Stanislaus Probation (2023-2024 inspection cycle)

October 14, 2024 Mark Ferriera, Chief Probation Officer Stanislaus Probation Department 2215 Blue Gum Avenue Modesto, CA 95358 2023-2024 TARGETED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, STANISLAUS COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Ferriera: A Targeted Inspection of the Stanislaus County Probation Department has been completed. A pre-inspection briefing was held on Tuesday, August 6, 2024, and the following facilities were inspected between Monday, September 16, 2024, and Tuesday, September 17, 2024: FACILITY NAME BSCC # FACILITY TYPE Stanislaus Juvenile Hall 7673 JH Secure Youth Treatment Facility 7674 SYTF Juvenile Commitment Facility 7675 CAMP 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 Title 15, California Code of Regulations. INSPECTION RESULTS The inspection consisted of a site visit, documentation review, and interviews with facility staff, collaborative partners, and youth. In addition, the Living Area Space Evaluation (LASE) was updated as the Secure Treatment Youth were transitioned from the Juvenile Hall and are now housed in the Juvenile Commitment Facility. We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Procedures Checklist and the LASE for detailed information. An Exit Briefing with your staff was held on Tuesday, September 17, 2024; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at shay.molennor@bscc.ca.gov or call (916) 708-2062 if you have any questions. Mark Ferriera Chief Probation Officer Page 2 Sincerely, SHAY MOLENNOR Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Stanislaus County Juvenile Court* Chair, Juvenile Justice Commission, Stanislaus County* Chair, Board of Supervisors, Stanislaus County* County Administrator, Stanislaus County* Tracie Martin, Assistant Chief (electronic copy) *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7673+ Stanislaus Probation JH SYTF Camp Targeted LTR 2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7673 FACILITY NAME: Stanislaus County Juvenile Hall FACILITY TYPE: JH PERSON(S) INTERVIEWED: Tracie Martin-Superintendent, Antonio Prado-Facility Manager, Maryvel Valencia-Facility Manager, M. Ford-Supervising Probation Corrections Officer, J. Bunch-Probation Corrections Officer III, C. Mascote-Probation Corrections Officer II, John Lewis-Principal-Stanislaus Office of Education, Andrea Pires, RN-WellPath Facility Coordinator, Shamerin Bourang, LCSW-WellPath Clinician, female youth age 18, male youth ages 16, 17, and 21 FIELD REPRESENTATIVE: Shay Molennor DATE: September 16-17, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Policy 217 Staffing Plan 217.3 Staffing Plan Requirements Each juvenile facility shall: Policy 217.3.1 (a) Responsibilities (a) have an adequate number of personnel sufficient to Procedures Staffing Shortage and Staffing carry out the overall facility operation and its Hours Procedures programming, to provide for safety and security of youth and staff, and meet established standards and The agency staff for their JH, Camp, and regulations; SYTF, which are co-located on the same campus. The combined population was 68 on September 16, 2024. Population numbers: • 39 Detention • 16 Camp • 13 SYTF BSCC staff reviewed the current department ☒ ☐ ☐ organizational chart, budgeted positions, vacancy chart, seniority list, leave of absence and modified duty report, and staffing assignments. In addition, BSCC staff reviewed the entire month staffing schedule for March and August 2024 and a supervisor staffing schedule for March and August 2024. • 11 Supervising Probation Corrections Officer (4 vacant) • 23 Probation Corrections Officer III (8 vacant) • 38 Probation Corrections Officer II (8 vacant) • 9 Probation Corrections Officer I - Extra Help 1 This document is intended for use as a tool during the Stanislaus targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 1 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Facility-specific trained Deputy Probation Officers provide additional support to the facility to maintain overall staffing patterns. The agency posts a schedule 45 days in advance to gain volunteers from facility staff and Deputy Probation Officers to cover vacant shifts. Once posted, the agency will utilize mandate rules and procedures to cover any unfilled shifts. In addition, the agency utilizes the Power Time program which will send emails and text alerts to secure voluntary shift coverage. The agency is in compliance with this regulation. (b) ensure that no required services shall be denied Policy 217.3.1 (a) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 217.3.1 (b) ☒ ☐ ☐ ensure adequate supervision of all staff members; (d) have a clearly identified person on duty at all times who Policy 217.3.1 (c) is responsible for operations and activities and has ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Policy 217.3.1 (e) ☒ ☐ ☐ unit whenever there are youth in the living unit; (f) have sufficient food service personnel relative to the Policy 200 Financial Practices number and security of living units, including staff qualified Policy 200.8 Staffing Plan and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct Food services are provided by agency staff. ☒ ☐ ☐ food preparation and servings; conduct related training The facility has one Supervising Custodial programs for culinary staff; and maintain necessary Cook, four Custodial Cooks, and four extra records; or, a facility may serve food that meets nutritional help assistant cooks. standards prepared by an outside source; 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 2 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, Policy 201 Supervision of Youth medical, dental, mental health, building maintenance, Policy 201.5 Separation of Duties transportation, control room, facility security and other Policy 217.3 support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be The agency has two budgeted Legal Clerk diverted from supervising youth; and, positions with one currently vacant. The agency has one Storekeeper position who provides warehouse and laundry services. Stanislaus County General Services provides the maintenance and Parks and Recreation does groundskeeping. ☒ ☐ ☐ WellPath provides 24-hour medical coverage with either an RN or LVN on duty at all times. After hours, an on-call supervising nurse, psychiatrist, and medical provider are available. A medical doctor, psychiatrist, and a psychiatric RN are onsite one day a week. WellPath provides daily mental health services. Licensed and Associate Clinical social workers provide services to the youth. Hours vary from 6:00 a.m. through 3:30 p.m. After hours on-call mental health coverage is available. (h) assign sufficient youth supervision staff to provide Policy 217.3.1 (f),(g) continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Policy 201.3 Supervision of Youth (A) during the hours that youth are awake, one ☒ ☐ ☐ wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their Policy 201.3 room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Policy 201.3 members on duty at all times, regardless of the number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on Policy 201.3 duty who is the same gender as youth housed in ☒ ☐ ☐ Policy 217.3.1 (d) the facility. (E) personnel with primary responsibility for other Policy 201.3.1 Other Staff Positions duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 3 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) during the hours that youth are confined to their 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 (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. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 4 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Policy 506 Youth Safety Checks The facility administrator shall develop and implement Procedures 509.1 Youth Safety Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, BSCC staff reviewed safety checks for at random or varied intervals during hours when youth December 2023 and February and May 2024. are asleep or when youth are in their rooms, confined in The facility utilizes Guardian RFID Program to holding cells or confined to their bed in a dormitory. record safety checks. The program also allows Supervision is not replaced, but may be supplemented the agency to make notations on facility by, an audio/visual electronic surveillance system operations such as headcounts, meals, designed to detect overt, aggressive or assaultive school, showers, recreation, exercise, and behavior and to summon aid in emergencies. All safety programming. The Supervising Corrections checks shall be documented with the actual time the Officer (SCO) reviews the unit’s safety checks check is completed. logs at minimum each shift. In addition, the SCO is required weekly to review their ☒ ☐ ☐ assigned unit’s safety checks to ensure completion and compliance. Any discrepancies require an incident report. One Supervisor is assigned to facility-wide audit safety checks. BSCC staff provided technical assistance to ensure staff who are varying their direction on room checks complete them within the required minimum time frames. In addition, BSCC staff discussed the importance of ensuring room checks are random and varied. The agency is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN Policy 707 Suicide Prevention and Intervention Policy 707.4 Suicide Prevention Plan The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Procedures 700.1 Purpose and Scope shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. The plan BSCC staff reviewed nine incidents involving shall consider the needs of youth experiencing past or suicidal behavior which included Special current trauma. Suicide prevention responses shall be Incident Reports, Suicide Watch Log, Mental respectful and in the least invasive manner consistent Health Referral, and Mental Health Suicide with the level of suicide risk. The plan shall include the ☒ ☐ ☐ Watch Custody Notification. The youth were following elements: promptly seen by Wellpath Medical and Mental Health staff. BSCC staff discussed with WellPath medical and mental health the importance of aligning their policies and procedures with actual practices of the facility. Documentation affirms the agency is in compliance with this regulation. (a) Suicide prevention training as required in Section Policy 300.3.1 Youth Supervision Orientation 1322, Youth Supervision Staff Orientation, and Training Policy 307.5 (e) Training for all Staff Members and the Juvenile Corrections Officer Core Course. Who Have Contact with Youth ☒ ☐ ☐ WellPath mental health staff interviewed indicated they were in the process of providing the annual suicide prevention training to facility staff. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 5 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Screening, Identification Assessment and Policy 501.3 (g) Pre-Admission Screening Precautionary Protocols Policy 701 Youth Screening and Evaluations (1) All youth shall be screened for risk of suicide at Policy 701.4 Initial Screenings intake and as needed during detention. Procedure 700.1 (a-b) Program Procedures ☒ ☐ ☐ Procedure 701.2.1 Suicide Prevention and Observation Intake Medical Screening and Classification forms are used to screen youth for risk. (2) All youth supervision staff who perform intake Policy 701.4 (c) processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy 701.4 (c)(2) intake screening process to be at risk of suicide shall ☒ ☐ ☐ be referred to behavioral/mental health staff for a Procedure 700.1 (a)(2) and (b)(1) suicide risk assessment. (4) Precautionary protocols shall be developed to Policy 707.5 Precautionary Steps ensure the youth’s safety pending the behavioral/mental health assessment. Procedures 700.1(b)(4) Suicide Watch/ Observation Room Program Procedure 700.2 Additional Interventions ☒ ☐ ☐ Procedure 700.4 One-on-One Program Precautionary protocols include the youth being transported to Unit One which allows for closer supervision pending the mental health assessment. (c) Referral process to behavioral/mental health staff for Procedure 700.3 (c) Communication assessment and/or services. Facilitation ☒ ☐ ☐ (d) Procedures for monitoring of youth identified at risk Policy 707.3 Member Responsibilities for suicide. Policy 707.6 Observation Log ☒ ☐ ☐ Procedures 700.1 (a)(2) (e) Safety Interventions Policy 707.5 (1) Procedures to address intervention protocols for youth identified at risk for suicide which may include, Procedure 700.2 Additional Interventions but are not limited to: Procedure 700.1 (b)(2)(a) (A) Housing consideration ☒ ☐ ☐ BSCC staff provided technical assistance to the agency to continue to work with WellPath on utilizing Observation Program Procedures for youth being removed from suicide watch. (B) Treatment strategies including trauma- Procedure 700.1 (b)(2)(b) ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff how Procedure 700.1 (b)(1-4) ☒ ☐ ☐ to respond to youth who exhibit suicidal behaviors. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 6 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Communication Policy 701.4 (c) (1) Initial Screening (1) The intake process shall include communication with the arresting officer and family guardians Procedure 700.3 Communication Facilitation regarding the youth’s past or present suicidal ideations, behaviors or attempts. The agency utilizes a Parent/Guardian Contact questionnaire to document communication as to the youth’s past or present suicidal behavior or thoughts. BSCC ☒ ☐ ☐ staff reviewed hard copies of the forms up to July 2024. The agency now completes the questionnaire in their case management system under booking information. BSCC staff reviewed booking information in which law enforcement are routinely questioned upon intake about suicidal ideations or behaviors. (2) Procedures for clear and current information Procedure 700.3 sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental health The Mental Health Suicide Watch Custody staff. Notification form is utilized for youth being placed on Suicide Watch. The agency provides ☒ ☐ ☐ a Suicidal Ideation/Behavior Notice to parents/guardians upon release, providing information for community-based evaluations and services for any youth experiencing depression, including thoughts of suicide. (g) Debriefing of Critical Incidents Related to Suicides or Policy 707.9 Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ Procedure 700.1 (b)(7)(a-b) circumstances and responses proceeding, during and after the critical incident. Policy 707.9 (2) Process for a debriefing event with affected staff. ☒ ☐ ☐ Procedure 700.1 (b)(7)(a-b) (3) Process for a debriefing event with affected youth. Policy 707.9 ☒ ☐ ☐ Procedure 700.1 (b)(7)(a-b) (h) Documentation Procedure 700.1 (b)(5)(a-b) (1) Documentation processes shall be developed to ☒ ☐ ☐ Procedure 700.5 Suicide Observation Log ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy 707.4 Suicide Prevention Plan opportunity to participate in facility programs, services and activities which are available to other non-suicidal Procedure 700.1 (b)(3) 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. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 7 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Policy 601 Room Confinement (a) The facility administrator shall develop and Procedure 604.2 Administrative Separation implement written policies and procedures addressing Procedure 604.1 Room Confinement the confinement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The BSCC staff reviewed ten instances of room placement of a youth in room confinement shall be confinement which consisted of accomplished in accordance with the following documentation outlined in the incident report, guidelines: Guardian RFID log, Daily Observation Report, and Mental Health referral. All were for fighting or assaulting another youth. Staff effectively documented the behavior which justified the ☒ ☐ ☐ room confinement in the incident report. No room confinement lasted longer than two hours as youth are reintegrated back into unit programming as soon as their behavior warrants. Facility administration 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. (1) Room confinement shall not be used before other, Policy 601.4 (a) Separation from Other Youth less restrictive, options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Policy 601.4 (b) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 601.4 (c) that it compromises the mental and physical health of ☒ ☐ ☐ the youth. (b) A youth may be held up to four hours in room Policy 601.4.5 (a) Room Confinement confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one None of the room confinements lasted more or more of the following: than four hours. (1) Return the youth to general population. ☒ ☐ ☐ Policy 601.4.5 (a)(1) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Policy 601.4.5 (a)(2) (3) Develop an individualized plan that includes the Policy 601.4.5 (a)(3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy 601.4.5 (b)(1) four hours, staff shall do each of the following: (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy 601.4.5 (b)(2) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 601.4.5 (b)(3) facility superintendent or his or her designee every ☒ ☐ ☐ four hours thereafter. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 8 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) This section is not intended to limit the use of Policy 601.4.5 (c) single-person rooms or cells for the housing of youth ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in Policy 601.4.5 (d) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Policy 601.4.5 (e) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 601.4.5 (f) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy 601.4.5 (g) placed in a locked cell or sleeping room to treat and Policy 502.7.2 Separation Exceptions protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 504 Case Management The facility administrator shall develop and implement ☒ ☐ ☐ Procedure 505.1 Assessment & Plan written policies and procedures for assessment and case planning. (a) Assessment: Policy 504.3 Assessments The assessment is based on information collected during the admission process with periodic review, which includes the youth's risk factors, needs and strengths ☒ ☐ ☐ including, but not limited to, identification of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: Policy 504.3.1 Institutional Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created within 40 BSCC staff reviewed 10 Institutional days of admission. Assessment Plans which were completed timely utilizing the Youth Level of Service/Case ☒ ☐ ☐ Management Inventory (YLS/CMS) 2.0 risk assessment. In addition, Behavioral Health and Recovery services, Wellpath Medical, and Stanislaus County Office of Education will also provide input for the institutional case plan. (2) The institutional plan shall include, but not be Policy 504.3.1 (c) limited to, written documentation that provides: ☒ ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 9 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) a plan for meeting the objectives that includes Policy 504.3.1 (b) a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Policy 504.3.1 (c) the objectives, including periodic review and discussion of the plan with the youth; BSCC staff reviewed 10 Institutional Assessment Plans which were completed timely utilizing the Youth Level of Service/Case ☒ ☐ ☐ Management Inventory (YLS/CMS) 2.0 risk assessment. In addition, Behavioral Health and Recovery services, Wellpath Medical, and Stanislaus County Office of Education will also provide input for the institutional case plan. (4) a transition plan, the contents of which shall be Policy 504.3.1 (d) subject to existing resources, shall be developed for Policy 504.3.2 Pre-Release Planning ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the plan, Policy 504.3.1 (a) including the transition plan, shall be developed with input from the family, supportive adults, youth, and Reintegration Meetings include the youth, Regional Center for the Developmentally Disabled. ☒ ☐ ☐ parent, facility staff, mental health, school, medical, and probation staff. In addition, these meetings can be attended by county and community-based service providers. 1357 USE OF FORCE Policy 514 Use of Force The facility administrator, in cooperation with the Procedure 507.1 Use of Force responsible physician, shall develop and implement written policies and procedures for the use of force, BSCC staff reviewed 11 incidents involving which may include chemical agents. Force shall never Use of Force. Five incidents involved youth be applied as punishment, discipline, retaliation or assaulting other youth, four incidents were for treatment. fighting, and two were for safety and security (a) At a minimum, each facility shall develop policies and ☒ ☐ ☐ threats. Documentation reviewed included procedures which: incident reports, Guardian RFID report, Mental Health referral, and Daily Program Observation Sheet. Staff document efforts to de-escalate the youth or utilize lesser interventions. The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Policy 514.3.4 Limitations reasonable and necessary, as defined in Section 1302 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Policy 514.3 both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Procedures 507.1(c) expressly prohibited by the facility. ☒ ☐ ☐ (4) describe the requirements of staff to report any Policy 514.3.2 Duty to Intercede inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 10 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that includes Policy 514.6 Reporting the Use of Force time period and procedure for documenting and Policy 514.9.2 Trauma Mitigation reporting the use of force, including reporting requirements of management and line staff and Procedure 507.1.1 Reporting Procedures procedures for reviewing and tracking use of force Procedure 507.3 Procedures for Debriefing incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular Debriefings are documented in the incident incident with staff and/or youth for the purposes of report by supervisory staff. training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Policy 514.9.1 Use of Force Administrative ☒ ☐ ☐ investigating unreasonable use of force. Review (7) define the role, notification, and follow-up Policy 514.6.1 Required Notifications procedures required after use of force incidents for medical, mental health staff and parents or legal Procedure 507.2 Required Notifications guardians. ☒ ☐ ☐ Required notifications are documented in the special incident reports. Medical staff are immediately notified and respond to the units to provide clearance or direct follow-up care. (8) describe the limitations of use of force on pregnant Policy 307.5 (g) Training for All Members Who youth in accordance with Penal Code Section 6030(f) Have Contact with Youth ☒ ☐ ☐ and Welfare and Institutions Code Section 222. Procedure 507 (d) Use of Force (b) Facilities that authorize chemical agents as a force Policy 514.4 Use of Chemical Agents option shall include policies and procedures that: Policy 305 Chemical Agents Training (1) identify who is approved to carry and/or utilize ☒ ☐ ☐ chemical agents in the facility and the type, size and Procedures 508.1(b) Use of Oleoresin the approved method of deployment for those Capsicum (OC) Spray chemical agents. (2) mandate that chemical agents only be used when Policy 514.4.1 Limitations there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts Procedure 508.1 (a)(1) have been unsuccessful or are not reasonably possible. ☒ ☐ ☐ Staff utilize a “cover” instruction which directs the youth to get into a safety position as a warning OC may be used. Plaques are placed in the unit and throughout the facility displaying the cover instruction. (3) outline the facility’s approved methods and Policy 514.4 timelines for decontamination from chemical agents. This shall include that youth who have been exposed Procedure 508.1.4 Decontamination for OC to chemical agents shall not be left unattended until Spray that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. Staff consistently document the decontamination procedures and indicate when the youth reports they are no longer ☒ ☐ ☐ suffering from the effects. A Use of Chemical Agency Aftercare Report is also completed to ensure compliance with this regulation. BSCC staff provided technical assistance to the agency to ensure clarity on their form that youth are not placed in their room until after verbally indicating they are no longer suffering the effects of the chemical agent. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 11 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) define the role, notification, and follow-up Policy 514.6.1 Notifications procedures required after use of force incidents involving chemical agents for medical, mental health Procedure 507.2 Required Notifications staff and parents or legal guardians. Procedure 508.1.4 (2)(k) ☒ ☐ ☐ Required notifications are documented in the special incident reports. Medical staff are immediately notified and respond to the units to provide clearance or direct follow-up care. (5) provide for the documentation of each incident of Policy 514.6 Reporting the Use of Force use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, Procedure 508.1.4 (a)(3) Incident Reports youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and Staff consistently document the reason identification of any injuries sustained as a result of leading to the use of force, efforts to de- such use. escalate, and follow-up procedures after the use of chemical agents. (c) Facilities shall develop policies and procedure which Policy 514.10 Training require that agencies provide initial and regular training Policy 305 Chemical Agents Training in use of force and chemical agents when appropriate ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy 514.10 ☒ ☐ ☐ application. (3) signs or symptoms that should result in immediate Policy 514.10 ☒ ☐ ☐ referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Use Policy 514.10 ☒ ☐ ☐ of Force. (5) physical training force options that may require the Policy 514.10 ☒ ☐ ☐ use of perishable skills. (6) timelines the facility uses to define regular training. Policy 514.10 ☒ ☐ ☐ 1361 GRIEVANCE PROCEDURE Policy 609 Grievances The facility administrator shall develop and implement Procedure 600.1 Youth Grievances and Unit written policies and procedures whereby any youth may Staff’s Responsibilities appeal and have resolved grievances relating to any Procedure 600.2 Supervisor’s Responsibilities condition of confinement, including but not limited to Procedure 600.3 Facility Managers health care services, classification decisions, program Responsibilities participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or BSCC staff reviewed 15 grievances from violations of the nondiscrimination policy. There shall be December 2023 and February and May 2024. no time limit on filing grievances. Policies and ☒ ☐ ☐ Of the 15, six were about staff, four involved procedures shall include provisions whereby the facility use of the phone, four involved loss of points, manager ensures: and one involved clothing. BSCC staff reviewed the 2024 Grievance Log which had 32 grievances filed by juvenile hall youth. BSCC staff recommended the agency categorize the grievance log to easily track trends in grievances. All grievances filed by youth were reviewed and resolved within the required time frames. (a) a grievance form and instructions for registering a Policy 609.3 Access to the Grievance System grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; BSCC staff observed grievance forms accessible to the youth in the living unit. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 12 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) the youth shall have the option to confidentially file Policy 609.3 the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ Youth interviewed were aware of the grievance procedure, had free access to the forms, and were able to file confidentially. (c) resolution of the grievance at the lowest appropriate Policy 609.4 (a) Youth Grievance Procedures ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to Policy 609.4.2 Timely Resolution of grievances within three (3) business days, grievances Grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain Policy 609.4.5 (a) State Requirements his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy 609.4.5 (b) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy 609.3 which includes the reasons for the decisions; The agency uses a triplicate form in which a ☒ ☐ ☐ pink copy is given to youth upon turning in the grievance and a yellow copy is given to youth at the conclusion of the grievance process with all written responses. (f) a system which provides that any appeal of a Policy 609.4.3 Appeals to Grievance Findings grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) Policy 609.4.2 Timely Resolution of business days unless circumstances dictate a longer ☒ ☐ ☐ Grievances time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external Policy 609.6 Additional Provisions for methods to report sexual abuse and sexual harassment. Grievances Related to Sexual Abuse ☒ ☐ ☐ Policy 609.6.1 Emergency Grievances Related to Sexual Abuse Whether or not associated with a grievance, concerns of Policy 609.4.5 (c) parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written Policy requires to be addressed and policies and procedures within a specified timeframe. documented within 14 days. 1371 PROGRAMS, RECREATION, AND EXERCISE. Policy 1000 Youth Programs and Services Policy 1002 Programs, Exercise and The facility administrator shall develop and implement Recreation written policies and procedures for programs, recreation, Policy 1004 Library Services and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Procedures 1001.1 Programs, Exercise and Recreation Procedures 1001.2 Daily Schedule Procedures 1001.6 Programs ☒ ☐ ☐ Procedures 1001.7 Special Events The agency has a Supervising Probation Corrections Officer assigned as a Program Coordinator who manages programs and services. Facility administration was provided with assistance and recommendations to enhance their policies and procedures to address consistency, clarity, and best practices. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 13 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for Policy 1002.3 Responsibilities programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each BSCC staff reviewed Guardian RFID notations Saturday, Sunday or other non-school days, of which for December 2023 which the facility was using one hour shall be an outdoor activity, weather permitting. to track recreation, exercise, and programming. In addition to the notations made in the Guardian electronic program, the facility implemented a Daily Program Sheet to ☒ ☐ ☐ ensure compliance with this regulation. BSCC staff reviewed forms from February and May 2024. BSCC staff discussed with the agency the importance of routinely auditing these logs to ensure staff are consistent in their documentation. The documentation reviewed affirms the agency is in compliance with this regulation. A youth’s participation in programs, recreation, and Policy 1002.3 exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Policy 1002.3 be posted in the living units. ☒ ☐ ☐ BSCC staff reviewed school day schedule and non-school day schedule. Schedules are posted in the living units. There will be a written annual review of the programs, Policy 1002.3 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ A memorandum dated August 15, 2024, by relevant to the population. Superintendent Tracie Martin addressed all elements of this regulation. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 14 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the Policy 1002.6 Access to Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, BSCC staff reviewed August 2024 program evidence-based, best practice interventions that are and activities schedule. culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce The agency has partnered with several recidivism. These programs should be based on the community-based organizations, service youth’s individual needs as required by Sections 1355 and providers, and Stanislaus County Office of 1356. Such programs may be provided under the Education (SCOE) to provide programming. direction of the Chief Probation Officer or the County Office of Education and can be administered by county SCOE provides social-emotional learning, partners such as mental health agencies, community creative arts, culinary, digital arts, coding, based organizations, faith-based organizations or animation, truck driving, and Paxton Probation staff. Patterson. Programs may include but are not limited to: Leaders in Community Alternatives offers (1) Cognitive Behavior Interventions; Aggression Replacement Training and CBI for (2) Management of Stress and Trauma; all youth. In addition, the youth participate in (3) Anger Management; the following: (4) Conflict Resolution; (5) Juvenile Justice System; Teen Pregnancy Prevention Class (6) Trauma-related interventions; Haven (7) Victim Awareness; Youth for Christ (8) Self-Improvement; Hospice Individual Counseling (9) Parenting Skills and support; Library and Book Club ☒ ☐ ☐ (10) Tolerance and Diversity; Love Notes (11) Healing Informed Approaches; Art (12) Interventions by Credible Messengers; Without Permission (13) Gender Specific Programming; Rising Scholarship Network (14) Art, creative writing, or self-expression; Substance Abuse (15) CPR and First Aid training; Project With (16) Restorative Justice or Civic Engagement; Prison Education Project (17) Career and leadership opportunities; and, Emotional Support Dog (18) Other topics suitable to the youth population. Programming is led by unit staff when not provided by another organization. The program calendar highlights in red when unit staff are responsible for leading programming for the youth. The agency has purchased Cell Dreamer as option for facility staff, which is an 8-week personal development course. In addition, binders with appropriate programming options were made for each unit. All staff were trained in available program options to ensure programming is completed in the absence of a service provider or community-based organization. Interviews with youth affirm they receive an hour of programming every day. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 15 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Recreation. All youth shall be provided the opportunity Policy 1002.5 Access to Recreation for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Procedures 1001.3 Recreation, Sports and entertainment. Activities shall be supervised and include Social Programs orientation and may include coaching of youth. Procedures 1001.5 Recreational Activities/ Free Time ☒ ☐ ☐ Recreational activities available to the youth include letter writing, reading, journaling, movies/TV entertainment, telephone, games, arts/crafts, and meditation. The agency has a library located in the incentive programming unit. Interviews with youth affirm they receive an hour of recreation every day. (c) Exercise. All youth shall be provided with the Policy 1002.4 Access to Exercise opportunity for at least one hour of large muscle activity each day. Procedures 1001.4 Safety Practices for Large Muscle Activity Exercise opportunities available to the youth ☒ ☐ ☐ include indoor/outdoor basketball and volleyball, handball, soccer, pickleball, flag football, kickball, baseball, badminton, yoga, and dance. In addition, the youth can utilize exercise equipment and circuit training. Interviews with youth affirm they receive an hour of large muscle activity every day. The administrator/manager may suspend, for a period not Policy 1002.7 Security and Supervision to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 1391 DISCIPLINE PROCESS Policy 600.2 Policy Policy 600.3 Due Process The facility administrator shall develop and implement Policy 600.5.4 Hearings written policies and procedures for the administration of discipline which shall include, but not be limited to: BSCC staff reviewed 11 discipline process (a) designation of personnel authorized to impose packages which included Notice of discipline for violation of rules; Discipline/Due Process Hearing forms and incident reports. The incidents involved fighting, assaults on other youth, threatening ☒ ☐ ☐ staff, destruction of property, and gang related activity. Discipline imposed was a loss of points and/or privileges. In all instances, the youth waived their right to have a hearing. Facility administration 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. (b) prohibiting discipline to be delegated to any youth; Policy 600.6 Limitations on Disciplinary ☒ ☐ ☐ Actions Policy 202 Prohibition on Youth Control (c) definition of major and minor rule violations and their Policy 600.4 Minor Rule Violations consequences, and due process requirements; Policy 600.5 Major Rule Violations ☒ ☐ ☐ Procedures 602.4 Disciplinary Options and Sanctions 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 16 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) trauma-informed approaches and positive behavior Policy 600.3.1 Youth Rules and Sanctions ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Policy 600.4 counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be Procedures 602.4 Disciplinary Options and accompanied by written documentation and a policy of Sanctions review and appeal to a supervisor; and, Procedures 602.5 Minor Rule Violations ☒ ☐ ☐ Procedures 602.6 Sanctions for Minor Rule Violations Procedures 602.7 Major Rule Violations Procedures 602.8 Sanctions for Major Rule Violations (f) major rule violations and the discipline process shall Policy 600.3 (b) be documented and require the following: ☒ ☐ ☐ Policy 600.5.3 Notifications (1) written notice of violation prior to a hearing; (2) accommodations provided to youth with disabilities, Policy 600.5.7 Staff Assistance ☒ ☐ ☐ limited literacy, and English language learners; (3) hearing by a person who is not a party to the Policy 600.3 (c) ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy 600.3 (d) ☒ ☐ ☐ evidence and testimony; Policy 600.5.5 Evidence (5) provision for youth to be assisted by staff in the Policy 600.3 (e) ☒ ☐ ☐ hearing process; Policy 600.5.7 Staff Assistance Policy 600.5.10 Disciplinary Appeals (6) provision for administrative review. ☒ ☐ ☐ Policy 600.5.11 Administrative Review (g) violations that result in a removal from camp or Policy 600.7.1 State Guidelines for Disciplinary commitment program, but not a return to court, will follow ☒ ☐ ☐ Sanctions the due process provisions in subsection (e) above. 7673 Stanislaus Juvenile Hall Targeted PRO 23-24 Page 17 of 17 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7673 FACILITY: Stanislaus County Juvenile Hall TYPE: JH RC: JH 150 FIELD REPRESENTATIVE: Shay Molennor DATE: September 17, 2024 ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # RC RC (L x W x H) T U W F S Beds Intake Holding Pre-98 2 9’4” by 8’7” Note: Toilets and showers are accessible in the corridor. Rooms approximately 80 sq. ft. Unit 1 Single Pre-98 10 1 1 10 10’8” by 7’8” 1 1 1 Note: Rooms approximately 80 sq. ft. Unit 1 currently being used for short-term housing for new bookings, special needs, suicide, or special medical watch. Unit 2 Single Pre-98 10 1 1 10 10’8” by 7’8” 1 1 1 Note: The unit was vacant during the inspection. Three showers are located in the dayroom. The dayroom space is approximately 636 sq. ft. Unit 3 Single Pre-98 6 1 1 6 10’8” by 7’8” 1 1 1 Double Pre-98 8 2 2 16 10’8” by 11’ 1 1 1 Dorm Pre-98 2 4 4 8 10’8” by 28’8” 1 1 1 Note: The unit houses male and female youth. Seven showers are located in the dayroom. The dayroom space is approximately 2,835 sq. ft. One dorm was converted to storage. It is no longer used to house youth. Rated capacity was decreased to 8 for the dorms this inspection cycle. Unit 4 Single Pre-98 6 1 1 6 10’8” by 7’8” 1 1 1 Double Pre-98 8 2 2 16 10’8” by 11’ 1 1 1 Dorm Pre-98 2 4 4 8 10’8” by 28’8” 1 1 1 Note: This unit is used for incentive programming. Seven showers are located in the dayroom. The dayroom space is approximately 2,835 sq. ft. One dorm was converted to a library. It is no longer used to house youth. Rated capacity was decreased to 8 for the dorms this inspection cycle. Unit 5 Single 1998 15 1 1 15 11’2” by 7’ 1 1 1 Note: Unit 5 houses maximum security youth. Unit 6 Single 1998 15 1 1 15 11’2” by 7’ 1 1 1 Note: The unit was vacant during the inspection. Control Safety 1998 Approx 63 sq ft *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. 7673 Stanislaus Juvenile Hall Targeted LASE 24 - 1 - J460 LAS JUV-05.dot (rev.12/2022) ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # RC RC (L x W x H) T U W F S Beds Med Ob 1998 Approx 63 sq ft 1 1 1 Note: Safety room has a ring toilet in the floor. Unit 7 Double 1998 10 2 2 20 10’ by 14’ 1 1 1 Note: Four showers and an irregular shaped dayroom exceeding 700 ft requirement. Unit 8 Double 1998 10 2 2 20 10’ by 14’ 1 1 1 Note: The unit was vacant during the inspection. Four showers and an irregular shaped dayroom exceeding 700 ft requirement. *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. 7673 Stanislaus Juvenile Hall Targeted LASE 24 - 2 - J460 LAS JUV-05.dot (rev.12/2022) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7674 FACILITY NAME: Stanislaus County Secure Youth Treatment Facility FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Tracie Martin-Superintendent, Antonio Prado-Facility Manager, Maryvel Valencia-Facility Manager, M. Ford-Supervising Probation Corrections Officer, J. Bunch-Probation Corrections Officer III, C. Mascote-Probation Corrections Officer II, John Lewis-Principal-Stanislaus Office of Education, Andrea Pires, RN-WellPath Facility Coordinator, Shamerin Bourang, LCSW-WellPath Clinician, male youth ages 18 and 19 FIELD REPRESENTATIVE: Shay Molennor DATE: September 16-17, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Policy 217 Staffing Plan 217.3 Staffing Plan Requirements Each juvenile facility shall: Policy 217.3.1 (a) Responsibilities (a) have an adequate number of personnel sufficient to Procedures Staffing Shortage and Staffing carry out the overall facility operation and its Hours Procedures programming, to provide for safety and security of youth and staff, and meet established standards and The agency staff for their JH, Camp, and regulations; SYTF, which are co-located on the same campus. The combined population was 68 on September 16, 2024. Population numbers: • 39 Detention • 16 Camp • 13 SYTF BSCC staff reviewed the current department ☒ ☐ ☐ organizational chart, budgeted positions, vacancy chart, seniority list, leave of absence and modified duty report, and staffing assignments. In addition, BSCC staff reviewed the entire month staffing schedule for March and August 2024 and a supervisor staffing schedule for March and August 2024. • 11 Supervising Probation Corrections Officer (4 vacant) • 23 Probation Corrections Officer III (8 vacant) • 38 Probation Corrections Officer II (8 vacant) • 9 Probation Corrections Officer I-Extra Help 1 This document is intended for use as a tool during the Stanislaus targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 1 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Facility-specific trained Deputy Probation Officers provide additional support to the facility to maintain overall staffing patterns. The agency posts a schedule 45 days in advance to gain volunteers from facility staff and Deputy Probation Officers to cover vacant shifts. Once posted, the agency will utilize mandate rules and procedures to cover any unfilled shifts. In addition, the agency utilizes the Power Time program which will send emails and text alerts to secure voluntary shift coverage. The agency is in compliance with this regulation. (b) ensure that no required services shall be denied Policy 217.3.1 (a) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 217.3.1 (b) ☒ ☐ ☐ ensure adequate supervision of all staff members; (d) have a clearly identified person on duty at all times who Policy 217.3.1 (c) is responsible for operations and activities and has ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Policy 217.3.1 (e) ☒ ☐ ☐ unit whenever there are youth in the living unit; (f) have sufficient food service personnel relative to the Policy 200 Financial Practices number and security of living units, including staff qualified Policy 200.8 Staffing Plan and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct Food services are provided by agency staff. ☒ ☐ ☐ food preparation and servings; conduct related training The facility has one Supervising Custodial programs for culinary staff; and maintain necessary Cook, four Custodial Cooks, and four extra records; or, a facility may serve food that meets nutritional help assistant cooks. standards prepared by an outside source; 7674 Stanislaus SYTF Targeted PRO 23-24 Page 2 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, Policy 201 Supervision of Youth medical, dental, mental health, building maintenance, Policy 201.5 Separation of Duties transportation, control room, facility security and other Policy 217.3 support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be The agency has two budgeted Legal Clerk diverted from supervising youth; and, positions with one currently vacant. The agency has one Storekeeper position who provides warehouse and laundry services. Stanislaus County General Services provides the maintenance and Parks and Recreation does groundskeeping. ☒ ☐ ☐ WellPath provides 24-hour medical coverage with either an RN or LVN on duty at all times. After hours, an on-call supervising nurse, psychiatrist, and medical provider are available. A medical doctor, psychiatrist, and a psychiatric RN are onsite one day a week. WellPath provides daily mental health services. Licensed and Associate Clinical social workers provide services to the youth. Hours vary from 6:00 a.m. through 3:30 p.m. After hours on-call mental health coverage is available. (h) assign sufficient youth supervision staff to provide Policy 217.3.1 (f),(g) continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls Policy 201.3 Supervision of Youth (A) during the hours that youth are awake, one ☒ ☐ ☐ wide-awake youth supervision staff member on The SYTF is staffed with the same staff-to- duty for each 10 youth in detention; youth ratio as the Juvenile Hall. (B) during the hours that youth are confined to their Policy 201.3 room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Policy 201.3 members on duty at all times, regardless of the number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on Policy 201.3 duty who is the same gender as youth housed in ☒ ☐ ☐ Policy 217.3.1 (d) the facility. (E) personnel with primary responsibility for other Policy 201.3.1 Other Staff Positions duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls The facility is not a Special Purpose Juvenile (A) during hours that youth are awake, one wide- Hall. ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; 7674 Stanislaus SYTF Targeted PRO 23-24 Page 3 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) during the hours that youth are confined to their 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. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 4 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Policy 506 Youth Safety Checks The facility administrator shall develop and implement Procedures 509.1 Youth Safety Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, Procedures 509.1 Youth Safety Checks at random or varied intervals during hours when youth are asleep or when youth are in their rooms, confined in BSCC staff reviewed safety checks for holding cells or confined to their bed in a dormitory. December 2023 and February and May 2024. Supervision is not replaced, but may be supplemented The facility utilizes Guardian RFID Program to by, an audio/visual electronic surveillance system record safety checks. The program also allows designed to detect overt, aggressive or assaultive the agency to make notations on facility behavior and to summon aid in emergencies. All safety operations such as headcounts, meals, checks shall be documented with the actual time the school, showers, recreation, exercise, and check is completed. programming. The Supervising Corrections Officer (SCO) reviews the unit’s safety checks logs at minimum each shift. In addition, the ☒ ☐ ☐ SCO is required to review weekly their assigned unit’s safety checks to ensure completion and compliance. Any discrepancies require an incident report. One Supervisor is assigned to facility-wide audit safety checks. BSCC staff provided technical assistance to ensure staff who are varying their direction on room checks complete them within the required minimum time frames. In addition, BSCC staff discussed the importance of ensuring room checks are random and varied. The agency is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN Policy 707 Suicide Prevention and Intervention Policy 707.4 Suicide Prevention Plan The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Procedures 700.1 Purpose and Scope shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. The plan BSCC staff reviewed six incidents involving the shall consider the needs of youth experiencing past or same youth who made suicidal statements. current trauma. Suicide prevention responses shall be The documentation included Special Incident respectful and in the least invasive manner consistent Reports, Suicide Watch Log, Mental Health with the level of suicide risk. The plan shall include the ☒ ☐ ☐ Referral, and Mental Health Suicide Watch following elements: Custody Notification. The youth was promptly seen by Wellpath Medical and Mental Health staff. BSCC staff discussed with WellPath medical and mental health the importance of aligning their policies and procedures with the actual practices of the facility. Documentation affirms the agency is in compliance with this regulation. (a) Suicide prevention training as required in Section Policy 300.3.1 Youth Supervision Orientation 1322, Youth Supervision Staff Orientation, and Training Policy 307.5 (e) Training for all Staff Members and the Juvenile Corrections Officer Core Course. Who Have Contact with Youth ☒ ☐ ☐ WellPath mental health staff interviewed indicated they were in the process of providing the annual suicide prevention training to facility staff. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 5 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Screening, Identification Assessment and Policy 501.3 (g) Pre-Admission Screening Precautionary Protocols Policy 701 Youth Screening and Evaluations (1) All youth shall be screened for risk of suicide at Policy 701.4 Initial Screenings intake and as needed during detention. Procedure 700.1 (a-b) Program Procedures ☒ ☐ ☐ Procedure 701.2.1 Suicide Prevention and Observation Intake Medical Screening and Classification forms are used to screen youth for risk. (2) All youth supervision staff who perform intake Policy 701.4 (c) processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy 701.4 (c)(2) intake screening process to be at risk of suicide shall ☒ ☐ ☐ be referred to behavioral/mental health staff for a Procedure 700.1 (a)(2) and (b)(1) suicide risk assessment. (4) Precautionary protocols shall be developed to Policy 707.5 Precautionary Steps ensure the youth’s safety pending the behavioral/mental health assessment. Procedures 700.1(b)(4) Suicide Watch/ Observation Room Program Procedure 700.2 Additional Interventions ☒ ☐ ☐ Procedure 700.4 One-on-One Program Precautionary protocols include the youth being transported to Unit One which allows for closer supervision pending the mental health assessment. (c) Referral process to behavioral/mental health staff for Procedure 700.3 (c) Communication assessment and/or services. ☒ ☐ ☐ Facilitation (d) Procedures for monitoring of youth identified at risk Policy 707.3 Member Responsibilities for suicide. Policy 707.6 Observation Log ☒ ☐ ☐ Procedures 700.1 (a)(2) (e) Safety Interventions Policy 707.5 (1) Procedures to address intervention protocols for youth identified at risk for suicide which may include, Procedure 700.2 Additional Interventions but are not limited to: Procedure 700.1 (b)(2)(a) (A) Housing consideration ☒ ☐ ☐ BSCC staff provided technical assistance to the agency to continue to work with WellPath on utilizing Observation Program Procedures for youth being removed from suicide watch. (B) Treatment strategies including trauma- Procedure 700.1 (b)(2)(b) ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff how Procedure 700.1 (b)(1-4) ☒ ☐ ☐ to respond to youth who exhibit suicidal behaviors. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 6 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) Communication Policy 701.4 (c) (1) Initial Screening (1) The intake process shall include communication with the arresting officer and family guardians Procedure 700.3 Communication Facilitation regarding the youth’s past or present suicidal ideations, behaviors or attempts. Upon admission into Juvenile Hall, the agency utilizes a Parent/Guardian Contact questionnaire to document communication as to the youth’s past or present suicidal ☒ ☐ ☐ behavior or thoughts. BSCC staff reviewed hard copies of the forms up to July 2024. The agency now completes the questionnaire in their case management system under booking information. BSCC staff reviewed booking information in which law enforcement are routinely questioned upon intake about suicidal ideations or behaviors. (2) Procedures for clear and current information Procedure 700.3 sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental health The Mental Health Suicide Watch Custody staff. Notification form is utilized for youth being placed on Suicide Watch. The agency provides ☒ ☐ ☐ a Suicidal Ideation/Behavior Notice to parents/guardians upon release, providing information for community-based evaluations and services for any youth experiencing depression, including thoughts of suicide. (g) Debriefing of Critical Incidents Related to Suicides or Policy 707.9 Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ Procedure 700.1 (b)(7)(a-b) circumstances and responses proceeding, during and after the critical incident. Policy 707.9 (2) Process for a debriefing event with affected staff. ☒ ☐ ☐ Procedure 700.1 (b)(7)(a-b) (3) Process for a debriefing event with affected youth. Policy 707.9 ☒ ☐ ☐ Procedure 700.1 (b)(7)(a-b) (h) Documentation Procedure 700.1 (b)(5)(a-b) (1) Documentation processes shall be developed to ☒ ☐ ☐ Procedure 700.5 Suicide Observation Log ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy 707.4 Suicide Prevention Plan opportunity to participate in facility programs, services and activities which are available to other non-suicidal Procedure 700.1 (b)(3) 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. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 7 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Policy 601 Room Confinement (a) The facility administrator shall develop and Procedure 604.2 Administrative Separation implement written policies and procedures addressing Procedure 604.1 Room Confinement the confinement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The BSCC staff reviewed four instances of room placement of a youth in room confinement shall be confinement which consisted of accomplished in accordance with the following documentation outlined in the incident report, guidelines: Guardian RFID log, Daily Observation Report, and Mental Health referral. All were for fighting or assaulting another youth. Staff effectively documented the behavior which justified the ☒ ☐ ☐ room confinement in the incident report. No room confinement lasted longer two and half hours as youth are reintegrated back into unit programming as soon as their behavior warrants. Facility administration 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. (1) Room confinement shall not be used before other, Policy 601.4 (a) Separation from Other Youth less restrictive, options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Policy 601.4 (b) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 601.4 (c) that it compromises the mental and physical health of ☒ ☐ ☐ the youth. (b) A youth may be held up to four hours in room Policy 601.4.5 (a) Room Confinement confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one None of the room confinements lasted more or more of the following: than four hours. (1) Return the youth to general population. ☒ ☐ ☐ Policy 601.4.5 (a)(1) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Policy 601.4.5 (a)(2) (3) Develop an individualized plan that includes the Policy 601.4.5 (a)(3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy 601.4.5 (b)(1) four hours, staff shall do each of the following: (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy 601.4.5 (b)(2) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 601.4.5 (b)(3) facility superintendent or his or her designee every ☒ ☐ ☐ four hours thereafter. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 8 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) This section is not intended to limit the use of Policy 601.4.5 (c) single-person rooms or cells for the housing of youth ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in Policy 601.4.5 (d) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Policy 601.4.5 (e) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 601.4.5 (f) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy 601.4.5 (g) placed in a locked cell or sleeping room to treat and Policy 502.7.2 Separation Exceptions protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 504 Case Management The facility administrator shall develop and implement ☒ ☐ ☐ Procedure 505.1 Assessment & Plan written policies and procedures for assessment and case planning. (a) Assessment: Policy 504.3 Assessments The assessment is based on information collected during the admission process with periodic review, which BSCC staff reviewed 10 Institutional includes the youth's risk factors, needs and strengths Assessment Plans which were completed including, but not limited to, identification of substance timely utilizing the Youth Level of Service/Case abuse history, educational, vocational, counseling, ☒ ☐ ☐ Management Inventory (YLS/CMS) 2.0 risk behavioral health, consideration of known history of assessment. In addition, Behavioral Health trauma, and family strengths and needs. and Recovery services, Wellpath Medical, and Stanislaus County Office of Education will also provide input for the institutional case plan. (b) Institutional Case Plan: Policy 504.3.1 Institutional Plan (1) A case plan shall be developed for each youth held ☒ ☐ ☐ for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be Policy 504.3.1 (c) limited to, written documentation that provides: ☒ ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; (B) a plan for meeting the objectives that includes Policy 504.3.1 (b) a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; 7674 Stanislaus SYTF Targeted PRO 23-24 Page 9 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) periodic evaluation of progress towards meeting Policy 504.3.1 (c) the objectives, including periodic review and discussion of the plan with the youth; Periodic reviews were consistently being completed via a re-assessment done via the ☒ ☐ ☐ YLS/CMS every 90 days. In addition, staff consistently make monthly progress notes using the Assessment Case Plan Periodic Review and Comments form. (4) a transition plan, the contents of which shall be Policy 504.3.1 (d) subject to existing resources, shall be developed for Policy 504.3.2 Pre-Release Planning ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the plan, Policy 504.3.1 (a) including the transition plan, shall be developed with input from the family, supportive adults, youth, and Reintegration Meetings include the youth, Regional Center for the Developmentally Disabled. ☒ ☐ ☐ parent, facility staff, mental health, school, medical, and probation staff. In addition, these meetings can be attended by county and community-based service providers. 1357 USE OF FORCE Policy 514 Use of Force The facility administrator, in cooperation with the Procedure 507.1 Use of Force responsible physician, shall develop and implement written policies and procedures for the use of force, BSCC staff reviewed four incidents involving which may include chemical agents. Force shall never Use of Force. Three incidents were for fighting be applied as punishment, discipline, retaliation or and one was for a safety and security threat. treatment. ☒ ☐ ☐ Documentation reviewed included incident (a) At a minimum, each facility shall develop policies and reports, Guardian RFID report, Mental Health procedures which: referral, and Daily Program Observation Sheet. Staff document efforts to de-escalate the youth or utilize lesser interventions. The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Policy 514.3.4 Limitations reasonable and necessary, as defined in Section 1302 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Policy 514.3 both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Procedures 507.1(c) ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Policy 514.3.2 Duty to Intercede inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that includes Policy 514.6 Reporting the Use of Force time period and procedure for documenting and Policy 514.9.2 Trauma Mitigation reporting the use of force, including reporting requirements of management and line staff and Procedure 507.1.1 Reporting Procedures procedures for reviewing and tracking use of force Procedure 507.3 Procedures for Debriefing incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular Debriefings are documented in the incident incident with staff and/or youth for the purposes of report by supervisory staff. training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 10 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (6) Include an administrative review and a system for Policy 514.9.1 Use of Force Administrative ☒ ☐ ☐ investigating unreasonable use of force. Review (7) define the role, notification, and follow-up Policy 514.6.1 Required Notifications procedures required after use of force incidents for medical, mental health staff and parents or legal Procedure 507.2 Required Notifications guardians. ☒ ☐ ☐ Required notifications are documented in the special incident reports. Medical staff are immediately notified and respond to the units to provide clearance or direct follow-up care. (8) describe the limitations of use of force on pregnant Policy 307.5 (g) Training for All Members Who youth in accordance with Penal Code Section 6030(f) Have Contact with Youth ☒ ☐ ☐ and Welfare and Institutions Code Section 222. Procedure 507 (d) Use of Force (b) Facilities that authorize chemical agents as a force Policy 514.4 Use of Chemical Agents option shall include policies and procedures that: Policy 305 Chemical Agents Training (1) identify who is approved to carry and/or utilize ☒ ☐ ☐ chemical agents in the facility and the type, size and Procedures 508.1(b) Use of Oleoresin the approved method of deployment for those Capsicum (OC) Spray chemical agents. (2) mandate that chemical agents only be used when Policy 514.4.1 Limitations there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts Procedure 508.1 (a)(1) have been unsuccessful or are not reasonably possible. ☒ ☐ ☐ Staff utilize a “cover” instruction which directs the youth to get into a safety position as a warning OC may be used. Plaques are placed in the unit and throughout the facility displaying the cover instruction. (3) outline the facility’s approved methods and Policy 514.4 timelines for decontamination from chemical agents. This shall include that youth who have been exposed Procedure 508.1.4 Decontamination for OC to chemical agents shall not be left unattended until Spray that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. Staff consistently document the decontamination procedures and indicate when the youth reports they are no longer ☒ ☐ ☐ suffering from the effects. A Use of Chemical Agency Aftercare Report is also completed to ensure compliance with this regulation. BSCC staff provided technical assistance to the agency to ensure clarity on their form that youth are not placed in their room until after verbally indicating they are no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up Policy 514.6.1 Notifications procedures required after use of force incidents involving chemical agents for medical, mental health Procedure 507.2 Required Notifications staff and parents or legal guardians. Procedure 508.1.4 (2)(k) ☒ ☐ ☐ Required notifications are documented in the special incident reports. Medical staff are immediately notified and respond to the units to provide clearance or direct follow-up care. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 11 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) provide for the documentation of each incident of Policy 514.6 Reporting the Use of Force use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, Procedure 508.1.4 (a)(3) Incident Reports youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and Staff consistently document the reason identification of any injuries sustained as a result of leading to the use of force, efforts to de- such use. escalate, and follow-up procedures after the use of chemical agents. (c) Facilities shall develop policies and procedure which Policy 514.10 Training require that agencies provide initial and regular training Policy 305 Chemical Agents Training in use of force and chemical agents when appropriate ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy 514.10 ☒ ☐ ☐ application. (3) signs or symptoms that should result in immediate Policy 514.10 ☒ ☐ ☐ referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Use Policy 514.10 ☒ ☐ ☐ of Force. (5) physical training force options that may require the Policy 514.10 ☒ ☐ ☐ use of perishable skills. (6) timelines the facility uses to define regular training. Policy 514.10 ☒ ☐ ☐ 1361 GRIEVANCE PROCEDURE Policy 609 Grievances The facility administrator shall develop and implement Procedure 600.1 Youth Grievances and Unit written policies and procedures whereby any youth may Staff’s Responsibilities appeal and have resolved grievances relating to any Procedure 600.2 Supervisor’s Responsibilities condition of confinement, including but not limited to Procedure 600.3 Facility Managers health care services, classification decisions, program Responsibilities participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or BSCC staff reviewed four grievances from violations of the nondiscrimination policy. There shall be ☒ ☐ ☐ December 2023 and February and May 2024. no time limit on filing grievances. Policies and Of the four, one each involved food, loss of procedures shall include provisions whereby the facility manager ensures: points, staff, and religion. BSCC staff reviewed the 2024 Grievance Log which had 24 grievances filed by SYTF youth. BSCC staff recommended the agency categorize the grievance log to easily track trends in grievances. All were reviewed and resolved within the required time frames. (a) a grievance form and instructions for registering a Policy 609.3 Access to the Grievance System grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; BSCC staff observed grievance forms accessible to the youth in the living unit. (b) the youth shall have the option to confidentially file Policy 609.3 the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ Youth interviewed were aware of the grievance procedure, had free access to the forms, and were able to file confidentially. (c) resolution of the grievance at the lowest appropriate Policy 609.4 (a) Youth Grievance Procedures ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response to Policy 609.4.2 Timely Resolution of grievances within three (3) business days, grievances Grievances that relate to health and safety issues must be addressed ☒ ☐ ☐ immediately; 7674 Stanislaus SYTF Targeted PRO 23-24 Page 12 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The youth may elect to be present to explain Policy 609.4.5 (a) State Requirements his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy 609.4.5 (b) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy 609.3 which includes the reasons for the decisions; The agency uses a triplicate form in which a ☒ ☐ ☐ pink copy is given to youth upon turning in the grievance and a yellow copy is given to youth at the conclusion of the grievance process with all written responses. (f) a system which provides that any appeal of a Policy 609.4.3 Appeals to Grievance Findings grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) Policy 609.4.2 Timely Resolution of business days unless circumstances dictate a longer ☒ ☐ ☐ Grievances time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external Policy 609.6 Additional Provisions for methods to report sexual abuse and sexual harassment. Grievances Related to Sexual Abuse ☒ ☐ ☐ Policy 609.6.1 Emergency Grievances Related to Sexual Abuse Whether or not associated with a grievance, concerns of Policy 609.4.5 (c) parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written Policy requires to be addressed and policies and procedures within a specified timeframe. documented within 14 days. 1371 PROGRAMS, RECREATION, AND EXERCISE. Policy 1000 Youth Programs and Services Policy 1002 Programs, Exercise and The facility administrator shall develop and implement Recreation written policies and procedures for programs, recreation, Policy 1004 Library Services and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Procedures 1001.1 Programs, Exercise and Recreation Procedures 1001.2 Daily Schedule Procedures 1001.6 Programs ☒ ☐ ☐ Procedures 1001.7 Special Events The agency has a Supervising Probation Corrections Officer assigned as a Program Coordinator who manages programs and services. Facility administration was provided with assistance and recommendations to enhance their policies and procedures to address consistency, clarity, and best practices. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 13 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for Policy 1002.3 Responsibilities programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each BSCC staff reviewed Guardian RFID notations Saturday, Sunday or other non-school days, of which for December 2023 which the facility was using one hour shall be an outdoor activity, weather permitting. to track recreation, exercise, and programming. In addition to the notations made in the Guardian electronic program, the facility implemented a Daily Program Sheet to ☒ ☐ ☐ ensure compliance with this regulation. BSCC staff reviewed forms from February and May 2024. BSCC staff discussed with the agency the importance of routinely auditing these logs to ensure staff are consistent in their documentation. The documentation reviewed affirms the agency is in compliance with this regulation. A youth’s participation in programs, recreation, and Policy 1002.3 exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall Policy 1002.3 be posted in the living units. ☒ ☐ ☐ BSCC staff reviewed school day schedule and non-school day schedule. Schedules are posted in the living units. There will be a written annual review of the programs, Policy 1002.3 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ A memorandum dated August 15, 2024, by relevant to the population. Superintendent Tracie Martin addressed all elements of this regulation. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 14 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the Policy 1002.6 Access to Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, BSCC staff reviewed August 2024 program evidence-based, best practice interventions that are and activities schedule. culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce The agency has partnered with several recidivism. These programs should be based on the community-based organizations, service youth’s individual needs as required by Sections 1355 and providers, and Stanislaus County Office of 1356. Such programs may be provided under the Education (SCOE) to provide programming. direction of the Chief Probation Officer or the County Office of Education and can be administered by county SCOE provides SYTF youth with social- partners such as mental health agencies, community emotional learning, creative arts, truck driving, based organizations, faith-based organizations or and Paxton Patterson. Leaders in Community Probation staff. Alternatives offers Aggression Replacement Programs may include but are not limited to: Training and CBI for all youth. In addition, the (1) Cognitive Behavior Interventions; youth participate in the following: (2) Management of Stress and Trauma; (3) Anger Management; Construction (4) Conflict Resolution; Manufacturing (5) Juvenile Justice System; Financial Literacy (6) Trauma-related interventions; Haven (7) Victim Awareness; Youth for Christ (8) Self-Improvement; Hospice Individual Counseling (9) Parenting Skills and support; Library and Book Club ☒ ☐ ☐ (10) Tolerance and Diversity; Love Notes (11) Healing Informed Approaches; Art (12) Interventions by Credible Messengers; Without Permission (13) Gender Specific Programming; Rising Scholarship Network (14) Art, creative writing, or self-expression; Substance Abuse (15) CPR and First Aid training; Project With (16) Restorative Justice or Civic Engagement; Prison Education Project (17) Career and leadership opportunities; and, Emotional Support Dog (18) Other topics suitable to the youth population. Programming is led by unit staff when not provided by another organization. The program calendar highlights in red when unit staff are responsible for leading programming for the youth. The agency has purchased Cell Dreamer as an option for facility staff, which is an 8-week personal development course. In addition, binders with appropriate programming options were made for each unit. All staff were trained in available program options to ensure programming is completed in the absence of a service provider or community-based organization. Interviews with youth affirm they receive an hour of programming every day. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 15 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Recreation. All youth shall be provided the opportunity Policy 1002.5 Access to Recreation for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Procedures 1001.3 Recreation, Sports and entertainment. Activities shall be supervised and include Social Programs orientation and may include coaching of youth. Procedures 1001.5 Recreational Activities/ Free Time ☒ ☐ ☐ Recreational activities available to the youth include letter writing, reading, journaling, movies/TV entertainment, telephone, games, arts/crafts, and meditation. The agency has a library located in the incentive programming unit. Interviews with youth affirm they receive an hour of recreation every day. (c) Exercise. All youth shall be provided with the Policy 1002.4 Access to Exercise opportunity for at least one hour of large muscle activity each day. Procedures 1001.4 Safety Practices for Large Muscle Activity Exercise opportunities available to the youth ☒ ☐ ☐ include indoor/outdoor basketball and volleyball, handball, soccer, pickleball, flag football, kickball, baseball, badminton, yoga, and dance. In addition, the youth can utilize exercise equipment and circuit training. Interviews with youth affirm they receive an hour of large muscle activity every day. The administrator/manager may suspend, for a period not Policy 1002.7 Security and Supervision to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 1391 DISCIPLINE PROCESS Policy 600.2 Policy Policy 600.3 Due Process The facility administrator shall develop and implement Policy 600.5.4 Hearings written policies and procedures for the administration of discipline which shall include, but not be limited to: BSCC staff reviewed eight discipline process (a) designation of personnel authorized to impose packages which included Notice of discipline for violation of rules; Discipline/Due Process Hearing forms and incident reports. The incidents involved fighting, assaults on other youth, safety and security violations, and contraband. Discipline ☒ ☐ ☐ imposed was a loss of points and/or privileges or a drop in a phase in the program. A hearing was held in two incidents and in one instance, an appeal overturned the proposed discipline. Facility administration 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. (b) prohibiting discipline to be delegated to any youth; Policy 600.6 Limitations on Disciplinary ☒ ☐ ☐ Actions Policy 202 Prohibition on Youth Control (c) definition of major and minor rule violations and their Policy 600.4 Minor Rule Violations consequences, and due process requirements; Policy 600.5 Major Rule Violations ☒ ☐ ☐ Procedures 602.4 Disciplinary Options and Sanctions 7674 Stanislaus SYTF Targeted PRO 23-24 Page 16 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) trauma-informed approaches and positive behavior Policy 600.3.1 Youth Rules and Sanctions ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Policy 600.4 counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be Procedures 602.4 Disciplinary Options and accompanied by written documentation and a policy of Sanctions review and appeal to a supervisor; and, Procedures 602.5 Minor Rule Violations ☒ ☐ ☐ Procedures 602.6 Sanctions for Minor Rule Violations Procedures 602.7 Major Rule Violations Procedures 602.8 Sanctions for Major Rule Violations (f) major rule violations and the discipline process shall Policy 600.3 (b) be documented and require the following: ☒ ☐ ☐ Policy 600.5.3 Notifications (1) written notice of violation prior to a hearing; (2) accommodations provided to youth with disabilities, Policy 600.5.7 Staff Assistance ☒ ☐ ☐ limited literacy, and English language learners; (3) hearing by a person who is not a party to the Policy 600.3 (c) ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy 600.3 (d) ☒ ☐ ☐ evidence and testimony; Policy 600.5.5 Evidence (5) provision for youth to be assisted by staff in the Policy 600.3 (e) ☒ ☐ ☐ hearing process; Policy 600.5.7 Staff Assistance Policy 600.5.10 Disciplinary Appeals (6) provision for administrative review. ☒ ☐ ☐ Policy 600.5.11 Administrative Review (g) violations that result in a removal from camp or Policy 600.7.1 State Guidelines for Disciplinary commitment program, but not a return to court, will follow ☒ ☐ ☐ Sanctions the due process provisions in subsection (e) above. 7674 Stanislaus SYTF Targeted PRO 23-24 Page 17 of 17 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7675 FACILITY NAME: Stanislaus County Juvenile Commitment Facility FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Tracie Martin-Superintendent, Antonio Prado-Facility Manager, Maryvel Valencia-Facility Manager, M. Ford-Supervising Probation Corrections Officer, J. Bunch-Probation Corrections Officer III, C. Mascote-Probation Corrections Officer II, John Lewis-Principal-Stanislaus Office of Education, Andrea Pires, RN-WellPath Facility Coordinator, Shamerin Bourang, LCSW-WellPath Clinician, female youth age 18, male youth ages 16 and 17 FIELD REPRESENTATIVE: Shay Molennor DATE: September 16-17, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Policy 217 Staffing Plan 217.3 Staffing Plan Requirements Each juvenile facility shall: Policy 217.3.1 (a) Responsibilities (a) have an adequate number of personnel sufficient to Procedures Staffing Shortage and Staffing carry out the overall facility operation and its Hours Procedures programming, to provide for safety and security of youth and staff, and meet established standards and The agency staff for their JH, Camp, and regulations; SYTF, which are co-located on the same campus. The combined population was 68 on September 16, 2024. Population numbers: • 39 Detention • 16 Camp • 13 SYTF BSCC staff reviewed the current department ☒ ☐ ☐ organizational chart, budgeted positions, vacancy chart, seniority list, leave of absence and modified duty report, and staffing assignments. In addition, BSCC staff reviewed the entire month staffing schedule for March and August 2024 and a supervisor staffing schedule for March and August 2024. • 11 Supervising Probation Corrections Officer (4 vacant) • 23 Probation Corrections Officer III (8 vacant) • 38 Probation Corrections Officer II (8 vacant) • 9 Probation Corrections Officer I-Extra Help 1 This document is intended for use as a tool during the Stanislaus targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 1 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Facility-specific trained Deputy Probation Officers provide additional support to the facility to maintain overall staffing patterns. The agency posts a schedule 45 days in advance to gain volunteers from facility staff and Deputy Probation Officers to cover vacant shifts. Once posted, the agency will utilize mandate rules and procedures to cover any unfilled shifts. In addition, the agency utilizes the Power Time program which will send emails and text alerts to secure voluntary shift coverage. The agency is in compliance with this regulation. (b) ensure that no required services shall be denied Policy 217.3.1 (a) because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to Policy 217.3.1 (b) ☒ ☐ ☐ ensure adequate supervision of all staff members; (d) have a clearly identified person on duty at all times who Policy 217.3.1 (c) is responsible for operations and activities and has ☒ ☐ ☐ completed the Juvenile Corrections Officer Core Course and PC 832 training; (e) have at least one staff member present on each living Policy 217.3.1 (e) ☒ ☐ ☐ unit whenever there are youth in the living unit; (f) have sufficient food service personnel relative to the Policy 200 Financial Practices number and security of living units, including staff qualified Policy 200.8 Staffing Plan and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct Food services are provided by agency staff. ☒ ☐ ☐ food preparation and servings; conduct related training The facility has one Supervising Custodial programs for culinary staff; and maintain necessary Cook, four Custodial Cooks, and four extra records; or, a facility may serve food that meets nutritional help assistant cooks. standards prepared by an outside source; 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 2 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, Policy 201 Supervision of Youth medical, dental, mental health, building maintenance, Policy 201.5 Separation of Duties transportation, control room, facility security and other Policy 217.3 support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be The agency has two budgeted Legal Clerk diverted from supervising youth; and, positions with one currently vacant. The agency has one Storekeeper position who provides warehouse and laundry services. Stanislaus County General Services provides the maintenance and Parks and Recreation does groundskeeping. ☒ ☐ ☐ WellPath provides 24-hour medical coverage with either an RN or LVN on duty at all times. After hours, an on-call supervising nurse, psychiatrist, and medical provider are available. A medical doctor, psychiatrist, and a psychiatric RN are onsite one day a week. WellPath provides daily mental health services. Licensed and Associate Clinical social workers provide services to the youth. Hours vary from 6:00 a.m. through 3:30 p.m. After hours on-call mental health coverage is available. (h) assign sufficient youth supervision staff to provide Policy 217.3.1 (f),(g) continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls The facility is not a Juvenile Hall. (A) during the hours that youth are awake, one ☐ ☐ ☒ wide-awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls 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; 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 3 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☐ ☒ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps Policy 201.3 Supervision of Youth (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 Policy 201.3 room for the purpose of sleeping, one wide-awake ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff Policy 201.3 members on duty at all times, regardless of the number of youth in residence, unless ☒ ☐ ☐ arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on Policy 217.3.1 (d) duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio Policy 217.3.1 (g) required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☒ ☐ ☐ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other Policy 201.3.1 Other Staff Positions 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. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 4 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Policy 506 Youth Safety Checks The facility administrator shall develop and implement Procedures 509.1 Youth Safety Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, BSCC staff reviewed safety checks for at random or varied intervals during hours when youth December 2023 and February and May 2024. are asleep or when youth are in their rooms, confined in The facility utilizes Guardian RFID Program to holding cells or confined to their bed in a dormitory. record safety checks. The program also allows Supervision is not replaced, but may be supplemented the agency to make notations on facility by, an audio/visual electronic surveillance system operations such as headcounts, meals, designed to detect overt, aggressive or assaultive school, showers, recreation, exercise, and behavior and to summon aid in emergencies. All safety programming. The Supervising Corrections checks shall be documented with the actual time the Officer (SCO) reviews the unit’s safety checks check is completed. logs at minimum each shift. In addition, the SCO is required to review weekly their ☒ ☐ ☐ assigned unit’s safety checks to ensure completion and compliance. Any discrepancies require an incident report. One Supervisor is assigned to facility-wide audit safety checks. BSCC staff provided technical assistance to ensure staff who are varying their direction on room checks complete them within the required minimum time frames. In addition, BSCC staff discussed the importance of ensuring room checks are random and varied. The agency is in compliance with this regulation. 1329 SUICIDE PREVENTION PLAN Policy 707 Suicide Prevention and Intervention Policy 707.4 Suicide Prevention Plan The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, Procedures 700.1 Purpose and Scope shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. The plan ☒ ☐ ☐ During this inspection cycle, no Camp youth shall consider the needs of youth experiencing past or were placed on suicide watch. 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 Policy 300.3.1 Youth Supervision Orientation 1322, Youth Supervision Staff Orientation, and Training Policy 307.5 (e) Training for all Staff Members and the Juvenile Corrections Officer Core Course. Who Have Contact with Youth ☒ ☐ ☐ WellPath mental health staff interviewed indicated they were in the process of providing the annual suicide prevention training to facility staff. (b) Screening, Identification Assessment and Policy 501.3 (g) Pre-Admission Screening Precautionary Protocols Policy 701 Youth Screening and Evaluations (1) All youth shall be screened for risk of suicide at Policy 701.4 Initial Screenings intake and as needed during detention. Procedure 700.1 (a-b) Program Procedures ☒ ☐ ☐ Procedure 701.2.1 Suicide Prevention and Observation Intake Medical Screening and Classification forms are used to screen youth for risk. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 5 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) All youth supervision staff who perform intake Policy 701.4 (c) processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. (3) All youth who have been identified during the Policy 701.4 (c)(2) intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a Procedure 700.1 (a)(2) and (b)(1) ☒ ☐ ☐ suicide risk assessment. (4) Precautionary protocols shall be developed to Policy 707.5 Precautionary Steps ensure the youth’s safety pending the behavioral/mental health assessment. Procedures 700.1(b)(4) Suicide Watch/ Observation Room Program Procedure 700.2 Additional Interventions ☒ ☐ ☐ Procedure 700.4 One-on-One Program Precautionary protocols include the youth being transported to Unit One which allows for closer supervision pending the mental health assessment. (c) Referral process to behavioral/mental health staff for Procedure 700.3 (c) Communication assessment and/or services. ☒ ☐ ☐ Facilitation (d) Procedures for monitoring of youth identified at risk Policy 707.3 Member Responsibilities for suicide. Policy 707.6 Observation Log ☒ ☐ ☐ Procedures 700.1 (a)(2) (e) Safety Interventions Policy 707.5 (1) Procedures to address intervention protocols for youth identified at risk for suicide which may include, Procedure 700.2 Additional Interventions but are not limited to: Procedure 700.1 (b)(2)(a) (A) Housing consideration ☒ ☐ ☐ BSCC staff provided technical assistance to the agency to continue to work with WellPath on utilizing Observation Program Procedures for youth being removed from suicide watch. (B) Treatment strategies including trauma- Procedure 700.1 (b)(2)(b) ☒ ☐ ☐ informed approaches (2) Procedures to instruct youth supervision staff how Procedure 700.1 (b)(1-4) ☒ ☐ ☐ to respond to youth who exhibit suicidal behaviors. (f) Communication Policy 701.4 (c) (1) Initial Screening (1) The intake process shall include communication with the arresting officer and family guardians Procedure 700.3 Communication Facilitation regarding the youth’s past or present suicidal ideations, behaviors or attempts. Upon admission into Juvenile Hall, the agency utilizes a Parent/Guardian Contact questionnaire to document communication as to the youth’s past or present suicidal ☒ ☐ ☐ behavior or thoughts. BSCC staff reviewed hard copies of the forms up to July 2024. The agency now completes the questionnaire in their case management system under booking information. BSCC staff reviewed booking information in which law enforcement are routinely questioned upon intake about suicidal ideations or behaviors. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 6 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Procedures for clear and current information Procedure 700.3 sharing about youth at risk for suicide with youth supervision, healthcare, and behavioral/mental health The Mental Health Suicide Watch Custody staff. Notification form is utilized for youth being placed on Suicide Watch. The agency provides ☒ ☐ ☐ a Suicidal Ideation/Behavior Notice to parents/guardians upon release, providing information for community-based evaluations and services for any youth experiencing depression, including thoughts of suicide. (g) Debriefing of Critical Incidents Related to Suicides or Policy 707.9 Debriefing Attempts (1) Process for administrative review of the ☒ ☐ ☐ Procedure 700.1 (b)(7)(a-b) circumstances and responses proceeding, during and after the critical incident. Policy 707.9 (2) Process for a debriefing event with affected staff. ☒ ☐ ☐ Procedure 700.1 (b)(7)(a-b) (3) Process for a debriefing event with affected youth. Policy 707.9 ☒ ☐ ☐ Procedure 700.1 (b)(7)(a-b) (h) Documentation Procedure 700.1 (b)(5)(a-b) (1) Documentation processes shall be developed to ☒ ☐ ☐ Procedure 700.5 Suicide Observation Log ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the Policy 707.4 Suicide Prevention Plan opportunity to participate in facility programs, services and activities which are available to other non-suicidal Procedure 700.1 (b)(3) 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. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 7 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT Policy 601 Room Confinement (a) The facility administrator shall develop and Procedure 604.2 Administrative Separation implement written policies and procedures addressing Procedure 604.1 Room Confinement the confinement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The BSCC staff reviewed four instances of room placement of a youth in room confinement shall be confinement which consisted of accomplished in accordance with the following documentation outlined in the incident report, guidelines: Guardian RFID log, Daily Observation Report, and Mental Health referral. All were for fighting or assaulting another youth. Staff effectively documented the behavior which justified the ☒ ☐ ☐ room confinement in the incident report. No room confinement lasted longer than two hours as youth are reintegrated back into unit programming as soon as their behavior warrants. Facility administration 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. (1) Room confinement shall not be used before other, Policy 601.4 (a) Separation from Other Youth less restrictive, options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Policy 601.4 (b) purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent Policy 601.4 (c) that it compromises the mental and physical health of ☒ ☐ ☐ the youth. (b) A youth may be held up to four hours in room Policy 601.4.5 (a) Room Confinement confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one None of the room confinements lasted more or more of the following: than four hours. (1) Return the youth to general population. ☒ ☐ ☐ Policy 601.4.5 (a)(1) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Policy 601.4.5 (a)(2) (3) Develop an individualized plan that includes the Policy 601.4.5 (a)(3) goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond Policy 601.4.5 (b)(1) four hours, staff shall do each of the following: (A) Document the reasons for room confinement and the basis for the extension, the date and time ☒ ☐ ☐ the youth was first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes Policy 601.4.5 (b)(2) the goals and objectives to be met in order to ☒ ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the Policy 601.4.5 (b)(3) facility superintendent or his or her designee every ☒ ☐ ☐ four hours thereafter. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 8 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) This section is not intended to limit the use of Policy 601.4.5 (c) single-person rooms or cells for the housing of youth ☒ ☐ ☐ in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in Policy 601.4.5 (d) ☒ ☐ ☐ court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Policy 601.4.5 (e) conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an Policy 601.4.5 (f) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility- ☒ ☐ ☐ wide threat that poses an imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is Policy 601.4.5 (g) placed in a locked cell or sleeping room to treat and Policy 502.7.2 Separation Exceptions protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Policy 504 Case Management The facility administrator shall develop and implement ☒ ☐ ☐ Procedure 505.1 Assessment & Plan written policies and procedures for assessment and case planning. (a) Assessment: Policy 504.3 Assessments The assessment is based on information collected during the admission process with periodic review, which BSCC staff reviewed 10 Institutional includes the youth's risk factors, needs and strengths Assessment Plans which were completed including, but not limited to, identification of substance timely utilizing the Youth Level of Service/Case ☒ ☐ ☐ abuse history, educational, vocational, counseling, Management Inventory (YLS/CMS) 2.0 risk behavioral health, consideration of known history of assessment. In addition, Behavioral Health trauma, and family strengths and needs. and Recovery services, Wellpath Medical, and Stanislaus County Office of Education will also provide input for the institutional case plan. (b) Institutional Case Plan: Policy 504.3.1 Institutional Plan (1) A case plan shall be developed for each youth held for at least 30 days or more and created within 40 BSCC staff reviewed 10 Institutional days of admission. Assessment Plans which were completed timely utilizing the Youth Level of Service/Case ☒ ☐ ☐ Management Inventory (YLS/CMS) 2.0 risk assessment. In addition, Behavioral Health and Recovery services, Wellpath Medical, and Stanislaus County Office of Education will also provide input for the institutional case plan. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 9 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) The institutional plan shall include, but not be Policy 504.3.1 (c) limited to, written documentation that provides: ☒ ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; (B) a plan for meeting the objectives that includes Policy 504.3.1 (b) a description of program resources needed and ☒ ☐ ☐ individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Policy 504.3.1 (c) the objectives, including periodic review and discussion of the plan with the youth; BSCC staff reviewed 10 Institutional Assessment Plans which were completed timely utilizing the Youth Level of Service/Case ☒ ☐ ☐ Management Inventory (YLS/CMS) 2.0 risk assessment. In addition, Behavioral Health and Recovery services, Wellpath Medical, and Stanislaus County Office of Education will also provide input for the institutional case plan. (4) a transition plan, the contents of which shall be Policy 504.3.1 (d) subject to existing resources, shall be developed for Policy 504.3.2 Pre-Release Planning ☒ ☐ ☐ post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the plan, Policy 504.3.1 (a) including the transition plan, shall be developed with input from the family, supportive adults, youth, and Reintegration Meetings include the youth, Regional Center for the Developmentally Disabled. ☒ ☐ ☐ parent, facility staff, mental health, school, medical, and probation staff. In addition, these meetings can be attended by county and community-based service providers. 1357 USE OF FORCE Policy 514 Use of Force The facility administrator, in cooperation with the Procedure 507.1 Use of Force responsible physician, shall develop and implement written policies and procedures for the use of force, BSCC staff reviewed six incidents involving which may include chemical agents. Force shall never Use of Force. Four incidents involved youth be applied as punishment, discipline, retaliation or assaulting other youth and two incidents were treatment. for fighting. Documentation reviewed included (a) At a minimum, each facility shall develop policies and ☒ ☐ ☐ incident reports, Guardian RFID report, Mental procedures which: Health referral, and Daily Program Observation Sheet. Staff document efforts to de-escalate the youth or utilize lesser interventions. The agency is in compliance with this regulation. (1) restricts the use of force to that which is deemed Policy 514.3.4 Limitations reasonable and necessary, as defined in Section 1302 ☒ ☐ ☐ to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including Policy 514.3 both physical and non-physical options and define ☒ ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are Procedures 507.1(c) ☒ ☐ ☐ expressly prohibited by the facility. (4) describe the requirements of staff to report any Policy 514.3.2 Duty to Intercede inappropriate use of force, and to take affirmative ☒ ☐ ☐ action to immediately stop it. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 10 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that includes Policy 514.6 Reporting the Use of Force time period and procedure for documenting and Policy 514.9.2 Trauma Mitigation reporting the use of force, including reporting requirements of management and line staff and Procedure 507.1.1 Reporting Procedures procedures for reviewing and tracking use of force Procedure 507.3 Procedures for Debriefing incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular Debriefings are documented in the incident incident with staff and/or youth for the purposes of report by supervisory staff. training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for Policy 514.9.1 Use of Force Administrative ☒ ☐ ☐ investigating unreasonable use of force. Review (7) define the role, notification, and follow-up Policy 514.6.1 Required Notifications procedures required after use of force incidents for medical, mental health staff and parents or legal Procedure 507.2 Required Notifications guardians. ☒ ☐ ☐ Required notifications are documented in the special incident reports. Medical staff are immediately notified and respond to the units to provide clearance or direct follow-up care. (8) describe the limitations of use of force on pregnant Policy 307.5 (g) Training for All Members Who youth in accordance with Penal Code Section 6030(f) Have Contact with Youth ☒ ☐ ☐ and Welfare and Institutions Code Section 222. Procedure 507 (d) Use of Force (b) Facilities that authorize chemical agents as a force Policy 514.4 Use of Chemical Agents option shall include policies and procedures that: Policy 305 Chemical Agents Training (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size and Procedures 508.1(b) Use of Oleoresin ☒ ☐ ☐ the approved method of deployment for those Capsicum (OC) Spray chemical agents. (2) mandate that chemical agents only be used when Policy 514.4.1 Limitations there is an imminent threat to the youth’s safety or the safety of others and only when de-escalation efforts Procedure 508.1 (a)(1) have been unsuccessful or are not reasonably possible. ☒ ☐ ☐ Staff utilize a “cover” instruction which directs the youth to get into a safety position as a warning OC may be used. Plaques are placed in the unit and throughout the facility displaying the cover instruction. (3) outline the facility’s approved methods and Policy 514.4 timelines for decontamination from chemical agents. This shall include that youth who have been exposed Procedure 508.1.4 Decontamination for OC to chemical agents shall not be left unattended until Spray that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. Staff consistently document the decontamination procedures and indicate when the youth reports they are no longer ☒ ☐ ☐ suffering from the effects. A Use of Chemical Agency Aftercare Report is also completed to ensure compliance with this regulation. BSCC staff provided technical assistance to the agency to ensure clarity on their form that youth are not placed in their room until after verbally indicating they are no longer suffering the effects of the chemical agent. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 11 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) define the role, notification, and follow-up Policy 514.6.1 Notifications procedures required after use of force incidents involving chemical agents for medical, mental health Procedure 507.2 Required Notifications staff and parents or legal guardians. Procedure 508.1.4 (2)(k) ☒ ☐ ☐ Required notifications are documented in the special incident reports. Medical staff are immediately notified and respond to the units to provide clearance or direct follow-up care. (5) provide for the documentation of each incident of Policy 514.6 Reporting the Use of Force use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, Procedure 508.1.4 (a)(3) Incident Reports youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and Staff consistently document the reason identification of any injuries sustained as a result of leading to the use of force, efforts to de- such use. escalate, and follow-up procedures after the use of chemical agents. (c) Facilities shall develop policies and procedure which Policy 514.10 Training require that agencies provide initial and regular training Policy 305 Chemical Agents Training in use of force and chemical agents when appropriate ☒ ☐ ☐ that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy 514.10 ☒ ☐ ☐ application. (3) signs or symptoms that should result in immediate Policy 514.10 ☒ ☐ ☐ referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of Use Policy 514.10 ☒ ☐ ☐ of Force. (5) physical training force options that may require the Policy 514.10 ☒ ☐ ☐ use of perishable skills. (6) timelines the facility uses to define regular training. Policy 514.10 ☒ ☐ ☐ 1361 GRIEVANCE PROCEDURE Policy 609 Grievances The facility administrator shall develop and implement Procedure 600.1 Youth Grievances and Unit written policies and procedures whereby any youth may Staff’s Responsibilities appeal and have resolved grievances relating to any Procedure 600.2 Supervisor’s Responsibilities condition of confinement, including but not limited to Procedure 600.3 Facility Managers health care services, classification decisions, program ☒ ☐ ☐ Responsibilities participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or BSCC staff reviewed one grievance filed in violations of the nondiscrimination policy. There shall be April of 2024 involving loss of points. No other no time limit on filing grievances. Policies and grievances were filed during 2024. The procedures shall include provisions whereby the facility grievance was reviewed and resolved within manager ensures: the required time frames. (a) a grievance form and instructions for registering a Policy 609.3 Access to the Grievance System grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; BSCC staff observed grievance forms accessible to the youth in the living unit. (b) the youth shall have the option to confidentially file Policy 609.3 the grievance or to deliver the form to any youth supervision staff working in the facility; ☒ ☐ ☐ Youth interviewed were aware of the grievance procedure, had free access to the forms, and were able to file confidentially. (c) resolution of the grievance at the lowest appropriate Policy 609.4 (a) Youth Grievance Procedures ☒ ☐ ☐ staff level; 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 12 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) provision for a prompt review and initial response to Policy 609.4.2 Timely Resolution of grievances within three (3) business days, grievances Grievances ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain Policy 609.4.5 (a) State Requirements his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy 609.4.5 (b) ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy 609.3 which includes the reasons for the decisions; The agency uses a triplicate form in which a ☒ ☐ ☐ pink copy is given to youth upon turning in the grievance and a yellow copy is given to youth at the conclusion of the grievance process with all written responses. (f) a system which provides that any appeal of a Policy 609.4.3 Appeals to Grievance Findings grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) Policy 609.4.2 Timely Resolution of business days unless circumstances dictate a longer ☒ ☐ ☐ Grievances time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external Policy 609.6 Additional Provisions for methods to report sexual abuse and sexual harassment. Grievances Related to Sexual Abuse ☒ ☐ ☐ Policy 609.6.1 Emergency Grievances Related to Sexual Abuse Whether or not associated with a grievance, concerns of Policy 609.4.5 (c) parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written Policy requires to be addressed and policies and procedures within a specified timeframe. documented within 14 days. 1371 PROGRAMS, RECREATION, AND EXERCISE. Policy 1000 Youth Programs and Services Policy 1002 Programs, Exercise and The facility administrator shall develop and implement Recreation written policies and procedures for programs, recreation, Policy 1004 Library Services and exercise for all youth. The intent is to minimize the amount of time youth are in their rooms or their bed area. Procedures 1001.1 Programs, Exercise and Recreation Procedures 1001.2 Daily Schedule Procedures 1001.6 Programs ☒ ☐ ☐ Procedures 1001.7 Special Events The agency has a Supervising Probation Corrections Officer assigned as a Program Coordinator who manages programs and services. Facility administration was provided with assistance and recommendations to enhance their policies and procedures to address consistency, clarity, and best practices. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 13 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for Policy 1002.3 Responsibilities programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each BSCC staff reviewed Guardian RFID notations Saturday, Sunday or other non-school days, of which for December 2023 which the facility was using one hour shall be an outdoor activity, weather permitting. to track recreation, exercise, and programming. In addition to the notations made in the Guardian electronic program, the facility implemented a Daily Program Sheet to ☒ ☐ ☐ ensure compliance with this regulation. BSCC staff reviewed forms from February and May 2024. BSCC staff discussed with the agency the importance of routinely auditing these logs to ensure staff are consistent in their documentation. The documentation reviewed affirms the agency is in compliance with this regulation. A youth’s participation in programs, recreation, and Policy 1002.3 exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ BSCC staff reviewed school day schedule and represents a threat to the safety and security of the non-school day schedule. Schedules are facility. posted in the living units. Such program, recreation, and exercise schedule shall Policy 1002.3 ☒ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, Policy 1002.3 recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and ☒ ☐ ☐ A memorandum dated August 15, 2024, by relevant to the population. Superintendent Tracie Martin addressed all elements of this regulation. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 14 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the Policy 1002.6 Access to Programs opportunity for at least one hour of daily programming to include, but not be limited to, trauma focused, cognitive, The agency has partnered with several evidence-based, best practice interventions that are community-based organizations, service culturally relevant and linguistically appropriate, or pro- providers, and Stanislaus County Office of social interventions and activities designed to reduce Education (SCOE) to provide programming. recidivism. These programs should be based on the Leaders in Community Alternatives offers youth’s individual needs as required by Sections 1355 and Aggression Replacement Training and CBI for 1356. Such programs may be provided under the all youth. direction of the Chief Probation Officer or the County Office of Education and can be administered by county SCOE provides JCF youth with social- partners such as mental health agencies, community emotional learning, creative arts, culinary, based organizations, faith-based organizations or digital arts, coding, animation, truck driving, Probation staff. Student Repair Academy, and Paxton Programs may include but are not limited to: Patterson. In addition, the youth participate in (1) Cognitive Behavior Interventions; the following: (2) Management of Stress and Trauma; (3) Anger Management; Let’s Work-Stanislaus WorkForce (4) Conflict Resolution; Mindfulness for Trauma and Addiction (5) Juvenile Justice System; Haven (6) Trauma-related interventions; Youth for Christ (7) Victim Awareness; Hospice Individual Counseling (8) Self-Improvement; Library and Book Club (9) Parenting Skills and support; ☒ ☐ ☐ Love Notes (10) Tolerance and Diversity; Art (11) Healing Informed Approaches; Without Permission (12) Interventions by Credible Messengers; Rising Scholarship Network (13) Gender Specific Programming; Substance Abuse (14) Art, creative writing, or self-expression; Project With (15) CPR and First Aid training; Prison Education Project (16) Restorative Justice or Civic Engagement; Emotional Support Dog (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. Programming is led by unit staff when not provided by another organization. The program calendar highlights in red when unit staff are responsible for leading programming for the youth. The agency has purchased Cell Dreamer as an option for facility staff, which is an 8-week personal development course. In addition, binders with appropriate programming options were made for each unit. All staff were trained in available program options to ensure programming is completed in the absence of a service provider or community-based organization. Interviews with youth affirm they receive an hour of programming every day. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 15 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Recreation. All youth shall be provided the opportunity Policy 1002.5 Access to Recreation for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Procedures 1001.3 Recreation, Sports and entertainment. Activities shall be supervised and include Social Programs orientation and may include coaching of youth. Procedures 1001.5 Recreational Activities/ Free Time ☒ ☐ ☐ Recreational activities available to the youth include letter writing, reading, journaling, movies/TV entertainment, telephone, games, arts/crafts, and meditation. The agency has a library located in the incentive programming unit. Interviews with youth affirm they receive an hour of recreation every day. (c) Exercise. All youth shall be provided with the Policy 1002.4 Access to Exercise opportunity for at least one hour of large muscle activity each day. Procedures 1001.4 Safety Practices for Large Muscle Activity Exercise opportunities available to the youth ☒ ☐ ☐ include indoor/outdoor basketball and volleyball, handball, soccer, pickleball, flag football, kickball, baseball, badminton, yoga, and dance. In addition, the youth can utilize exercise equipment and circuit training. Interviews with youth affirm they receive an hour of large muscle activity every day. The administrator/manager may suspend, for a period not Policy 1002.7 Security and Supervision to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 1391 DISCIPLINE PROCESS Policy 600.2 Policy Policy 600.3 Due Process The facility administrator shall develop and implement Policy 600.5.4 Hearings written policies and procedures for the administration of discipline which shall include, but not be limited to: BSCC staff reviewed 12 discipline process (a) designation of personnel authorized to impose packages which included Notice of discipline for violation of rules; Discipline/Due Process Hearing forms and incident reports. The incidents involved fighting, assaults on other youth, threatening staff, destruction of property, safety and ☒ ☐ ☐ security violations, and gang-related activity. Discipline imposed was a loss of points and/or privileges or loss of good time credit days. A hearing was held in three incidents and, in two of the hearings, lesser discipline was imposed. Facility administration 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. (b) prohibiting discipline to be delegated to any youth; Policy 600.6 Limitations on Disciplinary ☒ ☐ ☐ Actions Policy 202 Prohibition on Youth Control 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 16 of 17 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) definition of major and minor rule violations and their Policy 600.4 Minor Rule Violations consequences, and due process requirements; Policy 600.5 Major Rule Violations ☒ ☐ ☐ Procedures 602.4 Disciplinary Options and Sanctions (d) trauma-informed approaches and positive behavior Policy 600.3.1 Youth Rules and Sanctions ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by Policy 600.4 counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be Procedures 602.4 Disciplinary Options and accompanied by written documentation and a policy of Sanctions review and appeal to a supervisor; and, Procedures 602.5 Minor Rule Violations ☒ ☐ ☐ Procedures 602.6 Sanctions for Minor Rule Violations Procedures 602.7 Major Rule Violations Procedures 602.8 Sanctions for Major Rule Violations (f) major rule violations and the discipline process shall Policy 600.3 (b) be documented and require the following: Policy 600.5.3 Notifications ☒ ☐ ☐ (1) written notice of violation prior to a hearing; (2) accommodations provided to youth with disabilities, Policy 600.5.7 Staff Assistance ☒ ☐ ☐ limited literacy, and English language learners; (3) hearing by a person who is not a party to the Policy 600.3 (c) ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present Policy 600.3 (d) ☒ ☐ ☐ evidence and testimony; Policy 600.5.5 Evidence (5) provision for youth to be assisted by staff in the Policy 600.3 (e) ☒ ☐ ☐ hearing process; Policy 600.5.7 Staff Assistance Policy 600.5.10 Disciplinary Appeals (6) provision for administrative review. ☒ ☐ ☐ Policy 600.5.11 Administrative Review (g) violations that result in a removal from camp or Policy 600.7.1 State Guidelines for Disciplinary commitment program, but not a return to court, will follow ☒ ☐ ☐ Sanctions the due process provisions in subsection (e) above. 7675 Stanislaus Juvenile Commitment Facility Targeted PRO 23-24 Page 17 of 17 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7674 & 7675 FACILITY: Stanislaus County Secure Youth Treatment Facility and TYPE: SYTF RC: 20 SYTF Juvenile Commitment Facility & Camp 40 Camp FIELD REPRESENTATIVE: Shay Molennor DATE: September 17, 2024 ROOMS EACH ROOM Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES* Designation Type Standards Rooms # RC RC (L x W x H) T U W F S Beds Unit A Single 2009 3 1 1 3 80 sq. ft. 1 1 1 Camp Double 2009 6 2 2 12 106.5 sq. ft. 1 1 1 Note: Three showers are located in the dayroom. The dayroom space is 2,192 sq. ft. Unit B Single 2009 3 1 1 3 80 sq. ft. 1 1 1 Camp Double 2009 6 2 2 12 106.5 sq. ft. 1 1 1 Note: Three showers are located in the dayroom. The dayroom space is 2,192 sq. ft. Unit C Single 2009 4 1 1 4 80 sq. ft. 1 1 1 SYTF and Camp Double 2009 4 2 2 8 106.5 sq. ft. 1 1 1 Double 2009 5 2 2 10 105.6 sq. ft. 1 1 1 Dorm 2009 2 4 4 8 218 sq. ft. 1 1 1 Note: Twenty beds in Unit C are designated for SYTF youth and ten for Camp youth. Five showers are located in the dayroom. The dayroom space is 2,950 sq. ft. *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. 7674 Stanislaus SYTF & 7675 CAMP LASE Targeted 24 - 1 - J460 LAS JUV-05.dot (rev.12/2022)