Sonoma (2025-2026 inspection cycle)

May 16, 2025 Vanessa Fuchs, Chief Probation Officer Sonoma Probation Department 370 Administration Drive Santa Rosa, CA 95403 2025-2026 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, SONOMA COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Fuchs: The 2025-2026 Comprehensive Inspection of the Sonoma County Probation Department has been completed. A pre-inspection briefing was held on Wednesday, February 26, 2025, and the following facilities were inspected between Tuesday, April 29, 2025, and Thursday, May 1, 2025: FACILITY NAME BSCC # FACILITY TYPE Sonoma County Juvenile Hall 7658 JH Sonoma County Secure Youth Treatment Facility 7659 SYTF These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition to the inspection(s) by the Board of State and Community Correction (BSCC), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the Physical Plant Evaluation and Living Area Space Evaluation attachments for information related to Rated Capacity. An Exit Briefing with your staff was held on Thursday, May 1, 2025; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. Vanessa Fuchs Chief Probation Officer Page 2 * * * Please email me at shay.molennor@bscc.ca.gov or call (916) 708-2062 if you have any questions. Sincerely, SHAY MOLENNOR Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Sonoma County Juvenile Court* Chair, Juvenile Justice Commission, Sonoma County* Chair, Board of Supervisors, Sonoma County* County Administrator, Sonoma County* Kilee Willson, Division Director II (electronic copy) *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7658+ Sonoma JH SYTF CI LTR 25-26 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 FACILITY TYPE: JH PERSON(S) INTERVIEWED: Kilee Willson-Division Director II, Daniel Flamson-Division Director I, Kristy Silva-Division Director I, J. Bowman-Juvenile Correctional Officer IV/Programming Supervisor, M. Combs-Juvenile Correctional Counselor III/Career Technical Education Liaison, C. Peiper-Juvenile Correctional Counselor II, Kristen Vela-Sonoma County Department of Health Services Program Manager, Angie Scardina-Sonoma County Office of Education Director of Alternative Education, male youth age 16, female youth age 19 FIELD REPRESENTATIVE: Shay Molennor DATE: April 29-May 1, 2025 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1313 COUNTY INSPECTION AND EVALUATION OF Policy 1.1.4 (7)(b) Administrative BUILDING AND GROUNDS Responsibilities-Other Reviews and Inspections On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented December 21, 2023 inspection and evaluation from the following: ☒ ☐ ☐ (a) county building inspector or person designated by the November 21, 2024 (Confirmed items Board of Supervisors to approve building safety; identified in need of correction have been repaired.) (b) fire authority having jurisdiction, including a fire February 15, 2024 clearance as required by Health and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ December 10, 2024 (Confirmed fire hood was serviced as required on December 19, 2024.) (c) local health officer, inspection in accordance with Environmental: Health and Safety Code Section 101045; October 17, 2023 (Areas of noncompliance confirmed corrected November 16, 2023.) October 15, 2024 (Areas of noncompliance confirmed corrected October 28, 2024.) ☒ ☐ ☐ Nutrition: October 17, 2023 October 15, 2024 Medical/Mental Health: October 17, 2023 October 15, 2024 (d) county superintendent of schools on the adequacy of June 14, 2024 educational services and facilities as required in Section ☒ ☐ ☐ 1370; October 21, 2024 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 7658 Sonoma JH CI PRO 25-26 Page 1 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) juvenile court as required by Section 209 of the January 19, 2024 Welfare and Institutions Code; and, ☒ ☐ ☐ November 22, 2024 (f) the Juvenile Justice Commission as required by December 14, 2023 Section 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the ☒ ☐ ☐ November 19, 2024 Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS A memorandum dated March 20, 2025, by Chief Probation Officer Vanessa Fuchs, Note: Compliance with this section is determined by addressed all elements of this regulation. receipt of the Chief Probation Officer’s certification letter confirming that all elements of regulation are met. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in accordance with Section 1031 of the Government ☒ ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- 3.3.14 (2)(a) Volunteer Program-Security employees of the facility, who may be present at the Clearance for Volunteers facility, shall have such clearance and qualifications as may be required by law, and their presence at the facility ☒ ☐ ☐ shall be subject to the approval and control of the facility manager. 7658 Sonoma JH CI PRO 25-26 Page 2 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1321 STAFFING 2.1.4 (1)(a) Staffing Requirements 2.1.5 Mandatory Overtime and Holdover Each juvenile facility shall: Process (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its The agency staff for their Juvenile Hall and programming, to provide for safety and security of youth SYTF, which are co-located on the same and staff, and meet established standards and campus. Combined population on the first day regulations; of the inspection was 66. • JH - 48 • SYTF - 18 BSCC staff reviewed the February 2025 daily schedule which included staff substitutions, March 18, 2025 Post Assignments, Shift Bid Post Descriptions, facility organizational charts, Juvenile Hall Staffing Summary, and ☒ ☐ ☐ Supervisor Duties Matrix. Facility staff work a mixture of 8- and 12-hour shifts. • 1 Division Director II • 2 Division Directors I • 9 Juvenile Correctional Counselor IV (Supervisors) • 12 Juvenile Correctional Counselor III • 56 Juvenile Correctional Counselor I/1I (8 vacant) • 15 Extra Help Juvenile Correctional Counselor The facility is in compliance with this regulation. (b) ensure that no required services shall be denied 2.1.4 (1)(a)(i) Staffing Requirements because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to 2.1.4 (1)(b) Staffing Requirements ensure adequate supervision of all staff members; ☒ ☐ ☐ A JJCIV/Supervisor is assigned to each shift. (d) have a clearly identified person on duty at all times 2.1.4 (1)(b) Staffing Requirements who is responsible for operations and activities and has 2.1.4 (1)(c) Staffing Requirements completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living 2.1.4 (1)(f) Staffing Requirements unit whenever there are youth in the living unit; ☒ ☐ ☐ (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 nutritional Meals for the youth are prepared on site by requirements of youth; provide kitchen supervision; direct Sonoma County Probation food service staff. food preparation and servings; conduct related training ☒ ☐ ☐ programs for culinary staff; and maintain necessary • 1 Chef/Kitchen Supervisor records; or, a facility may serve food that meets nutritional • 5 Cooks standards prepared by an outside source; • 2 Extra Help Cooks 7658 Sonoma JH CI PRO 25-26 Page 3 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) have sufficient administrative, clerical, recreational, 2.1.4 (1)(e) Staffing Requirements medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the agency provides an appropriate level and to ensure that youth supervision staff shall not be of staff to operate intake, programming, diverted from supervising youth; and, security, and court/visitation. The facility has one Secretary/Administrative Assistant responsible for clerical services and one Residential Services Worker who attends to laundry and warehouse duties. Maintenance is provided by Sonoma County Facilities Management and groundskeeping by Sonoma County Parks and Recreation. Janitorial services are provided through a ☒ ☐ ☐ contract with ABM. Sonoma County Department of Health Services provides medical and behavioral health services. Medical services are provided seven days a week from 7:00 a.m. to 9:30 p.m. Staff consists of a Program Manager, Senior Office Assistant, Dentist, Physician, Nurse Practitioner, and eight nursing staff. Behavioral health services are provided six days a week from 9:00 a.m. to 6:00 p.m. Staffing consists of a Psychiatrist, three mental health clinicians, and two Alcohol and Drugs Services 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 special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls 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 each 10 youth 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 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 2.1.4 (1)(g) Staffing Requirements duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other 2.1.4 (1)(e) Staffing Requirements duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. 7658 Sonoma JH CI PRO 25-26 Page 4 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. awake youth supervision staff member on duty for ☐ ☐ ☒ each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps The facility is not a Camp. (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☐ ☐ ☒ duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless arrangements have been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility; (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. 7658 Sonoma JH CI PRO 25-26 Page 5 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1322 YOUTH SUPERVISION STAFF ORIENTATION 2.2.1 Training Program AND TRAINING 2.2.1 (4)(d)(i)(1)Training Program (a) Prior to assuming any responsibilities each youth A memorandum dated March 20, 2025, by supervision staff member shall be properly oriented to Chief Probation Officer Vanessa Fuchs, their duties, including: addressed all elements of this regulation. (1) youth supervision duties; ☒ ☐ ☐ The agency requires new staff to complete a 160-hour New Employee Training Program. The training consists of five phases which include classroom lectures, observations, reading assignments, and hands-on learning. The training is provided by facility staff and supervisors. (2) scope of decisions they shall make; 2.2.1 (4)(d)(i)(2)Training Program ☒ ☐ ☐ (3) the identity of their supervisor; 2.2.1,(4)(d)(i)(3) Training Program ☒ ☐ ☐ (4) the identity of persons who are responsible to 2.2.1 (4)(d)(i)(4) Training Program them; ☒ ☐ ☐ (5) persons to contact for decisions that are beyond 2.2.1 (4)(d)(i)(5) Training Program their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. 2.2.1 (4)(d)(i)(6) Training Program ☒ ☐ ☐ (b) Prior to assuming any responsibility for the supervision 2.2.1 (4)(e)(ii) Training Program of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility-specific BSCC staff reviewed February 4, 2025 orientation, including: through March 12, 2025 New Employee (1) individual and group supervision techniques; Orientation agenda. Staff received 15 days of ☒ ☐ ☐ classroom training which included facility- specific training. New staff then shadowed mentoring staff for two weeks and complete the Shadow Task Worksheet. (2) regulations and policies relating to discipline and 2.2.1 (4)(e)(iii) Training Program rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; 2.2.1 (4)(e)(iv) Training Program ☒ ☐ ☐ (4) suicide prevention and response to suicide 2.2.1 (4)(e)(v) Training Program attempts ☒ ☐ ☐ 3.3.21 Trauma-Informed Approaches (5) policies regarding use of force, de-escalation 2.2.1 (4)(e)(vi) Training Program techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing 2.2.1 (4)(e)(vii) Training Program trauma and trauma-informed approaches; ☒ ☐ ☐ (7) procedures to follow in the event of emergencies; 2.2.1 (4)(e)(viii) Training Program ☒ ☐ ☐ (8) routine security measures, including facility 2.2.1 (4)(e)(ix) Training Program perimeter and grounds; ☒ ☐ ☐ (9) crisis intervention and mental health referrals to 2.2.1 (4)(e)(x)Training Program mental health services; ☒ ☐ ☐ (10) documentation; and 2.2.1 (4)(e)(xi) Training Program ☒ ☐ ☐ (11) fire/life safety training 2.2.1 (4)(e)(xii) Training Program ☒ ☐ ☐ 7658 Sonoma JH CI PRO 25-26 Page 6 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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 Corrections A memorandum as to staff training dated Officer Core Course pursuant to Penal Code Section ☒ ☐ ☐ March 20, 2025, by Chief Probation Officer 6035. Vanessa Fuchs, confirmed compliance with this regulation. (d) Prior to exercising the powers of a peace officer youth 2.2.1 (4)(f)(i) Training Program supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal Code. A memorandum as to staff training dated ☒ ☐ ☐ March 20, 2025, by Chief Probation Officer Vanessa Fuchs, confirmed compliance with this regulation. 1323 FIRE AND LIFE SAFETY 5.1.9 Fire and Life Safety 2.2.1 (4)(I)(i)Training Program Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times Youth supervision staff receive Fire and Life who meets the training standards established by the Safety training through CORE. The Board for general fire and life safety which relate ☒ ☐ ☐ memorandum as to staff training dated March specifically to the facility. 20, 2025, by Chief Probation Officer Vanessa Fuchs, confirmed compliance with this regulation. 1324 POLICY AND PROCEDURES MANUAL 1.1.4 (I)(a), (b), and (c) Administrative Responsibilities - Policy and Procedure All facility administrators shall develop, publish, and Manual Accessibility and Maintenance implement a manual of written policies and procedures 1.1.5 Policy and Procedures Manual that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made A memorandum dated March 25, 2025, by available to all employees, reviewed by all employees, Kilee Willson, Division Director II, indicated and shall be administratively reviewed at a minimum facility administration reviews different every two years, and updated, as necessary. Those sections of written policy and procedures records relating to the standards and requirements set bimonthly. The manual is available to all staff forth in these regulations shall be accessible to the Board online via SharePoint and a printed copy is on request. available in Administration. When a new The manual shall include: ☒ ☐ ☐ policy is implemented or an existing policy is updated, an email is distributed to staff and they are required to sign a form indicating the policy name and number reviewed. The Division Director was provided with assistance and recommendations to enhance their policies and procedures to address consistency, clarity, and best practices. The agency is in compliance with this regulation. (a) table of organization, including channels of 1.1.5 Policy and Procedures Manual communications and a description of job classifications; ☒ ☐ ☐ (b) responsibility of the probation department, purpose of 1.1.7 Juvenile Justice Commission 1.1.8 programs, relationship to the juvenile court, the Juvenile Roles and Relationships with other Agencies, Justice/Delinquency Prevention Commission or Departments and Divisions Probation Committee, probation staff, school personnel ☒ ☐ ☐ and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; 1.1.5 (1)(f) Policy and Procedure Manual ☒ ☐ ☐ 2.1.1 JCC Roles and Responsibilities 7658 Sonoma JH CI PRO 25-26 Page 7 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) initial orientation and training program for employees; 2.2.1 Training Program 2.2.1 (4) (g) (i) and (ii) Volunteers, Program ☒ ☐ ☐ Providers and Support Staff Training and Orientation (e) initial orientation, including safety and security issues 2.2.1 (4) (g) (ii) Volunteers, Program and anti-discrimination policies, for support staff, contract Providers and Support Staff Training and employees, school, mental/behavioral health and medical Orientation ☒ ☐ ☐ staff, program providers and volunteers; 3.3.14 (3) Volunteer Program-Orientation for Volunteers (f) maintenance of record-keeping, statistics and 1.1.4 Administrative Responsibilities communication system to ensure: ☒ ☐ ☐ (1) efficient operation of the juvenile facility; 1.1.6 Legal Origin, Establishment, and (2) legal and proper care of youth; ☒ ☐ ☐ Purpose The County of Sonoma has a retention of (3) maintenance of individual youth's records; ☒ ☐ ☐ youth records schedule. (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 1.1.6 (2)(d) Legal Origin, Establishment, and (5) release of information regarding youth. ☒ ☐ ☐ Purpose 2.16 Code of Conduct 2.16 (2) Professional Ethics (g) ethical responsibilities; 2.16 (3) Professional Interactions with Clients ☒ ☐ ☐ 2.16 (4) Professional Conduct and Responsibilities (h) trauma-informed approaches; 3.3.21 Trauma Informed Approaches ☒ ☐ ☐ 3.3.21 (1)(a)(v) Trauma Informed (i) culturally responsive approaches; ☒ ☐ ☐ Approaches 3.6.4 (1)(f) Program, Recreation and (j) gender responsive approaches; ☒ ☐ ☐ Exercise (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 access to Responsibilities all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any 3.4.15 (6)(a-c) Use of Chemical Agent- chemical agents related security devices, and weapons Storage and Disposal of OC Spray Canisters ☒ ☐ ☐ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- 4.1.15 Medi-Cal Eligibility Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of 1.1.4 (2) PREA Compliance Manager sexual abuse, sexual assault and sexual harassment. 2.1.17 Allegations of Sexual Misconduct The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 7658 Sonoma JH CI PRO 25-26 Page 8 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 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 manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff 5.1.9 (9)(a) Fire and Safety Inspections with two-year retention of the inspection record; BSCC staff reviewed monthly fire and life safety inspections from July 2023 through ☒ ☐ ☐ March 2025. Per policy, the Juvenile Hall Safety Committee addresses safety concerns listed in the monthly fire and life safety inspections. (c) fire prevention inspections as required by Health and 5.1.9 (9)(b) Fire and Safety Inspections Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ Fire prevention inspection completed December 10, 2024. (d) an evacuation plan; 5.1.7 Emergency Evacuation Plan ☒ ☐ ☐ (e) documented fire drills not less than quarterly; 5.1.9 (2)(b)(ii)(2) Fire Emergency Training and Fire Drills BSCC staff reviewed the third and fourth quarterly fire drills conducted in 2023, first, second and fourth quarterly fire drills conducted in 2024, and the first quarterly drill conducted in 2025. Since the last comprehensive inspection, the agency ☒ ☐ ☐ completed all quarterly drills except one. The drills consist of a tailored scenario for each location and are reviewed by a Supervisor. The Division Director indicated the missing fire drill was conducted but, due to a data migration to SharePoint, the documentation was overwritten and the documentation was lost. (f) a written plan for the emergency housing of youth in 5.1.9 (7) Emergency Housing of Residents the case of fire; and, The written plan includes screening youth for release, use of the old facility/gymnasium, ☒ ☐ ☐ and contacting other counties with whom the agency has a mutual aid pact. In previous evacuations, due to fires, the youth were evacuated to Solano County. (g) development of a fire suppression pre-plan in 5.1.9 (10) Fire Suppression Pre-Plan cooperation with the local fire department. ☒ ☐ ☐ The agency develops their fire suppression pre-plan with the Santa Rosa Fire Department. 7658 Sonoma JH CI PRO 25-26 Page 9 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1326 SECURITY REVIEW 1.1.4 (3)(a)(I) Security Review and Safety Committee Each facility administrator shall develop policies and procedures to annually review, evaluate, and document A memorandum dated March 26, 2025, by security of the facility. The review and evaluation shall Division Director Kilee Willson, addressed include internal and external security, including, but not reviewing staffing plans, search practices, limited to, key control, equipment, and staff training. safety equipment, video monitoring system, incident reports related to safety/security ☒ ☐ ☐ issues, compliance review of unannounced rounds by supervisors and administrators, and compliance with evacuation and fire drills. Per policy, the Juvenile Hall Safety Committee shall meet monthly to review, evaluate, and make a record of internal and external security measures of the facility. 1327 EMERGENCY PROCEDURES 3.4.26 Escape 3.4.27 Riot (Disturbance) The facility administrator shall develop facility-specific 3.4.28 Hostage Situation policies and procedures for emergencies that shall ☒ ☐ ☐ include, but not be limited to: (a) escape, disturbances, and the taking of hostages; 3.4.27 Riot (b) civil disturbance, active shooter and terrorist attack; ☒ ☐ ☐ 3.4.32 Active Shooter/Terrorist Attack 5.1.9 Fire and Life Safety (c) fire and natural disasters; ☒ ☐ ☐ 5.1.11 Earthquake 5.1.5 (4) AED-Required Inspections (d) periodic testing of emergency equipment; 5.1.9 (12) Fire Suppression Equipment and ☒ ☐ ☐ Maintenance (e) emergency evacuation of the facility; and 5.1.7 Emergency Evacuation Plan ☒ ☐ ☐ 5.1.9 (2)(a)(i) and (ii) Emergency Training and Fire Drills 2.2.1(4)(j) Training Program A memorandum dated March 20, 2025 by (f) a program to provide all youth supervision staff with Division Director I, Daniel Flamson, an annual review of emergency procedures. ☒ ☐ ☐ comprehensively addressed annual facility safety and emergency procedure reviews. The facility has monthly safety meetings which address different components of fire, security, and emergency procedures. 7658 Sonoma JH CI PRO 25-26 Page 10 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1328 SAFETY CHECKS 3.1.12 Safety Checks The facility administrator shall develop and implement The facility records safety checks using the policy and procedures that provide for direct visual Automated Rounds System. The facility also observation of youth at a minimum of every 15 minutes, uses 15 Minute Watch Logs that are at random or varied intervals during hours when youth handwritten logs used in Intake and when the are asleep or when youth are in their rooms, confined in system is not operational. In the event a youth holding cells or confined to their bed in a dormitory. is placed on 5-minute safety checks, a 5- Supervision is not replaced, but may be supplemented Minute Watch Sheet will be manually recorded by, an audio/visual electronic surveillance system in ink. The Facility Night Shift Supervisor will designed to detect overt, aggressive or assaultive audit the safety checks for the previous day to behavior and to summon aid in emergencies. All safety ensure the system is operating appropriately checks shall be documented with the actual time the and safety checks are done frequently and check is completed. ☒ ☐ ☐ effectively. A summary report is completed at the end of each day for review by the assigned Division Director. BSCC staff reviewed documentation from specified dates throughout September 2024 through March 2025. BSCC staff provided technical assistance to ensure safety checks are random and varied. BSCC staff recommended the Night Duty Supervisor review details by day report to support checks are random and varied. 1329 SUICIDE PREVENTION PLAN 3.3.20 Suicide Prevention Program The facility administrator, in collaboration with the The facility had no instances of suicidal healthcare and behavioral/mental health administrators, attempts during this inspection cycle. A shall plan and implement written policies and resident watch sheet and the Behavior Tracker procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ System will document youth’s mental health The plan shall consider the needs of youth experiencing status. past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section 3.3.20 (1) Suicide Prevention Program-Staff 1322, Youth Supervision Staff Orientation, and Training Training and the Juvenile Corrections Officer Core Course. 2.2.1 (4)(e)(v) Training Program 3.3.21 Trauma Informed Approaches A video recorded by Sonoma County Health ☒ ☐ ☐ Services provides an annual four-hour medical and behavioral health training for youth supervision staff. The behavioral health portion addresses Severe Mental Health Signs and Symptoms. (b) Screening, Identification Assessment and 3.3.20 (2)(a) Suicide Risk Identification and Precautionary Protocols Referral for Services (1) All youth shall be screened for risk of suicide at intake and as needed during detention. ☒ ☐ ☐ BSCC staff reviewed 10 Medical Intake Check Sheets and the PACT Pre-Screen Summary Report which screens youth for suicide risk. (2) All youth supervision staff who perform intake 3.3.20 (1) Suicide Prevention Program-Staff processes shall be trained in screening youth for risk Training ☒ ☐ ☐ of suicide. 7658 Sonoma JH CI PRO 25-26 Page 11 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) All youth who have been identified during the 3.3.20 (2)(b)(i) and (ii) Suicide Risk intake screening process to be at risk of suicide shall Identification and Referral for Services be referred to behavioral/mental health staff for a suicide risk assessment. ☒ ☐ ☐ Youth identified as a suicide risk are to be immediately referred to mental health or the on-call mental health provider. (4) Precautionary protocols shall be developed to 3.3.20 (3) Placing a Resident on Suicide ensure the youth’s safety pending the Watch ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for 3.3.20 (2)(a) Suicide Risk Identification and assessment and/or services. ☒ ☐ ☐ Referral for Services (d) Procedures for monitoring of youth identified at risk 3.3.20, (4) Levels of Monitoring for suicide. The facility has levels of monitoring of youth on suicide watch. The levels consist of ☒ ☐ ☐ Constant Watch, Close Watch I, and Close Watch II. Youth on Close Watch have safety checks conducted every five minutes while in their room. (e) Safety Interventions 3.3.20 (3) Placing a Resident on Suicide (1) Procedures to address intervention protocols for Watch youth identified at risk for suicide which may 3.3.20 (5) Housing of Residents include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ Youth on constant or suicide watch may be housed in the Special Management Room, which is located near the staff station in each housing unit. (B) Treatment strategies including trauma- 3.3.20, (2)(e) Suicide Risk Identification and informed approaches ☒ ☐ ☐ Referral for Services (2) Procedures to instruct youth supervision staff how 3.3.20 (4) Levels of Monitoring to respond to youth who exhibit suicidal behaviors. ☒ ☐ ☐ (f) Communication 3.3.20 (2)(a)(i) Suicide Risk Identification and (1) The intake process shall include communication Referral for Services with the arresting officer and family guardians regarding the youth’s past or present suicidal BSCC staff interviewed intake staff who ideations, behaviors or attempts. indicated law enforcement and parents/ ☒ ☐ ☐ guardians are asked questions, which would elicit information about a youth’s past, present suicidal ideation, behavior, or attempts. BSCC staff recommended the facility document this information on intake admission forms. (2) Procedures for clear and current information 3.3.20 (3) Placing a Resident on Suicide sharing about youth at risk for suicide with youth Watch supervision, healthcare, and behavioral/mental 3.3.20 (8) Staff Responsibilities and ☒ ☐ ☐ health staff. Communication 3.3.20 (8) Supervisor Responsibilities (g) Debriefing of Critical Incidents Related to Suicides or 3.3.20 (10)(g) Discovery of a Suicide or Attempts Attempted Suicide (1) Process for administrative review of the 4.25 Critical Incidents ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. 3.3.20 (10)(g)(iii) Discovery of a Suicide or (2) Process for a debriefing event with affected staff. ☒ ☐ ☐ Attempted Suicide (3) Process for a debriefing event with affected youth. 3.3.20 (10)(g)(iv) Discovery of a Suicide or ☒ ☐ ☐ Attempted Suicide 7658 Sonoma JH CI PRO 25-26 Page 12 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) Documentation 3.3.20 Suicide Prevention Program (1) Documentation processes shall be developed to ensure compliance with this regulation ☒ ☐ ☐ The documentation process is detailed throughout the Suicide Prevention Plan policy. Youth identified at risk for suicide shall not be denied the 3.3.20 (3)(d) Placing a Resident on Suicide opportunity to participate in facility programs, services Watch 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- Reporting of Legal Actions Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ The facility reported they had no legal action of confinement, filed against persons or legal entities for which they are required to provide responsible for juvenile facility operation. notification. 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 in Custody Reports (1) Death of a Youth. 1.1.4 (4) Administrative Responsibilities- (a) The facility administrator, in cooperation with the Reporting of Legal Actions health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the 5.1.14 (3)(c) Death in Custody Reports facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to 5.1.14 (3)(a)(i) Death in Custody Reports the Board a copy of the report submitted to the 1.1.4 (4) Administrative Responsibilities- Attorney General under Government Code Section Reporting of Legal Action ☒ ☐ ☐ 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 The facility is aware of this regulation. from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7658 Sonoma JH CI PRO 25-26 Page 13 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Serious Illness or Injury of Youth. 5.1.14 (2) Serious Illness or Injury (a) The facility administrator, in cooperation with the 1.1.4 (4) Administrative Responsibilities- health administrator, shall develop written policies Reporting of Legal Action 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) Administrative Responsibilities- Population Reporting Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ The facility submits monthly reports to BSCC days after the end of each reporting period, in a format as required. to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) 1.1.4 (6) Administrative Responsibilities- Overcrowding When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES 4.1.1 Intake The facility administrator shall develop and implement The facility utilizes the Detention Risk written policies and procedures for admittance of youth Assessment (DRAI) to screen youth for that emphasize respectful and humane engagement admittance into the facility. A PACT Pre- with youth, and reflect that the admission process may ☒ ☐ ☐ Screen is conducted on all bookings to be traumatic to youth who may have already determine level of risk. experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: 3.6.1 (2) Access to Legal Services-Initial (1) Access to two free phone calls within one hour of Phone Call to Attorney admittance in accordance with the provisions of 4.1.1 (1)(e)(ii) Standard Intake Procedures Welfare and Institution Code Section 627; BSCC staff reviewed 10 admission packets ☒ ☐ ☐ which consisted of Intake sheet, Medical Intake Check, DRAI Summary Report and PACT Pre-Screen Summary Report. The Sonoma County Juvenile Referral documents the required telephone calls. 4.1.3 (1)(f) Initial Shower, Clothing and Bedding Issue (2) Offer of a shower; ☒ ☐ ☐ BSCC staff interviewed youth who indicated they were offered a shower upon admission. 4.1.4 Resident Property (3) Documented secure storage of personal Upon booking into the facility, the youth’s belongings; ☒ ☐ ☐ property is inventoried on the Resident Personal Property Receipt. 4.1.1 (1)(b)(v) Standard Intake Procedures (4) Offer of food upon arrival; ☒ ☐ ☐ BSCC staff interviewed youth who indicated they were offered food upon admission. 7658 Sonoma JH CI PRO 25-26 Page 14 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) Screening for physical and behavioral health and 4.1.1 (1)(g) Standard Intake Procedures safety issues, intellectual or developmental 6.1.1 Medical Services Program ☒ ☐ ☐ disabilities; 6.1.8 Mental Health Program 3.1.9 Residents with Disabilities (6) Screening for physical and developmental 3.3.20 Suicide Prevention Plan disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ 6.1.1 Medical Services Program and 1430 of these regulations; 6.1.8 Mental Health Program (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, 4.1.1 (1)(g)(i)(2) Standard Intake Procedures (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ (b) juvenile hall administrators shall establish written 4.1.1 (1)(a)(i-ii) Standard Intake Procedures criteria for detention that considers the least restrictive 4.1.11 Detention Risk Assessments (DRAI) ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in 4.1.1 (6)(b)(i) Court Entries juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform them of program guidelines and provide written ☒ ☐ ☐ screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures 4.1.1 (6)(b)(ii) Court Entries that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL 4.1.1 Intake ABUSE 4.1.1 (1)(g)(i)(2)(1) Initial Youth Classification The facility administrator shall develop and implement BSCC staff reviewed 10 Medical Intake Check written policies and procedures to reduce the risk of ☒ ☐ ☐ Sheets which screen for the risk of sexual sexual abuse by or upon youth. The policy shall require abuse. The facility is in compliance with this facility staff to assess each youth within 72 hours of regulation. admission based on the following information: (a) Prior sexual victimization or abusiveness; (b) Gender nonconforming appearance or manner; or 4.1.1 (1)(i)(g)(2)(2) Initial Youth Classification 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)(i)(g)(2)(3) Initial Youth Classification ☒ ☐ ☐ (d) Age; 4.1.1 (1)(i)(g)(2)(4) Initial Youth Classification ☒ ☐ ☐ (e) Level of emotional and cognitive development; 4.1.1 (1)(i)(g)(2)(5) Initial Youth Classification ☒ ☐ ☐ (f) Physical size and stature; 4.1.1 (1)(i)(g)(2)(6) Initial Youth Classification ☒ ☐ ☐ (g) Mental illness or mental disabilities; 4.1.1 (1)(i)(g)(2)(7) Initial Youth Classification ☒ ☐ ☐ (h) Intellectual or developmental disabilities; 4.1.1 (1)(i)(g)(2)(8) Initial Youth Classification ☒ ☐ ☐ (i) Physical disabilities; 4.1.1 (1)(i)(g)(2)(9) Initial Youth Classification ☒ ☐ ☐ 4.1.1 (1)(i)(g)(2)(10) Initial Youth (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Classification (k) Any other specific information about the individual 4.1.1 (1)(i)(g)(2)(11) Initial Youth youth that may indicate heightened needs for Classification supervision, additional safety precautions, or separation ☒ ☐ ☐ from certain other youth. 7658 Sonoma JH CI PRO 25-26 Page 15 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Staff shall ascertain this information through 4.1.1 Intake 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)(1) Initial Youth Classification controls on the dissemination of information within the facility relative to responses received pursuant to this assessment in order to ensure that sensitive information ☒ ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES 4.2.1 Release The facility administrator shall develop and implement BSCC staff reviewed 10 Release Notifications/ written policies and procedures for release of youth from Temporary Release Authorization documents custody which provide for: ☒ ☐ ☐ which require parent/guardian signature and youth signature indicating return of personal property. (a) verification of identity/release papers; 4.2.1 (2)(c)(i) Release Procedure ☒ ☐ ☐ (b) return of personal clothing and valuables; 4.2.1 (2)(d) and (h) Release Procedure ☒ ☐ ☐ (c) notification to the youth's parents or guardian; 4.2.2 Notification of Parents ☒ ☐ ☐ (d) notification to the facility health care provider in 4.2.1 (2)(c)(vi) Release Procedure accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; and, Medical staff interviewed articulated that probation staff consistently provide release notification. Probation staff will either call or ☒ ☐ ☐ radio medical staff so they can prepare a discharge packet for the youth. They also receive a Serving Time list so they are able to prepare for planned releases. 4.2.1 (2)(c)(vii) Release Procedure (e) notification of school staff; Education staff interviewed informed probation ☒ ☐ ☐ staff will notify of releases. In addition, school staff receive a daily population summary. 4.2.1 (2)(c)(vi) Release Procedure Notification is made to medical services by Probation staff by telephone or radio. Medical (f) notification of facility mental health personnel. staff will relay the information to behavioral ☒ ☐ ☐ health staff who share the same office. In addition, behavioral health staff receive the Serving Time list so they are able to prepare for planned releases. The facility administrator shall develop and implement 4.2.1 (2)(b) Release Procedure policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry A CFT is coordinated by the assigned services including, but not limited to, medical and probation officer and attended by the youth’s behavioral health, education, probation supervision and ☒ ☐ ☐ facility case manager. The youth, parent, community-based services. medical, mental health, and education participate in developing transition and re- entry services prior to release. 7658 Sonoma JH CI PRO 25-26 Page 16 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The facility administrator shall develop and implement 4.2.1 (6) Furlough/Pass written policies and procedures for the furlough of youth from custody. Youth who are committed to serving time in the Juvenile Hall Compass Academy program can ☒ ☐ ☐ receive a furlough if they are eligible under a court order. The youth’s case manager assists the youth in preparing for furlough. 1352 CLASSIFICATION 4.1.6 Classification The facility administrator shall develop and implement BSCC staff reviewed 10 Program and written policies and procedures on classification of youth Classification History, In Custody for the purpose of determining housing placement in the Management notes, and Chronological facility. ☒ ☐ ☐ reports documenting classification and Such procedures shall: periodic reviews. In addition, BSCC staff reviewed the March 8, 2025 Juvenile Hall Classification Information Sheet. (a) provide for the safety of the youth, other youth, facility 4.1.6 (1)(a) Initial Classification of Youth staff, and the public by placing youth in the appropriate, least restrictive housing and program settings. Housing ☒ ☐ ☐ assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of 4.1.6 (1)(a) Initial Classification of Youth the facility; ☒ ☐ ☐ (c) provide that a youth shall be classified upon 4.1.6 (1)(b)(i-xii) Initial Classification of Youth admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including 4.1.6 (2) Classification Changes and Reviews provisions that consider the level of supervision and the youth's behavior while in custody; and, Periodic classification reviews occur monthly ☒ ☐ ☐ and the Classification Information Sheet is updated and dispersed. (e) provide that facility staff shall not separate youth from 4.1.6 (1)(d) Initial Classification of Youth the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical ☒ ☐ ☐ disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, 4.1.6 (1)(g)(i) Initial Classification of Youth transgender, questioning or intersex identification or status as an indicator of likelihood of being sexually ☒ ☐ ☐ abusive. 7658 Sonoma JH CI PRO 25-26 Page 17 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1352.5 TRANSGENDER AND INTERSEX YOUTH. 4.1.6 (1)(c) Initial Classification of Youth The facility administrator shall develop written policies The facility utilizes the Transgender and procedures ensuring respectful and equitable Preference form for transgender and intersex treatment of transgender and intersex youth. youth upon booking which indicates the The policies shall provide that: ☒ ☐ ☐ youth’s preference for housing, search, preferred name, and pronoun. BSCC staff reviewed two completed Transgender Preference forms. (a) Facility staff shall respect every youth’s gender 4.1.6 (1)(c)(ii) Initial Classification of Youth identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of gang or slang names or names that otherwise ☒ ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present 4.1.6 (1)(g)(viii) Initial Classification of Youth themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that 4.1.6 (1)(e) and (g) Initial Classification of best meets their individual needs and promotes their Youth safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender 4.1.6 (1)(g)(iii) Initial Classification of Youth and intersex youth have access to medical and behavioral health providers qualified to provide care and ☒ ☐ ☐ treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and 4.1.6 (1)(g)(vii) Initial Classification of Youth 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 of Transgender and youth for the purpose of determining the youth’s Intersex Youth 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. 7658 Sonoma JH CI PRO 25-26 Page 18 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1353 ORIENTATION 3.3.2 Orientation Program Resident Handbook The facility administrator shall develop and implement written policies and procedures to orient a youth prior to BSCC staff reviewed the 10 Intake/ placement in a living area. Both written and verbal Orientation Cover forms, which ensure the information shall be provided and supplemented with youth are orientated prior to placement in the video orientation if feasible. Provision shall be made to living unit. Upon placement in the housing provide accessible orientation information to all detained unit, the youth will continue to be oriented to youth including those with disabilities, limited literacy, or the remainder of the items listed on the form. English language learners. The Orientation Worksheet requires facility Orientation shall include information that addresses: staff to provide an additional three days of orientation to the youth who will go over the ☒ ☐ ☐ Resident Handbook. The youth will be required to sign acknowledgment of understanding the information in the handbook, expectations, and rules. Staff will also follow up with the youth for two additional days. The youth are provided with the Orientation Pamphlet and Orientation Handbook. BSCC staff interviewed youth who indicated they were oriented at intake and upon reaching the housing unit. (a) facility rules including contraband and searches and 3.3.2 Orientation Program disciplinary procedures; Resident Handbook, Page 5 ☒ ☐ ☐ Resident Handbook, Page 14 (b) facility’s system of positive behavior interventions 3.3.2. (1)(b)(ii) Orientation Program and supports, including behavior expectations, Resident Handbook, Page 16 incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the facility’s 1.4.23 Department PREA Policy policy prohibiting sexual abuse and sexual harassment Resident Handbook, Page 4 and how to report incidents or suspicions of sexual ☒ ☐ ☐ abuse or sexual harassment; (d) identification of key staff and their roles; 2.1.1 Staff Dress Code Though the facility has a comprehensive orientation program and gives a general overview to youth, BSCC staff provided ☒ ☐ ☐ technical assistance to clarify in either the Intake/Orientation Cover form or Resident Handbook the identification of key staff and their roles. (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 free Resident Handbook, Page 6 of retaliation for reporting a grievance, and the name of ☒ ☐ ☐ the person or position designated to resolve the issue; (f) access to legal services and information on the court 3.6.1 Access to Legal Services process; ☒ ☐ ☐ Resident Handbook, Page 7 6.1.1 Medical Services Program (g) access to routine and emergency health and mental 6.1.85 Mental Health Program health care; ☒ ☐ ☐ Resident Handbook, Page 8 7658 Sonoma JH CI PRO 25-26 Page 19 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 3.3.5 School Program (h) access to education, religious services, and 3.6.4 Programs, Recreation and Exercise recreational activities; ☒ ☐ ☐ 3.6.5 Religious Programs Resident Handbook, Pages 8, 9 and 21 4.1.6 Classification (i) housing assignments; ☒ ☐ ☐ Resident Handbook, Page 10 (j) opportunity for personal hygiene and daily showers 3.2.1 Showers including the availability of personal care items 3.2.2 Personal Hygiene ☒ ☐ ☐ Resident Handbook, Page 10 (k) rules and access to correspondence, visits and 3.3.16 Visiting telephone use; 3.6.2 Access to Phones ☒ ☐ ☐ 3.6.3 Mail Resident Handbook, Pages 11 and 12 (l) availability of reading materials, programming, and 3.3.1 Program Team Roles and other activities; Responsibilities ☒ ☐ ☐ 3.6.4 Programs, Recreation and Exercise Resident Handbook, Pages 21 and 23 (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 Resident Handbook, Pages 13 and 14 3.6.13 Mail (n) immigration legal services; ☒ ☐ ☐ Resident Handbook, Page 7 5.1.7 Emergency Evacuation (o) emergencies including evacuation procedures; ☒ ☐ ☐ Resident Handbook, Page 5 (p) non-discrimination policy and the right to be free from 1.1.4.23 Administrative Responsibilities physical, verbal or sexual abuse and harassment by Resident Handbook, Page 5 ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Resident Handbook, Page 21 other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Resident Handbook, Page 10 education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive 4.1.1 (5) Intake information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Policy states parents/guardians will be questions and provides contact information for the notified by JCC Intake Staff of visiting and ☒ ☐ ☐ facility, medical, school and mental health; and, answer any general questions. Ongoing notification occurs throughout the youth’s stay by facility and collaborative partner staff. (t) a process by which youth may request access to Title Resident Handbook, Page 6 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ 7658 Sonoma JH CI PRO 25-26 Page 20 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1354 SEPARATION 3.3.7 Separation The facility administrator shall develop and implement BSCC staff reviewed six Protective Custody written policies and procedures that address: and four Medical Separation forms. Self- initiated room time may be requested by the youth. Staff are to regularly check in with the youth to encourage them to return to the ☒ ☐ ☐ regular program. The facility tracks all self- initiated room time on the Juvenile Hall In Room Tracking Log. BSCC staff reviewed documentation from September 2024 through March 2025. The facility is in compliance with this regulation. (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, 3.3.7 (2) Medical Separation assaultive behavior, disciplinary consequences and 3.3.7 (3) Mental Health Separation ☒ ☐ ☐ protective custody. 3.3.12 Protective Custody 3.5.2 Discipline (b) consideration of positive youth development and 3.3.7 (1)(c) Separation trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal privileges 3.3.7 (1)(D) Separation 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 Discipline and the Discipline Process Title 15 Section 1390 shall apply. 3.3.11 Special Program ☒ ☐ ☐ 3.5.7 Administrative Program (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 Section 1354.5 of ☒ ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of 3.3.7 (1)(D)(i) Separation separated youth to determine if separation remains ☒ ☐ ☐ necessary. 1354.5 ROOM CONFINEMENT 3.5.5 Placing Youth in Locked Rooms (a) The facility administrator shall develop and The facility tracks room confinement using the implement written policies and procedures addressing Juvenile Hall In Room Tracking Log. BSCC the confinement of youth in their room that are consistent staff reviewed documentation from September with Welfare and Institutions Code Section 208.3. The 2024 through March 2025. BSCC staff placement of a youth in room confinement shall be ☒ ☐ ☐ reviewed 10 incidents of room confinement accomplished in accordance with the following which consisted of documentation outlined in guidelines: the In Room Tracking form and incident report. The incidents involved fighting or safety and security disturbances. The facility is in compliance with this regulation. (1) Room confinement shall not be used before other, 3.5.5 (1)(b) Limitations less restrictive, options have been attempted and exhausted, unless attempting those options poses a The In Room Tracking Form requires the ☒ ☐ ☐ threat to the safety or security of any youth or staff. reason for room confinement and the less restrictive alternatives attempted. (2) Room confinement shall not be used for the 3.5.5 (1)(a) Limitations purposes of punishment, coercion, convenience, or retaliation by staff. ☒ ☐ ☐ 7658 Sonoma JH CI PRO 25-26 Page 21 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) Room confinement shall not be used to the extent 3.5.5 (1)(c) Limitations that it compromises the mental and physical health of ☒ ☐ ☐ the youth. (b) A youth may be held up to four hours in room 3.5.5 (2)(e) Placing Youth In Locked Rooms confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one ☒ ☐ ☐ or more of the following: 3.5.5 (2)(e)(i) Placing Youth In Locked (1) Return the youth to general population. ☒ ☐ ☐ Rooms 3.5.5 (2)(e)(ii) Placing Youth In Locked (2) Consult with mental health or medical staff. ☒ ☐ ☐ Rooms (3) Develop an individualized plan that includes the 3.5.5 (2)(e)(iii) Placing Youth In Locked goals and objectives to be met in order to reintegrate Rooms ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond 3.5.5 (2)(f)(i) Placing Youth In Locked Rooms four hours, staff shall do each of the following: (A) Document the reasons for room confinement If a youth is required to be held longer than and the basis for the extension, the date and time four hours, staff need to consult with mental ☒ ☐ ☐ the youth was first placed in room confinement, health or medical staff. Two youth were held and when he or she is eventually released from in room confinement for over four hours in room confinement. February 2025. (B) Develop an individualized plan that includes 3.5.5 (2)(f)(ii) Placing Youth In Locked the goals and objectives to be met in order to Rooms ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the 3.5.5 (2)(f)(iii) Placing Youth In Locked facility superintendent or his or her designee Rooms ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of 3.5.5 (3)(a) Exceptions single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in 3.5.5 (3)(b) Exceptions court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to 3.5.5 (3)(c) Exceptions conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an 3.5.5 (3)(d) Exceptions extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- wide threat that poses an imminent and substantial ☒ ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. 7658 Sonoma JH CI PRO 25-26 Page 22 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (9) This section does not apply when a youth is 3.5.5 (3)(e) Exceptions placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN 3.3.6 Case Plans and Assessments The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. (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 strengths The facility utilizes the results of the PACT including, but not limited to, identification of substance ☒ ☐ ☐ (Positive Achievement Change Tool) Pre- abuse history, educational, vocational, counseling, Screen or Full-Screen assessment to develop behavioral health, consideration of known history of the case plan which identifies the youth’s top trauma, and family strengths and needs. criminogenic needs. (b) Institutional Case Plan: 3.3.6 (1)(a) Case Plans and Assessments (1) A case plan shall be developed for each youth held for at least 30 days or more and created within BSCC staff reviewed 10 Resident Case Plans 40 days of admission. which are periodically reviewed every 75 days. Youth in the Compass Academy and youth serving over 90 days also have a RPACT (Residential Positive Achievement Change Tool) completed. ☒ ☐ ☐ The JJC IV/Programming Supervisor tracks required institutional case plans on the Case Plan Tracker Excel spreadsheet. BSCC staff reviewed the Excel spreadsheet and confirmed case plans are completed within the required time frame. (2) The institutional plan shall include, but not be 3.3.6 (1)(d) Case Plans and Assessments limited to, written documentation that provides: (A) objectives and time frame for the resolution of ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes 3.3.6 (1)(e) Case Plans and Assessments a description of program resources needed and individuals responsible for assuring that the plan ☒ ☐ ☐ is implemented; (3) periodic evaluation of progress towards meeting 3.3.6 (1)(a) Case Plans and Assessments the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; (4) a transition plan, the contents of which shall be 3.3.6 (2)(b)(iv) Management and Assignment subject to existing resources, shall be developed for of Case Plans post dispositional youth in accordance with Section ☒ ☐ ☐ 1351; and, 7658 Sonoma JH CI PRO 25-26 Page 23 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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 adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES 3.3.6 (1)(k)(i) Case Plans and Assessments 6.1.10 Counseling Services The facility administrator shall develop and implement written policies and procedures ensuring the availability of appropriate counseling and casework services for all ☒ ☐ ☐ youth. Policies and procedures shall ensure: (a) youth will receive assistance with needs or concerns that may arise; (b) youth will receive assistance in requesting contact 3.3.6 (1)(k)(ii) Case Plans and Assessments with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources 3.3.6 (1)(k)(iii) Case Plans and Assessments to meet the youth’s needs. ☒ ☐ ☐ 6.1.10 Counseling Services 1357 USE OF FORCE 3.4.13 Use of Force The facility administrator, in cooperation with the BSCC staff reviewed the September 2024 responsible physician, shall develop and implement through March 2025 Use of Force Tracking written policies and procedures for the use of force, log. In addition, BSCC staff reviewed 10 Use which may include chemical agents. Force shall never be applied as punishment, discipline, retaliation or ☒ ☐ ☐ of Force incident reports which involved treatment. physical assaults. BSCC staff interviewed (a) At a minimum, each facility shall develop policies and facility staff, collaborative partners, and youth procedures which: as to use of force actions and responses. The facility is in compliance with this regulation. (1) restricts the use of force to that which is deemed 3.4.13 (2)(a) Use of Force Methods reasonable and necessary, as defined in Section 1302 to ensure the safety and security of youth, staff, others ☒ ☐ ☐ and the facility. (2) outline the force options available to staff including 3.4.13 (2)(a)(i-iv) Use of Force Methods both physical and non-physical options and define when those force options are appropriate. Approved use of force methods include ☒ ☐ ☐ Empty Hands Control Methods, Physical Restraints, Use of O.C. Pepper Spray, and Extractions. (3) describe force options or techniques that are 3.4.13 (3)(a)(i-iii) Improper Use of Force expressly prohibited by the facility. Force options expressly prohibited include, but ☒ ☐ ☐ are not limited to, hogtying, using a restraint device to attach a youth to a wall, restraint chair, and the use of a carotid hold. (4) describe the requirements of staff to report any 3.4.13 (4)(a) Reporting Policy Violations inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7658 Sonoma JH CI PRO 25-26 Page 24 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) define a standardized reporting format that 3.4.13 (4)(A)( i-vii) Required Reporting and includes time period and procedure for documenting Review and reporting the use of force, including reporting requirements of management and line staff and The Facility Supervisor responds to all procedures for reviewing and tracking use of force incidents and will debrief with staff involved. incidents by supervisory and or management staff, BSCC staff interviewed youth supervision staff ☒ ☐ ☐ which include procedures for debriefing a particular who reported debriefing with youth after all incident with staff and/or youth for the purposes of UOF incidents. BSCC staff provided technical training as well as mitigating the effects of trauma that assistance to document debriefings and may have been experienced by staff and /or the youth follow-up actions in the incident report. involved. (6) Include an administrative review and a system for 3.4.13 (4)(C) Review of Reports investigating unreasonable use of force. 3.4.13 (4)(E) Duty Of Administration to Assess and Take Action ☒ ☐ ☐ Administration reviews all use of force incidents and maintains a tracking system. All use of force incidents will be reviewed by the UOF review committee. (7) define the role, notification, and follow-up 3.4.13 (4)(B)Health/Mental Health procedures required after use of force incidents for Notification medical, mental health staff and parents or legal 3.4.13 (4)(D)(i) Parent/Guardian Notification guardians. BSCC staff confirmed through an interview and documentation that medical staff are immediately notified by radio or telephone and respond to the units to provide clearance or direct follow-up care. When on duty, mental ☒ ☐ ☐ health is notified by radio or a telephone call. If not on duty, a mental health referral will be submitted. BSCC staff recommended the facility document the notification to mental health in the incident report. The documentation reviewed confirms the youth’s parent or guardians are notified of UOF incidents. (8) describe the limitations of use of force on pregnant 3.1.13 (3)(a) Pregnant Youth in Custody 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 3.4.13 2(a)(iii) Use of Force Methods option shall include policies and procedures that: 3.4.15 4(a) Use of Chemical Agents (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size and ☒ ☐ ☐ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when 3.4.13 (2)(a)(iii) Use of Force Methods there is an imminent threat to the youth’s safety or the 3.4.15 (3) Conditions for Use safety of others and only when de-escalation efforts ☒ ☐ ☐ have been unsuccessful or are not reasonably possible. 7658 Sonoma JH CI PRO 25-26 Page 25 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) outline the facility’s approved methods and 3.4.13 (2)(a)(iii) (1) Use of Force Methods timelines for decontamination from chemical agents. 3.4.15 (7)(a)( i-xi) Decontamination Process This shall include that youth who have been exposed to chemical agents shall not be left unattended until Staff consistently document ensuring youth that youth is fully decontaminated or is no longer are not left alone and prompt decontamination ☒ ☐ ☐ suffering the effects of the chemical agent. procedures. BSCC staff provided technical assistance to articulate in the reports when the youth reports they are no longer suffering from the effects. (4) define the role, notification, and follow-up 3.4.13 (4)(B)Health/Mental Health procedures required after use of force incidents Notification involving chemical agents for medical, mental health 3.4.13 (4)(D)(i) Parent/Guardian Notification staff and parents or legal guardians. BSCC staff confirmed through an interview and documentation that medical staff are immediately notified by radio or telephone and respond to the units to provide clearance or direct follow-up care. When on duty, mental ☒ ☐ ☐ health is notified by radio or a telephone call. If not on duty, a mental health referral will be submitted. BSCC staff recommended the facility document the notification to mental health in the incident report. The documentation reviewed confirms the youth’s parent or guardians are notified of UOF incidents. (5) provide for the documentation of each incident of 3.4.13, 1 Use of Force-Training use of chemical agents, including the reasons for 3.4.15 (1) Use of Chemical Agen-Training which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location Staff consistently document the reason of use, decontamination procedures applied and leading to the use of force, efforts to de- identification of any injuries sustained as a result of escalate, and follow-up procedures after the such use. ☒ ☐ ☐ use of chemical agents. BSCC staff provided technical assistance to expressly state chemical agents will be used and document in the incident report. BSCC staff interviewed youth who stated staff will warn youth prior to using force. (c) Facilities shall develop policies and procedure which 3.4.13 (1) Use of Force-Training require that agencies provide initial and regular training 3.4.15 (4)(a)(i) and (ii) Use of Chemical in use of force and chemical agents when appropriate Agents-Considerations Before and During that address: ☒ ☐ ☐ Use of OC Spray (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of 3.4.13 (1) Use of Force-Training application. 3.4.15 (5)(a-c) Use of Chemical Agents- ☒ ☐ ☐ Method of Deployment (3) signs or symptoms that should result in immediate 3.4.13 (1)(a) Training referral to medical or behavioral health. ☒ ☐ ☐ (4) instruction on the Constitutional Limitations of Use 3.4.13 (1)(a) Training of Force. ☒ ☐ ☐ (5) physical training force options that may require 3.4.13 (1)(a) Training the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular 3.4.13 (1)(a) Training training. ☒ ☐ ☐ 7658 Sonoma JH CI PRO 25-26 Page 26 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1358 USE OF PHYSICAL RESTRAINTS 3.4.14 Use of Restraints The facility administrator, in cooperation with the There were no uses of physical restraint during responsible physician and mental health director, shall this inspection cycle. develop and implement written policies and procedures ☒ ☐ ☐ for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth who 3.4.14 Use of Restraints present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted ☒ ☐ ☐ physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or 3.4.14 (5)(a) and (b) Improper Use of discipline, or as a substitute for treatment. The use of Restraints restraint devices that attach a youth to a wall, floor or other 3.1.13 (3)(a) Pregnant Youth in Custody fixture, including a restraint chair, or through affixing of 3.4.14 (2)(a)(iv) Use of Restraints (Pregnant hands and feet together behind the back (hogtying) is ☒ ☐ ☐ Youth) 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 Use of Restraints-Policy Statement handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed by ☒ ☐ ☐ Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval 3.4.14 (2)(a) Use of Restraints of the facility manager or designee. The facility manager 3.4.14, Procedure (4)(D) Housing, Visual may delegate authority to place a youth in restraints to a Supervision, Documentation and Review physician. Reasons for continued retention in restraints ☒ ☐ ☐ shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and 3.4.14 (4)(E) Housing, Visual Supervision, retention shall be secured as soon as possible, but no Documentation and Review-Medical Review later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as 3.4.14 (4)(F) Housing, Visual Supervision, possible, but in no case longer than four hours from the Documentation and Review-Mental Health time of placement, to assess the need for mental health ☒ ☐ ☐ Review treatment. Continuous direct visual supervision shall be conducted 3.4.14 (4)(B) Housing, Visual Supervision, to ensure that the restraints are properly employed, and Documentation and Review-Continuous to ensure the safety and well-being of the youth. Direct Supervision Observations of the youth's behavior and any staff ☒ ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and 3.4.14 (6) Required Reporting and Review procedures shall address: (a) documentation of the circumstances leading to an ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate 3.4.14 (2) Consideration Regarding Use of certain restraint devices and/or techniques. ☒ ☐ ☐ Restraints 7658 Sonoma JH CI PRO 25-26 Page 27 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) acceptable restraint devices. 3.4.14 (1)(a)(i)(1) and (2) Use of Restraints- Training Staff may only use the following approved restraints: ☒ ☐ ☐ • Handcuffs • Leg Shackles • Security Waist Chains • Soft Restraint (Wrap) (d) signs or symptoms which should result in immediate 3.4.14 (3)(C) Medical/Mental Health medical/mental health referral. ☒ ☐ ☐ Considerations When Using Restraints (e) availability of cardiopulmonary resuscitation 3.4.14 (3)(D) Medical/Mental Health equipment. ☒ ☐ ☐ Considerations When Using Restraints (f) protective housing of restrained youth. While in 3.4.14 (4)(A) Housing. Visual Supervision, restraint devices, all youth shall be housed alone or in a Documentation and Review specified housing area for restrained youth which makes ☒ ☐ ☐ provision to protect the youth from abuse. 3.4.14 (3)(A) Medical/Mental Health (g) provision for hydration and sanitation needs. Considerations When Using Restraints: ☒ ☐ ☐ Prevention of Injuries 3.4.14 (3)(A) Medical/Mental Health (h) exercising of extremities. Considerations When Using Restraints: ☒ ☐ ☐ Prevention of Injuries 1358.5 USE OF RESTRAINT DEVICES FOR 3.4.21 Resident Movements MOVEMENT AND TRANSPORTATION WITHIN 3.4.21 (2)(b) (i-III) Use of Restraints for THE FACILITY. Movements within the Facility The Facility Administrator, in cooperation with the BSCC staff reviewed ten special incidents responsible physician and behavioral/mental health reports regarding use of mechanical restraints director, shall develop and implement written policies for movement within the facility. In addition, and procedures for the use of restraint devices when the BSCC staff reviewed UOF incidents reports in purpose is for movement or transportation within the which mechanical restraints were used to facility that shall include the following: transport to other areas within the facility. (a) identification of acceptable restraint devices, staff BSCC staff recommended the facility ensure approved to utilize restraint devices and the required staff document not only the circumstances training. ☒ ☐ ☐ leading to the application of restraints but also the factors leading to their decision to use mechanical restraints. The facility is in compliance with this regulation. Staff may only use the following approved restraints: • Handcuffs • Leg Shackles • Security Waist Chains • Soft Restraint (WRAP) (b) the circumstances leading to the application of 3.4.21 (5) Required Reporting and Review restraints must be documented. ☒ ☐ ☐ (c) an individual assessment of the need to apply 3.4.21 (3)(b) Considerations for Use Of restraints for movement or transportation that includes Restraints for Movements 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. 7658 Sonoma JH CI PRO 25-26 Page 28 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) consideration of safety and security of the facility, 3.4.21 (3)(b) Considerations for Use Of with a clearly defined expectation that restraint devices Restraints for Movements shall not be used for the purposes of discipline or ☒ ☐ ☐ 3.4.21 (4)(a) Improper Use of Restraints for retaliation. Movements (e) the use of restraints on pregnant youth is limited in 3.4.21 (4)(b) Improper Use of Restraints for accordance with Penal Code Section 6030(f) and Movements ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES There is no safety room at the facility, however there is a Special Management (a) The facility administrator, and where applicable, in Room for housing youth needing closer cooperation with the responsible physician, shall supervision. The room is next to the staff’s develop and implement written policies and procedures counselor station. 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: 7658 Sonoma JH CI PRO 25-26 Page 29 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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. BSCC staff reviewed 12 strip search incidents Policies and procedures shall provide that: which were documented on the Strip Search Compliance and Authorization forms. One incident occurred at Intake, involving a ☒ ☐ ☐ weapon, and eleven were post detention. All post detention searches were for contraband which included vape pens, controlled substances, markers, and cell phones. Reasonable suspicion and supervisor approval was documented. The facility is in compliance with this regulation. (a) Searches shall be conducted to ensure the safety 3.4.9 Searches of Residents-Policy Statement and security of the facility, public, visitors, youth, and staff. Perimeter, unit, and room searches are ☒ ☐ ☐ conducted routinely and documented in shift operational reports. (b) Searches shall be conducted in a manner that 3.4.9 (1)(D)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 (4) Strip Searches and Visual Body searches shall comply with Penal Code Section 4030. Cavity Searches ☒ ☐ ☐ 3.4.9 (4) Physical Body Cavity Searches (d) Physical body cavity searches shall only be 3.4.9 (4) Physical Body Cavity Searches conducted by a medical professional. ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only be 3.4.9 (4) Strip Searches and Visual body strip searched with prior approval of a supervisor when Cavity Searches 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 (2)Searches of Transgender and comply with Section 1352.5. ☒ ☐ ☐ Intersex Youth (g) Cross-gender pat-down searches and strip searches 3.4.9 (1)(A) Searches of Residents are prohibited except in exigent circumstances or when conducted by a medical professional. Such searches ☒ ☐ ☐ must be justified and documented in writing. 7658 Sonoma JH CI PRO 25-26 Page 30 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1361 GRIEVANCE PROCEDURE 3.5.4 Grievance Procedure-Residents The facility administrator shall develop and implement BSCC staff reviewed all 55 grievances filed written policies and procedures whereby any youth may September 2024 through March 2025. The appeal and have resolved grievances relating to any grievances involved staff, loss of points, condition of confinement, including but not limited to housing, telephone access, and medical health care services, classification decisions, program ☒ ☐ ☐ concerns. All grievances reviewed were participation, telephone, mail or visiting procedures, completed within the required time frames. food, clothing, bedding, mistreatment, harassment or The facility is in compliance with this violations of the nondiscrimination policy. There shall be regulation. 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 (1)(h) and (j) Grievance Procedure- grievance, which includes provisions for the youth to Residents have free access to the form; 3.5.4 (2)(c) Resident Grievance Form Youth use the Resident Grievance Form to submit grievances. The form is comprised of three carbonless copy pages. The yellow first ☒ ☐ ☐ page is to be given to the youth to provide written documentation they filed a grievance. The green copy is given to the youth once the entire review process is completed. All youth interviewed knew of the grievance process and the location of the forms in the housing unit. (b) the youth shall have the option to confidentially file 3.5.4 (1)(d) Grievance Procedure-Residents the grievance or to deliver the form to any youth supervision staff working in the facility; A locked grievance box was observed in each ☒ ☐ ☐ living unit. All youth interviewed knew the location of the box to confidentially file grievances. (c) resolution of the grievance at the lowest appropriate 3.5.4 (1)(k) Grievance Procedure-Residents staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to 3.5.4 (3)(iv) Resident Grievance Review grievances within three (3) business days, grievances Process that relate to health and safety issues must be ☒ ☐ ☐ addressed immediately; A written response to youth filing a grievance needs to be completed by the end of shift. (1) The youth may elect to be present to explain 3.5.4 (c)(iii) Supervisor Level Review his/her version of the grievance to a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance. (2) Provision for a staff representative approved by 3.5.4 (3)(iii) Resident Grievance Review the facility administrator to assist the youth. ☒ ☐ ☐ Process (e) provision for a written response to the grievance 3.5.4 (2)(d) Resident Grievance Form which includes the reasons for the decisions; ☒ ☐ ☐ 3.5.4 (d)(iii) Administrative Level Review (f) a system which provides that any appeal of a 3.5.4 (c)(iii) Supervisor Level Review grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) 3.5.4 (d)(i)(1) Administrative Level Review business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, 7658 Sonoma JH CI PRO 25-26 Page 31 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) the policy shall provide multiple internal and external 3.5.4 (4) Sexual Assault and Sexual methods to report sexual abuse and sexual harassment. Harassment ☒ ☐ ☐ 2.1.17 Allegations of Sexual Misconduct 2.1.18 Sexual Harassment Whether or not associated with a grievance, concerns of 1.1.9 (2) Complaints and Internal parents, guardians, staff or other parties shall be Investigations addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS 3.4.20 Incident Reports A written report of all incidents which result in physical BSCC staff reviewed incident reports for use harm, use of force, serious threat of physical harm, or of force, room confinement, separation, and death of an employee, youth or other person(s) shall be ☒ ☐ ☐ mechanical restraints which indicated the maintained. Such written record shall be prepared by the facility is in compliance with this regulation. staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT 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 reasonable force to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or ☐ ☐ ☒ impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that an objective, trained and competent correctional employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented and include an advisement of the legal obligation to ☐ ☐ ☒ provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The authorization shall include information that reflects the ☐ ☐ ☒ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the length of time required by statute. Notwithstanding ☐ ☐ ☒ the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7658 Sonoma JH CI PRO 25-26 Page 32 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1370 EDUCATION PROGRAM 3.3.5 (9) School Program-Sonoma County Office of Education (SCOE) (a) School Programs The County Board of Education shall provide for the The Sonoma Couty Office of Education administration and operation of juvenile court schools in operates the facility school. The school is conjunction with the Chief Probation Officer, or designee ACS-WASC accredited. pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy The Education Program Evaluation was and procedures to ensure communication and completed on October 21, 2024, by Marci coordination between educators and probation staff. Kossman, Education Specialist, CRPUSD. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education BSCC staff interviewed Angie Scardina, staff should collaborate with the facility administrator to Director of Alternative Education. She noted use technology to facilitate learning and ensure safe that communication with the facility staff technology practices. The facility administrator shall ☒ ☐ ☐ occurs frequently and educational staff feel request an annual review of each required element of the supported as they collaborate effectively as a program by the Superintendent of Schools, and a report team. 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-Sonoma County The facility school program shall comply with the State Office of Education (SCOE) Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education 3.3.5 (9) School Program-Sonoma County program shall be free from discriminatory action. Staff Office of Education (SCOE) shall refer to transgender, intersex and gender- ☒ ☐ ☐ Program nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State 3.3.5 (9) School Program-Sonoma County Education Code and include, but not be limited to, Office of Education (SCOE) courses required for high school graduation. Students receive instruction in English ☒ ☐ ☐ Language Arts, Math History/Social Science, Physical Education, Health, Fine Arts, and electives. (2) Information and preparation for the High School 3.3.5 (9) School Program-Sonoma County Equivalency Test as approved by the California Office of Education (SCOE) Department of Education shall be made available to eligible youth. ☒ ☐ ☐ This is no longer an option offered by the state so SCOE places youth on a track to graduate with a high school diploma. 7658 Sonoma JH CI PRO 25-26 Page 33 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) Youth shall be informed of post-secondary 3.3.5 (9) School Program-Sonoma County education and vocational opportunities. Office of Education (SCOE) SCOE provides a guidance counselor who ☒ ☐ ☐ provides an individual learning plan for all youth who are held in the facility for longer than twenty days or longer. (4) Administration of the High School Equivalency 3.3.5 (9) School Program-Sonoma County Tests as approved by the California Department of Office of Education (SCOE) ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth 3.3.5 (9) School Program-Sonoma County who do not demonstrate sufficient progress towards Office of Education (SCOE) ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with 3.3.5 (9) School Program-Sonoma County State Education Code Requirements for juvenile court Office of Education (SCOE) schools. The facility administrator, in conjunction with education staff, must ensure that operational Students attend 240 minutes of school each procedures do not interfere with the time afforded for ☒ ☐ ☐ day. 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 regardless 3.3.5 (9) School Program-Sonoma County of classification, housing, security status, disciplinary Office of Education (SCOE) or separation status, including room confinement, except when providing education poses an immediate threat to the safety of self or others. Education ☒ ☐ ☐ includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline 3.3.5 (9) School Program-Sonoma County (1) Positive behavior management will be Office of Education (SCOE) implemented to reduce the need for disciplinary action in the school setting and be integrated into the facility's SCOE utilizes a Multiple Tiered Systems of ☒ ☐ ☐ overall behavioral management plan and security Supports to recognize positive behavior. They system. also work to align with the facility’s Behavior Management System. (2) School staff shall be advised of administrative 3.3.5 (9) School Program-Sonoma County decisions made by probation staff that may affect the Office of Education (SCOE) ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State 3.3.5 (9) School Program-Sonoma County Education Code, expulsion/suspension from school Office of Education (SCOE) 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-Sonoma County education staff will develop policies and procedures Office of Education (SCOE) that address the rights of any student who has ☒ ☐ ☐ continuing difficulty completing a school day. 7658 Sonoma JH CI PRO 25-26 Page 34 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) Provisions for Special Populations 3.3.5 (9) School Program-Sonoma County (1) State and federal laws and regulations shall be Office of Education (SCOE) observed for all individuals with disabilities or suspected disabilities. This includes but is not limited SCOE provides special education and English to child find, assessment, continuum of alternative ☒ ☐ ☐ language support to students. 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-Sonoma County afforded an educational program that addresses their Office of Education (SCOE) language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission 3.3.5 (9) School Program-Sonoma County (1) Youth shall be interviewed after admittance and a Office of Education (SCOE) record maintained that documents a youth's ☒ ☐ ☐ educational history, including but not limited to: (A) School progress/school history; 3.3.5 (9) School Program-Sonoma County ☒ ☐ ☐ Office of Education (SCOE) (B) Home Language Survey and the results of the 3.3.5 (9) School Program-Sonoma County State Test used for English language proficiency; ☒ ☐ ☐ Office of Education (SCOE) (C) Needs and services of special populations as 3.3.5 (9) School Program-Sonoma County defined by the State Education Code, including but Office of Education (SCOE) ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. 3.3.5 (9) School Program-Sonoma County ☒ ☐ ☐ Office of Education (SCOE) (2) Youth will be immediately enrolled in school. 3.3.5 (9) School Program-Sonoma County Educational staff shall conduct an assessment to Office of Education (SCOE) determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary 3.3.5 (9) School Program-Sonoma County education plan shall be developed for each youth Office of Education (SCOE) ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with 3.3.5 (9) School Program-Sonoma County the State Education Code and request the youth's Office of Education (SCOE) records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, immunization records, exit grades, and partial credits. ☒ ☐ ☐ Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting 3.3.5 (9) School Program-Sonoma County (1) The complete facility educational record of the Office of Education (SCOE) youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall 3.3.5 (9) School Program-Sonoma County provide appropriate credit (full or partial) for course Office of Education (SCOE) work completed while in juvenile court school in ☒ ☐ ☐ accordance with the State Education Code. 7658 Sonoma JH CI PRO 25-26 Page 35 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) Transition and Re-Entry Planning 3.3.5 (9) School Program-Sonoma County (1) The Superintendent of Schools and the Chief Office of Education (SCOE) Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, The SCOE Guidance Counselor, Work Based including the development of an education transition ☒ ☐ ☐ Learning Coordinator, and the Director of plan, in accordance with the State Education Code Alternative Education coordinates with the and in alignment with Title 15, Minimum Standards for home school district for all youth released. Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities 3.3.5 (9) School Program-Sonoma County (1) The school and facility administrator should, Office of Education (SCOE) whenever possible, collaborate with local post- secondary education providers to facilitate access to Youth can utilize Edovo Tablets and educational and vocational opportunities for youth that Chromebooks and take adult education and considers the use of technology to implement these college courses through Santa Rosa Junior ☒ ☐ ☐ programs. College Career. Technical certificate programs available include OSHA, Culinary Arts, Computer Science, Red Cross CPR and First Aid, CNC Coding, Adobe, and Microsoft Office Specialist. 1371 PROGRAMS, RECREATION, AND EXERCISE. 3.6.4 Programs, Recreation and Exercise The facility administrator shall develop and implement written policies and procedures for programs, recreation, ☒ ☐ ☐ and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for 3.6.4 (j) Programs, Recreation and Exercise programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each BSCC staff reviewed March 2025 Facility Saturday, Sunday or other non-school days, of which Programming Calendar and documentation one hour shall be an outdoor activity, weather permitting. for youth’s participation in programming, recreation, and exercise maintained in the Behavior Tracker Program Compliance Report for October and December 2024 and January ☒ ☐ ☐ 2025 this regulation. The facility is in compliance with this regulation. A Program Supervisor is tasked with overseeing programming. A JCC III supports career technical education and college/higher education services. A youth’s participation in programs, recreation, and 3.6.4 (2) Suspension of Programs, Leisure exercise may be suspended only upon a written finding Activities and Exercise by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall 3.3.15 Program and Activities Schedules be posted in the living units. ☒ ☐ ☐ BSCC staff reviewed Housing Unit Schedules and confirmed posted in the living unit. There will be a written annual review of the programs, A memorandum dated March 20, 2025, by recreation, and exercise by the responsible agency to Division Director I, Daniel Flamson, outlined ensure content offered is current, consistent, and ☒ ☐ ☐ programming, recreation, and exercise. relevant to the population. 7658 Sonoma JH CI PRO 25-26 Page 36 of 46 J453 JUV PRO eff. 01.01.25 (a) Programs. All youth shall be provided with the 3.6.4 Programs, Recreation and Exercise opportunity for at least one hour of daily programming to (1)(e)(i-xvii) include, but not be limited to, trauma focused, cognitive, 3.3.3 Behavior Management System evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- Facility staff are trained to facilitate Cognitive social interventions and activities designed to reduce Behavioral Interventions. Daily staffing occurs recidivism. These programs should be based on the at the beginning of each shift in which staff youth’s individual needs as required by Sections 1355 discuss with the group expectations and shift and 1356. Such programs may be provided under the events. Afternoon staffing may include a direction of the Chief Probation Officer or the County focused lesson of the matrix values of Be Safe, Office of Education and can be administered by county Be Accountable, and Be Respectful. partners such as mental health agencies, community based organizations, faith-based organizations or The facility staff provides a gardening program Probation staff. to the youth utilizing a 30-foot greenhouse Programs may include but are not limited to: which grows produce using aquaponics. In (1) Cognitive Behavior Interventions; addition, facility staff provide the following (2) Management of Stress and Trauma; programming: (3) Anger Management; (4) Conflict Resolution; Aggression Replacement Training (5) Juvenile Justice System; Girls Circle (6) Trauma-related interventions; Intro to Welding (7) Victim Awareness; Second Chances (8) Self-Improvement; Interactive Journaling (9) Parenting Skills and support; Boys Council (10) Tolerance and Diversity; Art Program (11) Healing Informed Approaches; Arts and Crafts (12) Interventions by Credible Messengers; Girls Moving ON (13) Gender Specific Programming; Cognitive Behavior Interventions-Core Youth (14) Art, creative writing, or self-expression; (CBI)CY) (15) CPR and First Aid training; A New Freedom (Gand Intervention (16) Restorative Justice or Civic Engagement; Programming) (17) Career and leadership opportunities; and, ☒ ☐ ☐ Cognitive Behavioral Interventions- (18) Other topics suitable to the youth population. Interpersonal Violence (CBI-IPV) Facility staff also assist collaborative partners with the following programs: Mentoring Creative Audio Program Cognitive Behavioral Interventions-Substance Abuse (CBI-SA) A culinary program is facilitated via a contract with a local chef and educator. A music program was implemented in January 2024. The facility purchased musical equipment and industry-standard music studio and added music lessons and music theory classes. In addition, the following programming is provided by collaborative partners and community-based organizations: Rising Scholars Network My Strength Teen Assault Prevention Individual Trauma Counseling Drug and Alcohol Education (AODS) Individual and Group Counseling Narcotics/Alcoholics Anonymous Creative Ceramics Program Mindfulness Boys and Girls Club/REACH 7658 Sonoma JH CI PRO 25-26 Page 37 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The Beat Within Department of Rehabilitation Sonoma County Library/Book Club Hope Programming Guitar Class Jeannette Gilbert, MFT Breathwork and Trauma Recovery BSCC interviewed youth who affirmed programming occurs daily. (b) Recreation. All youth shall be provided the opportunity 3.6.4 Programs, Recreation and Exercise for at least one hour of daily access to unscheduled (1)(d) activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and include The recreation program consists of board orientation and may include coaching of youth. games, television, letter writing, ping pong, PS3 video games, and reading material. The facility has contracted with Sonoma County Library and has a full-time librarian. The ☒ ☐ ☐ youth have regular access to the librarian and book carts and deposit boxes were installed on every housing unit. BSCC staff interviewed youth who affirmed they have the opportunity to choose leisure activities daily. (c) Exercise. All youth shall be provided with the 3.6.4 Programs, Recreation and Exercise opportunity for at least one hour of large muscle activity (1)(j) each day. The facility continues to operate a running program and workout equipment has been provided in every unit and recreation yard. The workout equipment in the gym created in ☒ ☐ ☐ Housing Unit 7 has been upgraded and industrial rubber floormats were installed to lessen the physical impact of workouts. BSCC staff interviewed youth who affirmed they have the opportunity to exercise daily. The administrator/manager may suspend, for a period not 3.6.4 (2) Suspension of Programs, Leisure to exceed 24 hours, access to recreation and programs. Activities and Exercise 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 religious Youth interviewed affirmed spiritual advisors services and/or religious counseling at least once each and services are available weekly and they are week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ not required to participate. allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; 3.6.5 (1)(e) Religious Programs ☒ ☐ ☐ (b) availability of clergy; and, 3.6.5 (1)(e) and (f) Religious Programs ☒ ☐ ☐ (c) availability of religious diets. 3.6.5 (1)(j) Religious Programs ☒ ☐ ☐ 7658 Sonoma JH CI PRO 25-26 Page 38 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1373 WORK PROGRAM 3.1.2 Housing Unit Cleaning Schedule The facility administrator shall develop policies and procedures regarding the fair and consistent assignment 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 Visiting schedule is posted in the living units. written policies and procedures for visiting, that include BSCC staff reviewed visiting schedule and the provisions for special visits. Youth shall be allowed to Guide to Family Visitation brochure. BSCC receive visits by parents, guardians or persons standing staff interviewed youth who indicated visiting in loco parentis, and children of youth. Other family ☒ ☐ ☐ always occurs as scheduled. The facility is in members, such as grandparents and siblings, and compliance with this regulation. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to 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 criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours 3.3.16 (1)(a)Visiting per week. Visits may be supervised, but conversations 3.3.16 (2)(f) Standard Visiting Rules and shall not be monitored unless there is a security or safety ☒ ☐ ☐ Expectations need. Provisions for special visits, in addition to the two-hour 3.3.16 (3) Special Visits 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) Special Visits alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ 1375 CORRESPONDENCE 3.6.3 Mail 3.6.3 (1)(c) Mail The facility administrator shall develop and implement written policies and procedures for correspondence which ☒ ☐ ☐ provide that: (a) there is no limitation on the volume of mail that youth may send or receive; (b) youth may send two letters per week postage free; 3.6.3 (1)(c) Mail ☒ ☐ ☐ The facility provides seven stamps per week for personal correspondence. 7658 Sonoma JH CI PRO 25-26 Page 39 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) youth may correspond confidentially with state and 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) Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and security, public safety, ☒ ☐ ☐ or youth safety is jeopardized. 1376 TELEPHONE ACCESS 3.6.2 Access to Phones The administrator of each juvenile facility shall develop ☒ ☐ ☐ and implement written policies and procedures to provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES 3.6.1(1)(a) Access to Legal Services The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; 3.6.1 (5)(b) Visits with Attorney and Other and, ☒ ☐ ☐ Legal Services (c) unlimited postage free, legal correspondence and 3.6.1 (6) Correspondence with Attorney and cost-free telephone access as appropriate. ☒ ☐ ☐ Other Legal Services 1390 DISCIPLINE 3.5.2 Discipline and the Discipline Process 3.3.3 Behavior Management System The facility administrator shall develop and implement written policies and procedures for the discipline of youth Disciplinary actions for a major rule violation that shall promote acceptable behavior; including the use could include loss of BMS points, separation, of positive behavior interventions and supports. Discipline or modified program. In addition, if applicable, shall be imposed at the least restrictive level which ☒ ☐ ☐ additional days could be added to a promotes the desired behavior and shall not include commitment program. The facility has three corporal punishment, group punishment, physical or core behavioral expectations of: Be Safe, Be psychological degradation. Accountable, and Be Respectful as outlined in Deprivation of the following is not permitted: their BMS. 3.5.2 (1)(g)(i) Discipline and the Discipline (a) bed and bedding; ☒ ☐ ☐ Process (b) daily shower, access to drinking fountain, toilet and 3.5.2 (1)(g)(ii-v) Discipline and the Discipline personal hygiene items, and clean clothing; ☒ ☐ ☐ Process 3.5.2 (1)(g)(vi) Discipline and the Discipline (c) full nutrition; ☒ ☐ ☐ Process 3.5.2 (1)(g)(vii) Discipline and the Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Process 3.5.2 (1)(g)(viii) Discipline and the Discipline (e) exercise; ☒ ☐ ☐ Process 3.5.2 (1)(g)(ix) Discipline and the Discipline (f) medical services and counseling; ☒ ☐ ☐ Process 3.5.2 (1)(g)(x) Discipline and the Discipline (g) religious services; ☒ ☐ ☐ Process 3.5.2 (1)(g)(xi) Discipline and the Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Process 3.5.2 (1)(g)(xii) Discipline and the Discipline (i) the right to send and receive mail; ☒ ☐ ☐ Process 7658 Sonoma JH CI PRO 25-26 Page 40 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 BSCC staff provided technical assistance to (j) education; and, ☒ ☐ ☐ clarify this language in policy. 3.5.2 (1)(g)(xiii) Discipline and the Discipline (k) rehabilitative programming. ☒ ☐ ☐ Process The facility administrator shall establish rules of conduct 3.5.2 (1)(b)Discipline and the Discipline and disciplinary penalties to guide the conduct of youth. Process Such rules and penalties shall include both major 3.5.2 (2) Major and Minor Rule Violations violations and minor violations, be stated simply and 3.5.1 Resident Rules and Behavior affirmatively, and be made available to all youth. Provision ☒ ☐ ☐ Expectations shall be made to provide accessible information to youth 3.5.1 (2)(a) Major Rules with disabilities, limited English proficiency, or limited 3.5.1 (2)(b) Medium Rules literacy. 3.5.1 (2)(c) Major Rules 1391 DISCIPLINE PROCESS 3.5.2 (1)(h) Discipline and the Discipline Process The facility administrator shall develop and implement 3.5.3 Due Process written policies and procedures for the administration of discipline which shall include, but not be limited to: ☒ ☐ ☐ BSCC staff reviewed 10 Juvenile Hall (a) designation of personnel authorized to impose Behavior Tracker Entries and Resident Due discipline for violation of rules; Process Forms. The facility is in compliance with this regulation. (b) prohibiting discipline to be delegated to any youth; 3.5.2 (1)(h)(i) Discipline and the Discipline ☒ ☐ ☐ Process (c) definition of major and minor rule violations and their 3.5.2 (2)(a) and (b) Major and Minor Rule consequences, and due process requirements; ☒ ☐ ☐ Violations (d) trauma-informed approaches and positive behavior 3.5.2 (1)(f) Discipline and the Discipline interventions; ☒ ☐ ☐ Process (e) minor rule violations may be handled informally by 3.5.2 (2)(b) Minor Rule Violations counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall 3.5.3 (1)(b)(i) Due Process be documented and require the following: ☒ ☐ ☐ (1) written notice of violation prior to a hearing; (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; ☒ ☐ ☐ (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 ☒ ☐ ☐ (g) violations that result in a removal from camp or 3.5.3 Due Process commitment program, but not a return to court, will follow ☒ ☐ ☐ the due process provisions in subsection (e) above. 7658 Sonoma JH CI PRO 25-26 Page 41 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1410 MANAGEMENT OF COMMUNICABLE 5.1.15 COVID-19 and Other Communicable DISEASES. Diseases The health administrator/responsible physician, in . cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: 4.1.1 Intake (a) Intake health screening procedures; ☒ ☐ ☐ 5.1.15 (2) Intake Procedures 5.1.15 COVID-19 and Other Communicable (b) Identification of relevant symptoms; ☒ ☐ ☐ Diseases 5.1.15 COVID-19 and Other Communicable (c) Referral for medical evaluation; Diseases ☒ ☐ ☐ 6.1.2 Medical Services Referral 5.1.15 COVID-19 and Other Communicable (d) Treatment responsibilities during detention; ☒ ☐ ☐ Diseases (e) Coordination with public and private community- 5.1.15 COVID-19 and Other Communicable based resources for follow-up treatment; ☒ ☐ ☐ Diseases 5.1.15 COVID-19 and Other Communicable (f) Applicable reporting requirements; and, ☒ ☐ ☐ Diseases 5.1.15 COVID-19 and Other Communicable (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Diseases The policies and procedures shall be updated as 5.1.15 COVID-19 and Other Communicable necessary to reflect communicable disease priorities Diseases identified by the local health officer and currently ☒ ☐ ☐ recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES 6.1.1 Medical Services Program Resident Handbook Page 8 The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE 4.1.3 Initial Shower, Clothing and Bedding Issue The youth’s personal clothing, undergarments and 4.1.3 (2) Initial Clothing and Shower footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily 3.2.3 (1)(a) Clothing Issuance laundered, in good repair, and free of holes and tears. 4.1.3 Initial Shower, Clothing and Bedding ☒ ☐ ☐ Issue (b) The standard issue of climatically suitable clothing 3.2.3, 1(ii)(3) Clothing Issuance for youth shall consist of but not be limited to: 3.2.3 (4) Shoes (1) Socks and serviceable footwear; ☒ ☐ ☐ 4.1.3 (2)(a)(i) Initial Clothing Issue and Shower (2) Outer garments; 3.2.3 (1)(a)(ii) Outer Garments ☒ ☐ ☐ (3) New non-disposable underwear which shall 3.2.3 (1)(a)(i)(2) Clothing Issuance remain with the youth throughout their stay, and; 4.1.3 (2)(a)(i) Initial Clothing Issue and ☒ ☐ ☐ Shower 7658 Sonoma JH CI PRO 25-26 Page 42 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) Undergarments, that are freshly laundered and 3.2.3 (1)(a)(i) Clothing Issuance free of stains, including tee shirts and bras. 4.1.3 (2)(a)(i) Initial Clothing Issue and ☒ ☐ ☐ Shower (c) Clothing is laundered at the temperature required by 7.2.2 (1)(a)(i) Laundry Operations local ordinances for the commercial laundries and dried completely in a mechanical dryer or other laundry ☒ ☐ ☐ method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. 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 Interviews with youth confirm they are cleaning and scheduled exchange of clothing. Unless receiving clean clothing daily. They were also work, climatic conditions, or illness necessitates more ☒ ☐ ☐ able to relay the exchange for other clothing frequent exchange, outer garments, except for footwear, not required to be exchanged daily. The youth shall be exchanged at least once each week. Tee shirts, indicated they can receive clean clothing prior bras, and underwear shall be exchanged daily; youth to the exchange if needed. shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S 4.1.3 (2)(k) and (l) Soiled and Contaminated PERSONAL CLOTHING Clothing 4.1.4 (3) Property Storage and Vermin There shall be written policies and site-specific Control 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 There shall be written policies and site-specific Interviews with youth confirm they are procedures developed and implemented by the facility receiving all required personal care items. administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; 3.2.2 (1)(b) Personal Hygiene ☒ ☐ ☐ (b) Toothpaste; 3.2.2 (1)(b) Personal Hygiene ☒ ☐ ☐ (c) Soap; 3.2.2 (1)(b) Personal Hygiene ☒ ☐ ☐ (d) Comb; 3.2.2 (1)(b) 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 ☒ ☐ ☐ 7658 Sonoma JH CI PRO 25-26 Page 43 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Youth shall not be required to share any personal care 3.2.2 Personal Hygiene items listed in items (a) through (d). Liquid soap provided 3.2.4 Shaving 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 procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING 3.2.4 Shaving Youth shall have access to a razor daily, unless their BSCC staff interviewed youth who indicate appearance must be maintained for reasons of they have the opportunity to shave daily. identification in Court. All youth shall have equal ☒ ☐ ☐ BSCC staff recommended the facility provide opportunity to shave face and body hair. The facility male youth the same amount of time as female administrator may suspend this requirement in relation youth to shave body hair. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES 3.2.5 Hair Care Services Hair care services shall be available in all juvenile BSCC staff reviewed monthly invoices and facilities. Youth shall receive hair care services monthly. hair care provider sign-in sheets for the last Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State ☒ ☐ ☐ comprehensive inspection. BSCC staff Board of Barbering and Cosmetology. interviewed youth who noted they can receive haircare services monthly. The facility is in compliance with this regulation. 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, but not be limited to: (a) One mattress or mattress-pillow combination which 4.1.3 (3)(a)(iii) Initial Bedding Issue meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in 4.1.3 (3)(a)(iii) Initial Bedding Issue (a) above; ☒ ☐ ☐ (c) One mattress cover and a sheet or two sheets; 4.1.3 (3)(a)(i) Initial Bedding Issue ☒ ☐ ☐ 3.2.3 (1)(d) Clothing Assignment and Bedding Exchange (d) One towel; and, ☒ ☐ ☐ 4.1.3 (2)(m)(ii) Initial Clothing Issue and Shower (e) One blanket or more, up on request 4.1.3 (3)(a)(ii) Initial Bedding Issue ☒ ☐ ☐ 7658 Sonoma JH CI PRO 25-26 Page 44 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1501 BEDDING LINEN EXCHANGE 3.2.3 (3)(a) Bedding Exchange The facility administrator shall develop and implement Interviews with youth confirm they are site specific written policies and procedures for the exchanging linen each week. They can scheduled exchange of laundered bedding and linen ☒ ☐ ☐ receive clean linen if needed prior to exchange issued to each youth housed. Washable items such as day. sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once 3.2.3 (3)(b) Bedding Exchange a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND 2.1.1 (2)(a)(xiii) JCC Roles and MAINTENANCE Responsibilities 3.1.2 (1)(e)(iii) Housing Unit Cleaning The facility administrator shall develop and implement Schedule written policies and site-specific procedures for the 7.3.1 (1)(a) Work Orders maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall The interior and exterior of the facility is well provide for a regular schedule of housekeeping tasks, kept. All sleeping rooms were recently equipment, including restraint devices, and physical ☒ ☐ ☐ refreshed with new paint, including an accent plant maintenance and inspections to identify and wall in each room and chalkboard paint for the correct unsanitary or unsafe conditions or work practices door. The Court Visitation was recently in a timely manner. The use of chemicals shall be done upgraded with new paint, carpet, furniture, and in accordance to the product label and Safety Data technology. Two local artists were contracted Sheet which may include the use of Personal Protection and painted murals in Court Visitation, every Equipment (PPE). housing unit, and the small recreation yard. 7658 Sonoma JH CI PRO 25-26 Page 45 of 46 J453 JUV PRO eff. 01.01.25 REVIEW OF NON-REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 7658 Sonoma JH CI PRO 25-26 Page 46 of 46 J453 JUV PRO eff. 01.01.25 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7659 FACILITY NAME: Sonoma Secure Youth Treatment Facility FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Kilee Willson-Division Director II, Daniel Flamson-Division Director I, Kristy Silva-Division Director I, J. Bowman-Juvenile Correctional Officer IV/Programming Supervisor, M. Combs-Juvenile Correctional Counselor III/Career Technical Education Liaison, C. Peiper-Juvenile Correctional Counselor II, Kristen Vela-Sonoma County Department of Health Services Program Manager, Angie Scardina-Sonoma County Office of Education Director of Alternative Education, two male youth ages 20, female youth age 19 FIELD REPRESENTATIVE: Shay Molennor DATE: April 29-May 1, 2025 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1313 COUNTY INSPECTION AND EVALUATION OF Policy 1.1.4 (7)(b) Administrative BUILDING AND GROUNDS Responsibilities-Other Reviews and Inspections On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented December 21, 2023 inspection and evaluation from the following: ☒ ☐ ☐ (a) county building inspector or person designated by the November 21, 2024 (Confirmed items Board of Supervisors to approve building safety; identified in need of correction have been repaired.) (b) fire authority having jurisdiction, including a fire February 15, 2024 clearance as required by Health and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ December 10, 2024 (Confirmed fire hood was serviced as required on December 19, 2024.) (c) local health officer, inspection in accordance with Environmental: Health and Safety Code Section 101045; October 17, 2023 (Areas of noncompliance confirmed corrected November 16, 2023.) October 15, 2024 (Areas of noncompliance confirmed corrected October 28, 2024.) ☒ ☐ ☐ Nutrition: October 17, 2023 October 15, 2024 Medical/Mental Health: October 17, 2023 October 15, 2024 (d) county superintendent of schools on the adequacy of June 14, 2024 educational services and facilities as required in Section ☒ ☐ ☐ 1370; October 21, 2024 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text. 7659 Sonoma SYTF CI PRO 25-26 Page 1 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (e) juvenile court as required by Section 209 of the January 19, 2024 Welfare and Institutions Code; and, ☒ ☐ ☐ November 22, 2024 (f) the Juvenile Justice Commission as required by December 14, 2023 Section 229 of the Welfare and Institutions Code or Probation Commission as required by Section 240 of the ☒ ☐ ☐ November 19, 2024 Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS A memorandum dated March 20, 2025, by Chief Probation Officer Vanessa Fuchs, Note: Compliance with this section is determined by addressed all elements of this regulation. receipt of the Chief Probation Officer’s certification letter confirming that all elements of regulation are met. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in accordance with Section 1031 of the Government ☒ ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- 3.3.14 (2)(a) Volunteer Program-Security employees of the facility, who may be present at the Clearance for Volunteers facility, shall have such clearance and qualifications as may be required by law, and their presence at the facility ☒ ☐ ☐ shall be subject to the approval and control of the facility manager. 7659 Sonoma SYTF CI PRO 25-26 Page 2 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1321 STAFFING 2.1.4 (1)(a) Staffing Requirements 2.1.5 Mandatory Overtime and Holdover Each juvenile facility shall: Process (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its The agency staff for their Juvenile Hall and programming, to provide for safety and security of youth SYTF, which are co-located on the same and staff, and meet established standards and campus. Combined population on the first day regulations; of the inspection was 66. • JH - 48 • SYTF - 18 BSCC staff reviewed the February 2025 daily schedule, which included staff substitutions, March 18, 2025 Post Assignments, Shift Bid Post Descriptions, facility organizational charts, Juvenile Hall Staffing Summary, and ☒ ☐ ☐ Supervisor Duties Matrix. Facility staff work a mixture of 8- and 12-hour shifts. • 1 Division Director II • 2 Division Directors I • 9 Juvenile Correctional Counselor IV (Supervisors) • 12 Juvenile Correctional Counselor III • 56 Juvenile Correctional Counselor I/1I (8 vacant) • 15 Extra Help Juvenile Correctional Counselor The facility is in compliance with this regulation. (b) ensure that no required services shall be denied 2.1.4 (1)(a)(i) Staffing Requirements because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to 2.1.4 (1)(b) Staffing Requirements ensure adequate supervision of all staff members; ☒ ☐ ☐ A JJCIV/Supervisor is assigned to each shift. (d) have a clearly identified person on duty at all times 2.1.4 (1)(b) Staffing Requirements who is responsible for operations and activities and has 2.1.4 (1)(c) Staffing Requirements completed the Juvenile Corrections Officer Core Course ☒ ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living 2.1.4 (1)(f) Staffing Requirements unit whenever there are youth in the living unit; ☒ ☐ ☐ (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 nutritional Meals for the youth are prepared on site by requirements of youth; provide kitchen supervision; direct Sonoma County Probation food service staff. food preparation and servings; conduct related training ☒ ☐ ☐ programs for culinary staff; and maintain necessary • 1 Chef/Kitchen Supervisor records; or, a facility may serve food that meets nutritional • 5 Cooks standards prepared by an outside source; • 2 Extra Help Cooks 7659 Sonoma SYTF CI PRO 25-26 Page 3 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) have sufficient administrative, clerical, recreational, 2.1.4 (1)(e) Staffing Requirements medical, dental, mental health, building maintenance, transportation, control room, facility security and other In addition to staff assigned to the housing support staff for the efficient management of the facility, units, the facility provides an appropriate level and to ensure that youth supervision staff shall not be of staff to operate intake, programming, diverted from supervising youth; and, security, and court/visitation. The facility has one Secretary/Administrative Assistant responsible for clerical services and one Residential Services Worker who attends to laundry and warehouse duties. Maintenance is provided by Sonoma County Facilities Management and groundskeeping by Sonoma County Parks and Recreation. Janitorial services are provided through a ☒ ☐ ☐ contract with ABM. Sonoma County Department of Health Services provides medical and behavioral health services. Medical services are provided seven days a week from 7:00 a.m. to 9:30 p.m. Staff consists of a Program Manager, Senior Office Assistant, Dentist, Physician, Nurse Practitioner, and eight nursing staff. Behavioral health services are provided six days a week from 9:00 a.m. to 6:00 p.m. Staffing consists of a Psychiatrist, three mental health clinicians, and two Alcohol and Drugs Services 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 special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls 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 each 10 youth 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 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 2.1.4 (1)(g) Staffing Requirements duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other 2.1.4 (1)(e) Staffing Requirements duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. 7659 Sonoma SYTF CI PRO 25-26 Page 4 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. awake youth supervision staff member on duty for ☐ ☐ ☒ each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement has been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps The facility is not a Camp. (A) during the hours that youth are awake, one wide-awake youth supervision staff member on ☐ ☐ ☒ duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth supervision staff member on duty for each 30 ☐ ☐ ☒ youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless arrangements have been made for backup support ☐ ☐ ☒ services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility; (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 SYTF CI PRO 25-26 Page 5 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1322 YOUTH SUPERVISION STAFF ORIENTATION 2.2.1 Training Program AND TRAINING 2.2.1 (4)(d)(i)(1)Training Program (a) Prior to assuming any responsibilities each youth A memorandum dated March 20, 2025, by supervision staff member shall be properly oriented to Chief Probation Officer Vanessa Fuchs, their duties, including: addressed all elements of this regulation. (1) youth supervision duties; ☒ ☐ ☐ The facility requires new staff to complete a 160-hour New Employee Training Program. The training consists of five phases, which include classroom lectures, observations, reading assignments, and hands-on learning. The training is provided by facility staff and supervisors. (2) scope of decisions they shall make; 2.2.1 (4)(d)(i)(2)Training Program ☒ ☐ ☐ (3) the identity of their supervisor; 2.2.1,(4)(d)(i)(3) Training Program ☒ ☐ ☐ (4) the identity of persons who are responsible to 2.2.1 (4)(d)(i)(4) Training Program them; ☒ ☐ ☐ (5) persons to contact for decisions that are beyond 2.2.1 (4)(d)(i)(5) Training Program their responsibility; and ☒ ☐ ☐ (6) ethical responsibilities. 2.2.1 (4)(d)(i)(6) Training Program ☒ ☐ ☐ (b) Prior to assuming any responsibility for the supervision 2.2.1 (4)(e)(ii) Training Program of youth, each youth supervision staff member shall receive a minimum of 40 hours of facility-specific BSCC staff reviewed February 4, 2025 orientation, including: through March 12, 2025 New Employee (1) individual and group supervision techniques; Orientation agenda. Staff received 15 days of ☒ ☐ ☐ classroom training which included facility- specific training. New staff then shadowed mentoring staff for two weeks and complete the Shadow Task Worksheet. (2) regulations and policies relating to discipline and 2.2.1 (4)(e)(iii) Training Program rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; (3) basic health, sanitation and safety measures; 2.2.1 (4)(e)(iv) Training Program ☒ ☐ ☐ (4) suicide prevention and response to suicide 2.2.1 (4)(e)(v) Training Program attempts ☒ ☐ ☐ 3.3.21 Trauma-Informed Approaches (5) policies regarding use of force, de-escalation 2.2.1 (4)(e)(vi) Training Program techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing 2.2.1 (4)(e)(vii) Training Program trauma and trauma-informed approaches; ☒ ☐ ☐ (7) procedures to follow in the event of emergencies; 2.2.1 (4)(e)(viii) Training Program ☒ ☐ ☐ (8) routine security measures, including facility 2.2.1 (4)(e)(ix) Training Program perimeter and grounds; ☒ ☐ ☐ (9) crisis intervention and mental health referrals to 2.2.1 (4)(e)(x)Training Program mental health services; ☒ ☐ ☐ (10) documentation; and 2.2.1 (4)(e)(xi) Training Program ☒ ☐ ☐ (11) fire/life safety training 2.2.1 (4)(e)(xii) Training Program ☒ ☐ ☐ 7659 Sonoma SYTF CI PRO 25-26 Page 6 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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 Corrections A memorandum as to staff training dated Officer Core Course pursuant to Penal Code Section ☒ ☐ ☐ March 20, 2025, by Chief Probation Officer 6035. Vanessa Fuchs, confirmed compliance with this regulation. (d) Prior to exercising the powers of a peace officer youth 2.2.1 (4)(f)(i) Training Program supervision staff shall successfully complete training pursuant to Section 830 et seq. of the Penal Code. A memorandum as to staff training dated ☒ ☐ ☐ March 20, 2025, by Chief Probation Officer Vanessa Fuchs, confirmed compliance with this regulation. 1323 FIRE AND LIFE SAFETY 5.1.9 Fire and Life Safety 2.2.1 (4)(I)(i)Training Program Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times Youth supervision staff receive Fire and Life who meets the training standards established by the Safety training through CORE. The Board for general fire and life safety which relate ☒ ☐ ☐ memorandum as to staff training dated March specifically to the facility. 20, 2025, by Chief Probation Officer Vanessa Fuchs, confirmed compliance with this regulation. 1324 POLICY AND PROCEDURES MANUAL 1.1.4 (I)(a),(b) and (c) Administrative Responsibilities - Policy and Procedure All facility administrators shall develop, publish, and Manual Accessibility and Maintenance implement a manual of written policies and procedures 1.1.5 Policy and Procedures Manual that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made A memorandum dated March 25, 2025, by available to all employees, reviewed by all employees, Kilee Willson, Division Director II, indicated and shall be administratively reviewed at a minimum facility administration reviews different every two years, and updated, as necessary. Those sections of written policy and procedures records relating to the standards and requirements set bimonthly. The manual is available to all staff forth in these regulations shall be accessible to the Board online via SharePoint and a printed copy is on request. available in Administration. When a new The manual shall include: ☒ ☐ ☐ policy is implemented or an existing policy is updated, an email is distributed to staff and they are required to sign a form indicating the policy name and number reviewed. The Division Director was provided with assistance and recommendations to enhance their policies and procedures to address consistency, clarity, and best practices. The facility is in compliance with this regulation. (a) table of organization, including channels of 1.1.5 Policy and Procedures Manual communications and a description of job classifications; ☒ ☐ ☐ (b) responsibility of the probation department, purpose of 1.1.7 Juvenile Justice Commission 1.1.8 programs, relationship to the juvenile court, the Juvenile Roles and Relationships with other Agencies, Justice/Delinquency Prevention Commission or Departments and Divisions Probation Committee, probation staff, school personnel ☒ ☐ ☐ and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; 1.1.5 (1)(f) Policy and Procedure Manual ☒ ☐ ☐ 2.1.1 JCC Roles and Responsibilities 7659 Sonoma SYTF CI PRO 25-26 Page 7 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) initial orientation and training program for employees; 2.2.1 Training Program 2.2.1 (4) (g) (i) and (ii) Volunteers, Program ☒ ☐ ☐ Providers and Support Staff Training and Orientation (e) initial orientation, including safety and security issues 2.2.1 (4) (g) (ii) Volunteers, Program and anti-discrimination policies, for support staff, contract Providers and Support Staff Training and employees, school, mental/behavioral health and medical Orientation ☒ ☐ ☐ staff, program providers and volunteers; 3.3.14 (3) Volunteer Program-Orientation for Volunteers (f) maintenance of record-keeping, statistics and 1.1.4 Administrative Responsibilities communication system to ensure: ☒ ☐ ☐ (1) efficient operation of the juvenile facility; 1.1.6 Legal Origin, Establishment, and (2) legal and proper care of youth; ☒ ☐ ☐ Purpose The County of Sonoma has a retention of (3) maintenance of individual youth's records; ☒ ☐ ☐ youth records schedule. (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 1.1.6 (2)(d) Legal Origin, Establishment, and (5) release of information regarding youth. ☒ ☐ ☐ Purpose 2.16 Code of Conduct 2.16 (2) Professional Ethics (g) ethical responsibilities; 2.16 (3) Professional Interactions with Clients ☒ ☐ ☐ 2.16 (4) Professional Conduct and Responsibilities (h) trauma-informed approaches; 3.3.21 Trauma Informed Approaches ☒ ☐ ☐ 3.3.21 (1)(a)(v) Trauma Informed (i) culturally responsive approaches; ☒ ☐ ☐ Approaches 3.6.4 (1)(f) Program, Recreation and (j) gender responsive approaches; ☒ ☐ ☐ Exercise (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 access to Responsibilities all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any 3.4.15 (6)(a-c) Use of Chemical Agent- chemical agents related security devices, and weapons Storage and Disposal of OC Spray Canisters ☒ ☐ ☐ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- 4.1.15 Medi-Cal Eligibility Cal eligibility information and enrollment of eligible youth; ☒ ☐ ☐ and, (n) establishment of a policy that prohibits all forms of 1.1.4 (2) PREA Compliance Manager sexual abuse, sexual assault and sexual harassment. 2.1.17 Allegations of Sexual Misconduct The policy shall include an approach to preventing, detecting and responding to such conduct and any ☒ ☐ ☐ retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 7659 Sonoma SYTF CI PRO 25-26 Page 8 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 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 manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff 5.1.9 (9)(a) Fire and Safety Inspections with two-year retention of the inspection record; BSCC staff reviewed monthly fire and life safety inspections from July 2023 through ☒ ☐ ☐ March 2025. Per policy, the Juvenile Hall Safety Committee addresses safety concerns listed in the monthly fire and life safety inspections. (c) fire prevention inspections as required by Health and 5.1.9 (9)(b) Fire and Safety Inspections Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ Fire prevention inspection completed December 10, 2024. (d) an evacuation plan; 5.1.7 Emergency Evacuation Plan ☒ ☐ ☐ (e) documented fire drills not less than quarterly; 5.1.9 (2)(b)(ii)(2) Fire Emergency Training and Fire Drills BSCC staff reviewed the third and fourth quarterly fire drills conducted in 2023, first, second and fourth quarterly fire drills conducted in 2024, and the first quarterly drill conducted in 2025. Since the last ☒ ☐ ☐ comprehensive inspection, the facility completed all quarterly drills except one. The drills consist of a tailored scenario for each location and is reviewed by a Supervisor. The Division Director indicated the missing fire drill was conducted but, due to a data migration to SharePoint, the documentation was overwritten and the documentation was lost. (f) a written plan for the emergency housing of youth in 5.1.9 (7) Emergency Housing of Residents the case of fire; and, The written plan includes screening youth for release, use of the old facility/gymnasium, ☒ ☐ ☐ and contacting other counties with whom the facility has a mutual aid pact. In previous evacuations due to fires, the youth were evacuated to Solano County. (g) development of a fire suppression pre-plan in 5.1.9 (10) Fire Suppression Pre-Plan cooperation with the local fire department. ☒ ☐ ☐ The facility develops their fire suppression pre- plan with the Santa Rosa Fire Department. 7659 Sonoma SYTF CI PRO 25-26 Page 9 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1326 SECURITY REVIEW 1.1.4 (3)(a)(I) Security Review and Safety Committee Each facility administrator shall develop policies and procedures to annually review, evaluate, and document A memorandum dated March 26, 2025, by security of the facility. The review and evaluation shall Division Director Kilee Willson, addressed include internal and external security, including, but not reviewing staffing plans, search practices, limited to, key control, equipment, and staff training. safety equipment, video monitoring system, incident reports related to safety/security ☒ ☐ ☐ issues, compliance review of unannounced rounds by supervisors and administrators, and compliance with evacuation and fire drills. Per policy, the Juvenile Hall Safety Committee shall meet monthly to review, evaluate, and make a record of internal and external security measures of the facility. 1327 EMERGENCY PROCEDURES 3.4.26 Escape 3.4.27 Riot (Disturbance) The facility administrator shall develop facility-specific 3.4.28 Hostage Situation policies and procedures for emergencies that shall ☒ ☐ ☐ include, but not be limited to: (a) escape, disturbances, and the taking of hostages; 3.4.27 Riot (b) civil disturbance, active shooter and terrorist attack; ☒ ☐ ☐ 3.4.32 Active Shooter/Terrorist Attack 5.1.9 Fire and Life Safety (c) fire and natural disasters; ☒ ☐ ☐ 5.1.11 Earthquake 5.1.5 (4) AED-Required Inspections (d) periodic testing of emergency equipment; 5.1.9 (12) Fire Suppression Equipment and ☒ ☐ ☐ Maintenance (e) emergency evacuation of the facility; and 5.1.7 Emergency Evacuation Plan ☒ ☐ ☐ 5.1.9 (2)(a)(i) and (ii) Emergency Training and Fire Drills 2.2.1(4)(j) Training Program A memorandum dated March 20, 2025 by (f) a program to provide all youth supervision staff with Division Director I, Daniel Flamson, an annual review of emergency procedures. ☒ ☐ ☐ comprehensively addressed annual facility safety and emergency procedure reviews. The facility has monthly safety meetings which address different components of fire, security, and emergency procedures. 7659 Sonoma SYTF CI PRO 25-26 Page 10 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1328 SAFETY CHECKS 3.1.12 Safety Checks The facility administrator shall develop and implement The facility records safety checks using the policy and procedures that provide for direct visual Automated Rounds System. The facility also observation of youth at a minimum of every 15 minutes, uses 15 Minute Watch Logs that are at random or varied intervals during hours when youth handwritten logs used in Intake and when the are asleep or when youth are in their rooms, confined in system is not operational. In the event a youth holding cells or confined to their bed in a dormitory. is placed on 5-minute safety checks, a 5 Supervision is not replaced, but may be supplemented Minute Watch Sheet will be manually recorded by, an audio/visual electronic surveillance system in ink. The Facility Night Shift Supervisor will designed to detect overt, aggressive or assaultive audit the safety checks for the previous day to behavior and to summon aid in emergencies. All safety ensure the system is operating appropriately checks shall be documented with the actual time the and safety checks are done frequently and check is completed. ☒ ☐ ☐ effectively. A summary report is completed at the end of each day for review by the assigned Division Director. BSCC staff reviewed documentation from specified dates throughout September 2024 through March 2025. BSCC staff provided technical assistance to ensure safety checks are random and varied. BSCC staff recommended the Night Duty Supervisor review details by day report to support checks are random and varied. 1329 SUICIDE PREVENTION PLAN 3.3.20 Suicide Prevention Program The facility administrator, in collaboration with the The facility had no instances of suicidal healthcare and behavioral/mental health administrators, attempts during this inspection cycle. A shall plan and implement written policies and resident watch sheet and the Behavior Tracker procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ System will document youth’s mental health The plan shall consider the needs of youth experiencing status. past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in Section 3.3.20 (1) Suicide Prevention Program-Staff 1322, Youth Supervision Staff Orientation, and Training Training and the Juvenile Corrections Officer Core Course. 2.2.1 (4)(e)(v) Training Program 3.3.21 Trauma Informed Approaches A video recorded by Sonoma County Health ☒ ☐ ☐ Services provides an annual four-hour medical and behavioral health training for youth supervision staff. The behavioral health portion addresses Severe Mental Health Signs and Symptoms. (b) Screening, Identification Assessment and 3.3.20 (2)(a) Suicide Risk Identification and Precautionary Protocols Referral for Services (1) All youth shall be screened for risk of suicide at intake and as needed during detention. ☒ ☐ ☐ BSCC staff reviewed 10 Medical Intake Check Sheets and the PACT Pre-Screen Summary Report which screens youth for suicide risk. (2) All youth supervision staff who perform intake 3.3.20 (1) Suicide Prevention Program-Staff processes shall be trained in screening youth for risk Training ☒ ☐ ☐ of suicide. 7659 Sonoma SYTF CI PRO 25-26 Page 11 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) All youth who have been identified during the 3.3.20 (2)(b)(i) and (ii) Suicide Risk intake screening process to be at risk of suicide shall Identification and Referral for Services be referred to behavioral/mental health staff for a suicide risk assessment. ☒ ☐ ☐ Youth identified as a suicide risk are to be immediately referred to mental health or the on-call mental health provider. (4) Precautionary protocols shall be developed to 3.3.20 (3) Placing a Resident on Suicide ensure the youth’s safety pending the Watch ☒ ☐ ☐ behavioral/mental health assessment. (c) Referral process to behavioral/mental health staff for 3.3.20 (2)(a) Suicide Risk Identification and assessment and/or services. ☒ ☐ ☐ Referral for Services (d) Procedures for monitoring of youth identified at risk 3.3.20, (4) Levels of Monitoring for suicide. The facility has levels of monitoring of youth on suicide watch. The levels consist of ☒ ☐ ☐ Constant Watch, Close Watch I, and Close Watch II. Youth on Close Watch have safety checks conducted every five minutes while in their room. (e) Safety Interventions 3.3.20 (3) Placing a Resident on Suicide (1) Procedures to address intervention protocols for Watch youth identified at risk for suicide which may 3.3.20 (5) Housing of Residents include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ Youth on constant or suicide watch may be housed in the Special Management Room which is located near the staff station in each housing unit. (B) Treatment strategies including trauma- 3.3.20, (2)(e) Suicide Risk Identification and informed approaches ☒ ☐ ☐ Referral for Services (2) Procedures to instruct youth supervision staff how 3.3.20 (4) Levels of Monitoring to respond to youth who exhibit suicidal behaviors. ☒ ☐ ☐ (f) Communication 3.3.20 (2)(a)(i) Suicide Risk Identification and (1) The intake process shall include communication Referral for Services with the arresting officer and family guardians regarding the youth’s past or present suicidal BSCC staff interviewed intake staff who ideations, behaviors or attempts. indicated law enforcement and parents/ ☒ ☐ ☐ guardians are asked questions which would elicit information about a youth’s past, present suicidal ideation, behavior, or attempts. BSCC staff recommended the facility document this information on intake admission forms. (2) Procedures for clear and current information 3.3.20 (3) Placing a Resident on Suicide sharing about youth at risk for suicide with youth Watch supervision, healthcare, and behavioral/mental 3.3.20 (8) Staff Responsibilities and ☒ ☐ ☐ health staff. Communication 3.3.20 (8) Supervisor Responsibilities (g) Debriefing of Critical Incidents Related to Suicides or 3.3.20 (10)(g) Discovery of a Suicide or Attempts Attempted Suicide (1) Process for administrative review of the 4.25 Critical Incidents ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. 3.3.20 (10)(g)(iii) Discovery of a Suicide or (2) Process for a debriefing event with affected staff. ☒ ☐ ☐ Attempted Suicide (3) Process for a debriefing event with affected youth. 3.3.20 (10)(g)(iv) Discovery of a Suicide or ☒ ☐ ☐ Attempted Suicide 7659 Sonoma SYTF CI PRO 25-26 Page 12 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (h) Documentation 3.3.20 Suicide Prevention Program (1) Documentation processes shall be developed to ensure compliance with this regulation ☒ ☐ ☐ The documentation process is detailed throughout the Suicide Prevention Plan policy. Youth identified at risk for suicide shall not be denied the 3.3.20 (3)(d) Placing a Resident on Suicide opportunity to participate in facility programs, services Watch 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- Reporting of Legal Actions Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ ☐ ☐ The facility reported they had no legal action of confinement, filed against persons or legal entities for which they are required to provide responsible for juvenile facility operation. notification. 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 in Custody Reports (1) Death of a Youth. 1.1.4 (4) Administrative Responsibilities- (a) The facility administrator, in cooperation with the Reporting of Legal Actions health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the 5.1.14 (3)(c) Death in Custody Reports facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to 5.1.14 (3)(a)(i) Death in Custody Reports the Board a copy of the report submitted to the 1.1.4 (4) Administrative Responsibilities- Attorney General under Government Code Section Reporting of Legal Action ☒ ☐ ☐ 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 The facility is aware of this regulation. from the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7659 Sonoma SYTF CI PRO 25-26 Page 13 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (2) Serious Illness or Injury of Youth. 5.1.14 (2) Serious Illness or Injury (a) The facility administrator, in cooperation with the 1.1.4 (4) Administrative Responsibilities- health administrator, shall develop written policies Reporting of Legal Action 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) Administrative Responsibilities- Population Reporting Each juvenile facility shall submit required population and profile survey reports to the Board within 10 working ☒ ☐ ☐ The facility submits monthly reports to BSCC days after the end of each reporting period, in a format as required. to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) 1.1.4 (6) Administrative Responsibilities- Overcrowding When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES 4.1.1 Intake The facility administrator shall develop and implement The facility utilizes the Detention Risk written policies and procedures for admittance of youth Assessment (DRAI) to screen youth for that emphasize respectful and humane engagement admittance into the facility. A PACT Pre- with youth, and reflect that the admission process may ☒ ☐ ☐ Screen is conducted on all bookings to be traumatic to youth who may have already determine level of risk. experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: 3.6.1 (2) Access to Legal Services-Initial (1) Access to two free phone calls within one hour of Phone Call to Attorney admittance in accordance with the provisions of 4.1.1 (1)(e)(ii) Standard Intake Procedures Welfare and Institution Code Section 627; BSCC staff reviewed 10 admission packets which consisted of Intake/Transfer In, SYTF ☒ ☐ ☐ Commitment Findings, Medical Intake Check, DRAI Summary Report, and PACT Pre- Screen Summary Report. The Sonoma County Juvenile Referral documents the required telephone calls. 4.1.3 (1)(f) Initial Shower, Clothing and Bedding Issue (2) Offer of a shower; ☒ ☐ ☐ BSCC staff interviewed youth who indicated they were offered a shower upon admission. 4.1.4 Resident Property (3) Documented secure storage of personal Upon booking into the facility, the youth’s belongings; ☒ ☐ ☐ property is inventoried on the Resident Personal Property Receipt. 4.1.1 (1)(b)(v) Standard Intake Procedures (4) Offer of food upon arrival; ☒ ☐ ☐ BSCC staff interviewed youth who indicated they were offered food upon admission. 7659 Sonoma SYTF CI PRO 25-26 Page 14 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) Screening for physical and behavioral health and 4.1.1 (1)(g) Standard Intake Procedures safety issues, intellectual or developmental 6.1.1 Medical Services Program ☒ ☐ ☐ disabilities; 6.1.8 Mental Health Program 3.1.9 Residents with Disabilities (6) Screening for physical and developmental 3.3.20 Suicide Prevention Plan disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ 6.1.1 Medical Services Program and 1430 of these regulations; 6.1.8 Mental Health Program (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)(2) Standard Intake Procedures ☒ ☐ ☐ (b) juvenile hall administrators shall establish written 4.1.1 (1)(a)(i-ii) Standard Intake Procedures criteria for detention that considers the least restrictive 4.1.11 Detention Risk Assessments (DRAI) ☒ ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in 4.1.1 (6)(b)(i) Court Entries juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform them of program guidelines and provide written ☒ ☐ ☐ screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures 4.1.1 (6)(b)(ii) Court Entries that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL 4.1.1 Intake ABUSE 4.1.1 (1)(g)(i)(2)(1) Initial Youth Classification The facility administrator shall develop and implement BSCC staff reviewed 10 Medical Intake Check written policies and procedures to reduce the risk of ☒ ☐ ☐ Sheets which screen for the risk of sexual sexual abuse by or upon youth. The policy shall require abuse. The facility is in compliance with this facility staff to assess each youth within 72 hours of regulation. admission based on the following information: (a) Prior sexual victimization or abusiveness; (b) Gender nonconforming appearance or manner; or 4.1.1 (1)(i)(g)(2)(2) Initial Youth Classification 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)(i)(g)(2)(3) Initial Youth Classification ☒ ☐ ☐ (d) Age; 4.1.1 (1)(i)(g)(2)(4) Initial Youth Classification ☒ ☐ ☐ (e) Level of emotional and cognitive development; 4.1.1 (1)(i)(g)(2)(5) Initial Youth Classification ☒ ☐ ☐ (f) Physical size and stature; 4.1.1 (1)(i)(g)(2)(6) Initial Youth Classification ☒ ☐ ☐ (g) Mental illness or mental disabilities; 4.1.1 (1)(i)(g)(2)(7) Initial Youth Classification ☒ ☐ ☐ (h) Intellectual or developmental disabilities; 4.1.1 (1)(i)(g)(2)(8) Initial Youth Classification ☒ ☐ ☐ (i) Physical disabilities; 4.1.1 (1)(i)(g)(2)(9) Initial Youth Classification ☒ ☐ ☐ 4.1.1 (1)(i)(g)(2)(10) Initial Youth (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Classification (k) Any other specific information about the individual 4.1.1 (1)(i)(g)(2)(11) Initial Youth youth that may indicate heightened needs for Classification supervision, additional safety precautions, or separation ☒ ☐ ☐ from certain other youth. 7659 Sonoma SYTF CI PRO 25-26 Page 15 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Staff shall ascertain this information through 4.1.1 Intake 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)(1) Initial Youth Classification controls on the dissemination of information within the facility relative to responses received pursuant to this assessment in order to ensure that sensitive information ☒ ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES 4.2.1 Release The facility administrator shall develop and implement BSCC staff reviewed 10 Release Notifications/ written policies and procedures for release of youth from Temporary Release Authorization documents custody which provide for: ☒ ☐ ☐ which require parent/guardian signature and youth signature indicating return of personal property. (a) verification of identity/release papers; 4.2.1 (2)(c)(i) Release Procedure ☒ ☐ ☐ (b) return of personal clothing and valuables; 4.2.1 (2)(d) and (h) Release Procedure ☒ ☐ ☐ (c) notification to the youth's parents or guardian; 4.2.2 Notification of Parents ☒ ☐ ☐ (d) notification to the facility health care provider in 4.2.1 (2)(c)(vi) Release Procedure accordance with Sections 1408 and 1437 of these regulations, for coordination with outside agencies; and, Medical staff interviewed articulated probation staff consistently provide release notification. Probation staff will either call or radio medical ☒ ☐ ☐ staff so they can prepare a discharge packet for the youth. They also receive a Serving Time list so they are able to prepare for planned releases. 4.2.1 (2)(c)(vii) Release Procedure (e) notification of school staff; Education staff interviewed informed probation ☒ ☐ ☐ staff will notify of releases. In addition, school staff receive a daily population summary. 4.2.1 (2)(c)(vi) Release Procedure Notification is made to medical services by Probation staff by telephone or radio. Medical (f) notification of facility mental health personnel. staff will relay the information to behavioral ☒ ☐ ☐ health staff who share the same office. In addition, behavioral health staff receive the Serving Time list so they are able to prepare for planned releases. The facility administrator shall develop and implement 4.2.1 (2)(b) Release Procedure policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry A CFT is coordinated by the assigned services including, but not limited to, medical and probation officer and attended by the youth’s behavioral health, education, probation supervision and ☒ ☐ ☐ facility case manager. The youth, parent, community-based services. medical, mental health, and education participate in developing transition and re- entry services prior to release. 7659 Sonoma SYTF CI PRO 25-26 Page 16 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The facility administrator shall develop and implement 4.2.1 (6) Furlough/Pass written policies and procedures for the furlough of youth from custody. ☒ ☐ ☐ SYTF youth are currently not afforded furlough opportunities. 1352 CLASSIFICATION 4.1.6 Classification The facility administrator shall develop and implement BSCC staff reviewed 10 Program and written policies and procedures on classification of youth Classification History, In Custody for the purpose of determining housing placement in the Management notes, and Chronological facility. ☒ ☐ ☐ reports documenting classification, and Such procedures shall: periodic reviews. In addition, BSCC staff reviewed the March 8, 2025 SYTF Classification Information Sheet. (a) provide for the safety of the youth, other youth, facility 4.1.6 (1)(a) Initial Classification of Youth staff, and the public by placing youth in the appropriate, least restrictive housing and program settings. Housing ☒ ☐ ☐ assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of 4.1.6 (1)(a) Initial Classification of Youth the facility; ☒ ☐ ☐ (c) provide that a youth shall be classified upon 4.1.6 (1)(b)(i-xii) Initial Classification of Youth admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including 4.1.6 (2) Classification Changes and Reviews provisions that consider the level of supervision and the youth's behavior while in custody; and, Periodic classification reviews occur monthly ☒ ☐ ☐ and the Classification Information Sheet is updated and dispersed. (e) provide that facility staff shall not separate youth from 4.1.6 (1)(d) Initial Classification of Youth the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical ☒ ☐ ☐ disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, 4.1.6 (1)(g)(i) Initial Classification of Youth transgender, questioning or intersex identification or status as an indicator of likelihood of being sexually ☒ ☐ ☐ abusive. 7659 Sonoma SYTF CI PRO 25-26 Page 17 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1352.5 TRANSGENDER AND INTERSEX YOUTH. 4.1.6 (1)(c) Initial Classification of Youth The facility administrator shall develop written policies The facility utilizes the Transgender and procedures ensuring respectful and equitable Preference form for transgender and intersex treatment of transgender and intersex youth. youth upon booking which indicates the The policies shall provide that: ☒ ☐ ☐ youth’s preference for housing, search, preferred name, and pronoun. BSCC staff reviewed two completed Transgender Preference forms. (a) Facility staff shall respect every youth’s gender 4.1.6 (1)(c)(ii) Initial Classification of Youth identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of gang or slang names or names that otherwise ☒ ☐ ☐ compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present 4.1.6 (1)(g)(viii) Initial Classification of Youth themselves in a manner consistent with their gender identity and shall provide youth with the institution’s ☒ ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that 4.1.6 (1)(e) and (g) Initial Classification of best meets their individual needs and promotes their Youth safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons for any decision to house youth ☒ ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender 4.1.6 (1)(g)(iii) Initial Classification of Youth and intersex youth have access to medical and behavioral health providers qualified to provide care and ☒ ☐ ☐ treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and 4.1.6 (1)(g)(vii) Initial Classification of Youth 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 of Transgender and youth for the purpose of determining the youth’s Intersex Youth 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 SYTF CI PRO 25-26 Page 18 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1353 ORIENTATION 3.3.2 Orientation Program Resident Handbook The facility administrator shall develop and implement written policies and procedures to orient a youth prior to BSCC staff reviewed the five placement in a living area. Both written and verbal Intake/Orientation Cover form which ensures information shall be provided and supplemented with the youth are orientated prior to placement in video orientation if feasible. Provision shall be made to the living unit. Upon placement in the housing provide accessible orientation information to all detained unit, the youth will continue to be oriented to youth including those with disabilities, limited literacy, or the remainder of the items listed on the form. English language learners. The Orientation Worksheet requires facility Orientation shall include information that addresses: staff to provide an additional three days of orientation to the youth who will go over the ☒ ☐ ☐ Resident Handbook. The youth will be required to sign acknowledgment of understanding the information in the handbook, expectations, and rules. Staff will also follow up with the youth for two additional days. The youth are provided with the Orientation Pamphlet and Orientation Handbook. BSCC staff interviewed youth who indicated they were oriented at intake and upon reaching the housing unit. (a) facility rules including contraband and searches and 3.3.2 Orientation Program disciplinary procedures; Resident Handbook, Page 5 ☒ ☐ ☐ Resident Handbook, Page 14 (b) facility’s system of positive behavior interventions 3.3.2. (1)(b)(ii) Orientation Program and supports, including behavior expectations, Resident Handbook, Page 16 incentives that youth will receive for complying with ☒ ☐ ☐ facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the facility’s 1.4.23 Department PREA Policy policy prohibiting sexual abuse and sexual harassment Resident Handbook, Page 4 and how to report incidents or suspicions of sexual ☒ ☐ ☐ abuse or sexual harassment; (d) identification of key staff and their roles; 2.1.1 Staff Dress Code Though the facility has a comprehensive orientation program and gives a general overview to youth, BSCC staff provided ☒ ☐ ☐ technical assistance to clarify in either the Intake/Orientation Cover form or Resident Handbook the identification of key staff and their roles. (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 free Resident Handbook, Page 6 of retaliation for reporting a grievance, and the name of ☒ ☐ ☐ the person or position designated to resolve the issue; (f) access to legal services and information on the court 3.6.1 Access to Legal Services process; ☒ ☐ ☐ Resident Handbook, Page 7 6.1.1 Medical Services Program (g) access to routine and emergency health and mental 6.1.85 Mental Health Program health care; ☒ ☐ ☐ Resident Handbook, Page 8 7659 Sonoma SYTF CI PRO 25-26 Page 19 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 3.3.5 School Program (h) access to education, religious services, and 3.6.4 Programs, Recreation and Exercise recreational activities; ☒ ☐ ☐ 3.6.5 Religious Programs Resident Handbook, Pages 8, 9 and 21 4.1.6 Classification (i) housing assignments; ☒ ☐ ☐ Resident Handbook, Page 10 (j) opportunity for personal hygiene and daily showers 3.2.1 Showers including the availability of personal care items 3.2.2 Personal Hygiene ☒ ☐ ☐ Resident Handbook, Page 10 (k) rules and access to correspondence, visits and 3.3.16 Visiting telephone use; 3.6.2 Access to Phones ☒ ☐ ☐ 3.6.3 Mail Resident Handbook, Pages 11 and 12 (l) availability of reading materials, programming, and 3.3.1 Program Team Roles and other activities; Responsibilities ☒ ☐ ☐ 3.6.4 Programs, Recreation and Exercise Resident Handbook, Pages 21 and 23 (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 Resident Handbook, Pages 13 and 14 3.6.13 Mail (n) immigration legal services; ☒ ☐ ☐ Resident Handbook, Page 7 5.1.7 Emergency Evacuation (o) emergencies including evacuation procedures; ☒ ☐ ☐ Resident Handbook, Page 5 (p) non-discrimination policy and the right to be free from 1.1.4.23 Administrative Responsibilities physical, verbal or sexual abuse and harassment by Resident Handbook, Page 5 ☒ ☐ ☐ other youth and staff; (q) availability of services and programs in a language Resident Handbook, Page 21 other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Resident Handbook, Page 10 education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive 4.1.1 (5) Intake information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Policy states parents/guardians will be questions and provides contact information for the notified by JCC Intake Staff of visiting and ☒ ☐ ☐ facility, medical, school and mental health; and, answer any general questions. Ongoing notification occurs throughout the youth’s stay by facility and collaborative partner staff. (t) a process by which youth may request access to Title Resident Handbook, Page 6 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ 7659 Sonoma SYTF CI PRO 25-26 Page 20 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1354 SEPARATION 3.3.7 Separation The facility administrator shall develop and implement BSCC staff reviewed three Protective Custody written policies and procedures that address: and two Medical Separation forms. Self- initiated room time may be requested by the youth. Staff are to regularly check in with the youth to encourage them to return to the ☒ ☐ ☐ regular program. The facility tracks all self- initiated room time on the SYTF In Room Tracking Log. BSCC staff reviewed documentation from September 2024 through March 2025. The facility is in compliance with this regulation. (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, 3.3.7 (2) Medical Separation assaultive behavior, disciplinary consequences and 3.3.7 (3) Mental Health Separation ☒ ☐ ☐ protective custody. 3.3.12 Protective Custody 3.5.2 Discipline (b) consideration of positive youth development and 3.3.7 (1)(c) Separation trauma-informed care. ☒ ☐ ☐ (c) separated youth shall not be denied normal privileges 3.3.7 (1)(D) Separation 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 Discipline and the Discipline Process Title 15 Section 1390 shall apply. 3.3.11 Special Program ☒ ☐ ☐ 3.5.7 Administrative Program (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 Section 1354.5 of ☒ ☐ ☐ these regulations. (f) policies and procedures shall ensure a daily review of 3.3.7 (1)(D)(i) Separation separated youth to determine if separation remains ☒ ☐ ☐ necessary. 1354.5 ROOM CONFINEMENT 3.5.5 Placing Youth in Locked Rooms (a) The facility administrator shall develop and The facility tracks room confinement using the implement written policies and procedures addressing SYTF In Room Tracking Log. BSCC staff the confinement of youth in their room that are consistent reviewed documentation from September with Welfare and Institutions Code Section 208.3. The 2024 through March 2025. BSCC staff placement of a youth in room confinement shall be reviewed one incident of room confinement accomplished in accordance with the following ☒ ☐ ☐ which consisted of documentation outlined in guidelines: the In Room Tracking form and incident report. The incident involved creating a disturbance to the safety of the facility. BSCC staff interviewed SYTF youth who indicated room confinement is rarely used. The facility is in compliance with this regulation. (1) Room confinement shall not be used before other, 3.5.5 (1)(b) Limitations less restrictive, options have been attempted and exhausted, unless attempting those options poses a The In Room Tracking Form requires the ☒ ☐ ☐ threat to the safety or security of any youth or staff. reason for room confinement and the less restrictive alternatives attempted. (2) Room confinement shall not be used for the 3.5.5 (1)(a) Limitations purposes of punishment, coercion, convenience, or retaliation by staff. ☒ ☐ ☐ 7659 Sonoma SYTF CI PRO 25-26 Page 21 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) Room confinement shall not be used to the extent 3.5.5 (1)(c) Limitations that it compromises the mental and physical health of ☒ ☐ ☐ the youth. (b) A youth may be held up to four hours in room 3.5.5 (2)(e) Placing Youth In Locked Rooms confinement. After the youth has been held in room confinement for a period of four hours, staff shall do one ☒ ☐ ☐ or more of the following: 3.5.5 (2)(e)(i) Placing Youth In Locked (1) Return the youth to general population. ☒ ☐ ☐ Rooms 3.5.5 (2)(e)(ii) Placing Youth In Locked (2) Consult with mental health or medical staff. ☒ ☐ ☐ Rooms (3) Develop an individualized plan that includes the 3.5.5 (2)(e)(iii) Placing Youth In Locked goals and objectives to be met in order to reintegrate Rooms ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond 3.5.5 (2)(f)(i) Placing Youth In Locked Rooms four hours, staff shall do each of the following: (A) Document the reasons for room confinement No youth were held longer than four hours in and the basis for the extension, the date and time room confinement. ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes 3.5.5 (2)(f)(ii) Placing Youth In Locked the goals and objectives to be met in order to Rooms ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the 3.5.5 (2)(f)(iii) Placing Youth In Locked facility superintendent or his or her designee Rooms ☒ ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of 3.5.5 (3)(a) Exceptions single-person rooms or cells for the housing of youth in juvenile facilities and does not apply to normal ☒ ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in 3.5.5 (3)(b) Exceptions court holding facilities or adult facilities. ☒ ☐ ☐ (7) Nothing in this section shall be construed to 3.5.5 (3)(c) Exceptions conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an 3.5.5 (3)(d) Exceptions extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- wide threat that poses an imminent and substantial ☒ ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. 7659 Sonoma SYTF CI PRO 25-26 Page 22 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (9) This section does not apply when a youth is 3.5.5 (3)(e) Exceptions placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN 3.3.6 Case Plans and Assessments The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. (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 strengths The facility utilizes the results of the PACT including, but not limited to, identification of substance ☒ ☐ ☐ (Positive Achievement Change Tool) Pre- abuse history, educational, vocational, counseling, Screen or Full-Screen assessment to develop behavioral health, consideration of known history of the case plan which identifies the youth’s top trauma, and family strengths and needs. criminogenic needs. (b) Institutional Case Plan: 3.3.6 (1)(a) Case Plans and Assessments (1) A case plan shall be developed for each youth held for at least 30 days or more and created within BSCC staff reviewed 10 Resident Case Plans 40 days of admission. which are periodically reviewed every 75 days. SYTF youth also have an Individual Rehabilitation Plan and RPACT (Residential Positive Achievement Change Tool) completed. ☒ ☐ ☐ The JJC IV/Programming Supervisor tracks required institutional case plans on the Case Plan Tracker Excel spreadsheet. BSCC staff reviewed the Excel spreadsheet and confirmed case plans are completed within the required time frame. (2) The institutional plan shall include, but not be 3.3.6 (1)(d) Case Plans and Assessments limited to, written documentation that provides: (A) objectives and time frame for the resolution of ☒ ☐ ☐ problems identified in the assessment; (B) a plan for meeting the objectives that includes 3.3.6 (1)(e) Case Plans and Assessments a description of program resources needed and individuals responsible for assuring that the plan ☒ ☐ ☐ is implemented; (3) periodic evaluation of progress towards meeting 3.3.6 (1)(a) Case Plans and Assessments the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; (4) a transition plan, the contents of which shall be 3.3.6 (2)(b)(iv) Management and Assignment subject to existing resources, shall be developed for of Case Plans post dispositional youth in accordance with Section ☒ ☐ ☐ 1351; and, 7659 Sonoma SYTF CI PRO 25-26 Page 23 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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 adults, youth, ☒ ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES 3.3.6 (1)(k)(i) Case Plans and Assessments 6.1.10 Counseling Services The facility administrator shall develop and implement written policies and procedures ensuring the availability of appropriate counseling and casework services for all ☒ ☐ ☐ youth. Policies and procedures shall ensure: (a) youth will receive assistance with needs or concerns that may arise; (b) youth will receive assistance in requesting contact 3.3.6 (1)(k)(ii) Case Plans and Assessments with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, (c) youth will be provided access to available resources 3.3.6 (1)(k)(iii) Case Plans and Assessments to meet the youth’s needs. ☒ ☐ ☐ 6.1.10 Counseling Services 1357 USE OF FORCE 3.4.13 Use of Force The facility administrator, in cooperation with the BSCC staff reviewed the September 2024 responsible physician, shall develop and implement through March 2025 Use of Force Tracking written policies and procedures for the use of force, log. In addition, BSCC staff reviewed 3 Use of which may include chemical agents. Force shall never be applied as punishment, discipline, retaliation or ☒ ☐ ☐ Force incident reports which involved physical treatment. assaults. BSCC staff interviewed facility staff, (a) At a minimum, each facility shall develop policies and collaborative partners, and youth as to use of procedures which: force actions and responses. The facility is in compliance with this regulation. (1) restricts the use of force to that which is deemed 3.4.13 (2)(a) Use of Force Methods reasonable and necessary, as defined in Section 1302 to ensure the safety and security of youth, staff, others ☒ ☐ ☐ and the facility. (2) outline the force options available to staff including 3.4.13 (2)(a)(i-iv) Use of Force Methods both physical and non-physical options and define when those force options are appropriate. Approved use of force methods include ☒ ☐ ☐ Empty Hands Control Methods, Physical Restraints, Use of O.C. Pepper Spray, and Extractions. (3) describe force options or techniques that are 3.4.13 (3)(a)(i-iii) Improper Use of Force expressly prohibited by the facility. Force options expressly prohibited include, but ☒ ☐ ☐ are not limited to, hogtying, using a restraint device to attach a youth to a wall, restraint chair, and the use of a carotid hold. (4) describe the requirements of staff to report any 3.4.13 (4)(a) Reporting Policy Violations inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7659 Sonoma SYTF CI PRO 25-26 Page 24 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) define a standardized reporting format that 3.4.13 (4)(A)( i-vii) Required Reporting and includes time period and procedure for documenting Review and reporting the use of force, including reporting requirements of management and line staff and The Facility Supervisor responds to all procedures for reviewing and tracking use of force incidents and will debrief with staff involved. incidents by supervisory and or management staff, BSCC staff interviewed youth supervision staff ☒ ☐ ☐ which include procedures for debriefing a particular who reported debriefing with youth after all incident with staff and/or youth for the purposes of UOF incidents. BSCC staff provided technical training as well as mitigating the effects of trauma that assistance to document debriefings and may have been experienced by staff and /or the youth follow-up actions in the incident report. involved. (6) Include an administrative review and a system for 3.4.13 (4)(C) Review of Reports investigating unreasonable use of force. 3.4.13 (4)(E) Duty Of Administration to Assess and Take Action ☒ ☐ ☐ Administration reviews all use of force incidents and maintains a tracking system. All use of force incidents will be reviewed by the UOF review committee. (7) define the role, notification, and follow-up 3.4.13 (4)(B)Health/Mental Health procedures required after use of force incidents for Notification medical, mental health staff and parents or legal 3.4.13 (4)(D)(i) Parent/Guardian Notification guardians. BSCC staff confirmed through an interview and documentation that medical staff are immediately notified by radio or telephone and respond to the units to provide clearance or direct follow-up care. When on duty, mental ☒ ☐ ☐ health is notified by radio or a telephone call. If not on duty, a mental health referral will be submitted. BSCC staff recommended the facility document the notification to mental health in the incident report. The documentation reviewed confirms the youth’s parent or guardians are notified of UOF incidents. (8) describe the limitations of use of force on pregnant 3.1.13 (3)(a) Pregnant Youth in Custody 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 3.4.13 2(a)(iii) Use of Force Methods option shall include policies and procedures that: 3.4.15 4(a) Use of Chemical Agents (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size and ☒ ☐ ☐ the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when 3.4.13 (2)(a)(iii) Use of Force Methods there is an imminent threat to the youth’s safety or the 3.4.15 (3) Conditions for Use safety of others and only when de-escalation efforts ☒ ☐ ☐ have been unsuccessful or are not reasonably possible. 7659 Sonoma SYTF CI PRO 25-26 Page 25 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) outline the facility’s approved methods and 3.4.13 (2)(a)(iii) (1) Use of Force Methods timelines for decontamination from chemical agents. 3.4.15 (7)(a)( i-xi) Decontamination Process This shall include that youth who have been exposed to chemical agents shall not be left unattended until Staff consistently document ensuring youth that youth is fully decontaminated or is no longer are not left alone and prompt decontamination suffering the effects of the chemical agent. procedures. BSCC staff provided technical assistance to articulate in the reports when the ☒ ☐ ☐ youth reports they are no longer suffering from the effects. Youth interviewed who had been involved in a UOF incident stated staff immediately took them to shower and they self-terminated the decontamination. (4) define the role, notification, and follow-up 3.4.13 (4)(B)Health/Mental Health procedures required after use of force incidents Notification involving chemical agents for medical, mental health 3.4.13 (4)(D)(i) Parent/Guardian Notification staff and parents or legal guardians. BSCC staff confirmed through an interview and documentation that medical staff are immediately notified by radio or telephone and respond to the units to provide clearance or direct follow-up care. When on duty, mental ☒ ☐ ☐ health is notified by radio or a telephone call. If not on duty, a mental health referral will be submitted. BSCC staff recommended the facility document the notification to mental health in the incident report. The documentation reviewed confirms the youth’s parent or guardians are notified of UOF incidents. (5) provide for the documentation of each incident of 3.4.13, 1 Use of Force-Training use of chemical agents, including the reasons for 3.4.15 (1) Use of Chemical Agen-Training which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location Staff consistently document the reason of use, decontamination procedures applied and leading to the use of force, efforts to de- identification of any injuries sustained as a result of escalate, and follow-up procedures after the such use. ☒ ☐ ☐ use of chemical agents. BSCC staff provided technical assistance to expressly state chemical agents will be used and document in the incident report. BSCC staff interviewed youth who stated staff will warn youth prior to using force. (c) Facilities shall develop policies and procedure which 3.4.13 (1) Use of Force-Training require that agencies provide initial and regular training 3.4.15 (4)(a)(i) and (ii) Use of Chemical in use of force and chemical agents when appropriate Agents-Considerations Before and During that address: ☒ ☐ ☐ Use of OC Spray (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of 3.4.13 (1) Use of Force-Training application. 3.4.15 (5)(a-c) Use of Chemical Agents- ☒ ☐ ☐ Method of Deployment (3) signs or symptoms that should result in immediate 3.4.13 (1)(a) Training referral to medical or behavioral health. ☒ ☐ ☐ (4) instruction on the Constitutional Limitations of Use 3.4.13 (1)(a) Training of Force. ☒ ☐ ☐ 7659 Sonoma SYTF CI PRO 25-26 Page 26 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (5) physical training force options that may require 3.4.13 (1)(a) Training the use of perishable skills. ☒ ☐ ☐ (6) timelines the facility uses to define regular 3.4.13 (1)(a) Training training. ☒ ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS 3.4.14 Use of Restraints The facility administrator, in cooperation with the There were no uses of physical restraint during responsible physician and mental health director, shall this inspection cycle. develop and implement written policies and procedures ☒ ☐ ☐ for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being ambulatory. Physical restraints may be used only for those youth who 3.4.14 Use of Restraints present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted ☒ ☐ ☐ physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or 3.4.14 (5)(a) and (b) Improper Use of discipline, or as a substitute for treatment. The use of Restraints restraint devices that attach a youth to a wall, floor or other 3.1.13 (3)(a) Pregnant Youth in Custody fixture, including a restraint chair, or through affixing of 3.4.14 (2)(a)(iv) Use of Restraints (Pregnant hands and feet together behind the back (hogtying) is ☒ ☐ ☐ Youth) 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 Use of Restraints-Policy Statement handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed by ☒ ☐ ☐ Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval 3.4.14 (2)(a) Use of Restraints of the facility manager or designee. The facility manager 3.4.14, Procedure (4)(D) Housing, Visual may delegate authority to place a youth in restraints to a Supervision, Documentation and Review physician. Reasons for continued retention in restraints ☒ ☐ ☐ shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and 3.4.14 (4)(E) Housing, Visual Supervision, retention shall be secured as soon as possible, but no Documentation and Review-Medical Review later than two hours from the time of placement. The ☒ ☐ ☐ youth shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as 3.4.14 (4)(F) Housing, Visual Supervision, possible, but in no case longer than four hours from the Documentation and Review-Mental Health time of placement, to assess the need for mental health ☒ ☐ ☐ Review treatment. Continuous direct visual supervision shall be conducted 3.4.14 (4)(B) Housing, Visual Supervision, to ensure that the restraints are properly employed, and Documentation and Review-Continuous to ensure the safety and well-being of the youth. Direct Supervision Observations of the youth's behavior and any staff ☒ ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. 7659 Sonoma SYTF CI PRO 25-26 Page 27 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 In addition to the requirements above, policies and 3.4.14 (6) Required Reporting and Review procedures shall address: (a) documentation of the circumstances leading to an ☒ ☐ ☐ application of restraints. (b) known medical conditions that would contraindicate 3.4.14 (2) Consideration Regarding Use of certain restraint devices and/or techniques. ☒ ☐ ☐ Restraints (c) acceptable restraint devices. 3.4.14 (1)(a)(i)(1) and (2) Use of Restraints- Training Staff may only use the following approved restraints: ☒ ☐ ☐ • Handcuffs • Leg Shackles • Security Waist Chains • Soft Restraint (Wrap) (d) signs or symptoms which should result in immediate 3.4.14 (3)(C) Medical/Mental Health medical/mental health referral. ☒ ☐ ☐ Considerations When Using Restraints (e) availability of cardiopulmonary resuscitation 3.4.14 (3)(D) Medical/Mental Health equipment. ☒ ☐ ☐ Considerations When Using Restraints (f) protective housing of restrained youth. While in 3.4.14 (4)(A) Housing. Visual Supervision, restraint devices, all youth shall be housed alone or in a Documentation and Review specified housing area for restrained youth which makes ☒ ☐ ☐ provision to protect the youth from abuse. 3.4.14 (3)(A) Medical/Mental Health (g) provision for hydration and sanitation needs. Considerations When Using Restraints: ☒ ☐ ☐ Prevention of Injuries 3.4.14 (3)(A) Medical/Mental Health (h) exercising of extremities. Considerations When Using Restraints: ☒ ☐ ☐ Prevention of Injuries 1358.5 USE OF RESTRAINT DEVICES FOR 3.4.21 Resident Movements MOVEMENT AND TRANSPORTATION WITHIN 3.4.21 (2)(b) (i-III) Use of Restraints for THE FACILITY. Movements within the Facility The Facility Administrator, in cooperation with the BSCC staff reviewed two special incidents responsible physician and behavioral/mental health reports regarding use of mechanical restraints director, shall develop and implement written policies for movement within the facility. In addition, and procedures for the use of restraint devices when the BSCC staff reviewed UOF incidents reports in purpose is for movement or transportation within the which mechanical restraints were used to facility that shall include the following: transport to other areas within the facility. (a) identification of acceptable restraint devices, staff BSCC staff recommended the facility ensure approved to utilize restraint devices and the required staff document not only the circumstances training. ☒ ☐ ☐ leading to the application of restraints but also the factors leading to their decision to use mechanical restraints. The facility is in compliance with this regulation. Staff may only use the following approved restraints: • Handcuffs • Leg Shackles • Security Waist Chains • Soft Restraint (WRAP) (b) the circumstances leading to the application of 3.4.21 (5) Required Reporting and Review restraints must be documented. ☒ ☐ ☐ 7659 Sonoma SYTF CI PRO 25-26 Page 28 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) an individual assessment of the need to apply 3.4.21 (3)(b) Considerations for Use Of restraints for movement or transportation that includes Restraints for Movements 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 (3)(b) Considerations for Use Of with a clearly defined expectation that restraint devices Restraints for Movements shall not be used for the purposes of discipline or ☒ ☐ ☐ 3.4.21 (4)(a) Improper Use of Restraints for retaliation. Movements (e) the use of restraints on pregnant youth is limited in 3.4.21 (4)(b) Improper Use of Restraints for accordance with Penal Code Section 6030(f) and Movements ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES There is no safety room at the facility, however there is a Special Management (a) The facility administrator, and where applicable, in Room for housing youth needing closer cooperation with the responsible physician, shall supervision. The room is next to the staff’s develop and implement written policies and procedures counselor station. 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. 7659 Sonoma SYTF CI PRO 25-26 Page 29 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (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. BSCC staff reviewed five strip search Policies and procedures shall provide that: incidents which were documented on the ☒ ☐ ☐ Strip Search Compliance and Authorization forms. All post detention searches were for controlled substances. Reasonable suspicion and supervisor approval was documented. The facility is in compliance with this regulation. (a) Searches shall be conducted to ensure the safety 3.4.9 Searches of Residents-Policy Statement and security of the facility, public, visitors, youth, and staff. Perimeter, unit, and room searches are ☒ ☐ ☐ conducted routinely and documented in in shift operational reports. (b) Searches shall be conducted in a manner that 3.4.9 (1)(D)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 (4) Strip Searches and Visual Body searches shall comply with Penal Code Section 4030. Cavity Searches ☒ ☐ ☐ 3.4.9 (4) Physical Body Cavity Searches (d) Physical body cavity searches shall only be 3.4.9 (4) Physical Body Cavity Searches conducted by a medical professional. ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only be 3.4.9 (4) Strip Searches and Visual body strip searched with prior approval of a supervisor when Cavity Searches 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 (2)Searches of Transgender and comply with Section 1352.5. ☒ ☐ ☐ Intersex Youth 7659 Sonoma SYTF CI PRO 25-26 Page 30 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) Cross-gender pat-down searches and strip searches 3.4.9 (1)(A) Searches of Residents 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 all seven grievances written policies and procedures whereby any youth may filed September 2024 through March 2025. appeal and have resolved grievances relating to any The grievances involved discipline, condition of confinement, including but not limited to telephone, hygiene, unit equipment, and health care services, classification decisions, program ☒ ☐ ☐ property. All grievances reviewed were participation, telephone, mail or visiting procedures, completed within the required time frames. food, clothing, bedding, mistreatment, harassment or The facility is in compliance with this violations of the nondiscrimination policy. There shall be regulation. 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 (1)(h) and (j) Grievance Procedure- grievance, which includes provisions for the youth to Residents have free access to the form; 3.5.4 (2)(c) Resident Grievance Form Youth use the Resident Grievance Form to submit grievances. The form is comprised of three carbonless copy pages. The yellow first ☒ ☐ ☐ page is to be given to the youth to provide written documentation they filed a grievance. The green copy is given to the youth once the entire review process is completed. All youth interviewed knew of the grievance process and the location of the forms in the housing unit. (b) the youth shall have the option to confidentially file 3.5.4 (1)(d) Grievance Procedure-Residents the grievance or to deliver the form to any youth supervision staff working in the facility; A locked grievance box was observed in each ☒ ☐ ☐ living unit. All youth interviewed knew the location of the box to confidentially file grievances. (c) resolution of the grievance at the lowest appropriate 3.5.4 (1)(k) Grievance Procedure-Residents staff level; ☒ ☐ ☐ (d) provision for a prompt review and initial response to 3.5.4 (3)(iv) Resident Grievance Review grievances within three (3) business days, grievances Process that relate to health and safety issues must be ☒ ☐ ☐ addressed immediately; A written response to youth filing a grievance needs to be completed by the end of shift. (1) The youth may elect to be present to explain 3.5.4 (c)(iii) Supervisor Level Review his/her version of the grievance to a person not directly involved in the circumstances which led to the ☒ ☐ ☐ grievance. (2) Provision for a staff representative approved by 3.5.4 (3)(iii) Resident Grievance Review the facility administrator to assist the youth. ☒ ☐ ☐ Process (e) provision for a written response to the grievance 3.5.4 (2)(d) Resident Grievance Form which includes the reasons for the decisions; ☒ ☐ ☐ 3.5.4 (d)(iii) Administrative Level Review (f) a system which provides that any appeal of a 3.5.4 (c)(iii) Supervisor Level Review grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; 7659 Sonoma SYTF CI PRO 25-26 Page 31 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) resolution of the grievance must occur within ten (10) 3.5.4 (d)(i)(1) Administrative Level Review business days unless circumstances dictate a longer ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external 3.5.4 (4) Sexual Assault and Sexual methods to report sexual abuse and sexual harassment. Harassment ☒ ☐ ☐ 2.1.17 Allegations of Sexual Misconduct 2.1.18 Sexual Harassment Whether or not associated with a grievance, concerns of 1.1.9 (2) Complaints and Internal parents, guardians, staff or other parties shall be Investigations addressed and documented in accordance with written ☒ ☐ ☐ policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS 3.4.20 Incident Reports A written report of all incidents which result in physical BSCC staff reviewed incident reports for use harm, use of force, serious threat of physical harm, or of force, room confinement, separation, and death of an employee, youth or other person(s) shall be ☒ ☐ ☐ mechanical restraints, which indicated the maintained. Such written record shall be prepared by the facility is in compliance with this regulation. staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT 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 reasonable force to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or ☐ ☐ ☒ impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that an objective, trained and competent correctional employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented and include an advisement of the legal obligation to ☐ ☐ ☒ provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The authorization shall include information that reflects the ☐ ☐ ☒ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the length of time required by statute. Notwithstanding ☐ ☐ ☒ the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7659 Sonoma SYTF CI PRO 25-26 Page 32 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1370 EDUCATION PROGRAM 3.3.5 (9) School Program-Sonoma County Office of Education (SCOE) (a) School Programs The County Board of Education shall provide for the The Sonoma Couty Office of Education administration and operation of juvenile court schools in operates the facility school. The school is conjunction with the Chief Probation Officer, or designee ACS-WASC accredited. pursuant to applicable State laws. The school and facility administrators shall develop and implement written policy The Education Program Evaluation was and procedures to ensure communication and completed on October 21, 2024, by Marci coordination between educators and probation staff. Kossman, Education Specialist, CRPUSD. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education BSCC staff interviewed Angie Scardina, staff should collaborate with the facility administrator to Director of Alternative Education. She noted use technology to facilitate learning and ensure safe that communication with the facility staff technology practices. The facility administrator shall ☒ ☐ ☐ occurs frequently and educational staff feel request an annual review of each required element of the supported as they collaborate effectively as a program by the Superintendent of Schools, and a report team. 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-Sonoma County The facility school program shall comply with the State Office of Education (SCOE) Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall ☒ ☐ ☐ establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education 3.3.5 (9) School Program-Sonoma County program shall be free from discriminatory action. Staff Office of Education (SCOE) shall refer to transgender, intersex and gender- ☒ ☐ ☐ Program nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State 3.3.5 (9) School Program-Sonoma County Education Code and include, but not be limited to, Office of Education (SCOE) courses required for high school graduation. Students receive instruction in English ☒ ☐ ☐ Language Arts, Math History/Social Science, Physical Education, Health, Fine Arts, and electives. (2) Information and preparation for the High School 3.3.5 (9) School Program-Sonoma County Equivalency Test as approved by the California Office of Education (SCOE) Department of Education shall be made available to eligible youth. ☒ ☐ ☐ This is no longer an option offered by the state so SCOE places youth on a track to graduate with a high school diploma. 7659 Sonoma SYTF CI PRO 25-26 Page 33 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (3) Youth shall be informed of post-secondary 3.3.5 (9) School Program-Sonoma County education and vocational opportunities. Office of Education (SCOE) SCOE provides a guidance counselor who ☒ ☐ ☐ provides an individual learning plan for all youth who are held in the facility for longer than twenty days or longer. (4) Administration of the High School Equivalency 3.3.5 (9) School Program-Sonoma County Tests as approved by the California Department of Office of Education (SCOE) ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth 3.3.5 (9) School Program-Sonoma County who do not demonstrate sufficient progress towards Office of Education (SCOE) ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with 3.3.5 (9) School Program-Sonoma County State Education Code Requirements for juvenile court Office of Education (SCOE) schools. The facility administrator, in conjunction with education staff, must ensure that operational Students attend 240 minutes of school each procedures do not interfere with the time afforded for ☒ ☐ ☐ day. 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 regardless 3.3.5 (9) School Program-Sonoma County of classification, housing, security status, disciplinary Office of Education (SCOE) or separation status, including room confinement, except when providing education poses an immediate threat to the safety of self or others. Education ☒ ☐ ☐ includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline 3.3.5 (9) School Program-Sonoma County (1) Positive behavior management will be Office of Education (SCOE) implemented to reduce the need for disciplinary action in the school setting and be integrated into the facility's SCOE utilizes a Multiple Tiered Systems of ☒ ☐ ☐ overall behavioral management plan and security Supports to recognize positive behavior. They system. also work to align with the facility’s Behavior Management System. (2) School staff shall be advised of administrative 3.3.5 (9) School Program-Sonoma County decisions made by probation staff that may affect the Office of Education (SCOE) ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State 3.3.5 (9) School Program-Sonoma County Education Code, expulsion/suspension from school Office of Education (SCOE) 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-Sonoma County education staff will develop policies and procedures Office of Education (SCOE) that address the rights of any student who has ☒ ☐ ☐ continuing difficulty completing a school day. 7659 Sonoma SYTF CI PRO 25-26 Page 34 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (d) Provisions for Special Populations 3.3.5 (9) School Program-Sonoma County (1) State and federal laws and regulations shall be Office of Education (SCOE) observed for all individuals with disabilities or suspected disabilities. This includes but is not limited SCOE provides special education and English to child find, assessment, continuum of alternative ☒ ☐ ☐ language support to students. 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-Sonoma County afforded an educational program that addresses their Office of Education (SCOE) language needs pursuant to all applicable state and ☒ ☐ ☐ federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission 3.3.5 (9) School Program-Sonoma County (1) Youth shall be interviewed after admittance and a Office of Education (SCOE) record maintained that documents a youth's ☒ ☐ ☐ educational history, including but not limited to: (A) School progress/school history; 3.3.5 (9) School Program-Sonoma County ☒ ☐ ☐ Office of Education (SCOE) (B) Home Language Survey and the results of the 3.3.5 (9) School Program-Sonoma County State Test used for English language proficiency; ☒ ☐ ☐ Office of Education (SCOE) (C) Needs and services of special populations as 3.3.5 (9) School Program-Sonoma County defined by the State Education Code, including but Office of Education (SCOE) ☒ ☐ ☐ not limited to, students with special needs. (D) Discipline problems. 3.3.5 (9) School Program-Sonoma County ☒ ☐ ☐ Office of Education (SCOE) (2) Youth will be immediately enrolled in school. 3.3.5 (9) School Program-Sonoma County Educational staff shall conduct an assessment to Office of Education (SCOE) determine the youth's general academic functioning ☒ ☐ ☐ levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary 3.3.5 (9) School Program-Sonoma County education plan shall be developed for each youth Office of Education (SCOE) ☒ ☐ ☐ within five school days. (4) Upon enrollment, education staff shall comply with 3.3.5 (9) School Program-Sonoma County the State Education Code and request the youth's Office of Education (SCOE) records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, immunization records, exit grades, and partial credits. ☒ ☐ ☐ Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting 3.3.5 (9) School Program-Sonoma County (1) The complete facility educational record of the Office of Education (SCOE) youth shall be forwarded to the next educational ☒ ☐ ☐ placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall 3.3.5 (9) School Program-Sonoma County provide appropriate credit (full or partial) for course Office of Education (SCOE) work completed while in juvenile court school in ☒ ☐ ☐ accordance with the State Education Code. 7659 Sonoma SYTF CI PRO 25-26 Page 35 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (g) Transition and Re-Entry Planning 3.3.5 (9) School Program-Sonoma County (1) The Superintendent of Schools and the Chief Office of Education (SCOE) Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, The SCOE Guidance Counselor, Work Based including the development of an education transition ☒ ☐ ☐ Learning Coordinator, and the Director of plan, in accordance with the State Education Code Alternative Education coordinates with the and in alignment with Title 15, Minimum Standards for home school district for all youth released. Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities 3.3.5 (9) School Program-Sonoma County (1) The school and facility administrator should, Office of Education (SCOE) whenever possible, collaborate with local post- secondary education providers to facilitate access to Youth can utilize Edovo Tablets and educational and vocational opportunities for youth that Chromebooks and take adult education and considers the use of technology to implement these college courses through Santa Rosa Junior ☒ ☐ ☐ programs. College Career. Technical certificate programs available include OSHA, Culinary Arts, Computer Science, Red Cross CPR and First Aid, CNC Coding, Adobe, and Microsoft Office Specialist. 1371 PROGRAMS, RECREATION, AND EXERCISE. 3.6.4 Programs, Recreation and Exercise The facility administrator shall develop and implement written policies and procedures for programs, recreation, ☒ ☐ ☐ and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Juvenile facilities shall provide the opportunity for 3.6.4 (j) Programs, Recreation and Exercise programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each BSCC staff reviewed March 2025 Facility Saturday, Sunday or other non-school days, of which Programming Calendar and documentation one hour shall be an outdoor activity, weather permitting. for youth’s participation in programming, recreation, and exercise maintained in the Behavior Tracker Program Compliance Report for October and December 2024 and January ☒ ☐ ☐ 2025 this regulation. The facility is in compliance with this regulation. A Program Supervisor is tasked with overseeing programming. A JCC III supports career technical education and college/higher education services. A youth’s participation in programs, recreation, and 3.6.4 (2) Suspension of Programs, Leisure exercise may be suspended only upon a written finding Activities and Exercise by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall 3.3.15 Program and Activities Schedules be posted in the living units. ☒ ☐ ☐ BSCC staff reviewed Housing Unit Schedules and confirmed posted in the living unit. There will be a written annual review of the programs, A memorandum dated March 20, 2025, by recreation, and exercise by the responsible agency to Division Director I, Daniel Flamson, outlined ensure content offered is current, consistent, and ☒ ☐ ☐ programming, recreation, and exercise. relevant to the population. 7659 Sonoma SYTF CI PRO 25-26 Page 36 of 46 J453 JUV PRO eff. 01.01.25 (a) Programs. All youth shall be provided with the 3.6.4 Programs, Recreation and Exercise opportunity for at least one hour of daily programming to (1)(e)(i-xvii) include, but not be limited to, trauma focused, cognitive, 3.3.3 Behavior Management System evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- Facility staff are trained to facilitate Cognitive social interventions and activities designed to reduce Behavioral Interventions. Daily staffing occurs recidivism. These programs should be based on the at the beginning of each shift in which staff youth’s individual needs as required by Sections 1355 discuss with the group expectations and shift and 1356. Such programs may be provided under the events. Afternoon staffing may include a direction of the Chief Probation Officer or the County focused lesson of the matrix values of Be Safe, Office of Education and can be administered by county Be Accountable, and Be Respectful. partners such as mental health agencies, community based organizations, faith-based organizations or The facility staff provides a gardening program Probation staff. to the youth utilizing a 30-foot greenhouse Programs may include but are not limited to: which grows produce using aquaponics. In (1) Cognitive Behavior Interventions; addition, facility staff provide the following (2) Management of Stress and Trauma; programming: (3) Anger Management; (4) Conflict Resolution; Aggression Replacement Training (5) Juvenile Justice System; Girls Circle (6) Trauma-related interventions; Intro to Welding (7) Victim Awareness; Second Chances (8) Self-Improvement; Interactive Journaling (9) Parenting Skills and support; Boys Council (10) Tolerance and Diversity; Art Program (11) Healing Informed Approaches; Arts and Crafts (12) Interventions by Credible Messengers; Girls Moving ON (13) Gender Specific Programming; Cognitive Behavior Interventions-Core Youth (14) Art, creative writing, or self-expression; (CBI)CY) (15) CPR and First Aid training; A New Freedom (Gand Intervention (16) Restorative Justice or Civic Engagement; Programming) (17) Career and leadership opportunities; and, ☒ ☐ ☐ Cognitive Behavioral Interventions- (18) Other topics suitable to the youth population. Interpersonal Violence (CBI-IPV) Facility staff also assist collaborative partners with the following programs: Mentoring Creative Audio Program Cognitive Behavioral Interventions-Substance Abuse (CBI-SA) A culinary program is facilitated via a contract with a local chef and educator. A music program was implemented in January 2024. The facility purchased musical equipment and industry-standard music studio and added music lessons and music theory classes. In addition, the following programming is provided by collaborative partners and community-based organizations: Rising Scholars Network My Strength Teen Assault Prevention Individual Trauma Counseling Drug and Alcohol Education (AODS) Individual and Group Counseling Narcotics/Alcoholics Anonymous Creative Ceramics Program Mindfulness Boys and Girls Club/REACH 7659 Sonoma SYTF CI PRO 25-26 Page 37 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 The Beat Within Department of Rehabilitation Sonoma County Library/Book Club Hope Programming Guitar Class Jeannette Gilbert, MFT Breathwork and Trauma Recovery BSCC interviewed youth who affirmed programming occurs daily. (b) Recreation. All youth shall be provided the opportunity 3.6.4 Programs, Recreation and Exercise for at least one hour of daily access to unscheduled (1)(d) activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and include The recreation program consists of board orientation and may include coaching of youth. games, television, letter writing, ping pong, PS3 video games, and reading material. The facility has contracted with Sonoma County Library and has a full-time librarian. The ☒ ☐ ☐ youth have regular access to the librarian and book carts and deposit boxes were installed on every housing unit. BSCC interviewed youth who affirmed they have the opportunity to choose leisure activities daily. (c) Exercise. All youth shall be provided with the 3.6.4 Programs, Recreation and Exercise opportunity for at least one hour of large muscle activity (1)(j) each day. The facility continues to operate a running program and workout equipment has been provided in every unit and recreation yard. The workout equipment in the gym created in ☒ ☐ ☐ Housing Unit 7 has been upgraded and industrial rubber floormats were installed to lessen the physical impact of workouts. BSCC interviewed youth who affirmed they have the opportunity to exercise daily. The administrator/manager may suspend, for a period not 3.6.4 (2) Suspension of Programs, Leisure to exceed 24 hours, access to recreation and programs. Activities and Exercise 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 religious Youth interviewed affirmed spiritual advisors services and/or religious counseling at least once each and services are available weekly and they are week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ not required to participate. allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; 3.6.5 (1)(e) Religious Programs ☒ ☐ ☐ (b) availability of clergy; and, 3.6.5 (1)(e) and (f) Religious Programs ☒ ☐ ☐ (c) availability of religious diets. 3.6.5 (1)(j) Religious Programs ☒ ☐ ☐ 7659 Sonoma SYTF CI PRO 25-26 Page 38 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1373 WORK PROGRAM 3.1.2 Housing Unit Cleaning Schedule The facility administrator shall develop policies and procedures regarding the fair and consistent assignment 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 Visiting schedule is posted in the living units. written policies and procedures for visiting, that include BSCC staff reviewed visiting schedule and the provisions for special visits. Youth shall be allowed to Guide to Family Visitation brochure. BSCC receive visits by parents, guardians or persons standing staff interviewed youth who indicated visiting in loco parentis, and children of youth. Other family ☒ ☐ ☐ always occurs as scheduled. The facility is in members, such as grandparents and siblings, and compliance with this regulation. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to 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 criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours 3.3.16 (1)(a)Visiting per week. Visits may be supervised, but conversations 3.3.16 (2)(f) Standard Visiting Rules and shall not be monitored unless there is a security or safety ☒ ☐ ☐ Expectations need. Provisions for special visits, in addition to the two-hour 3.3.16 (3) Special Visits 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) Special Visits alternative, but not as a replacement, to in-person visiting. ☒ ☐ ☐ 1375 CORRESPONDENCE 3.6.3 Mail 3.6.3 (1)(c) Mail The facility administrator shall develop and implement written policies and procedures for correspondence which ☒ ☐ ☐ provide that: (a) there is no limitation on the volume of mail that youth may send or receive; (b) youth may send two letters per week postage free; 3.6.3 (1)(c) Mail ☒ ☐ ☐ The facility provides seven stamps per week for personal correspondence. 7659 Sonoma SYTF CI PRO 25-26 Page 39 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (c) youth may correspond confidentially with state and 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) Mail in (c), may be read by staff only when there is reasonable cause to believe facility safety and security, public safety, ☒ ☐ ☐ or youth safety is jeopardized. 1376 TELEPHONE ACCESS 3.6.2 Access to Phones The administrator of each juvenile facility shall develop ☒ ☐ ☐ and implement written policies and procedures to provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES 3.6.1(1)(a) Access to Legal Services The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts ☒ ☐ ☐ and legal services. Such access shall include: (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; (b) provision for confidential consultation with attorneys; 3.6.1 (5)(b) Visits with Attorney and Other and, ☒ ☐ ☐ Legal Services (c) unlimited postage free, legal correspondence and 3.6.1 (6) Correspondence with Attorney and cost-free telephone access as appropriate. ☒ ☐ ☐ Other Legal Services 1390 DISCIPLINE 3.5.2 Discipline and the Discipline Process 3.3.3 Behavior Management System The facility administrator shall develop and implement written policies and procedures for the discipline of youth Disciplinary actions for a major rule violation that shall promote acceptable behavior; including the use could include loss of BMS points, separation, of positive behavior interventions and supports. Discipline or modified program. In addition, if applicable, shall be imposed at the least restrictive level which ☒ ☐ ☐ additional days could be added to a promotes the desired behavior and shall not include commitment program. The facility has three corporal punishment, group punishment, physical or core behavioral expectations of: Be Safe, Be psychological degradation. Accountable, and Be Respectful as outlined in Deprivation of the following is not permitted: their BMS. 3.5.2 (1)(g)(i) Discipline and the Discipline (a) bed and bedding; ☒ ☐ ☐ Process (b) daily shower, access to drinking fountain, toilet and 3.5.2 (1)(g)(ii-v) Discipline and the Discipline personal hygiene items, and clean clothing; ☒ ☐ ☐ Process 3.5.2 (1)(g)(vi) Discipline and the Discipline (c) full nutrition; ☒ ☐ ☐ Process 3.5.2 (1)(g)(vii) Discipline and the Discipline (d) contact with parent or attorney; ☒ ☐ ☐ Process 3.5.2 (1)(g)(viii) Discipline and the Discipline (e) exercise; ☒ ☐ ☐ Process 3.5.2 (1)(g)(ix) Discipline and the Discipline (f) medical services and counseling; ☒ ☐ ☐ Process 3.5.2 (1)(g)(x) Discipline and the Discipline (g) religious services; ☒ ☐ ☐ Process 3.5.2 (1)(g)(xi) Discipline and the Discipline (h) clean and sanitary living conditions; ☒ ☐ ☐ Process 3.5.2 (1)(g)(xii) Discipline and the Discipline (i) the right to send and receive mail; ☒ ☐ ☐ Process 7659 Sonoma SYTF CI PRO 25-26 Page 40 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 BSCC staff provided technical assistance to (j) education; and, ☒ ☐ ☐ clarify this language in policy. 3.5.2 (1)(g)(xiii) Discipline and the Discipline (k) rehabilitative programming. ☒ ☐ ☐ Process The facility administrator shall establish rules of conduct 3.5.2 (1)(b)Discipline and the Discipline and disciplinary penalties to guide the conduct of youth. Process Such rules and penalties shall include both major 3.5.2 (2) Major and Minor Rule Violations violations and minor violations, be stated simply and 3.5.1 Resident Rules and Behavior affirmatively, and be made available to all youth. Provision ☒ ☐ ☐ Expectations shall be made to provide accessible information to youth 3.5.1 (2)(a) Major Rules with disabilities, limited English proficiency, or limited 3.5.1 (2)(b) Medium Rules literacy. 3.5.1 (2)(c) Major Rules 1391 DISCIPLINE PROCESS 3.5.2 (1)(h) Discipline and the Discipline Process The facility administrator shall develop and implement 3.5.3 Due Process written policies and procedures for the administration of discipline which shall include, but not be limited to: ☒ ☐ ☐ BSCC staff reviewed 10 SYTF Behavior (a) designation of personnel authorized to impose Tracker Entries and Resident Due Process discipline for violation of rules; Forms. The facility is in compliance with this regulation. (b) prohibiting discipline to be delegated to any youth; 3.5.2 (1)(h)(i) Discipline and the Discipline ☒ ☐ ☐ Process (c) definition of major and minor rule violations and their 3.5.2 (2)(a) and (b) Major and Minor Rule consequences, and due process requirements; ☒ ☐ ☐ Violations (d) trauma-informed approaches and positive behavior 3.5.2 (1)(f) Discipline and the Discipline interventions; ☒ ☐ ☐ Process (e) minor rule violations may be handled informally by 3.5.2 (2)(b) Minor Rule Violations counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process shall 3.5.3 (1)(b)(i) Due Process be documented and require the following: ☒ ☐ ☐ (1) written notice of violation prior to a hearing; (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; ☒ ☐ ☐ (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 ☒ ☐ ☐ (g) violations that result in a removal from camp or 3.5.3 Due Process commitment program, but not a return to court, will follow ☒ ☐ ☐ the due process provisions in subsection (e) above. 7659 Sonoma SYTF CI PRO 25-26 Page 41 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1410 MANAGEMENT OF COMMUNICABLE 5.1.15 COVID-19 and Other Communicable DISEASES. Diseases The health administrator/responsible physician, in cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: 4.1.1 Intake (a) Intake health screening procedures; ☒ ☐ ☐ 5.1.15 (2) Intake Procedures 5.1.15 COVID-19 and Other Communicable (b) Identification of relevant symptoms; ☒ ☐ ☐ Diseases 5.1.15 COVID-19 and Other Communicable (c) Referral for medical evaluation; Diseases ☒ ☐ ☐ 6.1.2 Medical Services Referral 5.1.15 COVID-19 and Other Communicable (d) Treatment responsibilities during detention; ☒ ☐ ☐ Diseases (e) Coordination with public and private community- 5.1.15 COVID-19 and Other Communicable based resources for follow-up treatment; ☒ ☐ ☐ Diseases 5.1.15 COVID-19 and Other Communicable (f) Applicable reporting requirements; and, ☒ ☐ ☐ Diseases 5.1.15 COVID-19 and Other Communicable (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ Diseases The policies and procedures shall be updated as 5.1.15 COVID-19 and Other Communicable necessary to reflect communicable disease priorities Diseases identified by the local health officer and currently ☒ ☐ ☐ recommended public health interventions. 1433 REQUESTS FOR HEALTH CARE SERVICES 6.1.1 Medical Services Program Resident Handbook Page 8 The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE 4.1.3 Initial Shower, Clothing and Bedding Issue The youth’s personal clothing, undergarments and 4.1.3 (2) Initial Clothing and Shower footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily 3.2.3 (1)(a) Clothing Issuance laundered, in good repair, and free of holes and tears. 4.1.3 Initial Shower, Clothing and Bedding ☒ ☐ ☐ Issue (b) The standard issue of climatically suitable clothing 3.2.3, 1(ii)(3) Clothing Issuance for youth shall consist of but not be limited to: 3.2.3 (4) Shoes (1) Socks and serviceable footwear; ☒ ☐ ☐ 4.1.3 (2)(a)(i) Initial Clothing Issue and Shower (2) Outer garments; 3.2.3 (1)(a)(ii) Outer Garments ☒ ☐ ☐ (3) New non-disposable underwear which shall 3.2.3 (1)(a)(i)(2) Clothing Issuance remain with the youth throughout their stay, and; 4.1.3 (2)(a)(i) Initial Clothing Issue and ☒ ☐ ☐ Shower 7659 Sonoma SYTF CI PRO 25-26 Page 42 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 (4) Undergarments, that are freshly laundered and 3.2.3 (1)(a)(i) Clothing Issuance free of stains, including tee shirts and bras. 4.1.3 (2)(a)(i) Initial Clothing Issue and ☒ ☐ ☐ Shower (c) Clothing is laundered at the temperature required by 7.2.2 (1)(a)(i) Laundry Operations local ordinances for the commercial laundries and dried completely in a mechanical dryer or other laundry ☒ ☐ ☐ method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. 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 Interviews with youth confirm they are cleaning and scheduled exchange of clothing. Unless receiving clean clothing daily. They were also work, climatic conditions, or illness necessitates more ☒ ☐ ☐ able to relay the exchange for other clothing frequent exchange, outer garments, except for footwear, not required to be exchanged daily. The youth shall be exchanged at least once each week. Tee shirts, indicated they can receive clean clothing prior bras, and underwear shall be exchanged daily; youth to the exchange if needed. shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S 4.1.3 (2)(k) and (l) Soiled and Contaminated PERSONAL CLOTHING Clothing 4.1.4 (3) Property Storage and Vermin There shall be written policies and site-specific Control 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 There shall be written policies and site-specific Interviews with youth confirm they are procedures developed and implemented by the facility receiving all required personal care items. administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; 3.2.2 (1)(b) Personal Hygiene ☒ ☐ ☐ (b) Toothpaste; 3.2.2 (1)(b) Personal Hygiene ☒ ☐ ☐ (c) Soap; 3.2.2 (1)(b) Personal Hygiene ☒ ☐ ☐ (d) Comb; 3.2.2 (1)(b) 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 ☒ ☐ ☐ 7659 Sonoma SYTF CI PRO 25-26 Page 43 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 Youth shall not be required to share any personal care 3.2.2 Personal Hygiene items listed in items (a) through (d). Liquid soap provided 3.2.4 Shaving 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 procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING 3.2.4 Shaving Youth shall have access to a razor daily, unless their BSCC staff interviewed youth who indicate appearance must be maintained for reasons of they have the opportunity to shave daily. identification in Court. All youth shall have equal ☒ ☐ ☐ BSCC staff recommended the facility provide opportunity to shave face and body hair. The facility male youth the same amount of time as female administrator may suspend this requirement in relation youth to shave body hair. to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES 3.2.5 Hair Care Services Hair care services shall be available in all juvenile BSCC staff reviewed monthly invoices and facilities. Youth shall receive hair care services monthly. hair care provider sign-in sheets for the last Equipment shall be cleaned and disinfected after each ☒ ☐ ☐ comprehensive inspection. BSCC staff haircut or procedure, by a method approved by the State interviewed youth who noted they can receive Board of Barbering and Cosmetology. haircare services monthly. The facility is in compliance with this regulation. 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, but not be limited to: (a) One mattress or mattress-pillow combination which 4.1.3 (3)(a)(iii) Initial Bedding Issue meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; (b) One pillow and a pillow case unless provided for in 4.1.3 (3)(a)(iii) Initial Bedding Issue (a) above; ☒ ☐ ☐ (c) One mattress cover and a sheet or two sheets; 4.1.3 (3)(a)(i) Initial Bedding Issue ☒ ☐ ☐ 3.2.3 (1)(d) Clothing Assignment and Bedding Exchange (d) One towel; and, ☒ ☐ ☐ 4.1.3 (2)(m)(ii) Initial Clothing Issue and Shower (e) One blanket or more, up on request 4.1.3 (3)(a)(ii) Initial Bedding Issue ☒ ☐ ☐ 7659 Sonoma SYTF CI PRO 25-26 Page 44 of 46 J453 JUV PRO eff. 01.01.25 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2 1501 BEDDING LINEN EXCHANGE 3.2.3 (3)(a) Bedding Exchange The facility administrator shall develop and implement Interviews with youth confirm they are site specific written policies and procedures for the exchanging linen each week. They can scheduled exchange of laundered bedding and linen ☒ ☐ ☐ receive clean linen if needed prior to exchange issued to each youth housed. Washable items such as day. sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once 3.2.3 (3)(b) Bedding Exchange a month. ☒ ☐ ☐ 1510 FACILITY SANITATION, SAFETY AND 2.1.1 (2)(a)(xiii) JCC Roles and MAINTENANCE Responsibilities 3.1.2 (1)(e)(iii) Housing Unit Cleaning The facility administrator shall develop and implement Schedule written policies and site-specific procedures for the 7.3.1 (1)(a) Work Orders maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall The interior and exterior of the facility is well provide for a regular schedule of housekeeping tasks, kept. All sleeping rooms were recently equipment, including restraint devices, and physical ☒ ☐ ☐ refreshed with new paint, including an accent plant maintenance and inspections to identify and wall in each room and chalkboard paint for the correct unsanitary or unsafe conditions or work practices door. The Court Visitation was recently in a timely manner. The use of chemicals shall be done upgraded with new paint, carpet, furniture, and in accordance to the product label and Safety Data technology. Two local artists were contracted Sheet which may include the use of Personal Protection and painted murals in Court Visitation, every Equipment (PPE). housing unit, and the small recreation yard. 7659 Sonoma SYTF CI PRO 25-26 Page 45 of 46 J453 JUV PRO eff. 01.01.25 REVIEW OF NON-REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☐ ☒ to the JPCF Camp Eligibility Form) 7659 Sonoma SYTF CI PRO 25-26 Page 46 of 46 J453 JUV PRO eff. 01.01.25 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009; 2014; 2018 BSCC Code: 7658 7659 FACILITY NAME: Sonoma County Juvenile Hall and Secure Youth Treatment Facility FACILITY TYPE: JH SYTF 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That Apply): ☐ ☒ ☐ ☐ ☐ ☐ FIELD REPRESENTATIVE: Shay Molennor DATE: May 1, 2025 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. ☒ ☐ ☐ 7658 7659 Sonoma JH SYTF CI PHY 25-26 - 1 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.3 Natural light. Outer-facing exterior windows where youth’s privacy is not at risk shall be provided in locked sleeping rooms, single occupancy sleeping rooms, double occupancy ☒ ☐ ☐ sleeping rooms, dormitories and dayrooms. Natural light may be provided by, but is not limited to, skylights or windows in dayrooms, windows in adjacent exterior exercise areas, and in sleeping rooms and/or dormitories. 1230.1.4 Corridors ☒ ☐ ☐ Corridors in living areas shall be at least eight feet wide. 1230.1.5 Living unit. A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy ☒ ☐ ☐ sleeping rooms, or dormitories, dayroom space, toilet, wash basins, drinking fountains and showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention or ☒ ☐ ☐ other action if needed. In juvenile halls, the number of youth housed in a living unit shall not exceed 30. 1230.1.6 Locked sleeping rooms. Locked sleeping rooms shall be equipped with an ☒ ☐ ☐ individual or combination toilet, wash basin, mirror and drinking fountain. Doors to locked sleeping rooms shall swing outward or ☒ ☐ ☐ slide laterally. 1230.1.7 Single occupancy sleeping rooms. Units 1-6 include observation rooms that would meet the requirements of single Single occupancy sleeping rooms shall provide the ☒ ☐ ☐ occupancy rooms; however, they are not following: included in the rated 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. ☒ ☐ ☐ 7658 7659 Sonoma JH SYTF CI PHY 25-26 - 2 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 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. ☒ ☐ ☐ 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 Indoor/outdoor physical activity and recreation areas space 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; outdoor track, used by all youth as scheduled. 41-274 is 225 square feet per youth up to 61,650 square feet; 275 or more is 61,650 square feet, plus 145 square feet for each youth beyond 274 [up to a maximum of 87,120 square feet] 1.1 At least one quarter of the dedicated indoor/outdoor space shall be a paved or like ☒ ☐ ☐ surface. 1.2 The required recreation area shall contain no ☒ ☐ ☐ single dimension less than 40 feet. 2. A portion of the dedicated space for physical activity and recreation shall be out-of-doors and be sufficient size and equipped in such a manner to allow ☒ ☐ ☐ compliance with Title 15, Section 1371, which requires at least one hour per day of outdoor activity for each detained youth. 3. Lighting of outdoor recreation areas shall be provided to allow for evening activities and to provide ☒ ☐ ☐ security. 4. Access must be provided to a toilet, wash basin ☒ ☐ ☐ and drinking fountain as specified in Section 1230.2. 1230.1.12 Academic classrooms. There 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. 7658 7659 Sonoma JH SYTF CI PHY 25-26 - 3 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 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; 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; ☒ ☐ ☐ 7658 7659 Sonoma JH SYTF CI PHY 25-26 - 4 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 6. Smooth, nonporous, washable surface; ☒ ☐ ☐ 7. A medical exam table; and, ☒ ☐ ☐ 8. Adequate lighting. ☒ ☐ ☐ 1230.1.15 Pharmaceutical storage. Provide lockable storage space for medical supplies ☒ ☐ ☐ and pharmaceutical preparations as specified by Title 15, Section 1438. 1230.1.16 Dining areas. 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. ☒ ☐ ☐ 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. 7658 7659 Sonoma JH SYTF CI PHY 25-26 - 5 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.23 Emergency power. There shall be a source of emergency power in all juvenile facilities capable of providing minimal lighting ☒ ☐ ☐ in all living units, activities areas, corridors, stairs and central control points, and to maintain fire and life safety, security, communications and alarm systems (Title 24, Part 2, Chapter 27). Such an emergency power source shall conform to the requirements specified in Title, 24, Part 3, Article 700, ☒ ☐ ☐ California Electrical Code, California Code of Regulations. 1230.1.24 Confidential interview room. ☒ ☐ ☐ Confidential interview rooms shall contain a minimum of 60 square feet of floor area. In juvenile halls there shall be a minimum of one ☒ ☐ ☐ suitably furnished interview room for each 30 youth. In camps there shall be a minimum of one suitably ☒ ☐ ☐ furnished interview room for each facility. This interview room shall provide for confidential ☒ ☐ ☐ consultations with youth. 1230.1.25 Special-purpose juvenile halls. Special-purpose juvenile halls shall conform to all ☐ ☐ ☒ minimum standards for juvenile facilities contained in this section with the following exceptions: 1. Physical activity and recreation areas as specified ☐ ☐ ☒ in Section 1230.1.11; 2. Academic classrooms as specified in Section ☐ ☐ ☒ 1230.1.12; 3. Medical examination room as specified in Section ☐ ☐ ☒ 1230.1.14; and, 4. Dining areas as specified in Section 1230.1.16. ☐ ☐ ☒ 1230.1.26 Court holding room for youth. A court holding room shall: ☐ ☐ ☒ 1. Contain a minimum of 10 square feet of floor area per youth; 2. Be limited to no more than 16 youth; ☐ ☐ ☒ 3. Provide no less than 40 square feet of floor area ☐ ☐ ☒ and have a ceiling height of 8 feet or more; 4. Contain seating to accommodate all youth as ☐ ☐ ☒ specified in Section 1230.2.8; 5. Contain a toilet, wash basin and drinking fountain ☐ ☐ ☒ as specified in Section 1230.2; 6. Maximize visual supervision of youth by staff; and, ☐ ☐ ☒ 7. A mirror of material appropriate to the level of security shall be provided as specified in Section ☐ ☐ ☒ 1230.2.11. 7658 7659 Sonoma JH SYTF CI PHY 25-26 - 6 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.27 Programs and activity areas. All juvenile facilities shall include adequate space for ☒ ☐ ☐ specific programs in addition to recreation and exercise areas. 1230.2.1 Toilets/urinals. All toilet areas shall provide privacy for the youth and ☒ ☐ ☐ help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Toilets must be available in a ratio to youth as follows: ☒ ☐ ☐ 1. Juvenile halls 1:6; 2. Camps 1:10; and ☐ ☐ ☒ 3. Locked holding rooms 1:8: ☒ ☐ ☐ One toilet and one urinal may be substituted for every ☒ ☐ ☐ 15 males. 1230.2.2 Wash basins. In living units, wash basins must be available in a ratio ☒ ☐ ☐ to youth as follows: 1. Juvenile halls 1:6; 2. Camps 1:10; and ☐ ☐ ☒ 3. Locked holding rooms 1:8: ☒ ☐ ☐ Wash basis must be provided with hot and cold or ☒ ☐ ☐ tempered water. 1230.2.3 Drinking fountains. In living areas and indoor and outdoor recreation ☒ ☐ ☐ areas, drinking fountains must be accessible to youth and to staff. 1. The drinking fountain bubbler shall be on an angle which prevents waste water from flowing over the ☒ ☐ ☐ drinking bubbler; and, 2. The water flow shall be actuated by a mechanical ☒ ☐ ☐ means. 1230.2.4 Showers. Shower areas shall provide privacy for the youth and ☒ ☐ ☐ help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Showers shall be available to all youth on a ratio of at least one shower or bathtub to every six youth. ☒ ☐ ☐ Showers shall be provided with tempered water. 1230.2.5 Beds. ☒ ☐ ☐ Beds shall be at least 30 inches wide and 76 inches long and be of the solid bottom type. Beds shall be at least 12 inches off the floor and ☒ ☐ ☐ spaced no less than 36 inches apart Bunk beds must have no less than 33 inches vertically ☒ ☐ ☐ between the solid bottoms. In secure facilities, the bunks shall be securely ☒ ☐ ☐ anchored and flushed against the floor and/or wall. 7658 7659 Sonoma JH SYTF CI PHY 25-26 - 7 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.6 Lighting. Lighting in locked sleeping rooms, single occupancy ☒ ☐ ☐ rooms, double occupancy rooms, dormitories, day rooms and activity areas shall provide not less than 20 foot candles of illumination at desk level. Night lighting is required in these areas to provide for good visibility for supervision and be conducive to ☒ ☐ ☐ sleep. 1230.2.7 Padding. Padding in safety rooms, padding shall cover the ☐ ☐ ☒ entire floor, door, walls and everything on walls to a clear height of eight feet. Benches or platforms are not to be placed on the floor ☐ ☐ ☒ of this room. All padded rooms must be equipped with a tamper resistant fire sprinkler as approved by the State Fire ☐ ☐ ☒ Marshal. All padding must be: ☐ ☐ ☒ 1. Approved for use by the State Fire Marshal; 2. Nonporous to facilitate cleaning; ☐ ☐ ☒ 3. At least 112 inch thick; ☐ ☐ ☒ 4. Of a unitary or laminated construction to prevent its destruction by teeth, hand tearing or small metal ☐ ☐ ☒ objects; 5. Firmly bonded to all padded surfaces to prevent ☐ ☐ ☒ tearing or ripping; and, 6. Without any exposed seams susceptible to tearing ☐ ☐ ☒ or ripping. 1230.2.8 Seating. ☒ ☐ ☐ Seating shall be designed for the level of security. When bench seating is used, 18 inches of bench is ☒ ☐ ☐ seating for one person. 1230.2.9 Weapons lockers. Weapons lockers are required in all secure juvenile ☒ ☐ ☐ facilities and shall be located outside the secure area of the facility. Weapons lockers shall be equipped with individual ☒ ☐ ☐ compartments, each with an individual locking device. 1230.2.10 Security glazing. Security glazing shall comply with the minimum requirements of one of the following test standards: American Society for Testing and Materials, ASTM F ☒ ☐ ☐ 1233-98, Class III glass, or; California Department of Corrections, CDC 860-94d, Class C glass or; H.P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. 7658 7659 Sonoma JH SYTF CI PHY 25-26 - 8 - J456 JUV PHY eff. 1.1.20 (25-26) TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.11 Mirrors. A mirror of a material appropriate to the level of ☒ ☐ ☐ security must be provided near each wash basin specified in these regulations. 7658 7659 Sonoma JH SYTF CI PHY 25-26 - 9 - J456 JUV PHY eff. 1.1.20 (25-26) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7658 7659 FACILITY: Sonoma County Juvenile Hall and Secure Youth Treatment TYPE: JH RC: 110 Facility SYTF 30 FIELD REPRESENTATIVE: Shay Molennor DATE: May 1, 2025 ROOMS EACH ROOM EACH ROOM FIXTURES* Unit Room Applicable # Total DIMENSIONS Designation Type Standards Rooms RC (L x W x H) # Beds RC T U W F S Intake Holding 2001 3 (5) (15) 11 x 7 1 1 1 Holding 2001 1 (5) (5) 11 x 7.8 1 1 1 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 Singe 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 (1) (1) 72 sq. ft 1 1 1 Use This unit is used for classroom instruction for Community College youth in the day room. The classroom is currently a Library. Unit 2 Singe 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 (1) (1) 72 sq. ft 1 1 1 Use The special use room is not used for housing. Used as an observation room for youth needing closer monitoring. Unit 3 Singe 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 (1) (1) 72 sq. ft 1 1 1 Use The special use room is not used for housing. Used as an observation room for youth needing closer monitoring. Unit 4 Singe 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 (1) (1) 72 sq. ft 1 1 1 Use The special use room is not used for housing. Used as an observation room for youth needing closer monitoring. Unit 5 Singe 2001 4 1 1 4 72-87 sq. ft. 1 1 1 4 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7658 7659 Sonoma JH SYTF CI LASE Page 1 of 2 J460 LASE Juvenile.dot (rev.12/23) ROOMS EACH ROOM EACH ROOM FIXTURES* Unit Room Applicable # Total DIMENSIONS Designation Type Standards Rooms RC (L x W x H) # Beds RC T U W F S Double 2001 8 2 2 16 105 sq. ft 1 1 1 Spec. 2001 1 1 (1) (1) 72 sq. ft 1 1 1 Use The special use room is not used for housing. Used as an observation room for youth needing closer monitoring. Unit 6 Singe 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 (1) (1) 72 sq. ft 1 1 1 Use The special use room is not used for housing. Used as an observation room for youth needing closer monitoring. Unit 7 Dorm 2001 1 20 20 20 3,000 sq. ft. 4 4 1 4 Spec. 2001 1 1 (1) (1) Use 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 = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7658 7659 Sonoma JH SYTF CI LASE Page 2 of 2 J460 LASE Juvenile.dot (rev.12/23)