estimated ☒ ☐ ☐ length of stay, inform them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and 4.1.1, 6-B, ii Intake procedures that advise any committed youth of the ☒ ☐ ☐ estimated length of his/her stay. 7658 Sonoma County Juvenile Hall PRO 23-24 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350.5. SCREENING FOR THE RISK OF SEXUAL 4.1.1 Policy Statement Intake ABUSE The Medical Screening Questionnaire elicits The facility administrator shall develop and implement information self-reported by the youth at written policies and procedures to reduce the risk of admission addressing prior incidents of sexual abuse by or upon youth. The policy shall require sexual abuse or assault and the youth’s facility staff to assess each youth within 72 hours of current assessment of returning home. admission based on the following information: ☒ ☐ ☐ BSCC staff reviewed the 10 most recent youth intake packets. In part, this confirmed compliance for this regulation. Through multiple points of contact assessments including, but not limited to, the Medical Screening Questionaire, youth receive screening as it relates to screening for the risk of sexual victimization. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (i) Intake (b) Gender nonconforming appearance or manner; or 4.1.1, 1-G, i-b, (ii) Intake identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (iii) Intake (d) Age; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (iv) Intake (e) Level of emotional and cognitive development; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (v) Intake (f) Physical size and stature; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (vi) Intake (g) Mental illness or mental disabilities; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (vii) Intake (h) Intellectual or developmental disabilities; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (viii) Intake (i) Physical disabilities; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (ix) Intake (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ 4.1.1, 1-G, i-b, (x) Intake (k) Any other specific information about the individual 4.1.1, 1-G, i-b, (xi) Intake youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through 4.1.1 Policy Statement conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate 4.1.1, 1-G, i-c Intake 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1351 RELEASE PROCEDURES 4.2.1 Releases The facility administrator shall develop and implement Compliance with this regulation is confirmed written policies and procedures for release of youth based on a review of facility policies and from custody which provide for: procedures. In addition, BSCC staff reviewed ☒ ☐ ☐ 10 most recent examples of completed youth release packets/forms. We also conducted interviews with collaborative partners, as well as interviews with detention staff and youth housed at the facility. (a) verification of identity/release papers; ☒ ☐ ☐ 4.2.1, 2-C, i Releases (b) return of personal clothing and valuables; ☒ ☐ ☐ 4.2.1, 2-D and H Releases (c) notification to the youth's parents or guardian; ☒ ☐ ☐ 4.2.2 Notification of Parents, Releases (d) notification to the facility health care provider in 4.2.1, 2-C, vi Releases accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; BSCC staff interviewed medical services and, personnel to determine compliance with ☒ ☐ ☐ minimum standards for this section of the regulation. We observed that collaboration with the Health Services ensures information exchange is made accordingly during the release process. (e) notification of school staff; 4.2.1, 2-C, vii Releases BSCC staff interviewed education services (Education Services Director) to determine compliance with minimum standards for this ☒ ☐ ☐ section of the regulation. We observed that probation ensures information exchange is made accordingly prior to a youth’s release. (f) notification of facility mental health personnel. 4.2.1, 2-C, vi Releases BSCC staff interviewed mental health services (Health Program Manager and Behavioral Health Clinical Specialist) to ☒ ☐ ☐ determine compliance with minimum standards for this section of the regulation. We observed that probation ensures information exchange is made accordingly prior to a youth’s release. 7658 Sonoma County Juvenile Hall PRO 23-24 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall develop and implement 4.2.1, 2-B Releases policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry A Juvenile Correctional Counselor III is services including, but not limited to, medical and assigned to facility programming. The JCC behavioral health, education, probation supervision and assigned was instrumental in developing a community-based services. Education Transition Plan for youth prior to release. SCJH’s efforts toward ensuring the youth are properly reconnected with community resources, including but not ☒ ☐ ☐ limited to the Education Transition Plan, are impressive. There is a Caseworker (Juvenile Correctional Counselor III) who completes the Transitional Release Plan and provides the plan to the youth. The plan includes the elements of this regulation and allows the youth to continue wrap-around services to the youth post- release. The facility administrator shall develop and implement 4.2.1, 6 Releases written policies and procedures for the furlough of youth ☒ ☐ ☐ from custody. 1352 CLASSIFICATION 4.1.6 Classification The facility administrator shall develop and implement Compliance with this regulation is confirmed written policies and procedures on classification of based on a review of facility policies and youth for the purpose of determining housing placement procedures and a review of the 10 most in the facility. ☒ ☐ ☐ recent youth classification documents. BSCC staff also conducted interviews with Such procedures shall: collaborative partners, as well as interviews with detention staff and youth housed at the facility. (a) provide for the safety of the youth, other youth, 4.1.6, 1-A Classification facility staff, and the public by placing youth in the appropriate, least restrictive housing and program Through a review of the above policy, settings. Housing assignments shall consider the ☒ ☐ ☐ interviews with supervisory staff, and need for single, double or dormitory assignment or admission documentation, BSCC staff location within the dormitory; determined that the SCJH meets compliance with the elements of this regulation. (b) consider facility populations and physical design of 4.1.6, 1-A Classification ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon 4.1.6, 1-B, i-xi Classification admittance to the facility; classification factors shall include, but not be limited to: age, maturity, The above policy indicates that the initial sophistication, emotional stability, program needs, classification system provides the basis for legal status, public safety considerations, unit housing placement and programming ☒ ☐ ☐ medical/mental health considerations, gender and decisions. gender identity of the youth; A Classification Supervisor is assigned to ensure the classification process is followed accordingly. 7658 Sonoma County Juvenile Hall PRO 23-24 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provide for periodic classification reviews, including 4.1.6, 2 Classifications Changes and Reviews provisions that consider the level of supervision and the youth's behavior while in custody; and, ☒ ☐ ☐ BSCC staff observed that classification reviews are completed periodically, or if applicable, as needed. (e) provide that facility staff shall not separate youth 4.1.6, 1-D Classification from the general population or assign youth to a single occupancy room based solely on the youth's The facility intake staff completed the intake actual or perceived race, ethnic group identification, documentation that identifies specific criteria ancestry, national origin, color, religion, gender, to determine housing classifications. In sexual orientation, gender identity, gender addition, the intake staff asks the necessary ☒ ☐ ☐ expression, mental or physical disability, or HIV questions of the youth and the arresting status. This section does not prohibit staff from officer and makes visual observations of the placing youth in a single occupancy room at the youth. youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, 4.1.6, 1-G, I Classification transgender, questioning or intersex identification or status as an indicator of likelihood of being sexually Through a review of the above policy, abusive. ☒ ☐ ☐ interviews with supervisory staff, and admission documentation, BSCC staff determined that the SCJH complies with this regulation. 1352.5 TRANSGENDER AND INTERSEX YOUTH. 4.1.6, 1-B, iv Classification The facility administrator shall develop written policies BSCC reviewed the above policy, admission and procedures ensuring respectful and equitable documentation, and interviews with detention treatment of transgender and intersex youth. The and supervisory staff. policies shall provide that: ☒ ☐ ☐ The agency has a Transgender Preference Form completed at admission. The form articulates the youth’s preference for housing, search, and self-identified pronoun. (a) Facility staff shall respect every youth’s gender 4.1.6, 1-C, ii Classification identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of The elements of this regulation are the youth’s legal name. Facilities may prohibit the accomplished, in part, through new staff initial use of gang or slang names or names that ☒ ☐ ☐ orientation and training that encapsulates otherwise compromise facility operations as multiple policies and procedures that ensure determined by the facility manager or designee, ongoing compliance with this regulation. and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present 4.1.6, 1-G, viii Classification 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Facility staff shall house youth in the unit or room 4.1.6, 1-E Classification that best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons ☒ ☐ ☐ for any decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that 4.1.6, 1-G, iii Classification transgender and intersex youth have access to medical and behavioral health providers qualified to ☒ ☐ ☐ BSCC staff interviewed medical and provide care and treatment to transgender and behavioral health staff to conclude intersex youth. compliance with this regulation. (e) Consistent with the facility’s reasonable and 4.1.6, 1-G, vii Classification necessary security considerations and physical plant, facility staff shall make every effort to ensure ☒ ☐ ☐ the safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any 3.4.9, 2 Searches youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION 3.3.2 Orientation Program 3.3.2. 1-B, ii Resident Handbook, Orientation The facility administrator shall develop and implement written policies and procedures to orient a youth prior to BSCC staff reviewed policy and procedure placement in a living area. Both written and verbal and reviewed the 10 most recent orientation information shall be provided and supplemented with packet examples. We also reviewed the youth video orientation if feasible. Provision shall be made to handbook, interviewed detention staff, and provide accessible orientation information to all interviewed youth housed at the facility to detained youth including those with disabilities, limited determine compliance. literacy, or English language learners. Orientation shall include information that addresses: All youth are provided written and verbal orientation guidance at intake via the Orientation Intake Cover page and the ☒ ☐ ☐ Orientation Worksheet. BSCC staff was extremely impressed with the Orientation worksheet which incorporates a 5-day orientation process with the youth. Both the staff conducting the orientation and the youth sign the Orientation form acknowledging the process. In review of the youth handbook, it provides a summary of policies and guidance of behaviors, sets expectations, and allows for dialogue if a youth is unclear on a specific topic. (a) facility rules including contraband and searches 3.3.2 Orientation Program ☒ ☐ ☐ and disciplinary procedures; 7658 Sonoma County Juvenile Hall PRO 23-24 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) facility’s system of positive behavior interventions 3.3.2. 1-B, ii Resident Handbook, Orientation and supports, including behavior expectations, Program 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 1.4.23 Department PREA Policy facility’s policy prohibiting sexual abuse and sexual 3.3.2. 1-B, ii Resident Handbook, Orientation ☒ ☐ ☐ harassment and how to report incidents or Program suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; 2.1.1 Staff Dress Code ☒ ☐ ☐ 3.3.2. 1-B, ii Orientation Program (e) the existence of the grievance procedure, the steps 3.5.4 Grievance Procedure-Residents that must be taken to use it, the youth’s right to be 3.3.2. 1-B, ii Resident Handbook, Orientation free of retaliation for reporting a grievance, and the ☒ ☐ ☐ Program name of the person or position designated to resolve the issue; (f) access to legal services and information on the 3.6.1 Access to Legl Services court process; ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation Program (g) access to routine and emergency health and mental 6.1.1 Medical Services Program health care; ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation Program (h) access to education, religious services, and 3.3.5 School Program recreational activities; 3.6.4 Programs, Recreation and Exercise 3.6.5 Religious Programs 3.3.2. 1-B, ii Resident Handbook, Orientation ☒ ☐ ☐ Program We interviewed youth and intake staff to determine that SCJH meets compliance with this regulation. (i) housing assignments; 4.1.6 Classification ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation Program (j) opportunity for personal hygiene and daily showers 3.2.1 Showers including the availability of personal care items 3.2.2 Personal Hygiene 3.3.2. 1-B, ii Resident Handbook, Orientation Program ☒ ☐ ☐ We interviewed youth and intake staff to determine that SCJH meets compliance with this regulation. (k) rules and access to correspondence, visits and 3.3.16 Visiting telephone use; 3.6.2 Access to Phones 3.6.3 Mail 3.3.2. 1-B, ii Resident Handbook, Orientation ☒ ☐ ☐ Program We interviewed youth and intake staff to determine that SCJH meets compliance with this regulation. 7658 Sonoma County Juvenile Hall PRO 23-24 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (l) availability of reading materials, programming, and 3.3.13 Program Team Roles and other activities; Responsibilities ☒ ☐ ☐ 3.6.4 Programs, Recreation and Exercise 3.3.2. 1-B, ii Resident Handbook, Orientation Program (m) facility policies on the use of force, use of restraints, 3.4.13 Use of Force chemical agents and room confinement; 3.4.14 Use of Restraints 3.4.15 Use of Chemical Agents 3.5.5 Placing Youth in Locked Rooms 3.3.2. 1-B, ii Resident Handbook, Orientation ☒ ☐ ☐ Program We interviewed youth and intake staff to determine that SCJH complies with this regulation. (n) immigration legal services; 3.6.13 Mail ☒ ☐ ☐ 3.2. 1-B, ii Resident Handbook, Orientation (o) emergencies including evacuation procedures; 5.1.7 Emergency Evacuation ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation Program (p) non-discrimination policy and the right to be free 1.1.4.23 Administrative Responsibilities from physical, verbal or sexual abuse and ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation harassment by other youth and staff; Program (q) availability of services and programs in a language 4.1.1, 4 Foreign Nationals ☒ ☐ ☐ other than English if appropriate; 3.3.2. 1-B, ii Resident Handbook, Orientation (r) the process for requesting different housing, ☒ ☐ ☐ education, programming and work assignments; 3.3.2. 1-B, ii - Resident Handbook, Orientation (s) a process for which parents/guardians receive 4.1.1, 5 Intake information regarding the youth’s stay in the facility 3.3.2. 1-B, ii Orientation Program that at a minimum includes answers to frequently ☒ ☐ ☐ asked questions and provides contact information Policy states parents will be provided an for the facility, medical, school and mental health; orientation form which gives information and, required by this regulation. (t) a process by which youth may request access to 3.3.2. 1-B, ii - Resident Handbook, Orientation Title 15 Minimum Standards for Juvenile Facilities. We interviewed youth and intake staff to determine that SCJH complies with this regulation. ☒ ☐ ☐ Although access to Title 15 is mention in the youth handbook, we discussed best outcomes when adding Title 15 access language to the orientation worksheet. 1354 SEPARATION 3.3.7 Separation 3.5.2 (Discipline) The facility administrator shall develop and implement written policies and procedures that address: BSCC staff reviewed policy and procedure, reviewed the 10 most recent Separation ☒ ☐ ☐ report examples, interviewed detention staff, and interviewed youth housed at the facility to determine compliance. We also interviewed collaborative partners to gain further insight to confirm compliance with this regulation. 7658 Sonoma County Juvenile Hall PRO 23-24 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) separation of youth for reasons that include, but are 3.3.7, 1-B Separation not be limited to, medical and mental health conditions, assaultive behavior, disciplinary The facility utilizes the following types of youth consequences and protective custody. Separations: Medical/Mental Health Separation Behavior Management Separation (Special Program/Administrative Separation) Protective Custody Separation Timeouts outside of locked room The JH Special Program is used with youth that need a Behavior Intervention Plan. ☒ ☐ ☐ BSCC staff observed the use of ‘time out’ language in policy that is historically associated with time in a locked room. However, the facility emphasizes that it reflects “time out of room”. In review of the Separation policy and other youth separation documentation, BSCC staff discussed best outcomes when common areas of youth separations are included in the Separation policy. BSCC staff identified “Self Separation” (inside a locked room) as a type of youth separation that would be helpful to add to the policy. (b) consideration of positive youth development and 3.3.7, 1-C Separation ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal 3.3.7 Separation privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, 3.5.2, 1-G (Discipline) Title 15 Section 1390 shall apply. ☒ ☐ ☐ BSCC staff also recommend indicating an “end time” that a youth was in his/her room to the Protective Custody log. (e) when separation results in room confinement, the 3.5.5 Placing Youth in Locked Rooms (RC) separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review 3.3.7 Separation of separated youth to determine if separation ☒ ☐ ☐ remains necessary. 7658 Sonoma County Juvenile Hall PRO 23-24 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354.5 ROOM CONFINEMENT 3.5.5 Placing Youth in Locked Rooms (RC) (a) The facility administrator shall develop and To determine compliance, BSCC staff implement written policies and procedures reviewed the 10 most recent examples of addressing the confinement of youth in their room incidents involving placing youth in locked that are consistent with Welfare and Institutions ☒ ☐ ☐ rooms/room confinement. BSCC staff also Code Section 208.3. The placement of a youth in reviewed policy and procedure, interviewed room confinement shall be accomplished in detention staff, interviewed collaborative accordance with the following guidelines: partners, and interviewed youth housed at the facility. (1) Room confinement shall not be used before 3.5.5, 1-B Placing Youth in Locked Rooms other, less restrictive, options have been (RC) attempted and exhausted, unless attempting those options poses a threat to the safety or ☒ ☐ ☐ The ‘In Room Tracking Form’ articulates the security of any youth or staff. reason for youth in a locked room/room confinement and the less restrictive alternatives attempted. (2) Room confinement shall not be used for the 3.5.5, 1-A Placing Youth in Locked Rooms purposes of punishment, coercion, ☒ ☐ ☐ (RC) convenience, or retaliation by staff. (3) Room confinement shall not be used to the 3.5.5, 1-C Placing Youth in Locked Rooms extent that it compromises the mental and ☒ ☐ ☐ (RC) physical health of the youth. (b) A youth may be held up to four hours in room 3.5.5, 3-F, i Placing Youth in Locked Rooms confinement. After the youth has been held in room (RC) confinement for a period of four hours, staff shall do one or more of the following: BSCC articulated positive outcomes when ☒ ☐ ☐ indicating in policy, procedure, and in practice, documenting the times of a youth’s behavior leading up to the maximum allowed 4-hour room confinement time. (1) Return the youth to general population. 3.5.5, 3-E, i Placing Youth in Locked Rooms ☒ ☐ ☐ (RC) (2) Consult with mental health or medical staff. 3.5.5, 3-E, ii Placing Youth in Locked Rooms ☒ ☐ ☐ (RC) (3) Develop an individualized plan that includes the 3.5.5, 3-E, iii Placing Youth in Locked Rooms goals and objectives to be met in order to (RC) reintegrate the youth to general population. ☒ ☐ ☐ The Individualized Plan is a well-detailed document. Per policy, it is utilized either once the 4-hour mark has approached and or the time in room will be beyond 4 hours. (4) If room confinement must be extended beyond ☒ ☐ ☐ four hours, staff shall do each of the following: (A) Document the reasons for room 3.5.5, 3-F, i Placing Youth in Locked Rooms confinement and the basis for the (RC) extension, the date and time the youth was first placed in room confinement, and when The facility uses the following documentation ☒ ☐ ☐ he or she is eventually released from room tools to help track and log room confinement confinement. include, but are not limited to: • Unit Logbook • In Room Tracking Form 7658 Sonoma County Juvenile Hall PRO 23-24 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) Develop an individualized plan that 3.5.5, 3-F, ii Placing Youth in Locked Rooms includes the goals and objectives to be met (RC) in order to integrate the youth to general population. ☒ ☐ ☐ Individualized Plan is identified as a type of reintegration plan. There is also a Time out program that separates a youth from the group outside of his/her room. (C) Obtain documented authorization by the 3.5.5, 3-F, iii Placing Youth in Locked Rooms facility superintendent or his or her ☒ ☐ ☐ (RC) designee every four hours thereafter. (5) This section is not intended to limit the use of 3.5.5, 4-A and E Placing Youth in Locked single-person rooms or cells for the housing of Rooms (RC) ☒ ☐ ☐ youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards 3.5.5, 4-B Placing Youth in Locked Rooms ☒ ☐ ☐ in court holding facilities or adult facilities. (RC) (7) Nothing in this section shall be construed to conflict with any law providing greater or ☒ ☐ ☐ additional protections to youth. (8) This section does not apply during an 3.5.5, 4-C Placing Youth in Locked Rooms extraordinary emergency circumstance that (RC) 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 3.5.5, 4-D Placing Youth in Locked Rooms placed in a locked cell or sleeping room to treat (RC) and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not ☒ ☐ ☐ required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN 3.3.6 Case Plans and Assessments The facility administrator shall develop and implement All incoming youth are Assessed via the written policies and procedures for assessment and ☒ ☐ ☐ PACT (Positive Achievement Change Tool) to case planning. identify criminogenic risk factors to be considered in development of a residential case plan. 7658 Sonoma County Juvenile Hall PRO 23-24 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Assessment: 3.3.6, 1-B, I and ii Case Plans and The assessment is based on information collected Assessments during the admission process with periodic review, which includes the youth's risk factors, needs and BSCC staff reviewed the 10 most recent strengths including, but not limited to, identification ☒ ☐ ☐ youth initial assessments via Noble’s PACT of substance abuse history, educational, case plans and found them to be consistent in vocational, counseling, behavioral health, practice and provide the information to consideration of known history of trauma, and comply with this regulation. family strengths and needs. (b) Institutional Case Plan: 3.3.6, 1-A Case Plans and Assessments (1) A case plan shall be developed for each youth PC: 4.4, 1-A, ii; 4.4, 1-B held for at least 30 days or more and created within 40 days of admission. BSCC staff reviewed resident case plans. Per policy, the Juvenile Correctional Counselor III (JCC III) is assigned the responsibility of developing the assessment and case plan. In addition, the JCC III assigns case plan to housing unit detention staff and meets with case plan staff and the youth weekly to ensure appropriate implementation of the plan. ☒ ☐ ☐ The Behavior Summary, also referred to as an Institutional Assessment and Plan (IAP), is completed, at a minimum, every 15 days for any youth held over 30 days. BSCC staff were impressed with the collaborative efforts of the Treatment Team, of which is comprised of probation staff, medical, mental health, and education staff. Together, the team develops a treatment/case plan for the youth. (2) The institutional plan shall include, but not be ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution 3.3.6, 1-D Case Plans and Assessments of problems identified in the assessment; The Treatment Team members will complete a re-assessment and review the Treatment ☒ ☐ ☐ Plan within three months of the initial assessment. In addition, a Behavior Summary is completed every 15 days for youth held beyond 30 days. (B) a plan for meeting the objectives that 3.3.6, 1-E Case Plans and Assessments includes a description of program resources needed and individuals responsible for The Treatment Team members will complete assuring that the plan is implemented; a re-assessment and review the Treatment ☒ ☐ ☐ Plan within three months of the initial assessment. In addition, a Behavior Summary is completed every 15 days for youth held beyond 30 days. 7658 Sonoma County Juvenile Hall PRO 23-24 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) periodic evaluation of progress towards meeting 3.3.6, 1-A, i Case Plans and Assessments the objectives, including periodic review and discussion of the plan with the youth; The case plan is updated every 90 days by the Treatment Team members. Further, the Behavior Summaries are forwarded to a youth’s DPO every 15 days and include daily progress and information obtained at the MDT ☒ ☐ ☐ meetings. When youth are transferred between housing units, the JCC III does well in reassigning the youth to a new detention staff and ensuring the continuity of case plan services continue accordingly. (4) a transition plan, the contents of which shall be 3.3.6, 2-B, iv Case Plans and Assessment subject to existing resources, shall be developed for post dispositional youth in A Juvenile Correctional Counselor III is accordance with Section 1351; and, assigned to facility programming. The JCC assigned was instrumental in developing a Education Transition Plan for youth prior to release. SCJH’s efforts toward ensuring the youth are properly reconnected with community resources, including but not ☒ ☐ ☐ limited to the Education Transition Plan, are impressive. There is a Caseworker (Juvenile Correctional Counselor III) who completes the Transitional Release Plan and provides the plan to the youth. The plan includes the elements of this regulation and allows the youth to continue wrap-around services to the youth post- release. (5) in as much as possible and if appropriate, the 3.3.6, 1-F, i Case Plans and Assessments plan, including the transition plan, shall be developed with input from the family, supportive Youth are provided with an aftercare plan that adults, youth, and Regional Center for the is shared with the assigned DPO upon Developmentally Disabled. release. The plan is signed and acknowledged by the youth, parent/guardian, ☒ ☐ ☐ DPO, and the Supervising DPO. For youth who are developmentally disabled, the plan includes contacting the Regional Center for the Developmentally Disabled (Tri- Counties Regional Center). 1356 COUNSELING AND CASEWORK SERVICES 3.3.6 Case Planning 6.1.10 Counseling Services The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures ensuring the availability BSCC staff observed that the above policies of appropriate counseling and casework services for all and procedures comply with this regulation. youth. Policies and procedures shall ensure: 7658 Sonoma County Juvenile Hall PRO 23-24 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) youth will receive assistance with needs or 3.3.6, 1-K, i Case Plans and Assessments concerns that may arise; 6.1.10, 4-b Counseling Services ☒ ☐ ☐ BSCC staff observed that via the case management system, the JCC documents weekly counseling sessions conducted with the youth. (b) youth will receive assistance in requesting contact JH; 3.3.6, 1-K, ii Case Plans and with parents, other supportive adults, attorney, ☒ ☐ ☐ Assessments clergy, probation officer, or other public official; and, (c) youth will be provided access to available JH; 3.3.6, 1-K, iii Case Plans and resources to meet the youth’s needs. Assessments 6.1.10, 4-a Counseling Services ☒ ☐ ☐ The assigned JCC staff communicate with the youth daily. 1357 USE OF FORCE 3.4.13 Use of Force (UF) The facility administrator, in cooperation with the BSCC staff reviewed the 12 most recent Use responsible physician, shall develop and implement of Force (UF) Incident reports. We also written policies and procedures for the use of force, interviewed youth housed at the facility, which may include chemical agents. Force shall never ☒ ☐ ☐ detention staff, and collaborative partners to be applied as punishment, discipline, retaliation or gain further insight to confirm compliance with treatment. this regulation. (a) At a minimum, each facility shall develop policies The facility is compliant with this regulation. and procedures which: (1) restricts the use of force to that which is deemed 3.4.13, 2-A Use of Force (UF) 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 3.4.13, 2-A, i-iv Use of Force (UF) including both physical and non-physical options ☒ ☐ ☐ and define when those force options are appropriate. (3) describe force options or techniques that are 3.4.13, 3-A, i-iii Use of Force (UF) expressly prohibited by the facility. SCJH force options that are allowed include, but are not limited to, the below: ☒ ☐ ☐ • Empty Hands Control Methods • Physical Restraints • Oleoresin Capsicum (OC) • Extractions (room/common areas) (4) describe the requirements of staff to report any 3.4.13, 4-A Use of Force (UF) inappropriate use of force, and to take ☒ ☐ ☐ affirmative action to immediately stop it. 7658 Sonoma County Juvenile Hall PRO 23-24 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) define a standardized reporting format that 3.4.13, 4-A, i-vii Use of Force (UF) includes time period and procedure for The above policies address documentation, documenting and reporting the use of force, review by supervisor, and debrief of youth and including reporting requirements of staff. 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 3.4.13, 4-C, and 4-E, Use of Force (UF) for investigating unreasonable use of force. A review of incident reports shows that SCJH documents and reports incidents in accordance with Title 15 minimum standards. ☒ ☐ ☐ In addition to onsite review of all use of force incidents by the Facility Supervisor and Director II, there is a Use of Force Review Committee that review UF incidents. (7) define the role, notification, and follow-up 3.4.13, 4-B Medical and MH Notification, Use procedures required after use of force incidents of Force (UF), and 3.4.13, 4-D. I for medical, mental health staff and parents or Parent/Guardian Notification, Use of Force legal guardians. (UF) Parent notifications are being conducted. However, parent notification is not readily ☒ ☐ ☐ apparent when reviewing hard copies of the reports. BSCC staff discussed incorporating a standard format and location on the hard copies of UF reports that clearly indicate that parents have been properly notified. We appreciate the promptness with the facility in making changes to processes discussed. (8) describe the limitations of use of force on 3.1.13, 3-A Pregnant Youth in Custody pregnant youth in accordance with Penal Code ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force ☒ ☐ ☐ option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize 3.4.13, 2-A, iii Use of Force chemical agents in the facility and the type, size 3.4.15, 4-A Use of Chemical Agents ☒ ☐ ☐ and the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used 3.4.13, 2-A, iii-a Use of Force when there is an imminent threat to the youth’s 3.4.15, 7-A, i-xii Use of Chemical Agents safety or the safety of others and only when de- ☒ ☐ ☐ escalation efforts have been unsuccessful or are not reasonably possible. 7658 Sonoma County Juvenile Hall PRO 23-24 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) outline the facility’s approved methods and 3.4.13, 4-B Medical and MH Notification, Use timelines for decontamination from chemical of Force agents. This shall include that youth who have 3.4.13, 4-D. I Parent/Guardian Notification, been exposed to chemical agents shall not be Use of Force ☒ ☐ ☐ left unattended until that youth is fully decontaminated or is no longer suffering the In addition to reviewing the above policies, effects of the chemical agent. BSCC staff interviewed youth housed at the facility and detention and supervisory staff. (4) define the role, notification, and follow-up 3.4.13, 2-A, iii-a Use of Force procedures required after use of force incidents 3.4.15, 9-A, i-vi Use of Chemical Agents involving chemical agents for medical, mental ☒ ☐ ☐ health staff and parents or legal guardians. BSCC staff interviewed Health Services staff to help determine compliance with this regulation. (5) provide for the documentation of each incident 3.4.13, 1 UF Training 3.4.15, 1-A OC Training, of use of chemical agents, including the Use of Force 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 3.4.13, 1-A Use of Force which require that agencies provide initial and 3.4.15, 4-A, i-c and ii Use of Chemical Agents regular training in use of force and chemical agents when appropriate that address: This includes Core Training and annual ☒ ☐ ☐ updates for use of force for all detention staff. The elements of this regulation are identified and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. (1) known medical and behavioral health 3.4.13, 2-A, iii Use of Force conditions that would contraindicate certain 3.4.15, 4-A Use of Chemical Agents types of force; The referenced policy and curriculum for ☒ ☐ ☐ defensive tactics and verbal de-escalation techniques includes knowing of any pre- existing medical and/or behavioral health conditions which would limit or restrict certain UF techniques. (2) acceptable chemical agents and the methods 3.4.13, 1-A Use of Force of application. ☒ ☐ ☐ 3.4.15, 5-A through C, Use of Chemical Agents (3) signs or symptoms that should result in 3.4.13, 1-A Use of Force immediate referral to medical or behavioral ☒ ☐ ☐ health. (4) instruction on the Constitutional Limitations of 3.4.13, 1-A Use of Force ☒ ☐ ☐ Use of Force. 7658 Sonoma County Juvenile Hall PRO 23-24 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) physical training force options that may require 3.4.13 Use of Force (UF) the use of perishable skills. In addition to a review of the above policy, the ☒ ☐ ☐ elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. (6) timelines the facility uses to define regular 3.4.13 Use of Force (UF) training. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ ☒ ☐ ☐ Appointment and Qualifications Letter, dated May 17, 2023. The facility participates in an 8-hour course, updated annually. 1358 USE OF PHYSICAL RESTRAINTS 3.4.14 Use of Restraints (UR) The facility administrator, in cooperation with the BSCC staff commend the agency on responsible physician and mental health director, shall detention staff’s efforts to de-escalate develop and implement written policies and procedures situations and make use of verbal diffusion for the use of restraint devices. Restraint devices techniques. As a result, as of June 29, 2023, include any devices which immobilize a youth's extremities and/or prevent the youth from being there was no occurrence of physical restraints ambulatory. used. We also interviewed youth housed at ☒ ☐ ☐ the facility and facility detention staff. BSCC staff reviewed the only two incidents of use of restraints (WRAP) that occurred in January 2022. BSCC found that the actions taken were compliant with regulation and policy. The facility is compliant with this regulation. Physical restraints may be used only for those youth 3.4.14 Use of Restraints (UR) who present an immediate danger to themselves or others, who exhibit behavior which results in the BSCC staff observed that all instances of use destruction of property, or reveals the intent to cause of physical restraints were justifiably used and self-inflicted physical harm. Physical restraints should when less restrictive alternatives were be utilized only when it appears less restrictive exhausted. alternatives would be ineffective in controlling the ☒ ☐ ☐ youth’s behavior. The facility maintains a Use of Restraint Log that is well detailed and informative. In addition, a Use of Force chart is maintained to capture trends with use of force and restraints used. In no case shall restraints be used as punishment or 3.4.14, 5-A and B, Use of Restraints (UR) discipline, or as a substitute for treatment. The use of 3.1.13, 3-A (Pregnant Youth) restraint devices that attach a youth to a wall, floor or 3.4.14, 2-A, iv (Pregnant Youth) 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The provisions of this section do not apply to the use of 3.4.14 Policy Statement, Use of Restraints handcuffs, shackles or other restraint devices when used (UR) 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 3.4.14 Use of Restraints (UR) of the facility manager or designee. The facility manager 3.4.14, Procedure 4-D, Use of Restraints may delegate authority to place a youth in restraints to a (UR) physician. Reasons for continued retention in restraints ☒ ☐ ☐ shall be reviewed and documented at a minimum of The facility maintains direct visual observation every hour. of the youth in restraints. Documentation in a Use of Restraint Worksheet is maintained on any youth held in restraints. A medical opinion on the safety of placement and 3.4.14, Procedure 4-D, Use of Restraints retention shall be secured as soon as possible, but no (UR) later than two hours from the time of placement. The youth shall be medically cleared for continued retention BSCC staff interviewed medical staff to at least every three hours thereafter. confirm that medical staff will provide ongoing review and assessment while a youth is in ☒ ☐ ☐ mechanical or any type of restraint. Further, the Use of Restraints Worksheet identifies restraint type, application time on, removal of physical restraints time, and 15 minute reviews. A mental health consultation shall be secured as soon as 3.4.14, Procedure 4-E, Use of Restraints (UR) possible, but in no case longer than four hours from the time of placement, to assess the need for mental health BSCC staff interviewed mental health staff to treatment. confirm that medical staff will provide ongoing review and assessment while a youth is in mechanical or any type of restraint. ☒ ☐ ☐ The facility policy specifies that medical staff will provide health monitoring on youth every 15 minutes and document the youth’s emotional state on the physical Restraint worksheet. Continuous direct visual supervision shall be conducted Through documentation review and to ensure that the restraints are properly employed, and interviews with detention and medical staff, to ensure the safety and well-being of the youth. BSCC staff confirmed that the youth will ☒ ☐ ☐ Observations of the youth's behavior and any staff remain under constant supervision until the interventions shall be documented at least every 15 restraints are removed. minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and 3.4.14, Procedure 4-B, Use of Restraints (UR) procedures shall address: (a) documentation of the circumstances leading to an 3.4.14, Procedure Use of Restraints (UR) ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate 3.4.14, Procedure 6, Use of Restraints (UR) ☒ ☐ ☐ certain restraint devices and/or techniques. 7658 Sonoma County Juvenile Hall PRO 23-24 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) acceptable restraint devices. 3.4.14, Procedure 3, Use of Restraints (UR) • Handcuffs ☒ ☐ ☐ • Leg Shackles • Security Waist Chains • Soft Restraint (Wrap) (d) signs or symptoms which should result in 3.4.14, 1-A, I and ii, Use of Restraints (UR) immediate medical/mental health referral. The facility policy specifies that medical staff ☒ ☐ ☐ will provide health monitoring on youth every 15 minutes and document the youth’s health record. (e) availability of cardiopulmonary resuscitation 3.4.14, Procedure 3-C, Use of Restraints ☒ ☐ ☐ equipment. (UR) (f) protective housing of restrained youth. While in 3.4.14, Procedure 3-D, Use of Restraints restraint devices, all youth shall be housed alone or (UR) in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ 3.4.14, Procedure 4-A, Use of Restraints (UR) (h) exercising of extremities. ☒ ☐ ☐ 3.4.14, Procedure 5-A, Use of Restraints (UR) 1358.5 USE OF RESTRAINT DEVICES FOR 3.4.21, 2 Resident Movements MOVEMENT AND TRANSPORTATION WITHIN THE FACILITY. BSCC staff reviewed incident reports for this regulation. There were only three (3) incidents of restraints for movement since June 2022. The Facility Administrator, in cooperation with the ☒ ☐ ☐ In all occurrences, the reasons for application responsible physician and behavioral/mental health were justifiable. Further, the observations and director, shall develop and implement written policies documentation were noted accordingly. 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 3.4.21, 2-B, i-iii Resident Movements approved to utilize restraint devices and the required training. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. ☒ ☐ ☐ For restraint devices applied for movement and transportation with the facility, the below is utilized: Mechanical restraints: handcuffs, leg restraints, Federal cuffs, and “Martin” waist chains. Soft restraints: WRAP Restraint (b) the circumstances leading to the application of 3.4.21, 5-A Resident Movements ☒ ☐ ☐ restraints must be documented. 7658 Sonoma County Juvenile Hall PRO 23-24 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) an individual assessment of the need to apply 3.4.21, 3-B Resident Movements 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, 3.4.21, 4-A and 3.4.21, 8 and 9, Resident with a clearly defined expectation that restraint Movements ☒ ☐ ☐ devices shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in 3.4.21, 4-B, Resident Movements accordance with Penal Code Section6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES There is no safety room at JH, however there is a Special Management Room for housing (a) The facility administrator, and where applicable, in youth needing closer supervision. The room cooperation with the responsible physician, shall is next to the staff’s counselor station. 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: 7658 Sonoma County Juvenile Hall PRO 23-24 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (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. (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 3.4.8 Facility Searches 3.4.9 Searches of Residents The facility administrator shall develop and implement 3.4.12 Perimeter Checks written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures BSCC staff requested to review the ten (10) shall provide that: most recent examples of strip searches of a youth. However, no occurrences of the strip ☒ ☐ ☐ search of a youth was reported to have occurred during this inspection cycle as of June 29, 2023. We also interviewed youth housed at the facility, as well as detention staff. BSCC concluded that the facility complies with this regulation. (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, ☒ ☐ ☐ and staff. (b) Searches shall be conducted in a manner that 3.4.9 Searches of Residents 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Strip searches and visual or physical body cavity 3.4.9 Searches of Residents searches shall comply with Penal Code Section 4030. The facility maintains expectations for strip ☒ ☐ ☐ searches pursuant to PC 4030, for pre- detention youth and post-detention youth. All strip searches are approved in advance of the search. (d) Physical body cavity searches shall only be 3.4.9 Searches of Residents conducted by a medical professional. Physical body cavity searches can only be conducted by medical personnel. ☒ ☐ ☐ Our review of the Search Authorization forms included the request, the reason for the request, and the supervisor’s authorization (e) Any youth held after a detention hearing shall only 3.4.9 Searches of Residents be strip searched with prior approval of a supervisor when there is reasonable suspicion based on ☒ ☐ ☐ specific and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall 3.4.9 Searches of Residents comply with Section 1352.5. ☒ ☐ ☐ The facility has protocols in the policy addressing expectations for staff related to searching for youth who are transgender. (g) Cross-gender pat-down searches and strip 3.4.9 Searches of Residents searches are prohibited except in exigent circumstances or when conducted by a medical ☒ ☐ ☐ professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE 3.5.4 Grievance Procedure-Residents The facility administrator shall develop and implement BSCC staff reviewed the 15 most recent written policies and procedures whereby any youth may examples of youth grievances and due appeal and have resolved grievances relating to any process documentation. In addition, BSCC condition of confinement, including but not limited to staff reviewed grievance logs for 2022 and health care services, classification decisions, program ☒ ☐ ☐ 2023. Lastly, BSCC staff interviewed youth participation, telephone, mail or visiting procedures, housed at the facility, as well as detention food, clothing, bedding, mistreatment, harassment or staff. 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: 7658 Sonoma County Juvenile Hall PRO 23-24 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) a grievance form and instructions for registering a 3.5.4 Grievance Procedure-Residents grievance, which includes provisions for the youth to have free access to the form; During our physical inspection, we observed that grievances were readily available to youth. In addition, grievance lock boxes were in the housing pods to allow youth to ☒ ☐ ☐ confidentially submit a grievance if needed. We discussed the common practice of posting the facility grievance process and procedures for youth to have access to review. Understandably, this information is available to youth in the resident handbook. (b) the youth shall have the option to confidentially file 3.5.4 Grievance Procedure-Residents the grievance or to deliver the form to any youth supervision staff working in the facility; The youth were aware of the grievance ☒ ☐ ☐ procedures and the location of the grievances and the grievance lockbox to confidentially file a grievance if needed. (c) resolution of the grievance at the lowest appropriate 3.5.4 Grievance Procedure-Residents ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to 3.5.4 Grievance Procedure-Residents grievances within three (3) business days, grievances that relate to health and safety issues ☒ ☐ ☐ Once an unresolved grievance form is must be addressed immediately; received, the Supervisor will attempt to settle the grievance within eight (8) on-duty hours. (1) The youth may elect to be present to explain 3.5.4 Grievance Procedure-Residents his/her version of the grievance to a person not directly involved in the circumstances which led ☒ ☐ ☐ The youth interviewed indicated that during to the grievance. the intake and orientation process, the grievance procedure was clearly explained. (2) Provision for a staff representative approved by 3.5.4 Grievance Procedure-Residents ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance 3.5.4 Grievance Procedure-Residents which includes the reasons for the decisions; ☒ ☐ ☐ The documentation as well as interviews show that detention staff respond professionally. (f) a system which provides that any appeal of a 3.5.4 Grievance Procedure-Residents 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 3.5.4 Grievance Procedure-Residents (10) business days unless circumstances dictate a longer time frame. The youth shall be notified of ☒ ☐ ☐ The documentation as well as interviews any delay; and, show that detention staff respond to grievances in a timely fashion. (h) the policy shall provide multiple internal and 3.5.4 Grievance Procedure-Residents external methods to report sexual abuse and sexual ☒ ☐ ☐ 2.1.17 and 18 harassment. Whether or not associated with a grievance, concerns 1.1.9-2 Citizen Complaint of parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ The referenced policy is the citizen complaint policies and procedures within a specified timeframe. process in Sonoma County Probation Administration Manual. 7658 Sonoma County Juvenile Hall PRO 23-24 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1362 REPORTING OF INCIDENTS 3.4.20 Incident Reports A written report of all incidents which result in physical Throughout the inspection process, written harm, use of force, serious threat of physical harm, or reports of various incidents were requested death of an employee, youth or other person(s) shall be ☒ ☐ ☐ and received. In review, SCJH incident maintained. Such written record shall be prepared by the reports are written and prepared as required staff and submitted to the facility manager by the end of by Title 15 minimum standards. the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT 3.4.25 DNA Sample Collection DNA SPECIMENS, SAMPLES, IMPRESSIONS The facility does not use force to collect DNA (a) Pursuant to Penal Code Section 298.1 authorized samples. law enforcement, custodial, or corrections personnel including peace officers, may employ The facility staff do not use force to collect reasonable force to collect blood specimens, saliva DNA. If ordered by the Court, the assigned samples, and thumb or palm print impressions from PO collects the sample. individuals who are required to provide such samples, specimens or impressions pursuant to ☐ ☐ ☒ Compliance with this regulation is based Penal Code Section 296 and who refuse following solely on a review of the policy and procedure written or oral request. manual as the use of force to collect DNA has not been conducted during this inspection cycle. This policy states staff will advise the youth of their court-ordered obligation to submit DNA; however, if the youth refuses, they are returned to Court. (1) For the purpose of this section, the “use of 3.4.13 Use of Force (UF) 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 Not applicable 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 Not applicable 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) If the use of reasonable force includes a cell Not applicable extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the ☐ ☐ ☒ agency for the length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM 3.3.5, 9 School Program (a) School Programs The Sonoma County Office of Education operates the Deforest Hamilton High School The County Board of Education shall provide for the within the facility. Services include a full administration and operation of juvenile court schools in curriculum as required by the California Office conjunction with the Chief Probation Officer, or designee of Education with supplemental instruction for pursuant to applicable State laws. The school and facility GED and Special Education needs. administrators shall develop and implement written policy and procedures to ensure communication and BSCC staff interviewed education staff, Rene coordination between educators and probation staff. Wheeler (Education Services Director). Culturally responsive and trauma-informed approaches BSCC staff also interviewed youth detained at should be applied when providing instruction. Education the facility. We also physically inspected the staff should collaborate with the facility administrator to classrooms. use technology to facilitate learning and ensure safe technology practices. The facility administrator shall ☒ ☐ ☐ Youth in detention are afforded Common request an annual review of each required element of the Core classroom instruction. program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements 3.3.5, 9 School Program The facility school program shall comply with the State In part, compliance was confirmed as part of Education Code and County Board of Education policies, Title 15, Section 1313 County Inspection and all applicable federal education statutes and regulations Evaluation of Building and Grounds (d), which and provide for an annual evaluation of the educational confirms that the facility was evaluated on program offerings. As stated in the 2009 California December 15, 2022, and completed by Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ Tawny Fernandez, Director Mendocino establish and maintain learning environments that are County Office of Education. 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS All youth shall be treated equally, and the education 3.3.5, 9 School Program program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- BSCC staff interviewed education staff, Rene nonconforming youth by their preferred name and Wheeler (Education Services Director). We ☒ ☐ ☐ gender. found that the learning environment and the quality of educational programming meet the Title 15 minimum standards for this regulation. (1) The course of study shall comply with the State 3.3.5, 9 School Program Education Code and include, but not be limited to, courses required for high school graduation. The school program offers Core Curriculum ☒ ☐ ☐ via Chrome Books/EDOVO tablets which provide online coursework that enable students to work independently for hybrid learning. (2) Information and preparation for the High School 3.3.5, 9 School Program Equivalency Test as approved by the California Department of Education shall be made The school program offers Core Curriculum available to eligible youth. ☒ ☐ ☐ via Chrome Books/EDOVO Tablets which provide online coursework that enable students and high school graduates to take online college courses. (3) Youth shall be informed of post-secondary 3.3.5, 9 School Program education and vocational opportunities. Youth are provided EDOVO tablets which include some aspects of technical education; ☒ ☐ ☐ Chromebooks; Santa Rosa Junior College; Adult Education; OSHA Certifications; Culinary Arts; Computer Science; Red Cross- First Aid; CNC Coding Applications; and Adobe/Microsoft Certification. (4) Administration of the High School Equivalency 3.3.5, 9 School Program Tests as approved by the California Department ☒ ☐ ☐ of Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to 3.3.5, 9 School Program youth who do not demonstrate sufficient progress towards grade level standards. There is a paraprofessional in the classroom periodically during the week to assist those ☒ ☐ ☐ youth who need supplemental instruction. Per the annual education services evaluation, SCJH is compliant with this regulation. (6) The minimum school day shall be consistent with 3.3.5, 9 School Program State Education Code Requirements for juvenile court schools. The facility administrator, in Per policy and the annual education services conjunction with education staff, must ensure evaluation, SCJH is compliant with this that operational procedures do not interfere with ☒ ☐ ☐ regulation. the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. 7658 Sonoma County Juvenile Hall PRO 23-24 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) Education shall be provided to all youth 3.3.5, 9 School Program regardless of classification, housing, security status, disciplinary or separation status, Per policy and the annual education services including room confinement, except when evaluation, SCJH is compliant with this providing education poses an immediate threat ☒ ☐ ☐ regulation. 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 3.3.5, 9 School Program (1) Positive behavior management will be The school and probation collaborate using a implemented to reduce the need for disciplinary ☒ ☐ ☐ behavior management point system. Youth action in the school setting and be integrated into earn program-level points in school for good the facility's overall behavioral management plan behavior and attendance. and security system. (2) School staff shall be advised of administrative 3.3.5, 9 School Program decisions made by probation staff that may affect the educational programming of students. During an interview, the Education Services ☒ ☐ ☐ Director expressed that Probation does well in keeping education staff advised of circumstances that may affect a student. (3) Except as otherwise provided by the State 3.3.5, 9 School Program 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 3.3.5, 9 School Program education staff will develop policies and procedures that address the rights of any Educational services provide supplemental student who has continuing difficulty completing assistance to youth through ☒ ☐ ☐ a school day. Paraprofessionals who are in the classroom periodically during the week. The classroom teacher also provides added assistance when needed. (d) Provisions for Special Populations 3.3.5, 9 School Program (1) State and federal laws and regulations shall be Educational services provide supplemental observed for all individuals with disabilities or assistance to youth through suspected disabilities. This includes but is not ☒ ☐ ☐ Paraprofessionals who are in the classroom limited to child find, assessment, continuum of periodically during the week. alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be 3.3.5, 9 School Program afforded an educational program that addresses their language needs pursuant to all applicable ☒ ☐ ☐ An instructor for ESL youth is available to state and federal laws and regulations governing youth weekly. programs for EL students. 7658 Sonoma County Juvenile Hall PRO 23-24 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Educational Screening and Admission 3.3.5, 9 School Program (1) Youth shall be interviewed after admittance and BSCC staff interviewed education staff a record maintained that documents a youth's (Education Services Director), as well as educational history, including but not limited to: youth detained at the facility to assist in confirming compliance with the elements of ☒ ☐ ☐ this regulation. Residents on Orientation will participate in school enrollment & placement testing during their first full school day. A preliminary education plan shall then be developed within five (5) school days. (A) School progress/school history; ☒ ☐ ☐ 3.3.5, 9 School Program (B) Home Language Survey and the results of 3.3.5, 9 School Program the State Test used for English language ☒ ☐ ☐ proficiency; (C) Needs and services of special populations 3.3.5, 9 School Program as defined by the State Education Code, ☒ ☐ ☐ including but not limited to, students with Per the annual education services evaluation, special needs. SCJH is compliant with this regulation. (D) Discipline problems. ☒ ☐ ☐ 3.3.5, 9 School Program (2) Youth will be immediately enrolled in school. 3.3.5, 9 School Program Educational staff shall conduct an assessment to determine the youth's general academic The Education department employs a school functioning levels to enable placement in core ☒ ☐ ☐ personnel (Office Assistant) who performs the curriculum courses. duties of the School Registrar to ensure compliance with this regulation. (3) After admission to the facility, a preliminary 3.3.5, 9 School Program education plan shall be developed for each youth within five school days. BSCC staff interviewed education services ☒ ☐ ☐ staff and reviewed student records to confirm compliance with the elements of this regulation. (4) Upon enrollment, education staff shall comply 3.3.5, 9 School Program with the State Education Code and request the youth's records from his/her prior school(s), The Education department employs school including, but not limited to, transcripts, personnel to ensure compliance with this Individual Education Program (IEP), 504 Plan, regulation. 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 3.3.5, 9 School Program (1) The complete facility educational record of the The Education department employs a school ☒ ☐ ☐ youth shall be forwarded to the next educational personnel to ensure compliance with this placement in accordance with the State regulation. Education Code. (2) The County Superintendent of Schools shall 3.3.5, 9 School Program provide appropriate credit (full or partial) for course work completed while in juvenile court ☒ ☐ ☐ school in accordance with the State Education Code. 7658 Sonoma County Juvenile Hall PRO 23-24 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Transition and Re-Entry Planning 3.3.5, 9 School Program (1) The Superintendent of Schools and the Chief Education services work closely with the Probation Officer or designee, shall develop behavioral health and probation staff to policies and procedures to meet the transition facilitate multi-disciplinary meetings to needs of youth, including the development of an ☒ ☐ ☐ discuss the needs of youth being released. education transition plan, in accordance with the This collaborative effort is identified as the State Education Code and in alignment with Title Treatment Team. In addition, the School 15, Minimum Standards for Juvenile Facilities, Court Laison provides collaboration between Section 1355. education services, the courts, and probation. (h) Post-Secondary Education Opportunities 3.3.5, 9 School Program (1) The school and facility administrator should, Youth are provided EDOVO tablets which whenever possible, collaborate with local post- include some aspects of technical education; secondary education providers to facilitate Chromebooks; Santa Rosa Junior College; access to educational and vocational Adult Education; OSHA Certifications; opportunities for youth that considers the use of Culinary Arts; Computer Science; Red Cross- technology to implement these programs. ☒ ☐ ☐ First Aid; CNC Coding Applications; and Adobe/Microsoft Certification. In addition, probation has incorporated an Education Transition Plan for youth choosing to further their education post high school graduation. 1371 PROGRAMS, RECREATION, AND 3.6.4 Programs, Recreation and Exercise EXERCISE. BSCC staff reviewed the Programs, Exercise, and Recreation policy and procedure, logs, The facility administrator shall develop and implement ☒ ☐ ☐ and pertinent documentation for the months written policies and procedures for programs, of February, May, and August 2023. recreation, and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or The facility’s policy and procedure complies their bed area. with this regulation, as required. Juvenile facilities shall provide the opportunity for 3.6.4 Programs, Recreation and Exercise 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A youth’s participation in programs, recreation, and 3.6.4 Programs, Recreation and Exercise exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth BSCC staff observed language in section 3 represents a threat to the safety and security of the (b) of this policy states, in part, residents “who facility. have a medical restriction that does not allow them to participate in recreation, or who are on a modified program that does not allow them to be with the group, may be placed in holding cells in the intake unit during activities.” The facility administration indicated ☒ ☐ ☐ that this does not occur and that the policy is outdated and not in line with current practice. BSCC staff provided technical assistance with providing clarity that unless a youth is on medical isolation or a threat to safety and security, the youth should not be placed in a holding cell during regular programming for all youth. This practice would be considered noncompliant with Title 15, Section 1354.5, Room Confinement violation. Such program, recreation, and exercise schedule shall 3.3.15 Program and Activities Schedule ☐ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, A letter dated May 31, 2023, and provided by recreation, and exercise by the responsible agency to Dan Flamson, Division Director I, confirmed ensure content offered is current, consistent, and that an annual review of the programs, relevant to the population. recreation, and exercise was conducted to ☒ ☐ ☐ ensure content offered is current, consistent, and relevant to the population. BSCC observed that the letter was very comprehensive and offered specificity of detail to the review process. (a) Programs. All youth shall be provided with the 3.6.4 Programs, Recreation and Exercise, 1- opportunity for at least one hour of daily E programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice BSCC staff requested and reviewed the interventions that are culturally relevant and Programs, Exercise, and Recreation policy linguistically appropriate, or pro-social interventions and procedure, logs, and pertinent and activities designed to reduce recidivism. These documentation for the months of April , May, programs should be based on the youth’s individual and June of 2023. needs as required by Sections 1355 and 1356. Such programs may be provided under the direction of the A tool utilized to track programming is the Chief Probation Officer or the County Office of Program Tracker Log. In review of the log, Education and can be administered by county ☒ ☐ ☐ BSCC staff observed that to identify which partners such as mental health agencies, community program occurred during a shift, detention based organizations, faith-based organizations or staff commonly use the “Self-improvement Probation staff. Program” dropdown as a selection. BSCC staff provided technical assistance that if the Programs may include but are not limited to: tool will be utilized to track programming that will ensure ongoing compliance, the dropdown selections should be added to be more specific. BSCC staff concluded that the facility meets compliance with this regulation. 7658 Sonoma County Juvenile Hall PRO 23-24 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Cognitive Behavior Interventions; 3.6.4 Programs, Recreation and Exercise, 1- (2) Management of Stress and Trauma; E, i-xvii (3) Anger Management; (4) Conflict Resolution; Programs facilitated by staff, agency partners, (5) Juvenile Justice System; and volunteers, including, but not limited to: (6) Trauma-related interventions; • Aggression Replacement Training (7) Victim Awareness; • Beat Within (8) Self-Improvement; (9) Parenting Skills and support; • Garden program (10) Tolerance and Diversity; • Boys and Girls Club – REACH (11) Healing Informed Approaches; • Boys Council (12) Interventions by Credible Messengers; • Drug and Alcohol Education (13) Gender Specific Programming; ☒ ☐ ☐ • New Freedon (Gang abatement) (14) Art, creative writing, or self-expression; • Arts and Crafts Program (15) CPR and First Aid training; • Fitness/Running Program (16) Restorative Justice or Civic Engagement; • Girl Scouts; Girls Circle (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. • Girls Moving On • Cultural heritage programming • Trauma Counseling • Interactive Journaling • Mindfulness • Welding • Book Club • Teen Assault Prevention (b) Recreation. All youth shall be provided the 3.6.4 Programs, Recreation and Exercise, 1- opportunity for at least one hour of daily access to H unscheduled activities such as leisure reading, letter ☒ ☐ ☐ writing, and entertainment. Activities shall be A review of policy, documentation, interviews supervised and include orientation and may include with youth housed at the facility, and detention coaching of youth. staff provided clarity to confirm compliance. (c) Exercise. All youth shall be provided with the 3.6.4 Programs, Recreation and Exercise, 1- opportunity for at least one hour of large muscle H, i activity each day. ☒ ☐ ☐ After a review of program activity tracker and interviews with youth housed at the facility and detention staff, Sonoma County Juvenile Hall complies with this regulation. The administrator/manager may suspend, for a period Programs, Recreation and Exercise, 2-A 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 3.6.5 Religious Programs The facility administrator shall provide access to The programming calander, the daily shift religious services and/or religious counseling at least reports, as well as, interviews with youth once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ housed at the facility and detention staff shall be allowed to participate in an activity outside of confirmed compliance with this regulation. their room if he/she elects not to participate in religious programs. Religious programs shall provide for: 7658 Sonoma County Juvenile Hall PRO 23-24 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) opportunity for religious services and practices; 3.6.5, 1-e Religious Programs Through interviews with youth housed at the ☒ ☐ ☐ facility and a review of the programming schedules, we were able to determine that Sonoma County JH complies with this regulation. (b) availability of clergy; and, 3.6.5, 1-e and g Religious Programs Through interviews with youth housed at the ☒ ☐ ☐ facility and a review of the programming schedules, we were able to determine that Sonoma County JH complies with this regulation. (c) availability of religious diets. 3.6.5, 1-k Religious Programs ☒ ☐ ☐ 1373 WORK PROGRAM 3.1.2 Housing Unit Cleaning Schedule The facility administrator shall develop policies and A review of policy and procedures revealed procedures regarding the fair and consistent assignment compliance with this regulation. of youth to work programs. Work assigned to a youth ☒ ☐ ☐ shall be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING 3.3.16 Visiting The facility administrator shall develop and implement BSCC staff reviewed visiting policy and written policies and procedures for visiting, that include procedure, visiting schedules, and logs for provisions for special visits. Youth shall be allowed to April, May, and June 2023. We also receive visits by parents, guardians or persons standing interviewed youth and detention staff. Based in loco parentis, and children of youth. Other family ☒ ☐ ☐ on information received and interviews, all members, such as grandparents and siblings, and youth are allowed two 1-hour visits each supportive adults, may be allowed to visit with the week, one weeknight and one weekend. The approval of the facility administrator or designee, and in visiting schedule allows for access outside of conjunction with the youth’s case plan or in the best posted unit opportunities. interest of the youth. All visits shall occur at reasonable times, subject only to 3.3.16, 1-A, i-iii and 1-C, Visiting the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s SCJH ensures visiting occurs at reasonable criminal history. The staff shall determine in each case, times and, if a visitor is denied, the youth whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ affected is notified. 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 3.3.16, 1-A and B; 2-F Visiting per week. Visits may be supervised, but conversations shall not be monitored unless there is a security or safety A review of visiting logs and interviews with ☒ ☐ ☐ need. youth confirm that SCJH ensures youth have an opportunity to have visitation for a minimum of two hours per week. 7658 Sonoma County Juvenile Hall PRO 23-24 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Provisions for special visits, in addition to the two-hour 3.3.16, 3 Visiting 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 3.3.16, 3-F Visiting alternative, but not as a replacement, to in-person ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE 3.6.3 Mail The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviews and a review of written policies and procedures for correspondence policy and procedures revealed compliance which provide that: with this regulation. (a) there is no limitation on the volume of mail that youth 3.6.3, 1-C Mail ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; 3.6.3, 1-C, 1 Mail ☒ ☐ ☐ The facility allows 7 postage-free letters each week. (c) youth may correspond confidentially with state and 3.6.3, 4 Legal Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described 3.6.3, 1-B, ii Legal Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and ☒ ☐ ☐ BSCC staff interviewed detention staff and security, public safety, or youth safety is jeopardized. interviewed youth housed at the facility. We also reviewed policy and procedures. 1376 TELEPHONE ACCESS 3.6.2 Access to Phones The administrator of each juvenile facility shall develop ☒ ☐ ☐ BSCC staff interviewed detention staff and and implement written policies and procedures to provide interviewed youth housed at the facility. We youth with access to telephone communications. also reviewed policy and procedures. 1377 ACCESS TO LEGAL SERVICES JH: 3.6.1 Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ BSCC staff interviewed detention staff and procedures to ensure the right of youth to have access to interviewed youth housed at the facility. We the courts and legal services. Such access shall include: also reviewed policy and procedures. (a) access, upon request by the youth, to licensed 3.6.1, 1-A, Access to Legal Services ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with 3.6.1, 4-B, Access to Legal Services ☒ ☐ ☐ attorneys; and, (c) unlimited postage free, legal correspondence and 3.6.1, 5, Access to Legal Services ☒ ☐ ☐ cost-free telephone access as appropriate. 7658 Sonoma County Juvenile Hall PRO 23-24 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1390 DISCIPLINE 3.5.2 Discipline The facility administrator shall develop and implement In addition to policy and procedure, BSCC written policies and procedures for the discipline of youth staff reviewed the 12 most recent discipline that shall promote acceptable behavior; including the use due process incident report. We also of positive behavior interventions and supports. ☒ ☐ ☐ interviewed youth housed at the facility and Discipline shall be imposed at the least restrictive level detention staff. which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ 3.5.2, 1-G, I Discipline (b) daily shower, access to drinking fountain, toilet and 3.5.2, 1-G, ii-v Discipline ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ 3.5.2, 1-G, vi Discipline (d) contact with parent or attorney; ☒ ☐ ☐ 3.5.2, 1-G, vii Discipline (e) exercise; ☒ ☐ ☐ 3.5.2, 1-G, viii Discipline (f) medical services and counseling; 3.5.2, 1-G, ix Discipline BSCC staff interviewed youth, medical staff, ☒ ☐ ☐ and behavioral health staff in addition to reviewing documentation. The facility complies with this regulation. (g) religious services; ☒ ☐ ☐ 3.5.2, 1-G, x Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ 3.5.2, 1-G, xi Discipline (i) the right to send and receive mail; ☒ ☐ ☐ 3.5.2, 1-G, xii Discipline (j) education; and, 3.5.2, 1-G, xiii Discipline ☒ ☐ ☐ BSCC staff interviewed youth and education staff (Director), in addition to reviewing behavior management documentation. (k) rehabilitative programming. 3.5.2, 1-G, xiv Discipline BSCC staff discussed the importance of ☒ ☐ ☐ adding clarity to the policy that states that youth on modified and or special programs shall receive equity in programming opportunities. The facility administrator shall establish rules of conduct 3.5.1 , 2-A (Major), B (Medium) and C (Minor), and disciplinary penalties to guide the conduct of youth. Resident Rules and Behavioral Expectations Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS 3.5.3 Due Process The facility administrator shall develop and implement In addition to policy and procedure, BSCC written policies and procedures for the administration of ☒ ☐ ☐ staff reviewed the 12 most recent discipline discipline which shall include, but not be limited to: (W/Due process) examples. We also interviewed youth housed at the facility and detention staff. 7658 Sonoma County Juvenile Hall PRO 23-24 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) designation of personnel authorized to impose 3.5.2, 1-H Discipline ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ 3.5.2, 1-H, i Discipline (c) definition of major and minor rule violations and 3.5.2, 2-A and B Discipline their consequences, and due process requirements; This policy articulates that during the orientation process, the minor, moderate, and ☒ ☐ ☐ major rule violations, as well as sanctions and due process requirements, are explained to each youth. BSCC staff also interviewed youth and observed that the rules posted were available to youth to review. (d) trauma-informed approaches and positive behavior 3.5.2, 1-F Discipline interventions; The elements of this regulation are identified and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. The agency’s policies and procedures ensure that detention staff makes use of training that ensures developmentally appropriate, trauma-informed approaches to working with youths while implementing positive behavior intervention. ☒ ☐ ☐ In part, to implement positive behavior intervention, the facility options include, but are not limited to, its Special Program, the Administrative Program (AP), or the Special Management Rooms. Although a youth has not been placed on an AP program during this inspection cycle, BSCC staff discussed language in the AP policy as it pertains to providing meals to youth via the pass-through door. We suggest that if the meal procedure is based on safety and security, it may be best referenced in the room confinement policy rather than a program policy. (e) minor rule violations may be handled informally by 3.5.2, 3-B, iii-c and 1-E, Discipline counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be To determine compliance, BSCC staff ☒ ☐ ☐ accompanied by written documentation and a reviewed the policy, reviewed discipline policy of review and appeal to a supervisor; and, sheets, interviewed youth housed at the facility, and interviewed detention staff. (f) major rule violations and the discipline process ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; ☒ ☐ ☐ 3.5.3, 1-B, 1 Due Process (2) accommodations provided to youth with 3.5.3, 1-B, ii Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the 3.5.3, 1-B, iii Due Process ☒ ☐ ☐ incident; 7658 Sonoma County Juvenile Hall PRO 23-24 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) opportunity for the youth to be heard, present 3.5.3, 1-B, iv Due Process evidence and testimony; The facility does well in documenting that ☒ ☐ ☐ youth are, in a timely manner, provided the opportunity to appeal a discipline being imposed. (5) provision for youth to be assisted by staff in the 3.5.3, 1-B, v Due Process ☒ ☐ ☐ hearing process; (6) provision for administrative review. 3.5.3, 1-B, vi Due Process Youth are oriented and understand that major ☒ ☐ ☐ rule violations are violations that directly affect the safety and security of the facility and/or disrupt the normal operation of the facility and programming. (g) violations that result in a removal from camp or The Juvenile facility is not a commitment commitment program, but not a return to court, will program or a Camp. ☐ ☐ ☒ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE 5.1.15 COVID-19 DISEASES. Sonoma County Probation Department Juvenile Health Care Services Policy (SCPD- The health administrator/responsible physician, in JHCS) J310: Communicable Diseases cooperation with the facility administrator and the local health officer, shall develop written policies and The facility policies align with California Code procedures to address the identification, treatment, of Regulations Title 15, Article 8; California control and follow-up management of communicable Code of Regulations Title 17; Health and diseases. The policies and procedures shall address, Safety Code 199.99: Infection Control and but not be limited to: Communicable Disease Policy; California Medical Association Standard J 310; American Academy of Pediatrics: The 1994 Red Book: and, The Control of Communicable Disease Manual-APHA. ☒ ☐ ☐ The above policy is in compliance with Sonoma County Public Health Order # C19- 08, and all other applicable Health Orders and any tracking and reporting requirements. Further, this policy articulates all facets of this section of the regulation including, but not limited to, the scope; prevention; limiting the Spread (including the testing of youth); and maintaining the well-being of youth. To confirm compliance, BSCC staff also reviewed the Title 15 required annual Medical/Mental, Nutrition, and Environmental Health evaluations conducted by qualified evaluators and inspectors. 7658 Sonoma County Juvenile Hall PRO 23-24 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Intake health screening procedures; SCPD-JHCS Procedure 1-A: Intake Screening This policy identifies the process to screen and conduct appraisals on new admissions. Sonoma County Juvenile Institutions Health Program: Youth Entering the Facility Memo/8- 3-2020 This memorandum outlines the admission process for Intake, Security, and Supervisory ☒ ☐ ☐ staff to include PPE and that the initial questionnaire for all admissions be conducted in the Sally Port prior to entry inside the facility. Youth will be provided a mask and be housed in a negative pressure room for the first 14 days of admission. JHC staff have outlined a process for meals, programming, hygiene, and direction for any time a youth is out of their room. BSCC staff interviewed medical personnel to confirm compliance with this regulation. (b) Identification of relevant symptoms; SCPD-JHCS Procedure 1-A: Intake Screening Sonoma County Juvenile Institutions Health Program: Youth Entering the Facility Memo/8- 3-2020 ☒ ☐ ☐ Sonoma County Juvenile Institutions COVID- 19 Testing Protocol This directive outlines the testing strategy for new and detained youth. (c) Referral for medical evaluation; SCPD-JHCS Procedure 1-B: Health Appraisal Youth receive a health appraisal within 96 hours of admission. The policy also outlines a ☒ ☐ ☐ process for a referral for Medical Evaluation. BSCC staff interviewed medical personnel to confirm compliance with the Title 15 minimum standards for this regulation. (d) Treatment responsibilities during detention; SCPD-JHCS Procedure II: Treatment This operational protocol outlines the treatment responsibilities of medical staff, ☒ ☐ ☐ facility staff, and youth. Medical staff develop an Individual Treatment Plan to include treatment, dosage, duration of treatment, and laboratory specimens. 7658 Sonoma County Juvenile Hall PRO 23-24 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Coordination with public and private community- SCPD-JHCS Procedure 1-VI: Transfer of based resources for follow-up treatment; Resident and VII: Release to Home The collaborative policy ensures that the notification and communication by both agencies are provided to all persons involved ☒ ☐ ☐ in the youth’s care as well as the Public Health notification and follow-up needs. To aid in confirming compliance with Title 15 minimum standards for this regulation, BSCC staff interviewed medical and behavioral health personnel. (f) Applicable reporting requirements; and, SCPD-JHCS Procedure 1-III: Notification This policy directs JHCS staff to notify the Public Health Officer and the Supervisor of the Communicable Disease Control Unit of each reported or verified Communicable ☒ ☐ ☐ Disease of any listed disease. This includes reporting any communicable disease to the Sonoma County Public Health Department according to federal, state, and local laws and regulations. (g) Strategies for handling disease outbreaks. SCPD-JHCS Procedure 1-IV: Plan for Segregation This policy outlines that upon identification of an active, infectious communicable disease that the youth be segregated until medically cleared by JHCS staff. ☒ ☐ ☐ To aid in confirming compliance with Title 15 minimum standards, BSCC staff reviewed the annual Medical/Mental, Nutrition, and Environmental Health evaluations conducted by qualified evaluators. BSCC staff also interviewed medical personnel to determine compliance. The policies and procedures shall be updated as The agency has a specific and detailed necessary to reflect communicable disease priorities operational procedure to identify and house identified by the local health officer and currently all youth. The precautions of isolation in a recommended public health interventions. negative pressure room pending a quarantine ☒ ☐ ☐ determined by health Services. Other interventions include, but are not limited to, a training protocol for PPE for youth and staff. 7658 Sonoma County Juvenile Hall PRO 23-24 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1433 REQUESTS FOR HEALTH CARE SERVICES 6.1.1 Medical Services (EXCERPT) Resident Handbook P 9 The health administrator, in cooperation with the facility The regulation requires that youth shall be administrator, shall develop policy and procedures to provided the opportunity to confidentially establish a daily routine for youth to convey requests for convey, either through written or verbal emergency and non-emergency medical, dental and communications, a request for medical, behavioral/mental health care services. dental, or behavioral/mental health services. During the orientation process, information regarding access to medical services is explained in detail to all youth. ☒ ☐ ☐ Although youth have access to health services staff to confidentially request medical/mental health services, as well as, the option to place a request in a secure folder, BSCC staff provided technical assistance indicating that to ensure ongoing compliance, consider installing confidential medical/mental health lockboxes, for health services requests, on each housing unit. Prior to the completion of the inspection, the facility purchased lockboxes for all of the housing units. 1480 STANDARD FACILTY CLOTHING ISSUE 4.1.3 Initial Shower, Clothing and Bedding Issue The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ BSCC staff reviewed the inventory and and footwear specified in this regulation. The facility has laundry schedules for the facility. the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily 3.2.3, 1-A Clothing Assignment and Bedding laundered, in good repair, and free of holes and Exchange tears. 4.1.3 Policy Statement, Initial Shower, Clothing and Bedding Issue ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with the Title 15 minimum standards for this regulation. (b) The standard issue of climatically suitable clothing ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; 3.2.3, 4 Clothing Assignment and Bedding Exchange 4.1.3, 2-A, i-a , Initial Shower, Clothing and ☒ ☐ ☐ Bedding Issue BSCC staff interviewed youth and reviewed documentation. (2) Outer garments; 3.2.3, 1-A, ii-d Clothing Assignment and ☒ ☐ ☐ Bedding Exchange (3) New non-disposable underwear which shall 4.1.3, 2-A, i-a Initial Shower, Clothing and remain with the youth throughout their stay, ☒ ☐ ☐ Bedding Issue and; 7658 Sonoma County Juvenile Hall PRO 23-24 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Undergarments, that are freshly laundered and 4.1.3, 2-A, i-a Initial Shower, Clothing and free of stains, including tee shirts and bras. Bedding Issue ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation. (c) Clothing is laundered at the temperature required 7.2.2, 1-A, i Laundry Operations by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other To aid in confirming compliance, BSCC staff laundry method approved by the local health officer. reviewed the annual Medical/Mental, Nutrition, and Environmental Health evaluations by qualified evaluators. ☒ ☐ ☐ (d) Suitable clothing is issued to pregnant youth. 3.2.3, 1-C Clothing Assignment and Bedding ☒ ☐ ☐ Exchange 1482 CLOTHING EXCHANGE 3.2.3, 2 Clothing Assignment and Bedding Exchange The facility administrator shall develop and implement written policies and site-specific procedures for the The facility assigns youth their own laundry cleaning and scheduled exchange of clothing. Unless bag to ensure they receive their own clothing work, climatic conditions, or illness necessitates more ☒ ☐ ☐ back after being laundered. frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. BSCC staff interviewed youth and reviewed Tee shirts, bras, and underwear shall be exchanged documentation to determine that the facility daily; youth shall receive their own underwear back at meets compliance with the Title 15 minimum exchange. standards for this regulation. 1484 CONTROL OF VERMIN IN YOUTH’S 4.1.3, 2-K Initial Shower, Clothing and PERSONAL CLOTHING Bedding Issue 4.1.4, 4 Resident Property 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. 7658 Sonoma County Juvenile Hall PRO 23-24 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1485 ISSUE OF PERSONAL CARE ITEMS 3.2.2 Personal Hygiene Resident Handbook P11 There shall be written policies and site-specific procedures developed and implemented by the facility Youth are provided with a Hygiene Bag at administrator for the availability of personal hygiene ☒ ☐ ☐ intake which contains a toothbrush, items. Each female youth shall be provided with toothpaste, comb, and soap. The other items sanitary napkins, panty liners and tampons as are available to youth as requested. requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ 3.2.2, 1-B, I Personal Hygiene (b) Toothpaste; ☒ ☐ ☐ 3.2.2, 1-B, I Personal Hygiene (c) Soap; ☒ ☐ ☐ 3.2.2, 1-B, I Personal Hygiene (d) Comb; ☒ ☐ ☐ 3.2.2, 1-B, I Personal Hygiene (e) Shaving implements; ☒ ☐ ☐ 3.2.4 Shaving (f) Deodorant; ☒ ☐ ☐ 3.2.2, 1-E Personal Hygiene (g) Lotion; ☒ ☐ ☐ 3.2.2, 1-E Personal Hygiene (h) Shampoo; and, ☒ ☐ ☐ 3.2.2, 1-E Personal Hygiene (i) Post-shower conditioning hair products. ☒ ☐ ☐ 3.2.2, 1-E Personal Hygiene Youth shall not be required to share any personal care 3.2.2, Personal Hygiene items listed in items (a) through (d). Liquid soap 3.2.4 Shaving 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 3.2.2 Personal Hygiene There shall be written policies and site specific All elements of this regulation are in the procedures developed and implemented by the facility referenced policy. administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on BSCC staff interviewed youth and reviewed assignment to a housing unit and on a daily basis documentation to determine that the facility thereafter and given an opportunity to brush their teeth complies with this regulation. after each meal. 1487 SHAVING 3.2.4 Shaving Youth shall have access to a razor daily, unless their BSCC staff interviewed youth and reviewed appearance must be maintained for reasons of documentation to determine that the facility identification in Court. All youth shall have equal complies with this regulation. opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation ☒ ☐ ☐ To ensure ongoing compliance, BSCC staff to youth who are considered to be a danger to provided technical assistance to update policy themselves or others. and procedure language that provides equity with shaving privileges for male and female youth. BSCC appreciates the assertive approach toward policy updates and implementation. 7658 Sonoma County Juvenile Hall PRO 23-24 - 62 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1488 HAIR CARE SERVICES (Excerpt) 3.2.5 Hair Care Services Hair care services shall be available in all juvenile BSCC staff interviewed youth and reviewed facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ documentation to determine that the facility Equipment shall be cleaned and disinfected after each complies with this regulation. haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE 3.2.3, 2 Laundry Roll Process 4.1.3 Initial Shower, Clothing and Bedding Clean laundered, suitable bedding and linens, in good Issue repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, BSCC staff interviewed youth and reviewed but not be limited to: documentation to determine that the facility complies with this regulation. (a) One mattress or mattress-pillow combination which 4.1.3, 3-A, iii Initial Shower, Clothing and meets the requirements of Section 1502 of these ☒ ☐ ☐ Bedding Issue regulations; (b) One pillow and a pillow case unless provided for in 4.1.3, 3-A, iii Initial Shower, Clothing and ☒ ☐ ☐ (a) above; Bedding Issue (c) One mattress cover and a sheet or two sheets; 4.1.3, 3-A, I Initial Shower, Clothing and ☒ ☐ ☐ Bedding Issue (d) One towel; and, 3.2.3, 1-D Initial Shower, Clothing and ☒ ☐ ☐ Bedding Issue (e) One blanket or more, up on request 4.1.3, 3-A, ii Initial Shower, Clothing and ☒ ☐ ☐ Bedding Issue 1501 BEDDING LINEN EXCHANGE 3.2.3, 3 Bedding Exchange The facility administrator shall develop and implement BSCC staff interviewed youth and reviewed site specific written policies and procedures for the documentation to determine that the facility scheduled exchange of laundered bedding and linen ☒ ☐ ☐ complies with this regulation. issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered 3.2.3, 3-B Bedding Exchange ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND 2.1.1, 2-A, xiii JCC Roles and Responsibilities MAINTENANCE 3.1.2, 1-E, iii Unit Cleaning Schedule 7.3.1, 1- A Work Orders The facility administrator shall develop and implement written policies and site-specific procedures for the BSCC staff interviewed youth and reviewed maintenance of an acceptable level of cleanliness, documentation to determine that the facility repair and safety throughout the facility. The plan shall complies with this regulation. provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7658 Sonoma County Juvenile Hall PRO 23-24 - 63 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☐ ☐ ☒ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ ☐ ☒ 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 ☐ ☐ ☒ facility in a manner that allows contact with minors. Violation 7658 Sonoma County Juvenile Hall PRO 23-24 - 64 - J453 JUV PRO-Eff. 01-01-2019 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: 7658 / 7659 FACILITY NAME: Sonoma County Juvenile Hall / Sonoma County Secure Treatment FACILITY TYPE: JH / SYTF Facility 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That Apply): X FIELD REPRESENTATIVE: Forrest Coleman 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. ☒ ☐ ☐ 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. 7658 7659 Sonoma Probation PHY 23-24 - 1 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. Units 1-6 include observation rooms that would meet the requirements of single occupancy Single occupancy sleeping rooms shall provide ☒ ☐ ☐ rooms, however, are not included in the rated the following: capacity. 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. ☒ ☐ ☐ 1230.1.9 Dormitories Unit 7 is a dormitory but is used presently as incentive space. 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. ☐ ☐ ☒ 7658 7659 Sonoma Probation PHY 23-24 - 2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. The indoor/outdoor rec space for Units 1-4 is approx. 1840 sq. ft. Units 5-6 recreation space Indoor/outdoor physical activity and recreation areas is approx. 672 sq. ft. Unit 7 has a large shall be designed as follows: recreation space, approximately 14,694 sq. ft. 1. Minimum indoor outdoor recreation space for There is also a large field area, including an facility capacity: 40 or less is 9,000 square feet; 41- ☒ ☐ ☐ outdoor track, used by all youth as scheduled. 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 is one classroom adjacent to each unit. ☒ ☐ ☐ There shall be a dedicated classroom space for every juvenile in every facility. The primary purpose for the academic classroom shall ☒ ☐ ☐ be for education. 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. There is no safety room at this facility. A safety room shall: ☐ ☐ ☒ 1. Contain a minimum of 48 square feet of floor area and a minimum clear ceiling height of 8 feet; 7658 7659 Sonoma Probation PHY 23-24 - 3 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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 two medical exam rooms which serve Units 1-4 and are 324 sq. ft each. Units There must be a minimum of one suitably equipped 5-6 share one medical exam room which is medical examination room in every juvenile facility. 175 sq. ft. Unit 7 has one medical exam room ☒ ☐ ☐ which is 200 sq. ft. (including dedicated toilet areas). The medical screening space is in the intake area and not considered an examination room. 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; ☒ ☐ ☐ 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. The youth dine in the dayroom of their living unit. Dining areas in juvenile facilities shall contain a ☒ ☐ ☐ minimum of 15 square feet of floor space and sufficient tables and seating for each person being fed. Persons being fed include youth, staff and visitors. ☒ ☐ ☐ 7658 7659 Sonoma Probation PHY 23-24 - 4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. 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. 7658 7659 Sonoma Probation PHY 23-24 - 5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. 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 ☐ ☐ ☒ 7658 7659 Sonoma Probation PHY 23-24 - 6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. 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 7658 7659 Sonoma Probation PHY 23-24 - 7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 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. 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. 7658 7659 Sonoma Probation PHY 23-24 - 8 - J456 PHY 98 01 03 09 14 18 dot JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Codes: JH: 7658 SYTF: 7659 FACILITY: TYPE: RC: Sonoma County Juvenile Hall JH 117 Sonoma County Secure Youth Treatment Facility SYTF 30 FIELD REPRESENTATIVE: Forrest Coleman DATE: June 29, 2023 ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS Designatio Type Standards Room # RC RC or T U W F S n s Beds Square/Cubic Feet Intake Holding 2001 3 (5) (15) 11 X 7 1 1 1 Holding 2001 1 (5) (5) 11 X 7.8 1 1 1 Handicap accessible Note: Ceiling height above 10'; 7' bench in each holding room; One shower in Intake. Court Holding Two adult court holding cells are adjacent to the court and under control of the Sonoma County Sheriff (BSCC #5665). A non-rated court staging area is under control of Sonoma County Probation and noted in the Physical Plant Evaluation. HOUSING UNITS 1 – 6 Unit 1 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4 Double 2001 8 2 2 16 105 sq. ft. 1 1 1 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: This unit is used for classroom instruction for Community College youth in the day room. The classroom is currently a Library. Unit 2 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4 Double 2001 8 2 2 16 105 sq. ft. 1 1 1 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use *T = Toilets; U = Urinals; W = Washbasins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7658 7659 Sonoma County Juvenile Hall SYTF LASE 23-24 - 1 - J460 LAS JUV.dot (03/01) ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS Designatio Type Standards Room # RC RC or T U W F S n s Beds Square/Cubic Feet Note: 2023: 5 out of the 30 rated beds are SYTF beds. Unit 3 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4 Double 2001 8 2 2 16 105 sq. ft. 1 1 1 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: Note: At the time of inspection, Unit 3 was used for COVID quarantine. 1 out of the 30 rated beds is a SYTF bed Unit 4 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4 Double 2001 8 2 2 16 105 sq. ft. 1 1 1 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: This unit houses female youth and younger/mental health male youth. Unit 5 Single 2001 20 1 1 20 72 – 87 sq. ft. 1 1 1 4 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: This unit houses general population male youth. 10 out of the 30 rated beds are SYTF beds. Unit 6 Single 2001 20 1 1 20 72 – 87 sq. ft. 1 1 1 4 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: At the time of inspection, Unit 6 was used as a COVID isolation unit. 2 out of the 30 rated beds were SYTF beds. Note: There is one classroom suitable for 20 youth adjacent to each unit. Units 1-4 each have approximately 1,287 sq. ft. of dayroom space; Units 5-6 each have approximately 1,496 sq. ft. of dayroom space. There is recreation space adjacent to each unit and a large recreation area used as scheduled by all units. Unit 7 Dorm 2001 1 20 20 20 3,000 sq. ft. 4 4 1 4 Note: This unit is not used for housing and is occupied for Incentive space, scheduled by unit during the evening and weekend programming. *T = Toilets; U = Urinals; W = Washbasins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7658 7659 Sonoma County Juvenile Hall SYTF LASE 23-24 - 2 - J460 LAS JUV.dot (03/01) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7659 FACILITY NAME: Sonoma County Secure Youth Treatment Facility (SCSYTF) FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Vanessa Fuchs, Deputy Chief Probation Officer; Dan Flamson, Division Director I, Juvenile Hall; Kilee Wilson, Division Director II, JH; Dawn Kemp, Administrative Assistant, JH; Ele Lozares-Lewis, Medical Director, Santa Rosa Community Health (Medical and Mental Health); Esin Zamorsa, BH Clinician Specialist; Mayra Perez Lopez, BH Clinician; Kristen Vela, Health Program Manager, Sonoma Co. DHS; Greg Hallihan, Chef, PC (JH); Valerie Spizarsky, Education Specialist, SCOE; Cynthia Trudeau JH Scheduling Sup; Melita Combs, JCC (JH); Cliff Scheuter, Principal, Sonoma County Office of Education; Male, 21yrs, Male age 20; female age 17; random youth. FIELD REPRESENTATIVE: Forrest Coleman DATE: June 26th through June 29th 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION Policy 1.1.4, 7-B Administrative OF BUILDING AND GROUNDS responsibilities On an annual basis, or as otherwise required by law, The Sonoma County Secure Youth each juvenile facility administrator shall obtain a Treatment Facility (SCSYTF) is a facility that documented inspection and evaluation from the houses youth on 4 out of 5 housing units following: within the Sonoma County Juvenile Hall (SCJH). Hence, all Title 15 evaluations and building inspections pertaining to the SCJH apply to the SCSYTF. This inspection was conducted six months into the first year of the 2023-2024 inspection cycle. Therefore, BSCC staff requested that the Sonoma County Secure Youth Treatment Facility (SCSYTF) in conjunction with the Sonoma County JH, provide all "County Inspections and Evaluation of Grounds" inspection reports that occurred within a year of the current inspection date. In addition, we requested dates of pending annual reports and to forward reports as they occur leading up to December 31, 2023. (A) County building inspection by agency designated by 2022: the Board of Supervisors to approve building safety; Inspected on November 09, 2022, and completed by Aris Knoles, Supervising ☒ ☐ ☐ Building Inspector, Sonoma County. 2023: Report Pending. (B) Fire authority having jurisdiction, including a fire 2023: clearance as required by Health and Safety Code ☒ ☐ ☐ Inspected on January 17, 2023, and Section 13146.1 (a) and (b); completed by City of Santa Rosa Fire Dept. 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. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with 2022: Health and Safety Code Section 101045; Environmental Health: Inspected on November 1, 2022 and November 30, 2022, and completed by Dina Hernandez, Senior EHS; Nixsander Diaz, EHS; Phil McCauley, Supervising EHS (Sonoma County EH). Medical/Mental Health: Inspected on November 10, 2022, and completed by Kristen Vela, Health Program Manager, Sonoma County DPH. Nutritional Health: Inspected on December 13, 2022, and completed by Indira Wiebe, RD. ☒ ☐ ☐ 2023: Environmental Health: Inspected on October 2, 2023, and completed by Environmental Health Specialist, Emily Carzini, and Dina Hernandez, Senior EHS Supervising EHS (Sonoma County EH). Medical/Mental Health: Inspected on October 17, 2023, and completed by Kristen Vela, Health Program Manager, Sonoma County DPH. Nutrition: Inspected on October 17, 2023, and completed by Indira Wiebe, RD. (D) County superintendent of schools on the adequacy 2022: of educational services and facilities as required in Evaluated on December 15, 2022, and Section 1370; completed by Tawny Fernandez, Director ☒ ☐ ☐ Mendocino County Office of Education. 2023: Report Pending. (E) Juvenile court as required by Section 209 of the 2023: Welfare and Institutions Code Inspected on February 2, 2023, and ☒ ☐ ☐ completed by Kenneth J. Gnoss, Presiding Judge of the Juvenile Court, Sonoma County. (F) Juvenile Justice Commission as required by Section 2022: 229 of the Welfare and Institutions Code or Probation Inspected on November 17, 2022, and Commission as required by Section 240 of the completed by Commissioners Marc Andrade, ☒ ☐ ☐ Welfare and Institutions Code. Jean Ure, and Greg Schmid. 2023: Report Pending. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS The Sonoma County Secure Youth BSCC Note: Compliance with this section is Treatment Facility (SCSYTF) is a facility that determined by receipt of the Chief Probation Officer’s houses youth on 4 out of 5 housing units certification letter confirming that all elements of within the Sonoma County Juvenile Hall (SCJH). The two facilities coexist by utilizing regulation are met. staff that are cross-trained to work at both (a) Appointment facilities. Further, the SCSYTF abides by the In each juvenile facility there shall be a superintendent, same SCJH policies and procedures, as well director or facility manager in charge of its program and as the same Title 15 regulation minimum standards including, but not limited to, employees. Such superintendent, director, facility appointment and qualifications training and manager and other employees of the facility shall be qualifications. appointed by the facility administrator pursuant to applicable provisions of law. An Appointment and Qualification Letter, ☒ ☐ ☐ dated May 17, 2023, was received from Sonoma County Chief Probation Officer (CPO) Vanessa Fuchs certifying all appointments of staff are pursuant to the applicable laws including minimum standards from BSCC, Penal Code 6035. Further, all staff who are present at the facility meet all required qualifications and clearances including contract personnel, volunteers, and other non-employees. The letter confirms that the Sonoma County Secure Youth Treatment Facility meets Title 15 minimum standards for this regulation (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess The elements of this regulation are knowledge, skills and abilities appropriate to confirmed in the CPO Appointment and their job classification and duties in accordance ☒ ☐ ☐ Qualifications Letter, dated May 17, 2023. with applicable civil service or merit system rules; (2) require a medical evaluation and physical The elements of this regulation are examination including tuberculosis screening confirmed in the CPO Appointment and test and evaluation for immunity to contagious ☒ ☐ ☐ Qualifications Letter dated May 17, 2023 illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the The Board of State and Community selection and training requirements adopted by Corrections, Standards and Training for the Board pursuant to Section 6035 of the Penal Corrections (STC) Division reports that the ☒ ☐ ☐ Code; and Sonoma County Probation Department meets Title 15 regulation minimum standards for staff training requirements. (4) conduct a criminal records review, on each new The elements of this regulation are employee, and psychological examination in confirmed in the CPO Appointment and ☒ ☐ ☐ accordance with Section 1031 et seq. of the Qualifications Letter, dated May 17, 2023. Government Code. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Contract personnel, volunteers, and other non- 3.3.14 Volunteer Program employees of the facility, who may be present at the facility, shall have such clearance and qualifications Unless always supervised, all contract as may be required by law, and their presence at the personnel, volunteers, and other non- members of the facility, who may be present facility shall be subject to the approval and control of ☒ ☐ ☐ at the facility, have had such clearance and the facility manager. qualifications as may be required by law and their presence is subject to the approval and control of the Chief Probation Officer or designee. 1321 STAFFING Each juvenile facility shall: a) have an adequate number of personnel sufficient to 2.1.4, 1-a Staffing Requirements carry out the overall facility operation and its programming, to provide for safety and security of We reviewed the above policy and youth and staff, and meet established standards and procedure, as well as the agency’s Organization Chart, random weekly staff regulations; schedule, and daily schedule covering two consecutive weeks in April, May, and June of 2023. In addition, we made personal observations. ☒ ☐ ☐ At the time of the inspection, the Sonoma County SYTF staffing, in conjunction with the Juvenile Hall staffing consisted of: • 1 Division Director II • 2 Division Director I • 9 Facility Supervisors • 61 Juvenile Correctional Counselors • 14 Extra Help Juvenile Correctional Counselors b) ensure that no required services shall be denied 2.1.4, 1-a Staffing Requirements because of insufficient numbers of staff on duty absent exigent circumstances; Per the above policy, absent exigent circumstances, the Facility Supervisor and Program Supervisor are responsible for the daily operation of the facility with regard to maintaining compliance with applicable Title 15 standards set by the Board of State and Community Corrections (BSCC). Through our review of the above policy, visual observations, a review of work schedules for April, May, and June 2023, as ☒ ☐ ☐ well as a review of the unit programming documentation, BSCC staff determined that SCSYTF regularly ensures that the staffing levels are adequate. We discussed the importance of ensuring that staffing levels are sufficient to provide programming for youth on all housing units at regularly scheduled times. BSCC staff appreciated the time and effort the facility took to complete the BSCC Facility Information Worksheet. The detail was helpful to BSCC staff during the inspection process. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS c) have a sufficient number of supervisory level staff to 2.1.4, 1-b Staffing Requirements ensure adequate supervision of all staff members; After a review of the daily staff schedule, as well as through interviews with youth housed at the facility and staff, BSCC staff confirmed ☒ ☐ ☐ that there is a Facility Supervisor present at the facility on each shift. BSCC observed that a Facility Supervisor is always on-site in the facility. d) have a clearly identified person on duty at all times 2.1.4, 1-b, I Staffing Requirements who is responsible for operations and activities and 2.1.4, 1-c Staffing Requirements has completed the Juvenile Corrections Officer Core Course and PC 832 training; A Facility Supervisor is assigned to each ☒ ☐ ☐ shift. Facility Supervisor and Program Supervisor are responsible for the daily operation of the facility and clearly identified on the shift schedule. e) have at least one staff member present on each 2.1.4, 1-f Staffing Requirements living unit whenever there are youth in the living unit; Through personal observations, as well as through interviews with staff and youth ☒ ☐ ☐ housed at the facility, SCSYTF regularly ensures that there is always a staff present in the unit or where a youth is present. Youth are never left unsupervised. f) have sufficient food service personnel relative to the 2.1.4, 1-d Staffing Requirements number and security of living units, including staff qualified and available to: plan menus meeting BSCC staff interviewed the Food Service nutritional requirements of youth; provide kitchen Supervisor/Chef. The Chef intermittently assists in preparing meals but primarily supervision; direct food preparation and servings; oversees kitchen operations. The contracted conduct related training programs for culinary staff; Nutritionist provides the Chef with guidance and maintain necessary records; or, a facility may as it relates to nutritional guidelines, youth serve food that meets nutritional standards prepared special diet requests, and other issues that by an outside source; may arise. ☒ ☐ ☐ The kitchen staff deliver meals to the units via hot carts and detention staff serve the meals to the youth. Youth are not allowed in the kitchen. Meals are prepared on-site. Current food service personnel staffing consists of: • 1 Food Services Supervisor (Chef) • 5 Cooks g) have sufficient administrative, clerical, recreational, 2.1.4, 1-e Staffing Requirements medical, dental, mental health, building maintenance, transportation, control room, facility BSCC staff interviewed medical services, security and other support staff for the efficient behavioral health personnel, and education ☒ ☐ ☐ services. We also made personal management of the facility, and to ensure that youth observations over the course of the supervision staff shall not be diverted from inspection week. The agency is fortunate to supervising youth; and, have such a significant base of collaborative partners and support staff. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS h) assign sufficient youth supervision staff to provide 2.1.4, 2 Staffing Requirements continuous wide-awake supervision of youth, subject to temporary variations in staff assignments to meet BSCC staff interviewed detention staff and special program needs. Staffing shall be in reviewed housing unit logs, programming schedules, and employee daily schedules. compliance with a minimum youth-staff ratio for the ☒ ☐ ☐ following facility types: The Sonoma County SYTF regularly provides youth supervision staffing levels that enable the facility to meet the minimum standards for this regulation. (1) Juvenile Halls (minimum youth-staff ratio) 2.1.4, 2-a Staffing Requirements (A) during the hours that youth are awake, one wide- awake youth supervision staff member on duty for The Secure Youth Treatment Facility’s each 10 youth in detention; population, at the time of the inspection, was 11 youths. ☒ ☐ ☐ Through documentation review, personal observations, as well as interviews with youth and detention staff, and a review of safety check logs, the facility regularly ensures that there is one wide-awake youth supervision staff member on duty for every 10 youths in detention. (B) during the hours that youth are confined to their 2.1.4, 2-b Staffing Requirements 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 2.1.4, 1-h Staffing Requirements members on duty at all times, regardless of the 2.1.4, 2-c Staffing Requirements number of youth in detention, unless an arrangement has been made for backup support In a review of the housing unit log, Safety ☒ ☐ ☐ Check documentation, and daily schedules, services which allow for immediate response to SCSYTF ensures at least two wide-awake emergencies; and, youth supervision staff members are always on duty. (D) at least one youth supervision staff member on duty 2.1.4, 1-g Staffing Requirements who is the same gender as youth housed in the facility. According to shift schedules, housing unit ☒ ☐ ☐ logs, visual observations, and interviews with staff and youth, there is always a male and female youth supervision staff inthe unit. (E) personnel with primary responsibility for other duties 2.1.4, 1-e Staffing Requirements such as administration, supervision of personnel, academic or trade instruction, clerical, kitchen or ☒ ☐ ☐ Only youth supervision staff provide maintenance shall not be classified as youth supervision of the youth. supervision staff positions. (2) Special Purpose Juvenile Halls (minimum The Sonoma County Secure Youth youth-staff ratio) Treatment Facility is not a Special Purpose (A) during hours that youth are awake, one wide-awake ☐ ☐ ☒ Juvenile Hall. The below Sections A through youth supervision staff member is on duty for each E are not applicable to this facility. 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; 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 6 - J453 JUV PRO-Eff. 01-01-2019 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 (minimum youth -staff ratio) The Sonoma County Juvenile Treatment (A) during the hours that youth are awake, one wide- Facility (SCSYTF) is a commitment program, awake youth supervision staff member on duty for ☐ ☐ ☒ but not a Camp. Therefore, the below camp each 15 youth in the camp population; sections A through F are not applicable to this facility inspection report. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless arrangements ☐ ☐ ☒ have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the function of ☐ ☐ ☒ the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, farm, forestry, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1322 YOUTH SUPERVISION STAFF 2.2.1 Training Program ORIENTATION AND TRAINING The Sonoma County Secure Youth (a) Prior to assuming any responsibilities each youth Treatment Facility (SCSYTF) is a facility that houses youth on 4 out of 5 housing units supervision staff member shall be properly oriented within the Sonoma County Juvenile Hall to their duties, including: (SCJH). The two facilities coexist by utilizing staff that are cross-trained to work at both facilities. Further, the SCSYTF abides by the same SCJH policies and procedures, as well as the same Title 15 regulation minimum standards including, but not limited to, orientation and training. The elements of this regulation are ☒ ☐ ☐ confirmed in the Sonoma County Chief Probation Officer’s (CPO) Appointment and Qualifications Letter provided by Sonoma County CPO Vanessa Fuchs and dated May 17, 2023. The letter certifies that SYTF and SCJH Probation Officers and Juvenile Correctional Counselors (JCC) have been appointed with applicable provisions of law. According to the Board of State and Community Corrections’ Standards and Training for Corrections (STC) Division, the Sonoma County SYTF, in conjunction with the Sonoma County JH, complies with this regulation regarding staff training and orientation. (1) youth supervision duties; 2.2.1, 4-D Training Program The elements of this regulation are identified ☒ ☐ ☐ in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. (2) scope of decisions they shall make; ☒ ☐ ☐ 2.2.1, 4-D Training Program (3) the identity of their supervisor; 2.2.1, 4-D Training Program The elements of this regulation are identified ☒ ☐ ☐ in the SCJH training procedure. Peer Coaches are assigned to provide training to new employees to successfully complete the New Employee Training Program. (4) the identity of persons who are responsible to 2.2.1, 4-D Training Program them; Every Juvenile Correctional Counselor ☒ ☐ ☐ (JCC) receives 160 hours of orientation and training that includes this section of the regulation. This far exceeds the requirements for this regulation. (5) persons to contact for decisions that are beyond 2.2.1, 4-D Training Program their responsibility; and ☒ ☐ ☐ 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) ethical responsibilities. 2.2.1, 4-D Training Program The elements of this regulation are identified in and confirmed in CPO Appointment and Qualifications Letter, dated May 17, 2023. ☒ ☐ ☐ The Training Coordinator ensures that newly hired detention staff and non-sworn staff are properly trained with the elements of this regulation. (b) Prior to assuming any responsibility for the 2.2.1, 4-E Training Program supervision of youth, each youth supervision staff member shall receive a minimum of 40 hours of All new full-time and temporary employees facility-specific orientation, including: receive Introductory Training. The training is a 160-hour, 5-Phased New Employee Orientation Training Program that consist of the following: • 52 hours Standards in Correction (STC) certified classroom study • 8 hours observation • 20 hours of JH Policy and Procedure ☒ ☐ ☐ • 80 hours of shadowing The elements of this regulation are confirmed in the CPO Appointment and Qualifications Letter, dated May 17, 2023. According to the Board of State and Community Corrections’ Standard and Training for Corrections (STC) Division, Sonoma County Secure Youth Treatment Facility ensures each youth supervision staff member shall receive a minimum of 40 hours of facility-specific orientation training. (1) individual and group supervision techniques; 2.2.1, 4-E Training Program ☒ ☐ ☐ The Training Coordinator ensures that newly hired detention staff are properly trained with the elements of this regulation. (2) regulations and policies relating to discipline and 2.2.1, 4-E Training Program rights of youth pursuant to law and the provisions of this chapter; BSCC staff were impressed with the JCC Staff Orientation/Training. Every Juvenile ☒ ☐ ☐ Correctional Counselor (JCC) receives 160 hours of orientation and training that includes this section of the regulation. This far exceeds the requirements for this regulation. (3) basic health, sanitation and safety measures; 2.2.1, 4-E Training Program The initial 52-hour training encompasses the ☒ ☐ ☐ elements of this regulation. Specifically, Blood-borne Pathogens and an Universal Precautions training are provided to detention staff. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) suicide prevention and response to suicide 2.2.1, 4-E Training Program attempts 3.3.21 Trauma-Informed Approaches ☒ ☐ ☐ Detention staff receive suicide prevention training as part of their initial training as well as annual suicide prevention update. (5) policies regarding use of force, de-escalation 2.2.1, 4-E Training Program techniques, chemical agents, mechanical and physical restraints; The elements of this regulation are identified ☒ ☐ ☐ in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. (6) review of policies and procedures referencing 2.2.1, 4-E Training Program trauma and trauma-informed approaches; ☒ ☐ ☐ The Training Coordinator ensures that newly hired detention staff are properly trained with the elements of this regulation. (7) procedures to follow in the event of 2.2.1, 4-E Training Program ☒ ☐ ☐ emergencies; (8) routine security measures, including facility 2.2.1, 4-E Training Program perimeter and grounds; The elements of this regulation are identified ☒ ☐ ☐ in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. (9) crisis intervention and mental health referrals to 2.2.1, 4-E Training Program mental health services; 3.3.21 Trauma-Informed Approaches ☒ ☐ ☐ Staff receive initial training in addition to an annual suicide prevention update. (10) documentation; and ☒ ☐ ☐ 2.2.1, 4-E Training Program (11) fire/life safety training 2.2.1, 4-E Training Program The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. ☒ ☐ ☐ The Training Coordinator ensures that newly hired detention staff are properly trained with the elements of this regulation. Staff also receive annual emergency procedures training and or acknowledge a review of policy and procedure. (c) Prior to assuming sole supervision of youth, each 2.2.1, 4-F Training Program youth supervision staff member shall successfully complete the requirements of the Juvenile The elements of this regulation are identified ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal in and confirmed in CPO Vanessa Fuchs’ Code Section 6035. Appointment and Qualifications Letter, dated May 17, 2023. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Prior to exercising the powers of a peace officer 2.2.1, 4-F Training Program youth supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal The elements of this regulation are identified Code. in and confirmed in CPO Vanessa Fuchs’ ☒ ☐ ☐ Appointment and Qualifications Letter, dated May 17, 2023. Staff complete PC 832 within the first year of permanent assignment. 1323 FIRE AND LIFE SAFETY 2.2.1, 4-E Training Program Whenever there is a youth in a juvenile facility, there shall After a review of documentation, all staff be at least one wide awake person on duty at all times shall receive Fire and Life Safety Training who meets the training standards established by the either through CORE training or other Board for general fire and life safety which relate ☒ ☐ ☐ contracted certified providers. specifically to the facility. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. 1324 POLICY AND PROCEDURES MANUAL 1.1.4, I-A, B and C, Administrative Responsibilities All facility administrators shall develop, publish, and 1.1.5 Policy and Procedures Manual implement a manual of written policies and procedures The Sonoma County Secure Youth that address, at a minimum, all regulations that are Treatment Facility (SCSYTF) is a facility that applicable to the facility. Such a manual shall be made houses youth on 4 out of 5 housing units available to all employees, reviewed by all employees, within the Sonoma County Juvenile Hall and shall be administratively reviewed at a minimum (SCJH). The two facilities coexist by utilizing every two years, and updated, as necessary. Those staff that are cross-trained to work at both records relating to the standards and requirements set facilities. Further, the SCSYTF abides by the forth in these regulations shall be accessible to the Board same SCJH policies and procedures on request. referenced throughout this inspection report. The manual shall include: The facility manual is available to employees ☒ ☐ ☐ in electronic and hard copy format. Confirmed in a memorandum written by Kilee Willson, Division Director II, and dated June 21, 2023, the policy and procedures manual was administratively reviewed as of the date indicated. Per the memo, selected sections of the policy manual are reviewed bi-monthly. This effort far exceeds the two- year Title 15 requirements. Per the agency’s policy, Juvenile Correctional Counselor (JCC) detention staff review the Policy and Procedures Manual during initial training. The policy is reviewed by staff annually and or as needed. (a) table of organization, including channels of 1.1.5 Policy and Procedures Manual communications and a description of job ☒ ☐ ☐ classifications; 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) responsibility of the probation department, purpose 1.1.1 Mission Statement of programs, relationship to the juvenile court, the 1.1.2 Policy Statement Juvenile Justice/Delinquency Prevention 1.1.7 Juvenile Justice Commission Commission or Probation Committee, probation 1.1.8 Roles and Relationships with other Agencies, Departments and Divisions. staff, school personnel and other agencies that are involved in juvenile facility programs; In review of inspection and evaluation reports submitted, per Title 15 regulations, Section 1313 County Inspections and ☒ ☐ ☐ Evaluation of Building and Grounds, and through interviews with the probation staff, school personnel, and other agencies, BSCC staff concluded that all collaborative partners have a clear and articulable understanding of their roles and expectations as they relate to the relationship, responsibilities, and purpose of programs outlined by the Sonoma County Juvenile Hall’s policy and procedure manual. (c) responsibilities of all employees; 1.1.5, 1-f Policy and Procedure Manual 2.1.1 JCC Roles and Responsibilities ☒ ☐ ☐ Detention staff have access to the policy and procedure manuals in hard copy and or electronic format. (d) initial orientation and training program for 2.2.1 Training Sworn Staff employees; ☒ ☐ ☐ 2.2.1, G-I and Ii Volunteers, Providers and Support Staff Training and Orientation (e) initial orientation, including safety and security issues 2.2.1, 4-G, ii Training Sworn Staff and anti-discrimination policies, for support staff, 3.3.14 Volunteer Program contract employees, school, mental/behavioral health and medical staff, program providers and Prior to initial entry to the facility, via the ☒ ☐ ☐ volunteer coordinator, the SCSYTF ensures volunteers; new support staff, contractors, and or volunteers undergo a safety/security briefing and must complete an initial orientation training. (f) maintenance of record-keeping, statistics and The agency’s support staff reports and ☒ ☐ ☐ communication system to ensure: maintains records required by regulation. (1) efficient operation of the juvenile facility; 1.1.4 Administrative Responsibilities (Policy Statement) In part, a case management system, ☒ ☐ ☐ handwritten tracking forms, housing unit programming forms, and shift activity schedules are the main means of record keeping of day-to-day programming and facility operations. (2) legal and proper care of youth; 1.1.6, 2 Legal Origin, Establishment, and ☒ ☐ ☐ Purpose (3) maintenance of individual youth's records; The County of Sonoma has a retention of ☒ ☐ ☐ youth records schedule. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) supply of information to the juvenile court and 1.1.6, 2-D Legal Origin, Establishment, and those authorized by the court or by the law; and, Purpose 1.1.4 Policy Statement ☒ ☐ ☐ The agency utilizes a case management system for communication and record keeping with the courts, juvenile probation, and statistical data collection. (5) release of information regarding youth. 1.1.6, 2-D Legal Origin, Establishment, and ☒ ☐ ☐ Purpose 1.1.4 Policy Statement (g) ethical responsibilities; ☒ ☐ ☐ 2.1.2 Code of Conduct (h) trauma-informed approaches; 3.3.21 Trauma Informed Approaches In addition to following expectations to the ☒ ☐ ☐ above policy, as part of the annual review training, all SCSYTFJH detention staff participated in training that included but was not limited to trauma-informed approaches. (i) culturally responsive approaches; 3.3.21, I-A, v Trauma Informed Approaches In addition to following expectations to the above policy, as part of annual review ☒ ☐ ☐ training, all SCSYTF detention staff participated in training that included but was not limited to culturally-responsive approaches. (j) gender responsive approaches; 3.6.4, 1-A Program, Recreation and Exercise ☒ ☐ ☐ As part of annual review training, all SCSYTF detention staff participated in training that included but was not limited to gender- responsive approaches. (k) a non-discrimination provision that provides that all 2.1.1, 2-A, vii JCC Roles and youth within the facility shall have fair and equal Responsibilities access to all available services, placement, care, treatment, and benefits, and provides that no person BSCC staff reviewed the above policy and orientation packets and interviewed youth to shall be subject to discrimination or harassment on conclude that the SCSYTF meets the basis of actual or perceived race, ethnic group ☒ ☐ ☐ compliance with the elements of this identification, ancestry, national origin, immigration regulation. In addition, detention staff and status, color, religion, gender, sexual orientation, non-detention staff are required to take non- gender identity, gender expression, mental or discriminatory trainings. Per Policy, Prison physical disability, or HIV status, including restrictive Rape Elimination Act (PREA) training is housing or classification decisions based solely on provided to employees every two years. any of the above mentioned categories; (l) storage and maintenance requirements for any 3.4.15, 6-A through C Use of Chemical chemical agents related security devices, and Agent weapons and ammunition, where applicable; ☒ ☐ ☐ Any law enforcement staff are responsible to store their weapons or equipment in the sallyport lockers prior to entering. (m) establishment of procedures for collection of Medi- 4.1.15 Medi-Cal Eligibility Cal eligibility information and enrollment of eligible ☒ ☐ ☐ youth; and, 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (n) establishment of a policy that prohibits all forms of 1.1.4, 2 PREA Policy sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to The Division Director II serves as the PREA preventing, detecting and responding to such ☒ ☐ ☐ Compliance manager and works in conjunction with the PREA Coordinator to conduct and any retaliation for reporting such assess annual compliance with PREA conduct, as well as a provision for reporting such standards. conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN 5.1.9 Fire and Life 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 5.1.9, 5 Responding to a Fire ☒ ☐ ☐ manual of policy and procedures; b) monthly fire and life safety inspections by facility 5.1.9, 5 Responding to a Fire staff with two- year retention of the inspection record; To aid in ensuring compliance, the facility has a safety committee. Per policy, the committee meets quarterly to assess ☒ ☐ ☐ compliance standards. BSCC staff reviewed monthly fire and life safety inspections from January 2022 to the current inspection date. The inspections are very well-detailed and comprehensive. c) fire prevention inspections as required by Health 5.1.9, 9-a Responding to a Fire and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ The facility fire inspection was conducted on January 17, 2023, and completed by City of Santa Rosa Fire Dept. d) an evacuation plan; 5.1.7 Emergency Evacuation Plan BSCC staff acknowledged that the facility ☒ ☐ ☐ conducts periodic evacuation drills to keep youth and detention staff well-prepared for emergencies. e) documented fire drills not less than quarterly; 5.1.9, 6 Evacuation Procedures ☒ ☐ ☐ BSCC staff reviewed quarterly fire drills from the prior January 13, 2022, inspection date to the current inspection date. f) a written plan for the emergency housing of youth in 5.1.9, 7 Emergency Housing the case of fire; and, Per SCJH policy, there is a “mutual aid pact with other agencies” for the emergency ☒ ☐ ☐ housing of youth. BSCC staff suggest specificity in policy that include, but not limited to, identifying the specific county participating in the pact. g) development of a fire suppression pre-plan in 5.1.9, 10 Fire Suppression Pre-Plan ☒ ☐ ☐ cooperation with the local fire department. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1326 SECURITY REVIEW 1.1.4, 3-A, I Security Review Each facility administrator shall develop policies and An annual security review memo, dated May procedures to annually review, evaluate, and document 22, 2023, was provided by Juvenile Hall security of the facility. The review and evaluation shall ☒ ☐ ☐ Director, Kilee Wilson. The memo was well- include internal and external security, including, but not detailed and identified areas reviewed that limited to, key control, equipment, and staff training. included, but was not limited to, search practices, safety equipment, and assessment of video monitoring equipment. 1327 EMERGENCY PROCEDURES A memorandum dated June 10, 2023, and written by Division Director, Kristy Silva, The facility administrator shall develop facility-specific confirms that SCJH conducted an annual policies and procedures for emergencies that shall security review. The memo was well detailed include, but not be limited to: ☒ ☐ ☐ and identified areas reviewed that included , but was not limited to, policy review, emergency action plan, camera/video recording equipment, and facility safety. (a) escape, disturbances, and the taking of hostages; 3.4.26 Escape; 3.4.27 Riot (Disturbance); ☒ ☐ ☐ 3.4.28 Hostage Situation (b) civil disturbance, active shooter and terrorist attack; 3.4.27 Riot ☒ ☐ ☐ 3.4.32 Active Shooter/Terrorist Attack (c) fire and natural disasters; 5.1.9 Fire and Life Safety ☒ ☐ ☐ 5.1.11 Earthquake (d) periodic testing of emergency equipment; 5.1.5, 4 AED Inspections ☒ ☐ ☐ 5.1.9, 12 Fire Suppression Equipment and Maintenance (e) emergency evacuation of the facility; and 5.1.7 Emergency Evacuation Plan Per SCJH policy, there is a “mutual aid pact with other agencies” for the emergency ☒ ☐ ☐ housing of youth. BSCC staff suggest specificity in policy that include, but not limited to, identifying the specific county participating in the pact. (f) a program to provide all youth supervision staff with 5.1.9, 2-a, i and ii Emergency Training ☒ ☐ ☐ an annual review of emergency procedures. 1328 SAFETY CHECKS BSCC staff reviewed the facility’s safety checks for the months of April, May, and The facility administrator shall develop and implement June 2023. The documerntation included policy and procedures that provide for direct visual safety check “Round Summaries”, 15-minute observation of youth at a minimum of every 15 minutes, Watch logs, and Special Watch (5-minute at random or varied intervals during hours when youth checks) logs. are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. ☒ ☐ ☐ In review of safety check documentation, Supervision is not replaced, but may be supplemented safety checks are being completed at a minimum of every 15 minutes and at random by, an audio/visual electronic surveillance system or varied intervals during the hours youth are designed to detect overt, aggressive or assaultive confined to their rooms. The Intake and behavior and to summon aid in emergencies. All safety Special Watch checks are signed off by a checks shall be documented with the actual time the supervisor and Director. check is completed. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1329 SUICIDE PREVENTION PLAN 3.3.20 Suicide Prevention Program The facility’s Suicide Prevention Plan is a The facility administrator, in collaboration with the collaboration with Probation and Health healthcare and behavioral/mental health Services to ensure youth at risk or identified administrators, shall plan and implement written policies as at risk are supervised appropriately and and procedures which delineate a Suicide Prevention provided with necessary services. Plan. The plan shall consider the needs of youth experiencing past or current trauma. Suicide prevention Specific criteria in the plan address intake responses shall be respectful and in the least invasive ☒ ☐ ☐ assessments and screenings, manner consistent with the level of suicide risk. The communication amongst agency partners, plan shall include the following elements: response by staff, and notifications to staff, administration, family, and the Court when appropriate. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter dated May 17, 2023. (a) Suicide prevention training as required in Section 3.3.20 Suicide Prevention Program 1322, Youth Supervision Staff Orientation, and 2.2.1, 4-E Training Program Training and the Juvenile Corrections Officer Core 3.3.21 Trauma Informed Approaches Course. BSCC staff reviewed annual STC Suicide prevention class rosters showing intake staff and detention staff received the appropriate suicide prevention training. We also reviewed suicide ideation incidents from the ☒ ☐ ☐ prior 2022 BSCC inspection to the current inspection. The agency confirmed that an annual refresher suicide prevention training is included in the SCJH Suicide Prevention Plan. In addition, staff receive suicide prevention training during Counselor CORE training. (b) Screening, Identification Assessment and 3.3.20, 2-A Suicide Prevention Program Precautionary Protocols (1) All youth shall be screened for risk of BSCC staff reviewed the 10 most recent suicide at intake and as needed during youth intake screenings and/or assessments detention. completed by intake facility staff between April, May, and June 2023. SCSYTF intake staff screen, assess, and identify youth who ☒ ☐ ☐ may be a suicide risk. The elements of this regulation are performed via detention intake staff’s personal observations, intake questions, interviews with the arresting officer, and information from parents. Medical staff conduct an assessment as well. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) All youth supervision staff who perform 3.3.20, 1-A Suicide Prevention Program intake processes shall be trained in screening youth for risk of suicide. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ ☒ ☐ ☐ Appointment and Qualifications Letter, dated May 17, 2023. In addition, an annual suicide prevention refresher training is provided to all staff (3) All youth who have been identified during 3.3.20, 2-B, I and ii Suicide Prevention the intake screening process to be at risk of Program suicide shall be referred to behavioral/mental health staff for a suicide Youths identified during the intake screening risk assessment. process to be at risk of suicide shall be immediately referred to behavioral health or ☒ ☐ ☐ the on-call provider if behavioral health is not present at the facility. After a review of the above policy, incident reports, and an interview with behavioral health services staff, BSCC staff confirmed compliance with this regulation. (4) Precautionary protocols shall be developed 3.3.20, 3-G Suicide Prevention Program to ensure the youth’s safety pending the behavioral/mental health assessment. Per the above policy, if a youth is found to be actively suicidal, the youth may be placed on Suicide Watch (5-minute Checks), Close ☒ ☐ ☐ Watch 1 or 2, or a Constant Watch status. The facility has a Special Management Room (SMR) used for youth needing close observation. It is not considered a safety room. (c) Referral process to behavioral/mental health staff 3.3.20, 2-C Suicide Prevention Program for assessment and/or services. BSCC staff interviewed Behavioral Health staff. There is a Behavioral Health staff ☒ ☐ ☐ person on-site Monday through Friday and every other Sunday 8am to 4:30pm. There is an on-call crisis unit available to respond to suicide-related incidents on weekends and after hours. (d) Procedures for monitoring of youth identified at risk 3.3.20, 4 (Monitoring) Suicide Prevention for suicide. Program To monitor youth at risk for suicide, the facility utilizes the necessary suicide watch precautions. ☒ ☐ ☐ Per the above policy, youth found to be at risk for suicide may be placed on a suicide status. The facility has a comprehensive and well-detailed suicide classification and supervision system that identifies youth who are actively suicidal, recently suicidal, and or have a prior history of suicidal activities. (e) Safety Interventions 3.3.20, 3 Placing a Youth on Suicide Watch 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Procedures to address intervention protocols for youth identified at risk for The facility has a well-detailed suicide suicide which may include, but are not classification and supervision system that ☒ ☐ ☐ limited to: identifies youth who are actively suicidal, recently suicidal, and or have a prior history of suicidal activities. A. Housing consideration 3.3.20, 5 Housing, Suicide Prevention ☒ ☐ ☐ Program B. Treatment strategies including 3.3.20, 3-E Suicide Prevention Program trauma-informed approaches Multi-Disciplinary Team (MDT) meetings provide collaboration needed to incorporate treatment strategies and trauma-informed ☒ ☐ ☐ approaches. Interviews with behaviroal health staff confirm that youth receive ongoing weekly therapy. (2) Procedures to instruct youth supervision 3.3.20, 4 Suicide Prevention Program staff how to respond to youth who exhibit ☒ ☐ ☐ suicidal behaviors. Detention staff are provided initial and ongoing suicide prevention training. (f) Communication 3.3.20, 2-A Suicide Prevention Program (1) The intake process shall include communication with the arresting officer Communication between Probation, Health and family guardians regarding the youth’s Services, and Behavioral Health is past or present suicidal ideations, behaviors ☒ ☐ ☐ exceptional. Health Services and Behavioral or attempts. Health operate under the same Sonoma County Department of Health Services. This provides seamless communication between the two providers. (2) Procedures for clear and current 3.3.20, 3 Suicide Prevention Program information sharing about youth at risk for suicide with youth supervision, healthcare, MDT meetings occur, that may include ☒ ☐ ☐ and behavioral/mental health staff. representatives from probation (staff and administrators), medical, behavioral health, and teachers or school administrators. (g) Debriefing of Critical Incidents Related to Suicides 6.1.11, 11-D, vii Medical Services Program or Attempts (1) Process for administrative review of the The Secure Youth Treatment Facility had ☒ ☐ ☐ circumstances and responses proceeding, zero (0) attempted suicide attempts during during and after the critical incident. this inspection cycle. (2) Process for a debriefing event with affected 3.3.20, 10-G, iii Suicide Prevention Program ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected 3.3.20, 10-G, iv Suicide Prevention Program ☒ ☐ ☐ youth. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Documentation 3.3.20 Suicide Prevention Program (1) Documentation processes shall be developed to ensure compliance with this The documentation process is identified ☒ ☐ ☐ regulation throughout this policy, with specific requirements from sworn and non-sworn (mental health) staff. Youth identified at risk for suicide shall not be denied 3.3.20, 3-D Suicide Prevention Program the opportunity to participate in facility programs, services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety ☒ ☐ ☐ of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS 1.1.4, 4-A Administrative Responsibilities Each facility shall submit to the Board a letter of At the time of this inspection, there were no ☒ ☐ ☐ notification on each legal action, pertaining to conditions reports of legal action having occurred since of confinement, filed against persons or legal entities the prior inspection. responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR INJURY 5.1.14 Death or Serious Illness or Injury of OF A YOUTH WHILE DETAINED Youth in Custody 5.1.14, 3 Death of a Youth. (1) Death of a Youth. 1.1.4, 4-A (a) The facility administrator, in cooperation with the This policy requires notification from the health administrator and the behavioral/mental Chief Probation Officer to the parent or legal health director, shall develop written policies and guardian and attorney of record. procedures in the event of the death of a youth ☒ ☐ ☐ while detained, which include notifications to This policy includes notification of the necessary parties, which may include the Juvenile Juvenile Court by the Chief Probation Court, the parent, guardian or person standing in Officer. loco parentis and the youth’s attorney of record. At the time of this inspection, there were no reports of the death of a youth in custody having occurred since the prior inspection (b) The health administrator, in cooperation with the 5.1.14 Death or Serious Illness or Injury of facility administrator, shall develop written policies Youth in Custody and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the 5.1.14 Death or Serious Illness or Injury of Board a copy of the report submitted to the Attorney Youth in Custody General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from The agency is aware of this regulation. 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. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Serious Illness or Injury of Youth 5.1.14, 2 Serious Illness or Injury (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 1.1.4, 5-A through C, Administrative Responsibilities Each juvenile facility shall submit required population and profile survey reports to the Board within 10 Sonoma County Secure Youth Treatment working days after the end of each reporting period, in Facility submits monthly reports to the a format to be provided by the Board. ☒ ☐ ☐ BSCC. Per the Board of State and Community Corrections, records show that the SCSYTF Profile Survey Reports are timely and meet minimum standards for this regulation. 1343 JUVENILE FACILITY CAPACITY 1.1.4, 6-A Administrative Responsibilities When the number of youth detained in a living unit of a SCJH building complex rated capacity is 130 juvenile facility exceeds its rated capacity for more than youth. The SCSYTF has a rated capacity of fifteen (15) calendar days in a month, the facility 30 youth. ☒ ☐ ☐ administrator shall provide a crowding report to the Board in a format provided by the Board. At the time of the inspection, the SYTF youth population totaled 18 youth. Of the 18 SCSYTF youth, 11 youth were out of county residents. 1350 ADMITTANCE PROCEDURES 4.1.1 Intake The facility administrator shall develop and implement BSCC staff reviewed the 10 most recent written policies and procedures for admittance of youth admission youth packets. that emphasize respectful and humane engagement A review of the documentation indicates with youth, and reflect that the admission process may SCSYTF complies with the minimum be traumatic to youth who may have already standards for this regulation. Further, a experienced trauma. Policies shall be trauma-informed, combination of a variety of documentation culturally relevant, and responsive to the language and reviews, interviews with youth housed at the literacy needs of youth. In addition to the requirements ☒ ☐ ☐ facilities, interviews with detention staff, and of Sections 1324 and 1430 of these regulations: interviews with medical and behavioral health partners confirm compliance. Per policy, the Intake and Release (IR) staff makes the initial intake determination based on legal status, age, and warrant type. Further, IR staff complete the Intake/Orientation Cover Page which includes information regarding all required elements of the intake process. (a) the admittance process shall include: 3.6.1, 3-A Access to Legal Services (1) Access to two free phone calls within one hour 4.1.1 Intake of admittance in accordance with the provisions of Welfare and Institution Code Section 627; ☒ ☐ ☐ BSCC staff reviewed documentation and interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers required phone calls at intake 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Offer of a shower; 4.1.3, 1-F Initial Shower, Clothing and Bedding Issue BSCC staff reviewed documentation and ☒ ☐ ☐ interviewed detention staff, as well as youth housed at the facility. We confirmed that the facility offers a shower during the intake process. (3) Documented secure storage of personal 4.1.4 Resident Property ☒ ☐ ☐ belongings; (4) Offer of food upon arrival; 4.1.1, 1-B, v Intake ☒ ☐ ☐ BSCC staff confirmed that youth are offered a meal at intake. (5) Screening for physical and behavioral health 4.1.1, 1-G Intake Staff Screening and safety issues, intellectual or developmental 6.1.1, 10 Medical Screening disabilities; 6.1.8, 4 Mental Health Screening BSCC staff reviewed the above policies and youths’ intake documentation. BSCC staff confirmed that Intake and Release staff are responsible for asking health screening ☒ ☐ ☐ questions of the intake youth and forwarding the information to Health Services. The IR staff are trained to assess and screen each youth using the Medical Screening Questionnaire. Other useful information is gathered via the Admission Booking Sheet, Pre-PACT and the Detention Risk Assessment (DRAI). (6) Screening for physical and developmental 3.1.9; 3.3.20 Residents with Disabilities disabilities in accordance with Sections 1329, 6.1.1; 6.1.8 Medical Screening 1413, and 1430 of these regulations; Through documentation and interviews with ☒ ☐ ☐ medical and behavioral health staff, BSCC staff confirmed that SCSYTF ensures that all youth have a medical screening exam within 96 hours of intake. (7) Contact with Regional Center for the 3.3.6, 1-J, I Case Plans and Assessments 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. ☒ ☐ ☐ 4.1.1, 1-G, i-b Intake (b) juvenile hall administrators shall establish written 4.1.1, 1-A, i-iii Intake criteria for detention that considers the least restrictive environment. We observed documentation showing that all ☒ ☐ ☐ youth are screened by utilizing the DRAI and PACT Pre-Screen to assesses the housing unit placement of the youth based on the criminal sophistication of the youth. (c) juvenile camps and post-dispositional programs in 4.1.1, 6-B, I Intake juvenile halls shall develop policies and procedures that advise the youth of the estimated ☒ ☐ ☐ length of stay, inform them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) juvenile halls shall develop policies and 4.1.1, 6-B, ii Intake procedures that advise any committed youth of the ☒ ☐ ☐ estimated length of his/her stay. 1350.5. SCREENING FOR THE RISK OF SEXUAL 4.1.1 Policy Statement Intake ABUSE The Medical Screening Questionnaire elicits The facility administrator shall develop and implement information self-reported by the youth at admission addressing prior incidents of written policies and procedures to reduce the risk of sexual abuse or assault and the youth’s sexual abuse by or upon youth. The policy shall require current assessment of returning home. facility staff to assess each youth within 72 hours of admission based on the following information: ☒ ☐ ☐ BSCC staff reviewed the 10 most recent youth intake packets. In part, this confirmed compliance for this regulation. Through multiple points of contact assessments including, but not limited to, the Medical Screening Questionaire, youth receive screening as it relates to screening for the risk of sexual victimization. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (i) Intake (b) Gender nonconforming appearance or manner; or 4.1.1, 1-G, i-b, (ii) Intake identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (iii) Intake (d) Age; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (iv) Intake (e) Level of emotional and cognitive development; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (v) Intake (f) Physical size and stature; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (vi) Intake (g) Mental illness or mental disabilities; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (vii) Intake (h) Intellectual or developmental disabilities; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (viii) Intake (i) Physical disabilities; ☒ ☐ ☐ 4.1.1, 1-G, i-b, (ix) Intake (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ 4.1.1, 1-G, i-b, (x) Intake (k) Any other specific information about the individual 4.1.1, 1-G, i-b, (xi) Intake youth that may indicate heightened needs for ☒ ☐ ☐ supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through 4.1.1 Policy Statement conversations with the youth during the admittance process, medical and behavioral health screenings; ☒ ☐ ☐ during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate 4.1.1, 1-G, i-c Intake 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. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1351 RELEASE PROCEDURES 4.2.1 Releases The facility administrator shall develop and implement Compliance with this regulation is confirmed written policies and procedures for release of youth ☒ ☐ ☐ based on a review of facility policies and from custody which provide for: procedures. We also conducted interviews with collaborative partners, as well as interviews with detention staff. (a) verification of identity/release papers; ☒ ☐ ☐ 4.2.1, 2-C, i Releases (b) return of personal clothing and valuables; ☒ ☐ ☐ 4.2.1, 2-D and H Releases (c) notification to the youth's parents or guardian; ☒ ☐ ☐ 4.2.2 Notification of Parents, Releases (d) notification to the facility health care provider in 4.2.1, 2-C, vi Releases accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; BSCC staff interviewed medical services and, personnel to determine compliance with ☒ ☐ ☐ minimum standards for this section of the regulation. We observed that collaboration with the Health Services ensures information exchange is made accordingly during the release process. (e) notification of school staff; 4.2.1, 2-C, vii Releases BSCC staff interviewed education services (Education Services Director) to determine compliance with minimum standards for this ☒ ☐ ☐ section of the regulation. We observed that probation ensures information exchange is made accordingly prior to a youth’s release. (f) notification of facility mental health personnel. 4.2.1, 2-C, vi Releases BSCC staff interviewed mental health services (Health Program Manager and Behavioral Health Clinical Specialist) to ☒ ☐ ☐ determine compliance with minimum standards for this section of the regulation. We observed that probation ensures information exchange is made accordingly prior to a youth’s release. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall develop and implement 4.2.1, 2-B Releases policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry CFT meetings are held every 6 months to services including, but not limited to, medical and prepare SYTF youth for their 6-month court reviews in preparaton for release. Also, a behavioral health, education, probation supervision and Case Manager is assigned to assist Sonoma community-based services. county youth with transitional housing and wrap-around services. A Juvenile Correctional Counselor III responsible for programming should be ☒ ☐ ☐ commended for the progress made with the development and implementation of an Education Transition Planning program. With implementation, probation and education department have collaborated to provide SCSYTF high school graduates with chrome books and a bridge to provide online college courses via Santa Rosa Junior College. SCSYTF’s efforts toward ensuring the youth are properly reconnected with community resources are impressive. The facility administrator shall develop and implement 4.2.1, 6 Releases written policies and procedures for the furlough of youth from custody. There is a Caseworker (Juvenile Correctional Counselor III) who completes ☒ ☐ ☐ the Transitional Release Plan and provides the plan to the youth. The plan includes the elements of this regulation and allows the youth to continue wrap-around services to the youth post-release. 1352 CLASSIFICATION 4.1.6 Classification The facility administrator shall develop and implement Compliance with this regulation is confirmed written policies and procedures on classification of based on a review of facility policies and youth for the purpose of determining housing placement procedures and a review of the 10 most ☒ ☐ ☐ in the facility. recent youth classification documents. BSCC staff also conducted interviews with Such procedures shall: collaborative partners, as well as interviews with detention staff and youth housed at the facility. (a) provide for the safety of the youth, other youth, 4.1.6, 1-A Classification facility staff, and the public by placing youth in the appropriate, least restrictive housing and program Through a review of the above policy, settings. Housing assignments shall consider the interviews with supervisory staff, and ☒ ☐ ☐ admission documentation, BSCC staff need for single, double or dormitory assignment or determined that the SCSYTF meets location within the dormitory; compliance with the elements of this regulation. (b) consider facility populations and physical design of 4.1.6, 1-A Classification ☒ ☐ ☐ the facility; 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) provide that a youth shall be classified upon 4.1.6, 1-B, i-xi Classification admittance to the facility; classification factors shall include, but not be limited to: age, maturity, The above policy indicates that the initial sophistication, emotional stability, program needs, classification system provides the basis for unit housing placement and programming legal status, public safety considerations, decisions. medical/mental health considerations, gender and gender identity of the youth; ☒ ☐ ☐ The SCSYTF, in part, operates as a Hub to house out of county youth with SYTF commitments that vary in classification. As a result, proper classification with the JH complex is a high priority. A Classification Supervisor is assigned to ensure the classification process is followed accordingly. (d) provide for periodic classification reviews, including 4.1.6, 2 Classifications Changes and provisions that consider the level of supervision and Reviews the youth's behavior while in custody; and, ☒ ☐ ☐ BSCC staff observed that classification reviews are completed periodically, or if applicable, as needed. (e) provide that facility staff shall not separate youth 4.1.6, 1-D Classification from the general population or assign youth to a single occupancy room based solely on the youth's The facility intake staff completed the intake actual or perceived race, ethnic group identification, documentation that identifies specific criteria to determine housing classifications. In ancestry, national origin, color, religion, gender, addition, the intake staff asks the necessary sexual orientation, gender identity, gender ☒ ☐ ☐ questions of the youth and the arresting expression, mental or physical disability, or HIV officer and makes visual observations of the status. This section does not prohibit staff from youth. 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, 4.1.6, 1-G, I Classification transgender, questioning or intersex identification or status as an indicator of likelihood of being sexually Through a review of the above policy, abusive. ☒ ☐ ☐ interviews with supervisory staff, and admission documentation, BSCC staff determined that the SCSYTF complies with this regulation. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH 4.1.6, 1-B, iv Classification The facility administrator shall develop written policies BSCC reviewed the above policy, admission and procedures ensuring respectful and equitable documentation, and interviews with treatment of transgender and intersex youth. The detention and supervisory staff. policies shall provide that: ☒ ☐ ☐ The agency has a Transgender Preference Form completed at admission. The form articulates the youth’s preference for housing, search, and self-identified pronoun. The Classification Supervisor provided oversight to ensure compliance is maintained. (a) Facility staff shall respect every youth’s gender 4.1.6, 1-C, ii Classification identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of The elements of this regulation are the youth’s legal name. Facilities may prohibit the accomplished, in part, through new staff initial orientation and training that use of gang or slang names or names that ☒ ☐ ☐ encapsulates multiple policies and otherwise compromise facility operations as procedures that ensure ongoing compliance determined by the facility manager or designee, with this regulation. and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present 4.1.6, 1-G, viii Classification 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 4.1.6, 1-E Classification that best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons ☒ ☐ ☐ for any decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that 4.1.6, 1-G, iii Classification transgender and intersex youth have access to medical and behavioral health providers qualified to ☒ ☐ ☐ BSCC staff interviewed medical and provide care and treatment to transgender and behavioral health staff to conclude compliance with this regulation. intersex youth. (e) Consistent with the facility’s reasonable and 4.1.6, 1-G, vii Classification necessary security considerations and physical plant, facility staff shall make every effort to ensure ☒ ☐ ☐ the safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any 3.4.9, 2 Searches youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1353 ORIENTATION 3.3.2 Orientation Program 3.3.2. 1-B, ii Resident Handbook, Orientation The facility administrator shall develop and implement written policies and procedures to orient a youth prior to The Sonoma County Youth Treatment placement in a living area. Both written and verbal Facility (SCSYTF) is a facility that houses information shall be provided and supplemented with youth on 4 out of 5 housing units within the video orientation if feasible. Provision shall be made to Sonoma County Juvenile Hall (SCJH). The provide accessible orientation information to all two facilities abide by the same SCJH detained youth including those with disabilities, limited policies and procedures referenced throughout this inspection report, including literacy, or English language learners. Orientation shall the orientation process. include information that addresses: BSCC staff reviewed policy and procedure and reviewed the 10 most recent orientation packet examples. We also reviewed the youth handbook, interviewed detention staff, and interviewed youth housed at the facility ☒ ☐ ☐ to determine compliance. All youth are provided written and verbal orientation guidance at intake via the Orientation Intake Cover page and the Orientation Worksheet. BSCC staff was extremely impressed with the Orientation worksheet which incorporates a 5-day orientation process with the youth. Both the staff conducting the orientation and the youth sign the Orientation form acknowledging the process. In review of the youth handbook, it provides a summary of policies and guidance of behaviors, sets expectations, and allows for dialogue if a youth is unclear on a specific topic. (a) facility rules including contraband and searches 3.3.2 Orientation Program ☒ ☐ ☐ and disciplinary procedures; (b) facility’s system of positive behavior interventions 3.3.2. 1-B, ii Resident Handbook, Orientation and supports, including behavior expectations, Program 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 1.4.23 Department PREA Policy facility’s policy prohibiting sexual abuse and sexual 3.3.2. 1-B, ii Resident Handbook, Orientation ☒ ☐ ☐ harassment and how to report incidents or Program suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; 2.1.1Staff Dress Code ☒ ☐ ☐ 3.3.2. 1-B, ii Orientation Program (e) the existence of the grievance procedure, the steps 3.5.4 Grievance Procedure-Residents that must be taken to use it, the youth’s right to be 3.3.2. 1-B, ii Resident Handbook, free of retaliation for reporting a grievance, and the ☒ ☐ ☐ Orientation Program name of the person or position designated to resolve the issue; (f) access to legal services and information on the 3.6.1 Access to Legal Services court process; ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation Program 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) access to routine and emergency health and mental 6.1.1 Medical Services Program health care; ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation Program (h) access to education, religious services, and 3.3.5 School Program recreational activities; 3.6.4 Program,s Recreation and Exercise 3.6.5 Religious Programs 3.3.2. 1-B, ii Resident Handbook, Orientation ☒ ☐ ☐ Program We interviewed youth and intake staff to determine that SCSYTF meets compliance with this regulation. (i) housing assignments; 4.1.6 Classification ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation Program (j) opportunity for personal hygiene and daily showers 3.2.1 Showers including the availability of personal care items 3.2.2 Personal Hygiene 3.3.2. 1-B, ii Resident Handbook, Orientation Program ☒ ☐ ☐ We interviewed youth and intake staff to determine that SCSYTF meets compliance with this regulation. (k) rules and access to correspondence, visits and 3.3.16 Visiting telephone use; 3.6.2 Access to Phones 3.6.3 Mail 3.3.2. 1-B, ii Resident Handbook, Orientation ☒ ☐ ☐ Program We interviewed youth and intake staff to determine that SCSYTF meets compliance with this regulation. (l) availability of reading materials, programming, and 3.3.13 Program Team Roles and other activities; Responsibilities ☒ ☐ ☐ 3.6.4 Programs, Recreation and Exercise 3.3.2. 1-B, ii Resident Handbook, Orientation Program (m) facility policies on the use of force, use of restraints, 3.4.13 Use of Force chemical agents and room confinement; 3.4.14 Use of Restraints 3.4.15 Use of Chemical Agents 3.5.5 Placing Youth in Locked Rooms 3.3.2. 1-B, ii Resident Handbook, ☒ ☐ ☐ Orientation Program We interviewed youth and intake staff to determine that SCSYTF complies with this regulation. (n) immigration legal services; 3.6.13 Mail ☒ ☐ ☐ 3.2. 1-B, ii Resident Handbook, Orientation (o) emergencies including evacuation procedures; 5.1.7 Emergency Evacuation ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation Program (p) non-discrimination policy and the right to be free 1.1.4.23 Administrative Responsibilities from physical, verbal or sexual abuse and ☒ ☐ ☐ 3.3.2. 1-B, ii Resident Handbook, Orientation harassment by other youth and staff; Program (q) availability of services and programs in a language 4.1.1, 4 Foreign Nationals ☒ ☐ ☐ other than English if appropriate; 3.3.2. 1-B, ii Resident Handbook, Orientation 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (r) the process for requesting different housing, education, programming and work assignments; ☒ ☐ ☐ 3.3.2. 1-B, ii - Resident Handbook, Orientation (s) a process for which parents/guardians receive 4.1.1, 5 Intake information regarding the youth’s stay in the facility 3.3.2. 1-B, ii Orientation Program that at a minimum includes answers to frequently ☒ ☐ ☐ Policy states parents will be provided an asked questions and provides contact information orientation form which gives information for the facility, medical, school and mental health; required by this regulation. and, (t) a process by which youth may request access to 3.3.2. 1-B, ii - Resident Handbook, Title 15 Minimum Standards for Juvenile Facilities. Orientation We interviewed youth and intake staff to determine that SCSYTF complies with this ☒ ☐ ☐ regulation. Although access to Title 15 is mention in the youth handbook, we discussed best outcomes when adding Title 15 access language to the orientation worksheet. 1354 SEPARATION 3.3.7 Separation 3.5.2 (Discipline) The facility administrator shall develop and implement written policies and procedures that address: The Sonoma County Youth Treatment Facility (SCSYTF) is a facility that houses youth on 4 out of 5 housing units within the Sonoma County Juvenile Hall (SCJH). The two facilities abides by the same SCJH policies and procedures referenced throughout this inspection report, including ☒ ☐ ☐ youth separations. BSCC staff reviewed policy and procedure, reviewed the 10 most recent Separation report examples, interviewed detention staff, and interviewed youth housed at the facility to determine compliance. We also interviewed collaborative partners to gain further insight to confirm compliance with this regulation. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) separation of youth for reasons that include, but are 3.3.7, 1-B Separation not be limited to, medical and mental health conditions, assaultive behavior, disciplinary The facility utilizes the following types of consequences and protective custody. youth Separations: • Medical/Mental Health Separation • Behavior Management Separation (Special Program/Administrative Separation) • Protective Custody Separation • Timeouts outside of locked room The JH Special Program is used with SCSYTF youth that need a Behavior Intervention Plan. ☒ ☐ ☐ BSCC staff observed the use of ‘time out’ language in policy that is historically associated with time in a locked room. However, the facility emphasizes that it relects “time out of room”. In review of the Separation policy and other youth separation documentation, BSCC staff discussed best outcomes when common areas of youth separations are included in the Separation policy. BSCC staff identified “Self Separation” (inside a locked room) as a type of youth separation that would be helpful to add to the policy. (b) consideration of positive youth development and 3.3.7, 1-C Separation ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal 3.3.7 Separation privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, 3.5.2, 1-G (Discipline) Title 15 Section 1390 shall apply. ☒ ☐ ☐ BSCC staff also recommend indicating an “end time” that a youth was in his/her room to the Protective Custody log. (e) when separation results in room confinement, the 3.5.5 Placing Youth in Locked Rooms (RC) separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review 3.3.7 Separation of separated youth to determine if separation ☒ ☐ ☐ remains necessary. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354.5 ROOM CONFINEMENT 3.5.5 Placing Youth in Locked Rooms (RC) (a) The facility administrator shall develop and The Sonoma County Youth Treatment implement written policies and procedures Facility (SCSYTF) is a facility that houses addressing the confinement of youth in their room youth on 4 out of 5 housing units within the that are consistent with Welfare and Institutions Sonoma County Juvenile Hall (SCJH). The Code Section 208.3. The placement of a youth in two facilities abides by the same SCJH room confinement shall be accomplished in policies and procedures referenced accordance with the following guidelines: throughout this inspection report, including ☒ ☐ ☐ room confinement. To determine compliance, BSCC staff reviewed the 10 most recent examples of incidents involving placing youth in locked rooms/room confinement. BSCC staff also reviewed policy and procedure, interviewed detention staff, interviewed collaborative partners, and interviewed youth housed at the facility. (1) Room confinement shall not be used before 3.5.5, 1-B Placing Youth in Locked Rooms other, less restrictive, options have been (RC) attempted and exhausted, unless attempting those options poses a threat to the safety or ☒ ☐ ☐ The ‘In Room Tracking Form’ articulates the reason for youth in a locked room/room security of any youth or staff. confinement, and the less restrictive alternatives attempted. (2) Room confinement shall not be used for the 3.5.5, 1-A Placing Youth in Locked Rooms purposes of punishment, coercion, ☒ ☐ ☐ (RC) convenience, or retaliation by staff. (3) Room confinement shall not be used to the 3.5.5, 1-C Placing Youth in Locked Rooms extent that it compromises the mental and ☒ ☐ ☐ (RC) physical health of the youth. (b) A youth may be held up to four hours in room 3.5.5, 3-F, i Placing Youth in Locked Rooms confinement. After the youth has been held in room (RC) confinement for a period of four hours, staff shall do one or more of the following: BSCC articulated positive outcomes when ☒ ☐ ☐ indicating in policy, procedure, and in practice, documenting the times of a youth’s behavior leading up to the maximum allowed 4-hour room confinement time. (1) Return the youth to general population. 3.5.5, 3-E, i Placing Youth in Locked Rooms ☒ ☐ ☐ (RC) (2) Consult with mental health or medical staff. 3.5.5, 3-E, ii Placing Youth in Locked Rooms ☒ ☐ ☐ (RC) (3) Develop an individualized plan that includes the 3.5.5, 3-E, iii Placing Youth in Locked Rooms goals and objectives to be met in order to (RC) reintegrate the youth to general population. ☒ ☐ ☐ The Individualized Plan is a well-detailed document. Per policy, it is utilized either once the 4-hour mark has approached and or the time in room will be beyond 4 hours. (4) If room confinement must be extended beyond ☒ ☐ ☐ four hours, staff shall do each of the following: 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) Document the reasons for room 3.5.5, 3-F, i Placing Youth in Locked Rooms confinement and the basis for the (RC) extension, the date and time the youth was first placed in room confinement, and when The facility uses the following documentation ☒ ☐ ☐ tools to help track and log room confinement he or she is eventually released from room include, but are not limited to: confinement. • Unit Logbook • In Room Tracking Form (B) Develop an individualized plan that 3.5.5, 3-F, ii Placing Youth in Locked Rooms includes the goals and objectives to be met (RC) in order to integrate the youth to general population. ☒ ☐ ☐ Individualized Plan is identified as a type of reintegration plan. There is also a Time Out program that separates a youth from the group outside of his/her room. (C) Obtain documented authorization by the 3.5.5, 3-F, iii Placing Youth in Locked Rooms facility superintendent or his or her ☒ ☐ ☐ (RC) designee every four hours thereafter. (5) This section is not intended to limit the use of 3.5.5, 4-A and E Placing Youth in Locked single-person rooms or cells for the housing of Rooms (RC) ☒ ☐ ☐ youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards 3.5.5, 4-B Placing Youth in Locked Rooms ☒ ☐ ☐ in court holding facilities or adult facilities. (RC) (7) Nothing in this section shall be construed to conflict with any law providing greater or ☒ ☐ ☐ additional protections to youth. (8) This section does not apply during an 3.5.5, 4-C Placing Youth in Locked Rooms extraordinary emergency circumstance that (RC) 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 3.5.5, 4-D Placing Youth in Locked Rooms placed in a locked cell or sleeping room to treat (RC) 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. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND PLAN 3.3.6 Case Plans and Assessments The facility administrator shall develop and implement All incoming youth are Assessed via the written policies and procedures for assessment and ☒ ☐ ☐ PACT (Positive Achievement Change Tool) case planning. to identify criminogenic risk factors to be considered in development of a residential case plan. (a) Assessment: 3.3.6, 1-B, I and ii Case Plans and The assessment is based on information collected Assessments during the admission process with periodic review, which includes the youth's risk factors, needs and BSCC staff reviewed the 10 most recent youth initial assessments via Noble’s PACT strengths including, but not limited to, identification ☒ ☐ ☐ case plans and found them to be consistent of substance abuse history, educational, in practice and provide the information to vocational, counseling, behavioral health, comply with this regulation. consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: 3.3.6, 1-A Case Plans and Assessments (1) A case plan shall be developed for each youth PC: 4.4, 1-A, ii; 4.4, 1-B held for at least 30 days or more and created within 40 days of admission. BSCC staff reviewed resident case plans. Per policy, the Juvenile Correctional Counselor III (JCC III) is assigned the responsibility of developing the assessment and case plan. In addition, the JCC II assigns case plans to housing unit detention staff and meets with case plan staff and the youth weekly to ensure appropriate implementation of the plan. ☒ ☐ ☐ The Behavior Summary, also referred to as an Institutional Assessment and Plan (IAP), is completed, at a minimum, every 15 days for any youth held over 30 days. BSCC staff were impressed with the collaborative efforts of the Treatment Team, of which is, comprised of probation staff, medical, mental health, and education staff. Together, the team develops a treatment/case plan for the youth. In addition, CFT meetings are conducted every 6 months to ensure case planning goals are being reached within expected timelines. (2) The institutional plan shall include, but not be ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution 3.3.6, 1-D Case Plans and Assessments of problems identified in the assessment; The Treatment Team members will complete a re-assessment and review the Treatment ☒ ☐ ☐ Plan within three months of the initial assessment. In addition, a Behavior Summary is completed every 15 days for youth held beyond 30 days. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) a plan for meeting the objectives that 3.3.6, 1-E Case Plans and Assessments includes a description of program resources needed and individuals responsible for The Treatment Team members will complete assuring that the plan is implemented; a re-assessment and review the Treatment ☒ ☐ ☐ Plan within three months of the initial assessment. In addition, a Behavior Summary is completed every 15 days for youth held beyond 30 days. (3) periodic evaluation of progress towards meeting 3.3.6, 1-A, i Case Plans and Assessments the objectives, including periodic review and discussion of the plan with the youth; The case plan is updated every 90 days by the Treatment Team members. Further, the Behavior Summaries are forwarded to a youth’s DPO every 15 days and include daily progress and information obtained at the ☒ ☐ ☐ MDT meetings. When youth are transferred between housing units, the JCC III does well in reassigning the youth to a new detention staff and ensuring the continuity of case plan services continue accordingly. (4) a transition plan, the contents of which shall be 3.3.6, 2-B, iv Case Plans and Assessment subject to existing resources, shall be developed for post dispositional youth in A Juvenile Correctional Counselor III is accordance with Section 1351; and, assigned to facility programming. The JCC III assigned was instrumental in developing an Education Transition Plan for youth prior to release. SCSYTF’s efforts toward ensuring the youth are properly reconnected with community resources, including but not ☒ ☐ ☐ limited to the Education Transition Plan, are impressive. There is a Caseworker (Juvenile Correctional Counselor III) who completes the Transitional Release Plan and provides the plan to the youth. The plan includes the elements of this regulation and allows the youth to continue wrap-around services to the youth post-release. (5) in as much as possible and if appropriate, the 3.3.6, 1-F, i Case Plans and Assessments plan, including the transition plan, shall be developed with input from the family, supportive Youth are provided with an aftercare plan adults, youth, and Regional Center for the that is shared with the assigned DPO upon release. The plan is signed and Developmentally Disabled. acknowledged by the youth, parent/ ☒ ☐ ☐ guardian, DPO, and the Supervising DPO. For youth who are developmentally disabled, the plan includes contacting the Regional Center for the Developmentally Disabled (Tri-Counties Regional Center). 1356 COUNSELING AND CASEWORK SERVICES 3.3.6 Case Planning 6.1.10 Counseling Services The facility administrator shall develop and implement written policies and procedures ensuring the availability ☒ ☐ ☐ BSCC staff observed that the above policies of appropriate counseling and casework services for all and procedures comply with this regulation. youth. Policies and procedures shall ensure: 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) youth will receive assistance with needs or 3.3.6, 1-K, i Case Plans and Assessments concerns that may arise; 6.1.10, 4-b Counseling Services ☒ ☐ ☐ BSCC staff observed that via the case management system, the JCC documents weekly counseling sessions conducted with the youth. (b) youth will receive assistance in requesting contact JH; 3.3.6, 1-K, ii Case Plans and with parents, other supportive adults, attorney, ☒ ☐ ☐ Assessments clergy, probation officer, or other public official; and, (c) youth will be provided access to available JH; 3.3.6, 1-K, iii Case Plans and resources to meet the youth’s needs. Assessments 6.1.10, 4-a Counseling Services ☒ ☐ ☐ The assigned JCC staff communicate with the youth daily. 1357 USE OF FORCE 3.4.13 Use of Force (UF) The facility administrator, in cooperation with the SCYTF youth are house with SCJH youth responsible physician, shall develop and implement through the facility. Therefore, written policies and procedures for the use of force, documentation reviewed for this SCSYTF which may include chemical agents. Force shall never report is in conjunction with the Juvenile Hall be applied as punishment, discipline, retaliation or documentation. BSCC staff reviewed the 12 ☒ ☐ ☐ treatment. most recent Use of Force (UF) Incident reports. We also interviewed youth housed (a) At a minimum, each facility shall develop policies at the facility, detention staff, and and procedures which: collaborative partners to gain further insight to confirm compliance with this regulation. The facility is compliant with this regulation. (1) restricts the use of force to that which is deemed 3.4.13, 2-A Use of Force (UF) 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 3.4.13, 2-A, i-iv Use of Force (UF) including both physical and non-physical options ☒ ☐ ☐ and define when those force options are appropriate. (3) describe force options or techniques that are 3.4.13, 3-A, i-iii Use of Force (UF) expressly prohibited by the facility. SCSYTF force options that are allowed include, but are not limited to, the below: ☒ ☐ ☐ • Empty Hands Control Methods • Physical Restraints • Oleoresin Capsicum (OC) • Extractions (room/common areas) (4) describe the requirements of staff to report any 3.4.13, 4-A Use of Force (UF) inappropriate use of force, and to take ☒ ☐ ☐ affirmative action to immediately stop it. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) define a standardized reporting format that 3.4.13, 4-A, i-vii Use of Force (UF) includes time period and procedure for documenting and reporting the use of force, The above policies address documentation, including reporting requirements of review by supervisor, and debrief of youth and staff. 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 3.4.13, 4-C, and 4-E, Use of Force (UF) for investigating unreasonable use of force. A review of incident reports shows that SCSYTF documents and reports incidents in accordance with Title 15 minimum ☒ ☐ ☐ standards. In addition to onsite review of all use of force incidents by the Facility Supervisor and Director II, there is a Use of Force Review Committee that review UF incidents. (7) define the role, notification, and follow-up 3.4.13, 4-B Medical and MH Notification, Use procedures required after use of force incidents of Force (UF), and 3.4.13, 4-D. I for medical, mental health staff and parents or Parent/Guardian Notification, Use of Force legal guardians. (UF) Parent notifications are being conducted. However, parent notification is not readily ☒ ☐ ☐ apparent when reviewing hard copies of the reports. BSCC staff discussed incorporating a standard format and location on the hard copies of UF reports that clearly indicate that parents have been properly notified. We appreciate the promptness with the facility in making changes to processes discussed. (8) describe the limitations of use of force on 3.1.13, 3-A Pregnant Youth in Custody pregnant youth in accordance with Penal Code ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force ☒ ☐ ☐ option shall include policies and procedures that: (1) identify who is approved to carry and/or utilize 3.4.13, 2-A, iii Use of Force chemical agents in the facility and the type, size 3.4.15, 4-A Use of Chemical Agents ☒ ☐ ☐ and the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used 3.4.13, 2-A, iii-a Use of Force when there is an imminent threat to the youth’s 3.4.15, 7-A, i-xii Use of Chemical Agents safety or the safety of others and only when de- ☒ ☐ ☐ escalation efforts have been unsuccessful or are not reasonably possible. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) outline the facility’s approved methods and 3.4.13, 4-B Medical and MH Notification, Use timelines for decontamination from chemical of Force 3.4.13, 4-D. I Parent/Guardian Notification, agents. This shall include that youth who have Use of Force been exposed to chemical agents shall not be ☒ ☐ ☐ left unattended until that youth is fully In addition to reviewing the above policies, decontaminated or is no longer suffering the BSCC staff interviewed youth housed at the effects of the chemical agent. facility and detention and supervisory staff. (4) define the role, notification, and follow-up 3.4.13, 2-A, iii-a Use of Force procedures required after use of force incidents 3.4.15, 9-A, i-vi Use of Chemical Agents involving chemical agents for medical, mental ☒ ☐ ☐ health staff and parents or legal guardians. BSCC staff interviewed Health Services staff to help determine compliance with this regulation. (5) provide for the documentation of each incident 3.4.13, 1 UF Training 3.4.15, 1-A OC of use of chemical agents, including the Training, Use of Force 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 3.4.13, 1-A Use of Force which require that agencies provide initial and 3.4.15, 4-A, i-c and ii Use of Chemical regular training in use of force and chemical agents Agents when appropriate that address: This includes Core Training and annual ☒ ☐ ☐ updates for use of force for all detention staff. The elements of this regulation are identified and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. (1) known medical and behavioral health 3.4.13, 2-A, iii Use of Force 3.4.15, 4-A Use of Chemical Agents conditions that would contraindicate certain types of force; The referenced policy and curriculum for ☒ ☐ ☐ defensive tactics and verbal de-escalation techniques includes knowing of any pre- existing medical and/or behavioral health conditions which would limit or restrict certain UF techniques. (2) acceptable chemical agents and the methods 3.4.13, 1-A Use of Force ☒ ☐ ☐ 3.4.15, 5-A through C, Use of Chemical of application. Agents (3) signs or symptoms that should result in 3.4.13, 1-A Use of Force immediate referral to medical or behavioral ☒ ☐ ☐ health. (4) instruction on the Constitutional Limitations of 3.4.13, 1-A Use of Force ☒ ☐ ☐ Use of Force. (5) physical training force options that may require 3.4.13 Use of Force (UF) the use of perishable skills. In addition to a review of the above policy, ☒ ☐ ☐ the elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) timelines the facility uses to define regular 3.4.13 Use of Force (UF) training. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ ☒ ☐ ☐ Appointment and Qualifications Letter, dated May 17, 2023. The facility participates in an 8-hour course, updated annually. 1358 USE OF PHYSICAL RESTRAINTS 3.4.14 Use of Restraints (UR) The facility administrator, in cooperation with the BSCC staff commend the agency on responsible physician and mental health director, shall detention staff’s efforts to de-escalate develop and implement written policies and procedures situations and make use of verbal diffusion for the use of restraint devices. Restraint devices techniques. As a result, as of June 29, 2023, include any devices which immobilize a youth's there was no occurrence of physical extremities and/or prevent the youth from being restraints used. We also interviewed youth ambulatory. housed at the facility and facility detention ☒ ☐ ☐ staff. BSCC staff reviewed the only two incidents of use of restraints (WRAP) that occurred in January 2022. BSCC found that the actions taken were compliant with regulation and policy. The facility is compliant with this regulation. Physical restraints may be used only for those youth 3.4.14 Use of Restraints (UR) who present an immediate danger to themselves or others, who exhibit behavior which results in the BSCC staff observed that all instances of use destruction of property, or reveals the intent to cause of physical restraints were justifiably used self-inflicted physical harm. Physical restraints should and when less restrictive alternatives were be utilized only when it appears less restrictive exhausted. ☒ ☐ ☐ alternatives would be ineffective in controlling the youth’s behavior. The facility maintains a Use of Restraint Log that is well-detailed and informative. In addition, a Use of Force chart is maintained to capture trends with use of force and restraints used. In no case shall restraints be used as punishment or 3.4.14, 5-A and B, Use of Restraints (UR) discipline, or as a substitute for treatment. The use of 3.1.13, 3-A (Pregnant Youth) restraint devices that attach a youth to a wall, floor or 3.4.14, 2-A, iv (Pregnant Youth) 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 3.4.14 Policy Statement, Use of Restraints handcuffs, shackles or other restraint devices when used (UR) 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. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Youth shall be placed in restraints only with the approval 3.4.14 Use of Restraints (UR) of the facility manager or designee. The facility manager 3.4.14, Procedure 4-D, Use of Restraints may delegate authority to place a youth in restraints to a (UR) physician. Reasons for continued retention in restraints ☒ ☐ ☐ The facility maintains direct visual shall be reviewed and documented at a minimum of observation of the youth in restraints. every hour. Documentation in a Use of Restraint Worksheet is maintained on any youth held in restraints. A medical opinion on the safety of placement and 3.4.14, Procedure 4-D, Use of Restraints retention shall be secured as soon as possible, but no (UR) later than two hours from the time of placement. The youth shall be medically cleared for continued retention BSCC staff interviewed medical staff to confirm that medical staff will provide at least every three hours thereafter. ☒ ☐ ☐ ongoing review and assessment while a youth is in mechanical or any type of restraint. Further, the Use of Restraints Worksheet identifies restraint type, application time on, removal of physical restraints time, and 15-minute reviews. A mental health consultation shall be secured as soon as 3.4.14, Procedure 4-E, Use of Restraints possible, but in no case longer than four hours from the (UR) time of placement, to assess the need for mental health treatment. BSCC staff interviewed mental health staff to confirm that medical staff will provide ongoing review and assessment while a youth is in mechanical or any type of ☒ ☐ ☐ restraint. The facility policy specifies that medical staff will provide health monitoring on youth every 15 minutes and document the youth’s emotional state on the physical Restraint worksheet. Continuous direct visual supervision shall be conducted Through documentation review and to ensure that the restraints are properly employed, and interviews with detention and medical staff, to ensure the safety and well-being of the youth. BSCC staff confirmed that the youth will Observations of the youth's behavior and any staff ☒ ☐ ☐ remain under constant supervision until the restraints are removed. interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and 3.4.14, Procedure 4-B, Use of Restraints procedures shall address: (UR) (a) documentation of the circumstances leading to an 3.4.14, Procedure Use of Restraints (UR) ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate 3.4.14, Procedure 6, Use of Restraints (UR) ☒ ☐ ☐ certain restraint devices and/or techniques. (c) acceptable restraint devices. 3.4.14, Procedure 3, Use of Restraints (UR) • Handcuffs ☒ ☐ ☐ • Leg Shackles • Security Waist Chains • Soft Restraint (Wrap) (d) signs or symptoms which should result in 3.4.14, 1-A, I and ii, Use of Restraints (UR) immediate medical/mental health referral. The facility policy specifies that medical staff ☒ ☐ ☐ will provide health monitoring on youth every fifteen minutes and document the youth’s health record. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) availability of cardiopulmonary resuscitation 3.4.14, Procedure 3-C, Use of Restraints ☒ ☐ ☐ equipment. (UR) (f) protective housing of restrained youth. While in 3.4.14, Procedure 3-D, Use of Restraints restraint devices, all youth shall be housed alone or (UR) in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. 3.4.14, Procedure 4-A, Use of Restraints ☒ ☐ ☐ (UR) (h) exercising of extremities. 3.4.14, Procedure 5-A, Use of Restraints ☒ ☐ ☐ (UR) 1358.5 USE OF RESTRAINT DEVICES FOR 3.4.21, 2 Resident Movements MOVEMENT AND TRANSPORTATION WITHIN THE BSCC staff reviewed incident reports for this FACILITY regulation. There were only three (3) incidents of restraints for movement since June 2022. In all occurrences, the reasons The Facility Administrator, in cooperation with the ☒ ☐ ☐ for application were justifiable. Further, the responsible physician and behavioral/mental health observations and documentation were noted director, shall develop and implement written policies accordingly. 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 3.4.21, 2-B, i-iii Resident Movements approved to utilize restraint devices and the required training. The elements of this regulation are identified in and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. ☒ ☐ ☐ For restraint devices applied for movement and transportation with the facility, the below is utilized: Mechanical restraints: handcuffs, leg restraints, Federal cuffs and “Martin” waist chains. Soft restraints: WRAP Restraint (b) the circumstances leading to the application of 3.4.21, 5-A Resident Movements ☒ ☐ ☐ restraints must be documented. (c) an individual assessment of the need to apply 3.4.21, 3-B Resident Movements 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, 3.4.21, 4-A and 3.4.21, 8 and 9, Resident with a clearly defined expectation that restraint Movements ☒ ☐ ☐ devices shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in 3.4.21, 4-B, Resident Movements accordance with Penal Code Section6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1359 SAFETY ROOM PROCEDURES There is no safety room at JH, however there is a Special Management Room for housing (a) The facility administrator, and where applicable, in youth needing closer supervision. The room cooperation with the responsible physician, shall is next to the staff’s counselor station. 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. (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, ☐ ☐ ☒ 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) develop an individualized plan that includes the 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 3.4.8 Facility Searches 3.4.9 Searches of Residents The facility administrator shall develop and implement 3.4.12 Perimeter Checks written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures BSCC staff requested to review the ten (10) shall provide that: most recent examples of strip searches of a youth. However, no occurrences of the strip ☒ ☐ ☐ search of a youth was reported to have occurred during this inspection cycle as of June 29, 2023. We also interviewed youth housed at the facility, as well as detention staff. BSCC concluded that the facility complies with this regulation. (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, ☒ ☐ ☐ and staff. (b) Searches shall be conducted in a manner that 3.4.9 Searches of Residents 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 3.4.9 Searches of Residents searches shall comply with Penal Code Section 4030. The facility maintains expectations for strip ☒ ☐ ☐ searches pursuant to PC 4030, for pre- detention youth and post-detention youth. All strip searches are approved in advance of the search. (d) Physical body cavity searches shall only be 3.4.9 Searches of Residents conducted by a medical professional. Physical body cavity searches can only be conducted by medical personnel. ☒ ☐ ☐ Our review of the Search Authorization forms included the request, the reason for the request, and the supervisor’s authorization (e) Any youth held after a detention hearing shall only 3.4.9 Searches of Residents be strip searched with prior approval of a supervisor when there is reasonable suspicion based on ☒ ☐ ☐ specific and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Searches of transgender and intersex youth shall 3.4.9 Searches of Residents comply with Section 1352.5. ☒ ☐ ☐ The facility has protocols in the policy addressing expectations for staff related to searching for youth who are transgender. (g) Cross-gender pat-down searches and strip 3.4.9 Searches of Residents searches are prohibited except in exigent circumstances or when conducted by a medical ☒ ☐ ☐ professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE 3.5.4 Grievance Procedure-Residents The facility administrator shall develop and implement BSCC staff reviewed the 15 most recent written policies and procedures whereby any youth may examples of youth grievances and due appeal and have resolved grievances relating to any process documentation. In addition, BSCC condition of confinement, including but not limited to staff reviewed grievance logs for 2022 and health care services, classification decisions, program 2023. Lastly, BSCC staff interviewed youth ☒ ☐ ☐ participation, telephone, mail or visiting procedures, housed at the facility, as well as detention food, clothing, bedding, mistreatment, harassment or staff. 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: (a) a grievance form and instructions for registering a 3.5.4 Grievance Procedure-Residents grievance, which includes provisions for the youth to have free access to the form; During our physical inspection, we observed that grievances were readily available to youth. In addition, grievance lock boxes were in the housing pods to allow youth to ☒ ☐ ☐ confidentially submit a grievance if needed. We discussed the common practice of posting the facility grievance process and procedures for youth to have access to review. Understandably, this information is available to youth in the resident handbook. (b) the youth shall have the option to confidentially file 3.5.4 Grievance Procedure-Residents the grievance or to deliver the form to any youth supervision staff working in the facility; The youth were aware of the grievance ☒ ☐ ☐ procedures and the location of the grievances and the grievance lockbox to confidentially file a grievance if needed. (c) resolution of the grievance at the lowest appropriate 3.5.4 Grievance Procedure-Residents ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to 3.5.4 Grievance Procedure-Residents grievances within three (3) business days, grievances that relate to health and safety issues ☒ ☐ ☐ Once an unresolved grievance form is must be addressed immediately; received, the Supervisor will attempt to settle the grievance within eight (8) on-duty hours. (1) The youth may elect to be present to explain 3.5.4 Grievance Procedure-Residents his/her version of the grievance to a person not directly involved in the circumstances which led ☒ ☐ ☐ The youth interviewed indicated that during to the grievance. the intake and orientation process, the grievance procedure was clearly explained. (2) Provision for a staff representative approved by 3.5.4 Grievance Procedure-Residents ☒ ☐ ☐ the facility administrator to assist the youth. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) provision for a written response to the grievance 3.5.4 Grievance Procedure-Residents which includes the reasons for the decisions; ☒ ☐ ☐ The documentation as well as interviews show that detention staff respond professionally. (f) a system which provides that any appeal of a 3.5.4 Grievance Procedure-Residents 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 3.5.4 Grievance Procedure-Residents (10) business days unless circumstances dictate a longer time frame. The youth shall be notified of ☒ ☐ ☐ The documentation as well as interviews any delay; and, show that detention staff respond to grievances in a timely fashion. (h) the policy shall provide multiple internal and 3.5.4 Grievance Procedure-Residents external methods to report sexual abuse and sexual ☒ ☐ ☐ 2.1.17 and 18 harassment. Whether or not associated with a grievance, concerns 1.1.9-2 Citizen Complaint of parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ The referenced policy is the citizen complaint policies and procedures within a specified timeframe. process in Sonoma County Probation Administration Manual. 1362 REPORTING OF INCIDENTS 3.4.20 Incident Reports A written report of all incidents which result in physical Throughout the inspection process, written harm, use of force, serious threat of physical harm, or reports of various incidents were requested death of an employee, youth or other person(s) shall be ☒ ☐ ☐ and received. In review, SCSYTF incident maintained. Such written record shall be prepared by the reports are written and prepared as required staff and submitted to the facility manager by the end of by Title 15 minimum standards. the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT 3.4.25 DNA Sample Collection DNA SPECIMENS, SAMPLES, IMPRESSIONS The facility does not use force to collect DNA (a) Pursuant to Penal Code Section 298.1 authorized samples. law enforcement, custodial, or corrections personnel including peace officers, may employ The facility staff do not use force to collect reasonable force to collect blood specimens, saliva DNA. If ordered by the Court, the assigned samples, and thumb or palm print impressions from PO collects the sample. individuals who are required to provide such ☐ ☐ ☒ Compliance with this regulation is based samples, specimens or impressions pursuant to solely on a review of the policy and Penal Code Section 296 and who refuse following procedure manual as the use of force to written or oral request. collect DNA has not been conducted during this inspection cycle. This policy states staff will advise the youth of their court-ordered obligation to submit DNA; however, if the youth refuses, they are returned to Court. (1) For the purpose of this section, the “use of 3.4.13 Use of Force (UF) 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. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) The use of reasonable force shall be preceded by Not applicable 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 Not applicable 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 Not applicable extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the ☐ ☐ ☒ agency for the length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 1370 EDUCATION PROGRAM 3.3.5, 9 School Program (a) School Programs The Sonoma County Office of Education operates the Deforest Hamilton High School The County Board of Education shall provide for the within the facility. Services include a full administration and operation of juvenile court schools in curriculum as required by the California conjunction with the Chief Probation Officer, or designee Office of Education with supplemental pursuant to applicable State laws. The school and facility instruction for GED and Special Education administrators shall develop and implement written policy needs. and procedures to ensure communication and coordination between educators and probation staff. BSCC staff interviewed education staff, Culturally responsive and trauma-informed approaches Rene Wheeler (Education Services should be applied when providing instruction. Education Director). BSCC staff also interviewed youth staff should collaborate with the facility administrator to detained at the facility. We also physically inspected the classrooms. use technology to facilitate learning and ensure safe technology practices. The facility administrator shall ☒ ☐ ☐ Youth in detention are afforded Common request an annual review of each required element of the Core classroom instruction. program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements 3.3.5, 9 School Program The facility school program shall comply with the State In part, compliance was confirmed as part of Education Code and County Board of Education policies, Title 15, Section 1313 County Inspection and all applicable federal education statutes and regulations Evaluation of Building and Grounds (d), and provide for an annual evaluation of the educational which confirms that the facility was evaluated program offerings. As stated in the 2009 California on December 15, 2022, and completed by Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ Tawny Fernandez, Director Mendocino establish and maintain learning environments that are County Office of Education. 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 3.3.5, 9 School Program program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- BSCC staff interviewed education staff, nonconforming youth by their preferred name and Rene Wheeler (Education Services ☒ ☐ ☐ Director). We found that the learning gender. environment and the quality of educational programming meet the Title 15 minimum standards for this regulation. (1) The course of study shall comply with the State 3.3.5, 9 School Program Education Code and include, but not be limited to, courses required for high school graduation. The school program offers Core Curriculum ☒ ☐ ☐ via Chrome Books/EDOVO tablets which provide online coursework that enable students to work independently for hybrid learning. (2) Information and preparation for the High School 3.3.5, 9 School Program Equivalency Test as approved by the California Department of Education shall be made The school program offers Core Curriculum available to eligible youth. ☒ ☐ ☐ via Chrome Books/EDOVO Tablets which provide online coursework that enable students and high school graduates to take online college courses. (3) Youth shall be informed of post-secondary 3.3.5, 9 School Program education and vocational opportunities. Youth are provided EDOVO tablets which include some aspects of technical education; ☒ ☐ ☐ Chromebooks; Santa Rosa Junior College; Adult Education; OSHA Certifications; Culinary Arts; Computer Science; Red Cross-First Aid; CNC Coding Applications; and Adobe/Microsoft Certification. (4) Administration of the High School Equivalency 3.3.5, 9 School Program Tests as approved by the California Department ☒ ☐ ☐ of Education, shall be made available when possible. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) Supplemental instruction shall be afforded to 3.3.5, 9 School Program youth who do not demonstrate sufficient progress towards grade level standards. There is a paraprofessional in the classroom periodically during the week to assist those youth who need supplemental instruction. ☒ ☐ ☐ Per the annual education services evaluation, SCSYTF, in conjunction with the Juvenile Hall, is compliant with this regulation. (6) The minimum school day shall be consistent with 3.3.5, 9 School Program State Education Code Requirements for juvenile court schools. The facility administrator, in Per the annual education services conjunction with education staff, must ensure evaluation, SCSYTF, in conjunction with the Juvenile Hall, is compliant with this that operational procedures do not interfere with ☒ ☐ ☐ regulation. the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth 3.3.5, 9 School Program regardless of classification, housing, security status, disciplinary or separation status, Per the annual education services including room confinement, except when evaluation, SCSYTF, in conjunction with the Juvenile Hall, is compliant with this providing education poses an immediate threat ☒ ☐ ☐ regulation. 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 3.3.5, 9 School Program (1) Positive behavior management will be The school and probation collaborate using implemented to reduce the need for disciplinary ☒ ☐ ☐ a behavior management point system. Youth action in the school setting and be integrated into earn program-level points in school for good the facility's overall behavioral management plan behavior and attendance. and security system. (2) School staff shall be advised of administrative 3.3.5, 9 School Program decisions made by probation staff that may affect the educational programming of students. During an interview, the Education Services ☒ ☐ ☐ Director expressed that Probation does well in keeping education staff advised of circumstances that may affect a student. (3) Except as otherwise provided by the State 3.3.5, 9 School Program 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. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) The facility administrator, in conjunction with 3.3.5, 9 School Program education staff will develop policies and procedures that address the rights of any Educational services provide supplemental student who has continuing difficulty completing assistance to youth through ☒ ☐ ☐ Paraprofessionals who are in the classroom a school day. periodically during the week. The classroom teacher also provides added assistance when needed. (d) Provisions for Special Populations 3.3.5, 9 School Program (1) State and federal laws and regulations shall be Educational services provide supplemental observed for all individuals with disabilities or assistance to youth through suspected disabilities. This includes but is not Paraprofessionals who are in the classroom ☒ ☐ ☐ limited to child find, assessment, continuum of periodically during the week. alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be 3.3.5, 9 School Program afforded an educational program that addresses their language needs pursuant to all applicable ☒ ☐ ☐ An instructor for ESL youth is available to state and federal laws and regulations governing youth weekly. programs for EL students. (e) Educational Screening and Admission 3.3.5, 9 School Program (1) Youth shall be interviewed after admittance and BSCC staff interviewed education staff a record maintained that documents a youth's (Education Services Director), as well as educational history, including but not limited to: youth detained at the facility to assist in confirming compliance with the elements of ☒ ☐ ☐ this regulation. Residents on Orientation will participate in school enrollment and placement testing during their first full school day. A preliminary education plan shall then be developed within five (5) school days. (A) School progress/school history; ☒ ☐ ☐ 3.3.5, 9 School Program (B) Home Language Survey and the results of 3.3.5, 9 School Program the State Test used for English language ☒ ☐ ☐ proficiency; (C) Needs and services of special populations 3.3.5, 9 School Program as defined by the State Education Code, including but not limited to, students with Per the annual education services ☒ ☐ ☐ special needs. evaluation, SCSYTF, in conjunction with the Juvenile Hall, is compliant with this regulation. (D) Discipline problems. ☒ ☐ ☐ 3.3.5, 9 School Program (2) Youth will be immediately enrolled in school. 3.3.5, 9 School Program Educational staff shall conduct an assessment to determine the youth's general academic The Education department employs a school ☒ ☐ ☐ functioning levels to enable placement in core personnel (Office Assistant) who performs curriculum courses. the duties of the School Registrar to ensure compliance with this regulation. (3) After admission to the facility, a preliminary 3.3.5, 9 School Program education plan shall be developed for each youth within five school days. BSCC staff interviewed education services ☒ ☐ ☐ staff and reviewed student records to confirm compliance with the elements of this regulation. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Upon enrollment, education staff shall comply 3.3.5, 9 School Program with the State Education Code and request the youth's records from his/her prior school(s), The Education department employs school including, but not limited to, transcripts, personnel to ensure compliance with this Individual Education Program (IEP), 504 Plan, regulation. 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 3.3.5, 9 School Program (1) The complete facility educational record of the The Education department employs a school ☒ ☐ ☐ youth shall be forwarded to the next educational personnel to ensure compliance with this placement in accordance with the State regulation. Education Code. (2) The County Superintendent of Schools shall 3.3.5, 9 School Program 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 3.3.5, 9 School Program (1) The Superintendent of Schools and the Chief Education services work closely with the Probation Officer or designee, shall develop behavioral health and probation staff to policies and procedures to meet the transition facilitate multi-disciplinary meetings to needs of youth, including the development of an ☒ ☐ ☐ discuss the needs of youth being released. education transition plan, in accordance with the This collaborative effort is identified as the State Education Code and in alignment with Title Treatment Team. In addition, the School 15, Minimum Standards for Juvenile Facilities, Court Laison provides collaboration between Section 1355. education services, the courts, and probation. (h) Post-Secondary Education Opportunities 3.3.5, 9 School Program (1) The school and facility administrator should, Youth are provided EDOVO tablets which whenever possible, collaborate with local post- include some aspects of technical education; secondary education providers to facilitate Chromebooks; Santa Rosa Junior College; access to educational and vocational Adult Education; OSHA Certifications; opportunities for youth that considers the use of Culinary Arts; Computer Science; Red technology to implement these programs. Cross-First Aid; CNC Coding Applications; and Adobe/Microsoft Certification. ☒ ☐ ☐ In addition, probation has incorporated an Education Transition Plan for youth choosing to further their education post-high school graduation. A “Second Chance” teacher from Santa Rosa Junior College provides programming that works as a bridge to provide online college courses to the SCSYTF youth. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1371 PROGRAMS, RECREATION, AND 3.6.4 Programs, Recreation and Exercise EXERCISE. BSCC staff reviewed the Program’s Exercise and Recreation policy and procedure, logs, and pertinent documentation for the months The facility administrator shall develop and implement ☒ ☐ ☐ of February, May, and August 2023. written policies and procedures for programs, recreation, and exercise for all youth. The intent is to The facility’s policy and procedure are minimize the amount of time youth are in their rooms or complies with this regulation, as required. their bed area. Juvenile facilities shall provide the opportunity for 3.6.4 Programs, Recreation and Exercise 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 3.6.4 Programs, Recreation and Exercise exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth BSCC staff observed language in section 3 represents a threat to the safety and security of the (b) of this policy states, in part, residents “who have a medical restriction that does not facility. allow them to participate in recreation, or who are on a modified program that does not allow them to be with the group, may be placed in holding cells in the intake unit during activities.” The facility administration ☒ ☐ ☐ indicated that this does not occur and that the policy is outdated and not in line with current practice. BSCC staff provided technical assistance with providing clarity that unless a youth is on medical isolation or a threat to safety and security, the youth should not be placed in a holding cell during regular programming for all youth. This practice would be considered noncompliant with Title 15, Section 1354.5, Room Confinement violation. Such program, recreation, and exercise schedule shall 3.3.15 Program and Activities Schedule ☒ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, A letter dated May 31, 2023, and provided recreation, and exercise by the responsible agency to by Dan Flamson, Division Director I, ensure content offered is current, consistent, and confirmed that an annual review of the relevant to the population. programs, recreation, and exercise was ☒ ☐ ☐ conducted to ensure content offered is current, consistent, and relevant to the population. BSCC observed that the letter was very comprehensive and offered specificity of detail to the review process. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Programs. All youth shall be provided with the 3.6.4 Programs, Recreation and Exercise, 1- opportunity for at least one hour of daily E programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice BSCC staff requested and reviewed the program’s Exercise and Recreation policy interventions that are culturally relevant and and procedure, logs, and pertinent linguistically appropriate, or pro-social interventions documentation for the months of April, May, and activities designed to reduce recidivism. These and June of 2023. programs should be based on the youth’s individual needs as required by Sections 1355 and 1356. Such A tool utilized to track programming is the programs may be provided under the direction of the Program Tracker Log. In review of the log, Chief Probation Officer or the County Office of ☒ ☐ ☐ BSCC staff observed that to identify which Education and can be administered by county program occurred during a shift, detention partners such as mental health agencies, community staff commonly use the “Self-improvement based organizations, faith-based organizations or Program” dropdown as a selection. BSCC Probation staff. staff provided technical assistance that if the tool will be utilized to track programming that Programs may include but are not limited to: will ensure ongoing compliance, the dropdown selections should be added to be more specific. BSCC staff concluded that the facility meets compliance with this regulation. (1) Cognitive Behavior Interventions; 3.6.4 Programs, Recreation and Exercise, 1- (2) Management of Stress and Trauma; E, i-xvii (3) Anger Management; (4) Conflict Resolution; Programs are facilitated by staff, agency (5) Juvenile Justice System; partners and volunteers, including, but not (6) Trauma-related interventions; limited to: (7) Victim Awareness; • Aggression Replacement Training (8) Self-Improvement; • Beat Within (9) Parenting Skills and support; • Garden program (10) Tolerance and Diversity; • Boys and Girls Club – REACH (11) Healing Informed Approaches; • Boys Council (12) Interventions by Credible Messengers; • Drug and Alcohol Education (13) Gender Specific Programming; ☒ ☐ ☐ • New Freedom (Gang abatement) (14) Art, creative writing, or self-expression; • Arts and Crafts Program (15) CPR and First Aid training; • Fitness/Running Program (16) Restorative Justice or Civic Engagement; • Girl Scouts; Girls Circle (17) Career and leadership opportunities; and, • Girls Moving On (18) Other topics suitable to the youth population. • Cultural heritage programming • Trauma Counseling • Interactive Journaling • Mindfulness • Welding • Book Club • Teen Assault Prevention (b) Recreation. All youth shall be provided the 3.6.4 Programs, Recreation and Exercise, 1- opportunity for at least one hour of daily access to H unscheduled activities such as leisure reading, letter writing, and entertainment. Activities shall be ☒ ☐ ☐ A review of policy and documentation and interviews with youth housed at the facility supervised and include orientation and may include and detention staff provided clarity to confirm coaching of youth. compliance 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Exercise. All youth shall be provided with the 3.6.4 Programs, Recreation and Exercise, 1- opportunity for at least one hour of large muscle H, i activity each day. After a review of program activity tracker and ☒ ☐ ☐ interviews with youth housed at the facility and detention staff, Sonoma County Secure Youth Treatment Facility complies with this regulation. The administrator/manager may suspend, for a period Programs, Recreation and Exercise, 2-A 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 3.6.5 Religious Programs The facility administrator shall provide access to The programming calendar, the daily shift religious services and/or religious counseling at least reports, as well as interviews with youth once each week. Attendance shall be voluntary. A youth housed at the facility and detention staff ☒ ☐ ☐ shall be allowed to participate in an activity outside of confirmed compliance with this regulation. their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; 3.6.5, 1-e Religious Programs Through interviews with youth housed at the ☒ ☐ ☐ facility and a review of the programming schedules, we were able to determine that Sonoma County SYTF complies with this regulation. (b) availability of clergy; and, 3.6.5, 1-e and g Religious Programs Through interviews with youth housed at the ☒ ☐ ☐ facility and a review of the programming schedules, we were able to determine that Sonoma County SYTF complies with this regulation. (c) availability of religious diets. 3.6.5, 1-k Religious Programs ☒ ☐ ☐ 1373 WORK PROGRAM 3.1.2 Housing Unit Cleaning Schedule The facility administrator shall develop policies and A review of policy and procedures revealed procedures regarding the fair and consistent assignment compliance with this regulation. of youth to work programs. Work assigned to a youth ☒ ☐ ☐ shall be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1374 VISITING 3.3.16 Visiting The facility administrator shall develop and implement BSCC staff reviewed visiting policy and written policies and procedures for visiting, that include procedure, visiting schedules, and logs for provisions for special visits. Youth shall be allowed to April, May, and June 2023. We also receive visits by parents, guardians or persons standing interviewed youth and detention staff. Based in loco parentis, and children of youth. Other family ☒ ☐ ☐ on information received and interviews, all members, such as grandparents and siblings, and youth are allowed two 1-hour visits each supportive adults, may be allowed to visit with the week, one weeknight and one weekend. The visiting schedule allows for access outside of approval of the facility administrator or designee, and in posted unit opportunities. conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to 3.3.16, 1-A, i-iii and 1-C, Visiting the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s SCSYTF ensures visiting occurs at criminal history. The staff shall determine in each case, reasonable times and, if a visitor is denied, the youth affected is notified. 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 3.3.16, 1-A and B; 2-F Visiting per week. Visits may be supervised, but conversations shall not be monitored unless there is a security or safety A review of visiting logs and interviews with ☒ ☐ ☐ need. youth confirm that SCSYTF ensures youth have an opportunity to have visitation for a minimum of two hours per week. Provisions for special visits, in addition to the two-hour 3.3.16, 3 Visiting 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 3.3.16, 3-F Visiting alternative, but not as a replacement, to in-person ☒ ☐ ☐ visiting. 1375 CORRESPONDENCE 3.6.3 Mail The facility administrator shall develop and implement ☒ ☐ ☐ Staff and youth interviews and a review of written policies and procedures for correspondence policy and procedures revealed compliance which provide that: with this regulation. (a) there is no limitation on the volume of mail that youth 3.6.3, 1-C Mail ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; 3.6.3, 1-C, 1 Mail ☒ ☐ ☐ The facility allows 7 postage-free letters each week. (c) youth may correspond confidentially with state and 3.6.3, 4 Legal Mail federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) incoming and outgoing mail, other than that described 3.6.3, 1-B, ii Legal Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and ☒ ☐ ☐ BSCC staff interviewed detention staff and security, public safety, or youth safety is jeopardized. interviewed youth housed at the facility. We also reviewed policy and procedures. 1376 TELEPHONE ACCESS 3.6.2 Access to Phones The administrator of each juvenile facility shall develop ☒ ☐ ☐ BSCC staff interviewed detention staff and and implement written policies and procedures to provide interviewed youth housed at the facility. We youth with access to telephone communications. also reviewed policy and procedures. 1377 ACCESS TO LEGAL SERVICES JH: 3.6.1 Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ BSCC staff interviewed detention staff and procedures to ensure the right of youth to have access to interviewed youth housed at the facility. We also reviewed policy and procedures. the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed 3.6.1, 1-A, Access to Legal Services ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with 3.6.1, 4-B, Access to Legal Services ☒ ☐ ☐ attorneys; and, (c) unlimited postage free, legal correspondence and 3.6.1, 5, Access to Legal Services ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE 3.5.2 Discipline The facility administrator shall develop and implement In addition to policy and procedure, BSCC written policies and procedures for the discipline of youth staff reviewed the 12 most recent discipline that shall promote acceptable behavior; including the use due process incident report. We also of positive behavior interventions and supports. interviewed youth housed at the facility and ☒ ☐ ☐ Discipline shall be imposed at the least restrictive level detention staff. which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ 3.5.2, 1-G, I Discipline (b) daily shower, access to drinking fountain, toilet and 3.5.2, 1-G, ii-v Discipline ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ 3.5.2, 1-G, vi Discipline (d) contact with parent or attorney; ☒ ☐ ☐ 3.5.2, 1-G, vii Discipline (e) exercise; ☒ ☐ ☐ 3.5.2, 1-G, viii Discipline (f) medical services and counseling; 3.5.2, 1-G, ix Discipline BSCC staff interviewed youth, medical staff, ☒ ☐ ☐ and behavioral health staff in addition to reviewing documentation. The facility complies with this regulation. (g) religious services; ☒ ☐ ☐ 3.5.2, 1-G, x Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ 3.5.2, 1-G, xi Discipline (i) the right to send and receive mail; ☒ ☐ ☐ 3.5.2, 1-G, xii Discipline (j) education; and, 3.5.2, 1-G, xiii Discipline ☒ ☐ ☐ BSCC staff interviewed youth and education staff (Director), in addition to reviewing behavior management documentation. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) rehabilitative programming. 3.5.2, 1-G, xiv Discipline BSCC staff discussed the importance of ☒ ☐ ☐ adding clarity to the policy that states that youth on modified and or special programs shall receive equity in programming opportunities. The facility administrator shall establish rules of conduct 3.5.1, 2-A (Major), B (Medium) and C and disciplinary penalties to guide the conduct of youth. (Minor), Resident Rules and Behavioral Such rules and penalties shall include both major Expectations violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS 3.5.3 Due Process The facility administrator shall develop and implement In addition to policy and procedure, BSCC written policies and procedures for the administration of ☒ ☐ ☐ staff reviewed the 12 most recent discipline discipline which shall include, but not be limited to: (W/Due process) examples. We also interviewed youth housed at the facility and detention staff. (a) designation of personnel authorized to impose 3.5.2, 1-H Discipline ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ 3.5.2, 1-H, i Discipline (c) definition of major and minor rule violations and 3.5.2, 2-A and B Discipline their consequences, and due process requirements; This policy articulates that during the orientation process, the minor, moderate, and major rule violations, as well as ☒ ☐ ☐ sanctions and due process requirements, are explained to each youth. BSCC staff also interviewed youth and observed that the rules posted were available to youth to review. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) trauma-informed approaches and positive behavior 3.5.2, 1-F Discipline interventions; The elements of this regulation are identified and confirmed in CPO Vanessa Fuchs’ Appointment and Qualifications Letter, dated May 17, 2023. The agency’s policies and procedures ensure that detention staff makes use of training that ensures developmentally appropriate, trauma-informed approaches to working with youths while implementing positive behavior intervention. ☒ ☐ ☐ In part, to implement positive behavior intervention, the facility options include, but are not limited to, its Special Program, the Adminstrative Program (AP), or the Special Management Rooms. Although a youth has not been placed on an AP program during this inspection cycle, BSCC staff discussed language in the AP policy as it pertains to providing meals to youth via the pass- through door. We suggest that if the meal procedure is based on safety and security, it may be best referenced in the room confinement policy rather than a program policy. (e) minor rule violations may be handled informally by 3.5.2, 3-B, iii-c and 1-E, Discipline counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be To determine compliance, BSCC staff ☒ ☐ ☐ accompanied by written documentation and a reviewed the policy, reviewed discipline sheets, interviewed youth housed at the policy of review and appeal to a supervisor; and, facility, and interviewed detention staff. (f) major rule violations and the discipline process ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; ☒ ☐ ☐ 3.5.3, 1-B, 1 Due Process (2) accommodations provided to youth with 3.5.3, 1-B, ii Due Process disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the 3.5.3, 1-B, iii Due Process ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present 3.5.3, 1-B, iv Due Process evidence and testimony; The facility does well in documenting that ☒ ☐ ☐ youth are, in a timely manner, provided the opportunity to appeal a discipline being imposed. (5) provision for youth to be assisted by staff in the 3.5.3, 1-B, v Due Process ☒ ☐ ☐ hearing process; (6) provision for administrative review. 3.5.3, 1-B, vi Due Process Youth are oriented and understand that ☒ ☐ ☐ major rule violations are violations that directly affect the safety and security of the facility and/or disrupt the normal operation of the facility and programming. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) violations that result in a removal from camp or The Juvenile facility is not a commitment commitment program, but not a return to court, will program or a Camp. ☐ ☐ ☒ follow the due process provisions in subsection (e) above. 1410 MANAGEMENT OF COMMUNICABLE 5.1.15 COVID-19 DISEASES. Sonoma County Probation Department Juvenile Health Care Services Policy The health administrator/responsible physician, in (SCPD-JHCS) J310: Communicable Diseases cooperation with the facility administrator and the local health officer, shall develop written policies and The facility policies align with California procedures to address the identification, treatment, Code of Regulations Title 15, Article 8; control and follow-up management of communicable California Code of Regulations Title 17; diseases. The policies and procedures shall address, Health and Safety Code 199.99: Infection but not be limited to: Control and Communicable Disease Policy; California Medical Association Standard J 310; American Academy of Pediatrics: The 1994 Red Book: and, The Control of Communicable Disease Manual-APHA. ☒ ☐ ☐ The above policy is in compliance with Sonoma County Public Health Order # C19- 08, and all other applicable Health Orders and any tracking and reporting requirements. Further, this policy articulates all facets of this section of the regulation including, but not limited to, the scope; prevention; limiting the Spread (including the testing of youth); and maintaining the well-being of youth. To confirm compliance, BSCC staff also reviewed the Title 15 required annual Medical/Mental, Nutrition, and Environmental Health evaluations conducted by qualified evaluators and inspectors. (a) Intake health screening procedures; SCPD-JHCS Procedure 1-A: Intake Screening This policy identifies the process to screen and conduct appraisals on new admissions. Sonoma County Juvenile Institutions Health Program: Youth Entering the Facility Memo/8-3-2020 This memorandum outlines the admission process for Intake, Security, and Supervisory ☒ ☐ ☐ staff to include PPE and that the initial questionnaire for all admissions be conducted in the Sally Port prior to entry inside the facility. Youth will be provided a mask and be housed in a negative pressure room for the first 14 days of admission. JHC staff have outlined a process for meals, programming, hygiene, and direction for any time a youth is out of their room. BSCC staff interviewed medical personnel to confirm compliance with this regulation. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Identification of relevant symptoms; SCPD-JHCS Procedure 1-A: Intake Screening Sonoma County Juvenile Institutions Health Program: Youth Entering the Facility Memo/8-3-2020 ☒ ☐ ☐ Sonoma County Juvenile Institutions COVID-19 Testing Protocol This directive outlines the testing strategy for new and detained youth. (c) Referral for medical evaluation; SCPD-JHCS Procedure 1-B: Health Appraisal Youth receive a health appraisal within 96 hours of admission. The policy also outlines ☒ ☐ ☐ a process for a referral for Medical Evaluation. BSCC staff interviewed medical personnel to confirm compliance with the Title 15 minimum standards for this regulation. (d) Treatment responsibilities during detention; SCPD-JHCS Procedure II: Treatment This operational protocol outlines the treatment responsibilities of medical staff, ☒ ☐ ☐ facility staff, and youth. Medical staff develop an Individual Treatment Plan to include treatment, dosage, duration of treatment, and laboratory specimens. (e) Coordination with public and private community- SCPD-JHCS Procedure 1-VI: Transfer of based resources for follow-up treatment; Resident and VII: Release to Home The collaborative policy ensures that the notification and communication by both agencies are provided to all persons involved in the youth’s care as well as the ☒ ☐ ☐ Public Health notification and follow-up needs. To aid in confirming compliance with Title 15 minimum standards for this regulation, BSCC staff interviewed medical and behavioral health personnel. (f) Applicable reporting requirements; and, SCPD-JHCS Procedure 1-III: Notification This policy directs JHCS staff to notify the Public Health Officer and the Supervisor of the Communicable Disease Control Unit of each reported or verified Communicable ☒ ☐ ☐ Disease of any listed disease. This includes reporting any communicable disease to the Sonoma County Public Health Department according to federal, state, and local laws and regulations. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Strategies for handling disease outbreaks. SCPD-JHCS Procedure 1-IV: Plan for Segregation This policy outlines that upon identification of an active, infectious communicable disease that the youth be segregated until medically cleared by JH staff. ☒ ☐ ☐ To aid in confirming compliance with Title 15 minimum standards, BSCC staff reviewed the annual Medical/Mental, Nutrition, and Environmental Health evaluations conducted by qualified evaluators. BSCC staff also interviewed medical personnel to determine compliance. The policies and procedures shall be updated as The agency has a specific and detailed necessary to reflect communicable disease priorities operational procedure to identify and house identified by the local health officer and currently all youth. The precautions of isolation in a recommended public health interventions. negative pressure room pending a ☒ ☐ ☐ quarantine pdetermined by health Services. Other interventions include, but are not limited to, a training protocol for PPE for youth and staff. 1433 REQUESTS FOR HEALTH CARE SERVICES 6.1.1 Medical Services (EXCERPT) Resident Handbook P 9 The health administrator, in cooperation with the facility The regulation requires that youth shall be provided the opportunity to confidentially administrator, shall develop policy and procedures to convey, either through written or verbal establish a daily routine for youth to convey requests for communications, a request for medical, emergency and non-emergency medical, dental and dental, or behavioral/mental health services. behavioral/mental health care services. During the orientation process, information regarding access to medical services is explained in detail to all youth. ☒ ☐ ☐ Although youth have access to health services staff to confidentially request medical/mental health services, as well as, the option to place a request in a secure folder, BSCC staff provided technical assistance indicating that to ensure ongoing compliance, consider installing confidential medical/mental health lockboxes, for health services requests, on each housing unit. Prior to the completion of the inspection, the facility purchased lockboxes for all of the housing units. 1480 STANDARD FACILITY CLOTHING ISSUE 4.1.3 Initial Shower, Clothing and Bedding Issue The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ BSCC staff reviewed the inventory and laundry schedules for the facility. and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Clothing is clean, reasonably fitted, durable, easily 3.2.3, 1-A Clothing Assignment and Bedding laundered, in good repair, and free of holes and Exchange tears. 4.1.3 Policy Statement, Initial Shower, Clothing and Bedding Issue ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation to determine that the facility meets compliance with this regulation. (b) The standard issue of climatically suitable clothing ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; 3.2.3, 4 Clothing Assignment and Bedding Exchange 4.1.3, 2-A, i-a , Initial Shower, Clothing and ☒ ☐ ☐ Bedding Issue BSCC staff interviewed youth and reviewed documentation. (2) Outer garments; 3.2.3, 1-A, ii-d Clothing Assignment and ☒ ☐ ☐ Bedding Exchange (3) New non-disposable underwear which shall 4.1.3, 2-A, i-a Initial Shower, Clothing and remain with the youth throughout their stay, ☒ ☐ ☐ Bedding Issue and; (4) Undergarments, that are freshly laundered and 4.1.3, 2-A, i-a Initial Shower, Clothing and free of stains, including tee shirts and bras. Bedding Issue ☒ ☐ ☐ BSCC staff interviewed youth and reviewed documentation. (c) Clothing is laundered at the temperature required 7.2.2, 1-A, i Laundry Operations by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other To aid in confirming compliance, BSCC staff laundry method approved by the local health officer. reviewed the annual Medical/Mental, Nutrition, and Environmental Health evaluations by qualified evaluators. ☒ ☐ ☐ (d) Suitable clothing is issued to pregnant youth. 3.2.3, 1-C Clothing Assignment and Bedding ☒ ☐ ☐ Exchange 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1482 CLOTHING EXCHANGE 3.2.3, 2 Clothing Assignment and Bedding Exchange The facility administrator shall develop and implement written policies and site-specific procedures for the The facility assigns youth their own laundry bag to ensure they receive their own clothing cleaning and scheduled exchange of clothing. Unless back after being laundered. work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for BSCC staff interviewed youth and reviewed footwear, shall be exchanged at least once each week. documentation to determine that the facility Tee shirts, bras, and underwear shall be exchanged meets compliance with this regulation. daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S 4.1.3, 2-K Initial Shower, Clothing and PERSONAL CLOTHING Bedding Issue 4.1.4, 4 Resident Property 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 3.2.2 Personal Hygiene Resident Handbook P11 There shall be written policies and site-specific procedures developed and implemented by the facility Youth are provided with a Hygiene Bag at intake which contains a toothbrush, administrator for the availability of personal hygiene ☒ ☐ ☐ toothpaste, comb and soap. The other items items. Each female youth shall be provided with are available to youth as requested. 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; ☒ ☐ ☐ 3.2.2, 1-B, I Personal Hygiene (b) Toothpaste; ☒ ☐ ☐ 3.2.2, 1-B, I Personal Hygiene (c) Soap; ☒ ☐ ☐ 3.2.2, 1-B, I Personal Hygiene (d) Comb; ☒ ☐ ☐ 3.2.2, 1-B, I Personal Hygiene (e) Shaving implements; ☒ ☐ ☐ 3.2.4 Shaving (f) Deodorant; ☒ ☐ ☐ 3.2.2, 1-E Personal Hygiene (g) Lotion; ☒ ☐ ☐ 3.2.2, 1-E Personal Hygiene (h) Shampoo; and, ☒ ☐ ☐ 3.2.2, 1-E Personal Hygiene (i) Post-shower conditioning hair products. ☒ ☐ ☐ 3.2.2, 1-E Personal Hygiene Youth shall not be required to share any personal care 3.2.2, Personal Hygiene items listed in items (a) through (d). Liquid soap 3.2.4 Shaving 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. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1486 PERSONAL HYGIENE 3.2.2 Personal Hygiene There shall be written policies and site specific All elements of this regulation are in the procedures developed and implemented by the facility referenced policy. administrator for showering/bathing and brushing of ☒ ☐ ☐ BSCC staff interviewed youth and reviewed teeth. Youth shall be permitted to shower/bathe up on documentation to determine that the facility assignment to a housing unit and on a daily basis complies with this regulation. thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING 3.2.4 Shaving Youth shall have access to a razor daily, unless their BSCC staff interviewed youth and reviewed appearance must be maintained for reasons of documentation to determine that the facility complies with this regulation. identification in Court. All youth shall have equal opportunity to shave face and body hair. The facility ☒ ☐ ☐ To ensure ongoing compliance, BSCC staff administrator may suspend this requirement in relation provided technical assistance to update to youth who are considered to be a danger to policy and procedure language that provides themselves or others. equity with shaving privileges for male and female youth. BSCC appreciates the assertive approach toward policy updates and implementation. 1488 HAIR CARE SERVICES (Excerpt) 3.2.5 Hair Care Services Hair care services shall be available in all juvenile BSCC staff interviewed youth and reviewed facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ documentation to determine that the facility complies with this regulation. 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 3.2.3, 2 Laundry Roll Process 4.1.3 Initial Shower, Clothing and Bedding Clean laundered, suitable bedding and linens, in good Issue repair, shall be provided for each youth entering a living ☒ ☐ ☐ BSCC staff interviewed youth and reviewed area who is expected to remain overnight, shall include, documentation to determine that the facility but not be limited to: complies with this regulation. (a) One mattress or mattress-pillow combination which 4.1.3, 3-A, iii Initial Shower, Clothing and meets the requirements of Section 1502 of these ☒ ☐ ☐ Bedding Issue regulations; (b) One pillow and a pillow case unless provided for in 4.1.3, 3-A, iii Initial Shower, Clothing and ☒ ☐ ☐ (a) above; Bedding Issue (c) One mattress cover and a sheet or two sheets; 4.1.3, 3-A, I Initial Shower, Clothing and ☒ ☐ ☐ Bedding Issue (d) One towel; and, 3.2.3, 1-D Initial Shower, Clothing and ☒ ☐ ☐ Bedding Issue (e) One blanket or more, up on request 4.1.3, 3-A, ii Initial Shower, Clothing and ☒ ☐ ☐ Bedding Issue 1501 BEDDING LINEN EXCHANGE 3.2.3, 3 Bedding Exchange The facility administrator shall develop and implement BSCC staff interviewed youth and reviewed site specific written policies and procedures for the documentation to determine that the facility complies with this regulation. 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. 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 62 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The covering blanket shall be cleaned or laundered 3.2.3, 3-B Bedding Exchange ☒ ☐ ☐ once a month. 1510 FACILITY SANITATION, SAFETY AND 2.1.1, 2-A, xiii JCC Roles and MAINTENANCE Responsibilities 3.1.2, 1-E, iii Unit Cleaning Schedule 7.3.1, The facility administrator shall develop and implement 1-A Work Orders written policies and site-specific procedures for the BSCC staff interviewed youth and reviewed maintenance of an acceptable level of cleanliness, documentation to determine that the facility repair and safety throughout the facility. The plan shall complies with this regulation. provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 63 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☐ ☐ ☒ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ ☐ ☒ 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 ☐ ☐ ☒ facility in a manner that allows contact with minors. Violation 7659 Sonoma Secure Youth Treatment Facility PRO 23-24 - 64 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7659 FACILITY: Sonoma County Secure Youth Treatment Facility TYPE: SYTF RC: 30 FIELD REPRESENTATIVE: Forrest Coleman DATE: June 29, 2023 ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS Designatio Type Standards Room # RC RC or T U W F S n s Beds Square/Cubic Feet Intake Holding 2001 3 (5) (15) 11 X 7 1 1 1 Holding 2001 1 (5) (5) 11 X 7.8 1 1 1 Handicap accessible Note: Ceiling height above 10'; 7' bench in each holding room; One shower in Intake. Court Holding Two adult court holding cells are adjacent to the court and under control of the Sonoma County Sheriff (BSCC #5665). A non-rated court staging area is under control of Sonoma County Probation and noted in the Physical Plant Evaluation. HOUSING UNITS 1 – 6 Unit 1 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4 Double 2001 8 2 2 16 105 sq. ft. 1 1 1 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: This unit is used for classroom instruction for Community College youth in the day room. The classroom is currently a Library. Unit 2 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4 Double 2001 8 2 2 16 105 sq. ft. 1 1 1 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: At the time of this inspection, 5 out of the 30 rated capacity beds for SYTF youth were utilized to house youth on this unit. *T = Toilets; U = Urinals; W = Washbasins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7659 Sonoma Secure Youth Treatment Facility LASE 23-24 - 1 - J460 LAS JUV.dot (03/01) ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* COMMENTS Designatio Type Standards Room # RC RC or T U W F S n s Beds Square/Cubic Feet Unit 3 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4 Double 2001 8 2 2 16 105 sq. ft. 1 1 1 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: At the time of inspection, Unit 3 was used for COVID quarantine. 1 out of the 30 rated capacity beds for SYTF youth was utilized to house youth on this unit. Unit 4 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4 Double 2001 8 2 2 16 105 sq. ft. 1 1 1 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: This unit houses female youth and younger/mental health male youth. At the time of this inspection, no SYTF youth were housed on this unit. Unit 5 Single 2001 20 1 1 20 72 – 87 sq. ft. 1 1 1 4 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: This unit houses general population male youth. 10 out of the 30 rated capacity beds for SYTF youth were utilized to house youth on this unit. Unit 6 Single 2001 20 1 1 20 72 – 87 sq. ft. 1 1 1 4 Spec. 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing. Use Note: At the time of inspection, Unit 6 was used as a COVID isolation unit. 2 out of the 30 rated capacity beds for SYTF youth were utilized to house youth on this unit. Note: There is one classroom suitable for 20 youth adjacent to each unit. Units 1-4 each have approximately 1,287 sq. ft. of dayroom space; Units 5-6 each have approximately 1,496 sq. ft. of dayroom space. There is recreation space adjacent to each unit and a large recreation area used as scheduled by all units. Unit 7 Dorm 2001 1 20 20 20 3,000 sq. ft. 4 4 1 4 Note: This unit is not used for housing and is occupied for Incentive space, scheduled by unit during the evening and weekend programming. *T = Toilets; U = Urinals; W = Washbasins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7659 Sonoma Secure Youth Treatment Facility LASE 23-24 - 2 - J460 LAS JUV.dot (03/01)