Tulare County Probation Inspection Rpt (2023-2024 inspection cycle)

May 24, 2023 Kelly Vernon, Chief Probation Officer Tulare County Probation Department 3241 West Noble Ave Visalia, California 93277 2023-2024 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, TULARE COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Vernon: The 2023-2024 Comprehensive Inspection of the Tulare County Probation Department has been completed. A pre-inspection briefing was held on Tuesday, March 7, 2023, and the following facilities were inspected between Monday, May 15, 2023, and Thursday, May 18, 2023: FACILITY NAME BSCC # FACILITY TYPE Juvenile Detention Facility 7703 JH Youth Detention Facility 7704 CAMP Secure Youth Treatment Facility 7707 SYTF Juvenile Detention Facility Camp 7708 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 Titles 15 and 24, California Code of Regulations. In addition, Board of State and Community Corrections (BSCC) staff conducted compliance monitoring pursuant to Welfare and Institutions Code Sections 209(f) and the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) requirements for separation between juveniles and adults. In addition to inspection(s), Title 15, Section 1313, and its authorizing statute require annual inspections conducted by a local Health Officer, fire authority having jurisdiction, county building inspection by an agency designated by the County Board of Supervisors, County Superintendent of Schools, Juvenile Court, and Juvenile Justice Commission. The results of those inspections are considered a part of this report. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Title 15 Procedures Checklist for detailed information. Kelly Vernon, Chief Probation Officer Page 2 No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the Physical Plant Evaluation (PHY) and Living Area Space Evaluation (LASE) attachments for information related to Rated Capacity. Juvenile Justice and Delinquency Prevention Act Compliance Monitoring No violations of the JJDPA have been identified, and no areas of noncompliance were noted. An Exit Briefing with your staff was held on Thursday, May 18, 2023; BSCC staff presented an inspection overview and discussed technical assistance and best practice recommendations. * * * Please email me at elizabeth.gong@bscc.ca.gov or call (916) 704-2503 if you have any questions. Sincerely, ELIZABETH GONG Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Tulare County Juvenile Court* Chair, Juvenile Justice Commission, Tulare County* Chair, Board of Supervisors, Tulare County* County Administrator, Tulare County* Margarita Luna, Deputy Chief Probation Officer Mike Santos, Division Manager – Juvenile Facilities *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7703 7704 7707 7708 Tulare County Probation JH/Camps/SYTF LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7703 FACILITY NAME: Tulare County Juvenile Detention Facility (JDF) FACILITY TYPE: JH PERSON(S) INTERVIEWED: Kelly Vernon, Chief Probation Officer; Mike Santos, Division Manager; Margarita Luna, Deputy Chief Probation Officer; Leanne Williams, Assistant Chief Probation Officer; Greg Powers, Supervising Probation Officer (SPO); Michael Ortiz, SPO; Albert Fereira, SPO; Jennifer Childress, Institution Supervisor (IS); Lorena Torres, Probation Corrections Officer (PCO) III; ; Victor Arcero, PCO I; Susan Graf, Food Services Manger JDF; Deanna Huff, Wellpath Administrator; Eric Krenz, Wellpath Director of Nursing; Marco Ramirez, Wellpath RN Supervisor; Karen Valdavieso, Principal TCOE; Angela Gallardo, Phoenix House; Ashley Ramirez, Phoenix House; Gisel Angeles, Probation Program Specialist Supervisor; Mary Helen Gonzalez, Precision Psychiatric Services Director; Rupally Tilve, Vice President Operations Precision Psychiatric Services; Youth: Isiah G, age 17 (SYTF); Devon A, age 16 (Mid-Term Commit); Zerina O, age 16 (Mid-Term Commit); Santiago A, age 19 (SYTF); Lelani A, age 14 (Detention) FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 15-18, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS May 24, 2022 April 6, 2021 On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ documented inspection and evaluation from the ☐ The 2023 Building Inspection was following: occurring while on-site, May 16, 2023. (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code Section ☒ October 6, 2022 ☐ ☐ 13146.1(a) and (b); March 23, 2021 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 1 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: December 1, 2022 October 5, 2021 Medical/Mental Health: December 7, 2022* September 20, 2021 Nutritional Health: November 28, 2022 October 6, 2021 ☒ ☐ ☐ We noted the 2022 Medical Inspection found Wellpath was not providing Education Services to youth upon admission or throughout their stay. Our review found documented education during the initial assessments and ongoing services for youth. The Wellpath Manual also articulates this to include a documentation component. (d) county superintendent of schools on the adequacy of educational services and facilities as required in Section ☒ May 10, 2023 ☐ ☐ 1370; March 18, 2022 (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, ☒ February 15, 2023 ☐ ☐ March 17, 2022 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ June 30, 2022 ☐ ☐ Probation Commission as required by Section 240 of the April 21, 2021 Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS The elements of this regulation are BSCC Note: Compliance with this section is determined addressed in a memorandum completed by receipt of the Chief Probation Officer’s certification by Deputy Chief Probation Officer letter confirming that all elements of regulation are met. Margarita Luna dated August 27, 2022. There was no Chief in place when completed, however, the new Chief (a) Appointment ☒ ☐ ☐ Probation Officer is Kelly Vernon. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and The memorandum verifies the agency employees. Such superintendent, director, facility hires qualified candidates that meet the manager and other employees of the facility shall be specifications required by the agency and appointed by the facility administrator pursuant to regulation. applicable provisions of law. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 2 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Employee Qualifications Section 2.2.1 (A) Each facility shall: (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and Section 2.2.1 (A) evaluation for immunity to contagious illnesses of ☒ ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ Section 2.2.1 (C) ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in Section 2.2.1 (B) ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Section 2.2.1 (D) facility, shall have such clearance and qualifications as ☒ may be required by law, and their presence at the facility ☐ ☐ shall be subject to the approval and control of the facility manager. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 3 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Section 2.1(F)(1) Each juvenile facility shall: (a) have an adequate number of personnel sufficient to The Juvenile Facilities (JF) have one carry out the overall facility operation and its Division Manager, 3 Supervising programming, to provide for safety and security of youth Probation Officers, 13 Institution and staff, and meet established standards and Supervisors, 4 Probation Corrections regulations; Officer (PCO) III’s, 28 Probation Corrections Officer I/II’s, 4 transportation staff, 6 Intake Officers, 13 Detention Services Officers, and 10 kitchen and laundry staff. There are 43 vacant PCO I/II/III positions, ☒ ☐ 13 on a long-term Leave of Absence ☐ (LOA) and 11 frozen positions. All PCO’s are core trained. Due to the shortages, the agency has a process in place for mandatory overtime. The Deputy Probation Officers (DPO) have been mandated to work one shift per week. The DPO schedule is based on seniority and these staff have the option of working overtime or in lieu of their scheduled field day. Of the 85 DPO staff, half are core trained. The schedule and administration of the OT is getting better as new staff come on board, but it remains difficult to manage. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ Section 2.1(F)(2) ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Section 2.1(F)(3) There is a minimum of one Institutional ☒ ☐ ☐ Supervisor (IS) on duty at all times, however, we note since the IS series works 12-hour shifts, there are typically 2 on duty each shift. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Section 2.1(F)(4) ☒ completed the Juvenile Corrections Officer Core Course ☐ ☐ and PC 832 training; (e) have at least one staff member present on each living ☒ unit whenever there are youth in the living unit; ☐ ☐ Section 2.1(F)(5) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 4 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) have sufficient food service personnel relative to the number and security of living units, including staff Section 2.1(F)(6) qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct ☒ There is a Food Services Manager, 4 food preparation and servings; conduct related training ☐ ☐ cooks, a stock clerk/Warehouse staff, and programs for culinary staff; and maintain necessary 3 laundry technicians assigned to the records; or, a facility may serve food that meets nutritional facility. standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Section 2.1(F)(7) transportation, control room, facility security and other The facility is sufficiently staffed for their support staff for the efficient management of the facility, population. Wellpath provides 24-hour per and to ensure that youth supervision staff shall not be day medical services, seven days a week. diverted from supervising youth; and, Precision Psychiatric Services via Kaweah Hospital provides Mental Health Services Monday through Friday, but is available 24 hours a day, via on-call. ☒ There is a Clinician, Discharge Planner ☐ ☐ (LVN), and Medical Assistant scheduled during the week and a Psychiatrist on-site on Mondays. Phoenix House staff and the Program Specialist provide programming in order for staff to facilitate operational needs. There is ancillary sufficient staff to ensure no services for the youth population are diverted from youth supervision staff responsibilities. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Section 2.1(F)(8) 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 Section 2.1 (B) (A) during the hours that youth are awake, one wide-awake youth supervision staff member on Units A, (Max Security General duty for each 10 youth in detention; Population (GP) male youth); B (GP ☒ males and GP/Commitment Female ☐ ☐ youth); and D (SYTF) comply with the 1:10 ratio. Unit C (Short, Mid and Long- term commitment male youth) is camp youth, and they are able to operate with a 1:15 ratio. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake Section 2.1(C) ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 5 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Section 2.1 number of youth in detention, unless an arrangement has been made for backup support ☒ We reviewed the staff schedules and ☐ ☐ services which allow for immediate response to roster, noting there are at minimum 8 staff emergencies; and, on duty during sleeping hours, well beyond the minimum required ratio. (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ Section 2.1(D) ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of Section 2.1(G) personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls This facility is not a SPJH, therefore, the (A) during hours that youth are awake, one wide- ☐ ☐ ☒ balance of this section will be left blank. awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps This facility is not a Camp; therefore, the (A) during the hours that youth are awake, one ☒ ☐ ☐ balance of this section will be left blank. 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; 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 6 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☒ arrangements have been made for backup support ☐ ☐ services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☒ ☐ ☐ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Section 2.6.2(A) Section 2.6.2(A)(1) (a) Prior to assuming any responsibilities each youth The Department training curriculum, supervision staff member shall be properly oriented to updated in 2020, exceeds minimum their duties, including: standards and includes all required (1) youth supervision duties; ☒ elements, including: 160 to 200-hour ☐ ☐ training and orientation process, monitored by a Field Training Officer. Staff are provided significant training before shadowing permanent staff as “on the job” training. (2) scope of decisions they shall make; ☒ ☐ ☐ Section 2.6.2(A)(2) (3) the identity of their supervisor; ☒ ☐ ☐ Section 2.6.2(A)(3) (4) the identity of persons who are responsible to ☒ them; ☐ ☐ Section 2.6.2(A)(3) (5) persons to contact for decisions that are beyond ☒ their responsibility; and ☐ ☐ Section 2.6.2(A)(4) (6) ethical responsibilities. ☒ ☐ ☐ Section 2.6.2(A)(5) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 7 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff Section 2.6.2(B) member shall receive a minimum of 40 hours of facility- Section 2.6.2 Bullet 1 specific orientation, including: The facility provides 160 to 200 hours of curriculum in their Orientation and training process, depending on assignment and successful completion of three specific phases, prior to assuming any youth supervision duties. Staff assigned to Booking and Intake require more specific ☒ ☐ ☐ training. The basic requirements for all staff include New Staff Orientation/Training and Observation Training. Additional training may be provided which includes Proficiency Training (Remediation skill training) and Re-Integration Training (staff who have been absent for a period of time). This is a comprehensive and intensive training process. (1) individual and group supervision techniques; ☒ ☐ ☐ Section 2.6.2 Bullet 1 (2) regulations and policies relating to discipline and Section 2.6.2 Bullet 2 rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; New staff receive an Orientation Binder to use as a study tool. (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Section 2.6.2 Bullet 3 Section 2.6.2 Bullet 4 (4) suicide prevention and response to suicide ☒ attempts ☐ ☐ Suicide Prevention training is part of the department’s annual training for all facility staff. (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ Section 2.6.2 Bullet 5 ☐ ☐ physical restraints; Section 2.6.2 Bullet 6 (6) review of policies and procedures referencing ☒ trauma and trauma-informed approaches; ☐ ☐ All new youth supervision staff are required to read the Policy and Procedure Manual prior to mentoring in the facility. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 8 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 2.6.2 Bullet 7 This is the agency’s Emergency (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Procedures policy and procedures. The County of Tulare also has an Emergency Action Plan designed specifically to the Facility site. (8) routine security measures, including facility ☒ perimeter and grounds; ☐ ☐ Section 2.6.2 Bullet 8 (9) crisis intervention and mental health referrals to ☒ mental health services; ☐ ☐ Section 2.6.2 Bullet 9 (10) documentation; and ☒ ☐ ☐ Section 2.6.2 Bullet 10 Section 2.6.2 Bullet 11 (11) fire/life safety training ☒ ☐ ☐ All new staff are provided CPR/First Aid Training within the first two months of hire, sooner if the staff is cored. (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully Section 2.6.4 (A) complete the requirements of the Juvenile Corrections ☒ ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete training ☒ Section 2.6.4 (B) ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Section 2.6.4 (D) Training Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all times ☒ ☐ ☐ who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 9 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1324 POLICY AND PROCEDURES MANUAL Section 1.4 TCJDF Policy and All facility administrators shall develop, publish, and Procedures Manual implement a manual of written policies and procedures that address, at a minimum, all regulations that are The current manual was reviewed and applicable to the facility. Such a manual shall be made updated in April 2023. It is compliant with available to all employees, reviewed by all employees, ☒ regulations and addresses all facets of and shall be administratively reviewed at a minimum ☐ ☐ detention, commitment, and SYTF. every two years, and updated, as necessary. Those records relating to the standards and requirements set forth in these regulations shall be accessible to the Board on request. The manual shall include: (a) table of organization, including channels of communications and a description of job classifications; Section 1.2 Table ☒ ☐ ☐ Section 1.4 (A) Section 2.3 Job Descriptions (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Juvenile Section 1.3 Purpose, Vision, Mission Justice/Delinquency Prevention Commission or ☒ Section 1.4 (B) Probation Committee, probation staff, school personnel ☐ ☐ and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; ☒ Section 2.3 Job Descriptions of ☐ ☐ Institutional Positions (d) initial orientation and training program for employees; ☒ Section 2.6.2 Minimum Orientation and ☐ ☐ Training (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, contract Section 2.6.7 Non-Sworn Support Staff ☒ employees, school, mental/behavioral health and ☐ ☐ Training medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and communication system to ensure: ☒ Section 7.4 Maintenance of Youth ☐ ☐ Records (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Section 1.4 (E)(1) (2) legal and proper care of youth; ☒ ☐ ☐ Section 1.4 (E)(2) (3) maintenance of individual youth's records; ☒ ☐ ☐ Section 1.4 (E)(3) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 10 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) supply of information to the juvenile court and Section 1.4 (E)(4) ☒ those authorized by the court or by the law; and, ☐ ☐ Section 3.1.2 Juvenile Court Release of Information Section 1.4(E)(5) (5) release of information regarding youth. ☒ ☐ ☐ Section 3.1.3 Juvenile Detention Facility Release of Information (g) ethical responsibilities; ☒ ☐ ☐ Section 2.6.2 (A)(5) (h) trauma-informed approaches; ☒ ☐ ☐ Section 1.4 (W) (i) culturally responsive approaches; ☒ ☐ ☐ Section 1.4 (X) (j) gender responsive approaches; ☒ ☐ ☐ Section 1.4 (Y) (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Section 1.4 (T); Section 4.7(B) to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to The Non-Discrimination Policy (NDP) is discrimination or harassment on the basis of actual or posted in each living unit, listed in the perceived race, ethnic group identification, ancestry, ☒ Youth Handbook, and part of the Policy ☐ ☐ national origin, immigration status, color, religion, gender, and Procedures Manual. sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and weapons ☒ Section 7.13.6.7 Use of Force ☐ ☐ and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible youth; ☒ Section 4.3.4 (B)(3) Intake Procedures ☐ ☐ and, Section 8.7.4 Medical Services (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. PREA policy The policy shall include an approach to preventing, detecting and responding to such conduct and any The agency has a PREA Policy, posters ☒ retaliation for reporting such conduct, as well as a ☐ ☐ of zero tolerance for sexual assault or provision for reporting such conduct by youth, staff or a abuse, and all youth entering the facility third party. are shown the PREA video before placement in a living unit. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 11 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1325 FIRE SAFETY PLAN Section 3.0 Emergency Procedures The facility administrator shall consult with the local fire Manual department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ The County of Tulare has an Emergency which shall include, but not be limited to: Action Plan that describes each element (a) a fire prevention plan to be included as part of the in regulation, specific to the facility site. manual of policy and procedures; (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; The Monthly Fire and Life Safety Inspections include documented facility- specific elements of safety as well as a check of all First Aid kits in the facility. The facility keeps detailed logs of the monthly checks, perimeter checks, Earthquake drills, and Fire Alarm checks. Additionally, the staff are required to read ☒ ☐ ☐ and sign off that they have reviewed the monthly OSHA Fact Sheet, indicating their understanding of the educational briefing each month. We reviewed the monthly fire and life safety inspections from July 2022 to April 2023. We provided technical assistance to use one form for each of the 13 areas inspected to consolidate the process. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); The most recent Fire Inspection was ☒ completed on October 6, 2022. The ☐ ☐ agency implemented annual fire inspections recommended last cycle. (d) an evacuation plan; ☒ There are evacuation maps throughout ☐ ☐ the facility. (e) documented fire drills not less than quarterly; The facility policy is more restrictive than regulation and requires monthly fire drills at different times and days of the week. Our review of facility-wide drills revealed ☒ ☐ ☐ drills were practiced almost daily through 2022, whenever youth go outside for recreation or exercise. In 2023, the agency began doing drills several times a month to ensure youth and staff were prepared. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 12 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) a written plan for the emergency housing of youth in the case of fire; and, Section 3.11 Youth Fire Relocation Plan The policy indicates the agency will ☒ ☐ ☐ relocate youth to an adjacent County Juvenile Hall. CPOC Central Valley is coordinating and emergency housing plan for all counties in the region. (g) development of a fire suppression pre-plan in ☒ cooperation with the local fire department. ☐ ☐ Section 3.10 Fire Suppression Pre-Plan 1326 SECURITY REVIEW Section 7.11.7 (I) Each facility administrator shall develop policies and procedures to annually review, evaluate, and document A Security Review Memorandum was security of the facility. The review and evaluation shall ☒ include internal and external security, including, but not ☐ ☐ completed by Division Manager Mike limited to, key control, equipment, and staff training. Santos on June 22, 2022, outlining the review of internal and external facility security measures. 1327 EMERGENCY PROCEDURES Emergency Procedures Manual (EPM) The facility administrator shall develop facility-specific policies and procedures for emergencies that shall ☒ ☐ ☐ The agency has an updated EPM which include, but not be limited to: all youth supervision staff are required to read annually. EPM 2.0 Escape (a) escape, disturbances, and the taking of hostages; ☒ ☐ ☐ 5.0 Hostage 7.0 Facility Disturbances (b) civil disturbance, active shooter and terrorist ☒ EPM 8.0 Civil Disturbances attack; ☐ ☐ 8.1 Active Shooter/Terrorist Attack (c) fire and natural disasters; ☒ ☐ ☐ EPM 9.0 Natural Disasters The facility has sprinklers checked two (d) periodic testing of emergency equipment; ☒ ☐ ☐ times each year and alarms are tested monthly. (e) emergency evacuation of the facility; and ☒ ☐ ☐ EPM 6.0 Evacuation Plan 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 13 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Staff are required to review an OSHA Educational tool after each monthly fire (f) a program to provide all youth supervision staff ☒ drill and the EPM one time per year. We with an annual review of emergency procedures. ☐ ☐ reviewed the agency training records as it relates to the facility annual review and found compliance with the regulation. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 14 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS Section 3.4.1 (B) Unit Shift Logs The facility administrator shall develop and implement Section 3.4.3 (A) Guard 1 Visual Cell policy and procedures that provide for direct visual Safety Checks observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth We reviewed safety checks, documented are asleep or when youth are in their rooms, confined in on a unit safety check log, recording time holding cells or confined to their bed in a dormitory. of check and the number of youths Supervision is not replaced, but may be supplemented housed in each individual unit. The by, an audio/visual electronic surveillance system agency went away from the Guard 1 tool designed to detect overt, aggressive or assaultive after our last inspection, however, began behavior and to summon aid in emergencies. All safety using it again in January 2023. Our review checks shall be documented with the actual time the check is completed. included safety checks for the months of August and October 2022 and January 2023, for each of the four occupied units in Pod 5. The agency developed a safety check form last cycle to allow Institution Supervisor reviews during each shift. This prompted the IS to walk around the units and check the safety logs randomly each shift. In January 2023, the agency went to a Guard 1 Pipe check only. This resulted in a change to audits, making ☒ real-time reviews difficult. The operations ☐ ☐ IS uploads the pipe tool and assigned IS’s review the checks that occurred while they were on duty, post time. Not ideal but this allows the facility to audit, by electronic record and camera, for accountability of late or non- random/varied checks. Many factors, including the requirement for DPO coverage, removing the handwritten checks, and pipe inefficiencies are factors we considered. Additionally, the lack of staff factored into some late checks the first week of January. Later and current reviews revealed compliance and noted improvements. The agency is moving to a new version of the Guard 1 pipe system that allows for movement and audit functions in real-time so administrators can review more efficiently. We plan to return in the coming months to review this system, once operational. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 15 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1329 SUICIDE PREVENTION PLAN Section 8.14 Suicide Recognition and The facility administrator, in collaboration with the Prevention healthcare and behavioral/mental health administrators, JMH-G-04 Precision Psychiatric Services shall plan and implement written policies and Manual procedures which delineate a Suicide Prevention Plan. The plan shall consider the needs of youth experiencing There have been 16 incidents of suicidal past or current trauma. Suicide prevention responses statements and gestures since our shall be respectful and in the least invasive manner inspection in June 2022. Fifteen incidents consistent with the level of suicide risk. The plan shall were verbal statements made of self- include the following elements: harm and 1 involved a suicidal gesture. All agency partners responded per policy and met the requirements in regulation, objectives in policy, and consolidated approach in practice. The facility plan articulates procedures to follow for suicide events but also provides information for staff of what to look for, be aware of, and critical timing of critical events which illustrate the risk for suicide behaviors. It is a plan with informative triggers for staff to be aware of and is ☒ supported by 24/7 medical staff on site as ☐ ☐ well as Monday-Friday on-site mental health services with Precision Psychiatric Services and on-call services shared with the jail across the street after hours. Our review of the Precision Manual and Policy as it relates to Suicide Prevention is more of a summary with placement in the Safety Room and Smock as defined in the Suicide Watch policy, stepping down to a lesser restrictive environment upon communication with Precision staff. Wellpath nursing communicates with Precision and facility staff to design and develop individual plans and provides supervision while a youth is on any suicide or special watch. There is fragmented communication amongst all parties with the involvement of HHSA. We provided technical assistance to the Probation Administration to be clear in the roles and follow up from agency partners directly. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 16 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Training Section 8.14.1 and the Juvenile Corrections Officer Core Course. All staff receive Suicide Prevention ☒ Training in Core and annually. Staff ☐ ☐ assigned to the Intake unit receive additional training for screening and recognizing if a youth is at-risk for suicide or self-harm. (b) Screening, Identification Assessment and Precautionary Protocols Section 8.14 (A)(1) (1) All youth shall be screened for risk of suicide at intake and as needed during detention. The facility completes numerous assessments and screening of youth by probation, medical, and mental health ☒ ☐ ☐ staff at admission. The MAYSI, medical screening, and referral to mental health for assessment articulate risks at admission. We reviewed timelines for the intake implementation of the MAYSI upon admission. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk ☒ Section 8.14.1 ☐ ☐ of suicide. (3) All youth who have been identified during the intake screening process to be at risk of suicide shall Section 8.14 (A)(1) and (2) ☒ be referred to behavioral/mental health staff for a ☐ ☐ Section 4.3.4 (A)(6) suicide risk assessment. (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the ☒ Section 8.14 (A)(4) ☐ ☐ behavioral/mental health assessment. Section 4.3.1 (10) (c) Referral process to behavioral/mental health staff for assessment and/or services. Section 8.14 ☒ ☐ ☐ Section 8.2.3 (C) Section 4.3.4 (A)(6) (d) Procedures for monitoring of youth identified at risk for suicide. ☒ Section 8.14. ☐ ☐ Section 4.3.1 (10) (e) Safety Interventions Section 8.14.5 (A) (1) Procedures to address intervention protocols for ☒ ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ ☐ ☐ Section 8.14.5 (D) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 17 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) Treatment strategies including trauma- ☒ informed approaches ☐ ☐ Section 8.14.5 (A)(11) (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal ☒ Section 8.14.4 (A) and (B) ☐ ☐ behaviors. (f) Communication (1) The intake process shall include communication Section 4.3.2 (C) with the arresting officer and family guardians ☒ regarding the youth’s past or present suicidal ☐ ☐ The intake unit is adjacent to Medical and ideations, behaviors or attempts. Mental Health offices, allowing for constant and timely communication. (2) Procedures for clear and current information sharing about youth at risk for suicide with youth Section 8.14 (A) supervision, healthcare, and behavioral/mental health staff. All agency partners communicate daily regarding any youth presenting suicidal behaviors. Wellpath takes the lead as they are on-site 24/7 and with Precision ☒ ☐ ☐ Psychiatric Services, Phoenix House, and a Program Specialist in place, the agency promotes a coordinated approach to youth behavior, response, and follow-up. We encouraged stronger communication amongst these agencies to ensure all youth needs are met timely and efficiently. (g) Debriefing of Critical Incidents Related to Suicides or Attempts Section 8.14.4 (D)(1) (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected ☒ staff. ☐ ☐ Section 8.14.4 (D)(2) (3) Process for a debriefing event with affected ☒ youth. ☐ ☐ Section 8.14.4(D)(3) (h) Documentation (1) Documentation processes shall be developed to ☒ Section 8.14.0 (A)(1) ☐ ☐ ensure compliance with this regulation Section 8.14.4 (D)(4) Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, services Section 8.14.5 (J) and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ youth or security of the facility. Any deprivation of ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 18 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1340 REPORTING OF LEGAL ACTIONS Section 3.6 Reporting of Legal Actions Each facility shall submit to the Board a letter of notification on each legal action, pertaining to conditions ☒ of confinement, filed against persons or legal entities ☐ ☐ The agency has one possible legal action responsible for juvenile facility operation. with a current investigation through the TCSO. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Section 8.14.9 (C)(4) and (5) Death of a Youth (1) Death of a Youth. (a) The facility administrator, in cooperation with There have been no youth deaths this the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ cycle. procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the facility administrator, shall develop written policies Section 8.14.9 (G) and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Board a copy of the report submitted to the Section 8.14.9 (E)(3) Attorney General under Government Code Section ☒ ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within 30 Section 8.14.9 (E)(3)(a) calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth. Section 8.14.8 (D) (a) The facility administrator, in cooperation with the health administrator, shall develop written The facility process for serious illness and policies and procedures for the notification to ☒ ☐ ☐ injury includes notification to all parties in necessary parties, which may include the Juvenile the event of an incident as defined by Court, the parent, guardian or person standing in medical staff, who are on duty 24 hours loco parentis and the youth’s attorney of record in the each day. case of a serious illness or injury of a youth. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 19 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1342 POPULATION ACCOUNTING Section 7.3.4 Administrative Count Each juvenile facility shall submit required population ☒ and profile survey reports to the Board within 10 working ☐ ☐ Records days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) Section 4.7.8 Juvenile Facility Capacity When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Section 4.3 Admittance Procedures The facility administrator shall develop and implement written policies and procedures for admittance of youth The facility has numerous screening and that emphasize respectful and humane engagement assessment tools, including: the SOGIE, with youth, and reflect that the admission process may Victim Vulnerability Assessment, and be traumatic to youth who may have already Intake Assessment with Mental Health experienced trauma. Policies shall be trauma-informed, Assessment. Each are facilitated by culturally relevant, and responsive to the language and probation staff, medical personnel, and literacy needs of youth. In addition to the requirements mental health clinicians. There are RN’s of Sections 1324 and 1430 of these regulations: on duty 24 hours each day and mental health services available 8 hours each day on-site (services shared with the jail) and on-call, allowing for all required elements of regulation. The process and practice includes intake ☒ responsibilities for admitting a youth, ☐ ☐ questionnaires and screenings by medical staff including all aspects of a youth’s personal, physical, and mental presentations, and a series of mental health assessments, facilitated by medical staff and referred to Precision staff if mental health is not on duty. The process flows well, especially given the proximity to the intake unit. We suggested a more targeted and seamless approach to these assessments with Wellpath and Precision, to ensure the youth needs are addressed timely and efficiently. We reviewed numerous intake packets and found the process consistent with the intent of admission processing of a youth. (a) the admittance process shall include: (1) Access to two free phone calls within one hour of Section 4.3.5 ☒ admittance in accordance with the provisions of ☐ ☐ Welfare and Institution Code Section 627; 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 20 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Offer of a shower; ☒ ☐ ☐ Section 4.3.3 (O); 4.3.8 (A) (3) Documented secure storage of personal ☒ belongings; ☐ ☐ Section 4.3.6 (4) Offer of food upon arrival; ☒ ☐ ☐ Section 4.3.8 (D) (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ Section 4.3.9 ☐ ☐ disabilities; (6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, ☒ Section 4.3.1 (3) ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are Section 4.9 (C)(5) suspected of or identified as having a ☒ Section 8.2 (A)(3) Initial Medical ☐ ☐ developmental disability, pursuant to Section 1413; Assessment and, (8) Procedures consistent with Section 1352.5. ☒ Section 4.6 Transgender and Intersex ☐ ☐ Youth (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive ☒ Section 4.7.1 Classification ☐ ☐ environment. (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures that Section 4.3.4 (B) Intake Procedures advise the youth of the estimated length of stay, inform ☒ them of program guidelines and provide written ☐ ☐ screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures that advise any committed youth of the estimated length ☒ Section 4.3.4 (B) Intake Procedures ☐ ☐ of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Section 4.3.4 (B)(2) SOGIE Section 4.3.12 Screening for the Risk of The facility administrator shall develop and implement Sexual Abuse written policies and procedures to reduce the risk of sexual abuse by or upon youth. The policy shall require ☒ ☐ ☐ The SOGIE is a tool to assess the youth’s facility staff to assess each youth within 72 hours of likelihood of being abused. The Victim admission based on the following information: Vulnerability Assessment is completed to assist in determining the youth’s propensity to be victimized or to victimize. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 21 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Section 4.3.12 Bullet 1 (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, Section 4.3.12 Bullet 2 ☒ queer or intersex, and whether the youth may, therefore, ☐ ☐ be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Section 4.3.12 Bullet 3 (d) Age; ☒ ☐ ☐ Section 4.3.12 Bullet 4 (e) Level of emotional and cognitive development; ☒ ☐ ☐ Section 4.3.12 Bullet 5 (f) Physical size and stature; ☒ ☐ ☐ Section 4.3.12 Bullet 6 (g) Mental illness or mental disabilities; ☒ ☐ ☐ Section 4.3.12 Bullet 7 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Section 4.3.12 Bullet 8 (i) Physical disabilities; ☒ ☐ ☐ Section 4.3.12 Bullet 9 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Section 4.3.12 Bullet 10 (k) Any other specific information about the individual youth that may indicate heightened needs for Section 4.3.12 Bullet 11 ☒ supervision, additional safety precautions, or separation ☐ ☐ Section 4.3.12 (D) from certain other youth. Staff shall ascertain this information through conversations with the youth during the admittance Section 4.3.12 (A) process, medical and behavioral health screenings; ☒ during classification assessments; and by reviewing ☐ ☐ court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate controls on the dissemination of information within the Section 4.13.2 (B) facility relative to responses received pursuant to this ☒ assessment in order to ensure that sensitive information ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 22 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1351 RELEASE PROCEDURES Section 4.5 Release Procedures The facility administrator shall develop and implement written policies and procedures for release of youth from The facility release procedures begin with custody which provide for: a Multi-Disciplinary Team (MDT) meeting to assess the most appropriate re-entry plan for committed youth or a Special Needs planning meeting to address a youth’s needs as they release from ☒ ☐ ☐ detention into the community. We reviewed numerous Transition Release Plans with articulated direction for the youth upon re-entry. The addition of Precision Psychiatric Services, Phoenix House, and the Program Specialist positions have promoted a coordinated release process. (a) verification of identity/release papers; ☒ ☐ ☐ Section 4.5.2 (C)(1) (b) return of personal clothing and valuables; ☒ ☐ ☐ Section 4.5.2 (C)(2) (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Section 4.5.2 (C)(4) (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ Section 4.5.2 (C)(8) ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Section 4.5.2 (C)(10) (f) notification of facility mental health personnel. ☒ ☐ ☐ Section 4.5.2 (C)(8) The facility administrator shall develop and implement policies and procedures for post-disposition youth to Section 4.5.7 Transition and Re-entry coordinate the provision of transitional and reentry Services services including, but not limited to, medical and behavioral health, education, probation supervision and ☒ ☐ ☐ The facility has bi-weekly MDT meetings community-based services. to determine appropriate services for school, Mental Health, and medical linkage upon release to the community. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 23 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility administrator shall develop and implement written policies and procedures for the furlough of youth Section 4.5.3 Temporary Releases from custody. The facility does not currently furlough ☒ ☐ ☐ youth from either of their camp programs, however, is considering this option (post- Covid) as reintegrating youth into the community prior to permanent release. 1352 CLASSIFICATION Section 4.7 Classification The facility administrator shall develop and implement written policies and procedures on classification of youth Due to the facility’s low population, they for the purpose of determining housing placement in the have merged (committed) program youth, facility. SYTF, female youth and general Such procedures shall: population detention youth, and WIC 707 (b) offender youth into one pod with four separate units. Although the plan is to move SYTF youth into Pod 1, they are awaiting physical improvements and more staff to facilitate the move. The current housing is not the preference but necessary for staffing. The agency currently has 9 youth committed to SYTF and facilitated one unit in Pod 5 for this population. The ☒ agency has developed a structured ☐ ☐ program including both the Phoenix House Program, services from the Program Specialist and technical/vocational options. We provided technical assistance as it relates to two specific youth placed in the GP/Female unit who were SB 823 admissions and 19/20 years of age. Their age and sophistication have created a difficult situation for the female youth, who feel intimidated by their presence. Facility administrators responded by placing the youth in a Special Program in Unit A (707 b Offenders) and, with the assistance of agency partners, will provide a more secure and safe placement for all youth involved. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 24 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the Section 4.7.1 Bullet 1 appropriate, least restrictive housing and program ☒ Section 4.7.2 Factors Affecting Unit settings. Housing assignments shall consider the need ☐ ☐ Assignments for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of ☒ the facility; ☐ ☐ Section 4.7.1 Bullet 2 (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall Section 4.7.1 Bullet 3 include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including provisions that consider the level of supervision and the Section 4.7.1 Bullet 4 youth's behavior while in custody; and, Section 4.7.2 (H) Classification of youth are reviewed at the weekly Special Needs meeting and bi- weekly at the MDT meetings. The agency added policy to require assigned IS staff to review their (assigned) unit classifications weekly. ☒ ☐ ☐ Youth presenting behaviors demanding attention of mental health and/or medical staff, as well as teachers, are evaluated for appropriate unit placement as necessary. As noted above, the facility administration returned two older and more sophisticated youth to their appropriately classified unit in order to comply with regulation elements and policy while on-site. (e) provide that facility staff shall not separate youth from the general population or assign youth to a single Section 4.7.1 Bullet 5 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 25 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex identification or Section 4.7.1 Bullet 6 ☒ status as an indicator of likelihood of being sexually ☐ ☐ abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Section 4.6 Transgender and Intersex The facility administrator shall develop written policies Youth and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The The facilities have process and procedure policies shall provide that: elements in place to address all facets of the regulation. Wellpath Medical staff assist the PCO/IS in providing resources for this population. The agency has sufficient policies for transgender youth, meeting all regulation components, ☒ ☐ ☐ including documentation regarding the Transgender and Intersex Youth Statement for Searches and the Housing Preference Form, which include the youth’s statement for preferred name and pronoun. We provided technical assistance to administration to include a youth’s clothing preference to the form, allowing for integration into appropriate placement. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s Section 4.6 (A) preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their gender Section 4.6 (B) ☒ identity and shall provide youth with the institution’s ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes their Section 4.6 (C) safety and well-being. Staff may not automatically house youth according to their external anatomy and shall ☒ document the reasons for any decision to house youth ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 26 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Facility administrators shall ensure that transgender and intersex youth have access to medical and ☒ Section 4.6 (D) ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, Section 4.6 (E) facility staff shall make every effort to ensure the safety ☒ ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any youth for the purpose of determining the youth’s Section 4.6 (F) anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION Section 4.4 Orientation The facility administrator shall develop and implement written policies and procedures to orient a youth prior to We reviewed a significant number of placement in a living area. Both written and verbal Orientation forms, each requiring the information shall be provided and supplemented with youth to sign as an acknowledgment of video orientation if feasible. Provision shall be made to understanding expectations and provide accessible orientation information to all detained processes. This is originally completed by youth including those with disabilities, limited literacy, or the Booking/Intake staff with the youth English language learners. Orientation shall include prior to placement in their assigned living information that addresses: unit. ☒ ☐ ☐ Each youth is provided a youth handbook, articulating all components of regulation, as well as a verbal characterization of the detention process, youth rights, and other required components. Youth also watch the PREA video. Medical staff articulate their process of orienting a youth to any medical related information on the Wellpath Receiving Screening form. (a) facility rules including contraband and searches and disciplinary procedures; Section 4.4 Bullet 1 Contraband and Searches ☒ Section 4.4 Bullet 20 Progressive ☐ ☐ Discipline Section 4.4 Bullet 23 Youth Rights Section 4.4 Bullet 28 Rules of Conduct 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 27 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) facility’s system of positive behavior interventions and supports, including behavior expectations, Section 4.4 Bullet 2 Positive Behavior incentives that youth will receive for complying with ☒ Incentive System ☐ ☐ facility rules, and consequences that may result when Section 4.4 Bullet 20 youth violate the rules of the facility; Section 4.4 Bullet 28 (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual Section 4.4 Bullet 3 PREA ☒ harassment and how to report incidents or suspicions of ☐ ☐ sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ Section 4.4 Bullet 4 Chain of Command (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free Section 4.4 Bullet 5 Grievance Procedure ☒ of retaliation for reporting a grievance, and the name of ☐ ☐ and Policy the person or position designated to resolve the issue; (f) access to legal services and information on the Section 4.4 Bullet 6 Access to Legal ☒ court process; ☐ ☐ Services and Information on the Court Process Section 4.4 Bullet 7 Access to Medical (g) access to routine and emergency health and mental ☒ Services health care; ☐ ☐ Section 4.4 Bullet 8 Access to Mental Health Services (h) access to education, religious services, and Section 4.4 Bullet 9 Religious Services ☒ recreational activities; ☐ ☐ Section 4.4 Bullet 10 Recreation Section 4.4 Bullet 11 Education (i) housing assignments; ☒ Section 4.4 Bullet 12 Housing ☐ ☐ Assignments (j) opportunity for personal hygiene and daily showers including the availability of personal care items ☒ Section 4.4 Bullet 13, Access to Showers, ☐ ☐ Hygiene and Personal Care/Shaving (k) rules and access to correspondence, visits and telephone use; Section 4.4 Bullet 14 Correspondence ☒ ☐ ☐ Section 4.4 Bullet 15 Visiting Section 4.4 Bullet 16 Telephone (l) availability of reading materials, programming, and other activities; ☒ Section 4.4 Bullet 17 Programs, Reading ☐ ☐ Material, and Activities 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 28 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; ☒ Section 4.4 Bullet 18 UF and UR ☐ ☐ Section 4.4 Bullet 19 Room Confinement (n) immigration legal services; ☒ Section 4.4 Bullet 21 Immigration Legal ☐ ☐ Services (o) emergencies including evacuation procedures; ☒ Section 4.4 Bullet 27 Emergencies and ☐ ☐ Evacuation (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by ☒ Section 4.4 Bullet 22 NDP ☐ ☐ other youth and staff; (q) availability of services and programs in a language other than English if appropriate; ☒ Section 4.4 Bullet 23 Availability of ☐ ☐ Services for Language other than English (r) the process for requesting different housing, education, programming and work assignments; Section 4.4 Bullet 25 Request change in ☒ ☐ ☐ Housing, Education, Programming or Work Assignments (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility that Section 4.4 Parent/Guardian Information at a minimum includes answers to frequently asked Brochure questions and provides contact information for the facility, medical, school and mental health; and, ☒ The facilities provide information for ☐ ☐ parents on all aspects of the pre- and post-disposition programs, as well as how they may contact the facility for any question regarding the youth’s stay. (t) a process by which youth may request access to Title ☒ 15 Minimum Standards for Juvenile Facilities. ☐ ☐ Section 4.4 Bullet 26 Access to T15 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 29 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION Section 6.5 Separation The facility administrator shall develop and implement written policies and procedures that address: The policy for Separation is compliant with regulation and provides a description of each form of separation. Medically separated youth are housed in the Medical Unit. The mental health and program separation components are articulated in the policy and addressed based on classification factors and mental health recommendations. Behavior separations ☒ and self-separation are addressed in ☐ ☐ policy depending on the circumstances. Each separation is well documented in the agency Caseload Pro Program in detail. Facility staff have adjusted their process in identifying and responding to Self- Separation incidents. Our review of the Caseload Pro Case Management System entries reveals staff efforts made to reintegrate the youth into general programming. There have been 14 incidents of self-separation from July 2022 to date of inspection. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, Section 6.5, Paragraph # 1 ☒ assaultive behavior, disciplinary consequences and ☐ ☐ protective custody. (b) consideration of positive youth development and ☒ trauma-informed care. ☐ ☐ Section 6.5, Paragraph # 2 (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ Section 6.5, Paragraph # 2 ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, ☒ Title 15 Section 1390 shall apply. ☐ ☐ Section 6.5 (E) Daily Separation Review (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and Section 6.6 (A) Room Confinement ☒ Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ these regulations. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 30 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains Section 6.5.1 (A) necessary. This section articulates the reviews shall ☒ ☐ ☐ occur during the first hour of each shift by the Institutional Supervisor, who is to log the termination or continuance of separation in the Separation Log. 1354.5 ROOM CONFINEMENT Section 6.6 (A) Room Confinement (RC) (a) The facility administrator shall develop and implement written policies and procedures addressing We reviewed 11 incidents involving 15 the confinement of youth in their room that are youth placed on RC in 2023, with 3 youth consistent with Welfare and Institutions Code Section involved in 5 overall incidents. The 208.3. The placement of a youth in room confinement resulting placement was appropriate and shall be accomplished in accordance with the following compliant with regulation. The reasons for guidelines: placement, ten of the 11 for assaultive behavior, were well documented in incident reports. In total, there were 36 incidents of RC from July 2022 to May 1, ☒ ☐ ☐ 2023. The process for documenting behavior checks, reviewing the need to continue, and the length of time on RC were detailed and informative. The RC log outlines the youth’s behavior at the time of the check as well as contact with staff and partners. IS and SPO make every effort to reintegrate the youth into normal programming the day following the incident. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Section 6.6 (B)(1) 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 purposes of punishment, coercion, convenience, or ☒ Section 6.6 (B)(2) ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ Section 6.6 (B)(3) ☐ ☐ of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ confinement for a period of four hours, staff shall do one ☐ ☐ or more of the following: 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 31 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Return the youth to general population. ☒ ☐ ☐ Section 6.6 (F) (2) Consult with mental health or medical staff. ☒ ☐ ☐ Section 6.6 (H) (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ Section 6.6 (G)(2) ☐ ☐ the youth to general population. (4) If room confinement must be extended beyond ☒ 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 Section 6.6 (G)(1) 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 the goals and objectives to be met in order to ☒ Section 6.6 (G)(2) ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ Section 6.6 (G)(3) ☐ ☐ every four hours thereafter. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth Section 6.6 (I) ☒ in juvenile facilities and does not apply to normal ☐ ☐ sleeping hours. (6) This section does not apply to youth or wards in ☒ court holding facilities or adult facilities. ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires Section 6.6 (I) Paragraph #1 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. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 32 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and Section 6.6 (I) Paragraph #2 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 Section 4.9 Assessment and Plan The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for assessment and case planning. (a) Assessment: The assessment is based on information collected Section 4.9 Introduction and (A) during the admission process with periodic review, which includes the youth's risk factors, needs and We reviewed 34 youth Action Plans strengths including, but not limited to, identification of including 10 Initial, 10 Ongoing, and 14 substance abuse history, educational, vocational, Release plans. The agency does a counseling, behavioral health, consideration of known thorough job targeting service needs history of trauma, and family strengths and needs. through the weekly Special Needs and bi- weekly MDT meetings. The facility is ☒ compliant with review and updates. The ☐ ☐ transition plan includes an MDT meeting with all agency partners to discuss the most appropriate and individualized re- entry service referrals. The agency’s 90-day timeline for ongoing plans allows the youth more time to meet objectives and goals, providing a timely review of the youths’ progress. (b) Institutional Case Plan: (1) A case plan shall be developed for each youth Section 4.9 (C) ☒ held for at least 30 days or more and created within ☐ ☐ 40 days of admission. (2) The institutional plan shall include, but not be ☒ limited to, written documentation that provides: ☐ ☐ Section 4.9 (A) objectives and time frame for the resolution of ☒ problems identified in the assessment; ☐ ☐ Section 4.9 (C)(1) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 33 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) a plan for meeting the objectives that includes a description of program resources needed and Section 4.9 (C)(2) ☒ individuals responsible for assuring that the plan ☐ ☐ is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review and ☒ Section 4.9 (C)(3) ☐ ☐ discussion of the plan with the youth; (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for Section 4.9 (C)(4) ☒ post dispositional youth in accordance with Section ☐ ☐ 1351; and, (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed Section 4.9 (C)(5) with input from the family, supportive adults, youth, ☒ Section 4.9 (G) Supportive Adults ☐ ☐ and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Section 4.9 (E) The facility administrator shall develop and implement written policies and procedures ensuring the availability The staff document notes in the Caseload of appropriate counseling and casework services for all Pro system that includes both positive youth. Policies and procedures shall ensure: ☒ ☐ ☐ and negative interactions or incidents of youth behavior. We reviewed numerous ‘event’ entries documenting the positive and negative actions of every youth in custody. (a) youth will receive assistance with needs or concerns ☒ that may arise; ☐ ☐ Section 4.9 (E)(1)(a) (b) youth will receive assistance in requesting contact ☒ with parents, other supportive adults, attorney, clergy, ☐ ☐ Section 4.9 (E)(1)(b) probation officer, or other public official; and, (c) youth will be provided access to available resources ☒ to meet the youth’s needs. ☐ ☐ Section 4.9 (E)(1)(c) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 34 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Section 7.13.1 (E) Use of Force The facility administrator, in cooperation with the responsible physician, shall develop and implement We reviewed 27 incident reports of the UF written policies and procedures for the use of force, within the facility, 13 involving the use of which may include chemical agents. Force shall never OC Spray and 11 resulting in Room be applied as punishment, discipline, retaliation or Confinement. All incidents involved treatment. youth-on-youth assaults (mutual fights), (a) At a minimum, each facility shall develop policies and assaults to staff, or youth assaults. The procedures which: staff response was compliant with regulation and involved administrative review. The facility has had 80 UF incidents since ☒ ☐ ☐ July 2022, involving youth-on-youth assaults and violent actions by youth. Of these, 52 involved the use of OC spray, 50 included physical restraint use for moving the youth to their room, and 36 resulted in RC. These numbers are down significantly from the 273 in 2018, 177 in 2019, and 114 in 2021. The staff are fortunate to have agency partners on sight to medically clear youth after an incident, including decontamination and initiation mental health referrals if necessary. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 Section 7.13.3 (A) ☒ to ensure the safety and security of youth, staff, others ☐ ☐ and the facility. (2) outline the force options available to staff including both physical and non-physical options and define ☒ Section 7.13.2 Use of Force Options ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are expressly prohibited by the facility. Section 7.13.9 Choke Holds ☒ ☐ ☐ Section 7.13.1(B) Section 7.14.5 (K) Positional Asphyxia (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative ☒ Section 7.13.3 (C) ☐ ☐ action to immediately stop it. Section 7.14.2 (G) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 35 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) define a standardized reporting format that includes time period and procedure for documenting Section 7.13.4 Reporting, Debriefing and and reporting the use of force, including reporting Notification requirements of management and line staff and procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for ☒ investigating unreasonable use of force. ☐ ☐ Section 7.13.4 (B) (7) define the role, notification, and follow-up procedures required after use of force incidents for Section 7.13.3 (C) ☒ medical, mental health staff and parents or legal ☐ ☐ Section 7.13.4 (D) guardians. (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) ☒ Section 7.13.5 Limitations of Force on ☐ ☐ and Welfare and Institutions Code Section 222. Pregnant Youth (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Section 7.13.6 Use of OC Spray (1) identify who is approved to carry and/or utilize ☒ Section 7.13.6 (B) and (C) ☐ ☐ chemical agents in the facility and the type, size and Section 7.13.6.4 the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the Section 7.13.6 ☒ safety of others and only when de-escalation efforts ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. Section 7.13.6.5 Decontamination This shall include that youth who have been exposed ☒ ☐ ☐ to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents Section 7.13.6.3 (J) ☒ involving chemical agents for medical, mental health ☐ ☐ Section 7.13.6.5 (A)(7) staff and parents or legal guardians. (5) provide for the documentation of each incident of use of chemical agents, including the reasons for Section 7.13.6.6 (A) Documentation which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 36 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training Section 7.13.6 (D) ☒ 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; ☐ ☐ Section 7.13.6 (D)(1) and (2) (2) acceptable chemical agents and the methods of ☒ application. ☐ ☐ Section 7.13.6 (D)(3) (3) signs or symptoms that should result in ☒ immediate referral to medical or behavioral health. ☐ ☐ Section 7.13.6 (D)(4) (4) instruction on the Constitutional Limitations of ☒ Use of Force. ☐ ☐ Section 7.13.6 (D)(5) (5) physical training force options that may require ☒ the use of perishable skills. ☐ ☐ Section 7.13.6 (D)(6) (6) timelines the facility uses to define regular ☒ training. ☐ ☐ Section 7.13.6 (D)(6) 1358 USE OF PHYSICAL RESTRAINTS Section 7.14.1 Use of Restraints (UR) The facility administrator, in cooperation with the Section 7.15 Safety WRAP responsible physician and mental health director, shall develop and implement written policies and procedures There has been no use of restraints (the for the use of restraint devices. Restraint devices WRAP) as specified in this regulation include any devices which immobilize a youth's since July 2022 when we were on site last extremities and/or prevent the youth from being cycle. ambulatory. ☒ ☐ ☐ The agency has a detailed form when the WRAP is used, which prompts staff to provide food, water, allowance to stretch, restroom needs, 30-minute reviews by the IS, initial and supplemental contact with medical and mental health staff, and audits of placement. Physical restraints may be used only for those youth who present an immediate danger to themselves or Section 7.14.1 (A) others, who exhibit behavior which results in the Section 7.15 (A) destruction of property, or reveals the intent to cause ☒ self-inflicted physical harm. Physical restraints should ☐ ☐ be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 37 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of Section 7.14.3 Restricted UR restraint devices that attach a youth to a wall, floor or Section 7.14.3 (D) Hogtying Restriction other fixture, including a restraint chair, or through affixing ☒ of hands and feet together behind the back (hogtying) is ☐ ☐ prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when used Section 7.14.1 (A) to restrain youth for movement or transportation within ☒ the facility. Movement within the facility shall be governed ☐ ☐ This section refers to 7.14.6 Restraints for by Section 1358.5, Use of Restraint Devices for Movement and Transportation within the Movement Within the Facility. Facility. Youth shall be placed in restraints only with the approval of the facility manager or designee. The facility manager Section 7.14.2 (A) may delegate authority to place a youth in restraints to a Section 7.15 (B) ☒ physician. Reasons for continued retention in restraints ☐ ☐ shall be reviewed and documented at a minimum of every This allows delegation to the on-duty hour. facility Institutional Supervisor. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no Section 7.14.2 (B) later than two hours from the time of placement. The Section 7.15 (E) youth shall be medically cleared for continued retention at least every three hours thereafter. Medical personnel are on site 24 hours each day and respond immediately to the placement of a youth in the WRAP. Policy and practice dictate they monitor the ☒ ☐ ☐ youth a minimum of every hour if placement in the WRAP and every 3 hours after placement in mechanical restraints (none this cycle). Youth are moved to the medical or intake area and personnel respond more frequently, as documented in the WRAP Placement form. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 38 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from the Section 7.14.2 (B) time of placement, to assess the need for mental health Section 7.15 (G) treatment. Mental Health staff are on-site or on call 24 hours each day and when a youth is placed in restraint, they respond immediately, per policy. ☒ For WRAP placement, the facility ☐ ☐ administration and mental health personnel assess if the youth is to remain in the WRAP or be transported to a mental health facility for WIC 5150 evaluation. Precision Psychiatric Services has not been involved in this process to date as they just began services in the agency after the last inspection. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly employed, and Section 7.14.2 (C) to ensure the safety and well-being of the youth. ☒ Section 7.15 (C) Observations of the youth's behavior and any staff ☐ ☐ interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and procedures shall address: Section 7.14.4 Reports and ☒ ☐ ☐ Documentation (a) documentation of the circumstances leading to an Section 7.14.4 (5) application of restraints. (b) known medical conditions that would contraindicate ☒ ☐ ☐ certain restraint devices and/or techniques. Section 7.14.2 (I) 1-g (c) acceptable restraint devices. 7.14.5 (L) 1-4 ☒ ☐ ☐ The facility allows for handcuffs, shackles, belly chains, and the WRAP. (d) signs or symptoms which should result in immediate medical/mental health referral. ☒ ☐ ☐ Section 7.14.2 (E) Section 7.15 (F) (e) availability of cardiopulmonary resuscitation ☒ ☐ ☐ equipment. Section 7.14.2 (E) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 39 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a Section 7.14.2 specified housing area for restrained youth which makes Section 7.15.1 (B) provision to protect the youth from abuse. ☒ ☐ ☐ If a youth is placed in the WRAP, they are moved to a Medical Observation room or a holding room/safety cell in Intake. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Section 7.14.5 Section 7.15 (J) and (K) (h) exercising of extremities. ☒ ☐ ☐ Section 7.14.5 Section 7.15 (L) 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Section 7.14.6 Restraints for Movement WITHIN THE FACILITY. and Transportation within the Facility Section 3.3.2 (H)13 Articulate Use of The Facility Administrator, in cooperation with the Handcuff in Incident Report responsible physician and behavioral/mental health director, shall develop and implement written policies The facility had 50 incidents of movement and procedures for the use of restraint devices when the of youth in restraints as articulated in this purpose is for movement or transportation within the ☒ ☐ ☐ regulation. Agency supervisors review facility that shall include the following: video and audio of all incidents requiring any use of force or restraints and they articulate the need for application in the Caseload Pro System. The staff documentation in the incident reports for the need to apply restraints has improved this cycle. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Section 7.14.6 (B) ☒ ☐ ☐ training. Handcuffs and Shackles (b) the circumstances leading to the application of ☒ ☐ ☐ restraints must be documented. Section 7.14.6 (D) (c) an individual assessment of the need to apply restraints for movement or transportation that includes Section 7.14.6 (A) consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 40 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint devices Section 7.14.6 (D) ☒ ☐ ☐ shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Section 7.14.3 (F) Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Section 7.14.7 Safety Room Placement (a) The facility administrator, and where applicable, in JMH-G-04 Precision Psychiatric Services cooperation with the responsible physician, shall Manual develop and implement written policies and procedures governing the use of safety rooms, as described in Title There have been no Safety Room 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☒ ☐ ☐ placements from July 2022 to the date of the inspection. danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ Section 7.14.7 (I) clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☒ ☐ ☐ Section 7.14.7(C) room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any Section 7.14.7 (F) and (G) ☒ ☐ ☐ staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the facility manager, or designee, every four hours; Section 7.14.7 (J) ☒ ☐ ☐ Policy requires evaluation every hour. (5) provide for immediate medical assessment, where appropriate, or an assessment at the next Section 7.14.7 (H) daily sick call; and, ☒ ☐ ☐ The facility is to have immediate response by medical and evaluations every 15 minutes until the youth is removed from the safety room. (6) provide a process for documenting the reason for placement, including attempts to use less restrictive Section 7.14.7(G) and (J) ☒ ☐ ☐ means of control, and decisions to continue and end placement. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 41 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and Section 7.14.7 Purpose ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ Section 7.14.7 (B) staff. (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☒ ☐ ☐ Section 7.14.7 Purpose youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room Section 7.14.7 (K) ☒ ☐ ☐ for a period of four hours, staff shall do one or more of the following: ☒ ☐ ☐ (1) return the youth to general population. Section 7.14.7 (K)(1) ☒ ☐ ☐ (2) consult with mental health or medical staff, Section 7.14.7 (K)(2) (3) develop an individualized plan that includes the ☒ ☐ ☐ goals and objectives to be met in order to reintegrate Section 7.14.7 (K)(3) the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized Section 7.14.7 (L) plan that includes the requirements of Section 1354.5 ☒ ☐ ☐ and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Section 7.7 Youth Searches The facility administrator shall develop and implement Section 7.8.3 Unit Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures ☒ ☐ ☐ Section 7.8.5 Area Searches Section 7.8.6 Random Unit Searches shall provide that: Section 7.8.8 Facility Perimeter Searches Section 5.7.1 (D) Visitor Search (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Section 7.7.1 Purpose staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being Section 7.7.1 Purpose ☒ ☐ ☐ searched and shall not be conducted for harassment or as a form of discipline or punishment. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 42 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Section 7.7.2 (D)-(F) and (I) ☒ ☐ ☐ The agency has not conducted any strip searches from July 2022 to date of inspection. (d) Physical body cavity searches shall only be ☒ ☐ ☐ conducted by a medical professional. Section 7.7.2 (I) (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Section 7.7.3(C)(3) when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall ☒ ☐ ☐ comply with Section 1352.5. Section 7.7.3 (G) (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when Section 7.7.2 (G) and (H) ☒ ☐ ☐ conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Section 6.3.4 Institution Grievance The facility administrator shall develop and implement Procedures written policies and procedures whereby any youth may appeal and have resolved grievances relating to any There have been 201 grievances filed condition of confinement, including but not limited to from July 2022 to date of inspection, with health care services, classification decisions, program the majority being resolved at the lead participation, telephone, mail or visiting procedures, staff and IS level. We noted of the 201 food, clothing, bedding, mistreatment, harassment or filed in the last 10 months, 56 were filed violations of the nondiscrimination policy. There shall be by one youth, approximately 25%. There no time limit on filing grievances. Policies and were 203 filed in 2022, down significantly procedures shall include provisions whereby the facility from the 342 filed in 2018 and 324 in manager ensures: ☒ ☐ ☐ 2019. With regard to the process, all facility grievances were responded to the same day submitted or the following day and each was resolved within 3-4 days. Staff take the time to review video and logs to ensure any statements by youth are addressed. The form and process exceed regulation. If the grievance is with medical or mental health services, they are provided to the Wellpath or Precision staff to respond. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 43 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ Section 6.3.4 (A)(1) have free access to the form; (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Section 6.3.4 (F)(6) supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate ☒ ☐ ☐ staff level; Section 6.3.4 (A)2) (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances Section 6.3.4 (A)(3) and (A)(4) ☒ ☐ ☐ that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain his/her version of the grievance to a person not Section 6.3.4 (A)(3)(a) ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by ☒ ☐ ☐ the facility administrator to assist the youth. Section 6.3.4 (A)(3)(b) (e) provision for a written response to the grievance ☒ ☐ ☐ which includes the reasons for the decisions; Section 6.3.4 (A)(4) (f) a system which provides that any appeal of a grievance shall be heard by a person not directly Section 6.3.4 (A)(5) ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer Section 6.3.4 (A)(6) ☒ ☐ ☐ time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Section 6.3.4 (A)(7) Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be Section 6.3.4 (A) Last Paragraph ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Section 3.3 Institutional Records and A written report of all incidents which result in physical Reports harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 44 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, IMPRESSIONS Section 4.3.4.1 (D) (a) Pursuant to Penal Code Section 298.1 authorized The facility does not use force to collect law enforcement, custodial, or corrections personnel DNA that has been Court Ordered or by including peace officers, may employ reasonable force ☐ ☐ ☒ written notice by any law enforcement to collect blood specimens, saliva samples, and thumb officer. Rather, the youth is returned to or palm print impressions from individuals who are Court. This has not occurred this cycle. required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that an objective, trained and competent correctional ☐ ☐ ☒ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☐ ☐ ☒ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The authorization shall include information that reflects the ☐ ☐ ☒ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☐ ☐ ☒ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 45 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM Section 5.3 Education Programs (a) School Programs The County Board of Education shall provide for the The Tulare County Office of Education administration and operation of juvenile court schools in (TCOE) is involved with youth outside of conjunction with the Chief Probation Officer, or designee the classroom, promoting post-secondary pursuant to applicable State laws. The school and facility involvement in both the classroom administrators shall develop and implement written policy through online learning and in Vocational and procedures to ensure communication and Education. TCOE staff complete regular coordination between educators and probation staff. evaluation and testing of youth to Culturally responsive and trauma-informed approaches determine individual needs in the should be applied when providing instruction. Education classroom and the Paxton-Patterson staff should collaborate with the facility administrator to Program introduces a robust use technology to facilitate learning and ensure safe construction-focused curriculum. Non- technology practices. The facility administrator shall graduated youth are eligible for and request an annual review of each required element of the participate in credit recovery opportunities program by the Superintendent of Schools, and a report to gain the most from the educational time or review checklist on compliance, deficiencies, and in the classroom. corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be ☒ ☐ ☐ We spoke with the Vocational Ed CTE delegated to the principal or any other staff of any juvenile instructor who is passionate about the court school site. The Superintendent of Schools shall opportunities for the program and anxious conduct this review in conjunction with a qualified outside for more students to be involved, pre- and agency or individual. Upon receipt of the review, the post-graduates. His enthusiasm is facility administrator or designee shall review each item obvious and his passion to provide a with the Superintendent of Schools and shall take positive experience was contagious. whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of The school continues to offer the “Re- all youth in the facility. Start” program. If a youth is refusing to go to the classroom or is having difficulties with behavior in the classroom, he/she is provided classroom instruction 1:1 for the remainder of a school period. This allows an opportunity for the youth to realize the benefits of this “school time out” and return without significant consequences. By allowing the youth a bit of reflection, in most cases, they are able to return to the school setting and finish their day. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 46 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements Section 5.3.1 Education Objectives The facility school program shall comply with the State Section 5.3.3 Introduction Paragraph Education Code and County Board of Education policies, all applicable federal education statutes and regulations Students are given the opportunity to and provide for an annual evaluation of the educational explore interests and aptitudes for a program offerings. As stated in the 2009 California career in the construction industry Standards for the Teaching Profession, teachers shall through participation in the Vocational establish and maintain learning environments that are Education Program. Tulare County physically, emotionally, and intellectually safe. Youth shall Office of Education Court School be provided a rigorous, quality educational program that provides a Career Technology Education responds to the different learning styles and abilities of in a Construction pathway. There are 14 students and prepares them for high school graduation, trades youth are exposed to at an career entry, and post-secondary education. introductory level. The trades involve the use of various tools for the identified construction trade, including but not limited to: electrical, plumbing, drywall, roofing, concrete, cabinetry, power tools, ☒ ☐ ☐ and general construction. The Youth Facility Building has been remodeled to allow for a softer version of alternative education program space and computer lab opportunities. Although the agency has (temporarily) lost the dorm- type environment of the facility, the end result is classrooms and training space, youth incentive and recreation space, and the opportunities to participate in activities in an area outside the condensed unit/pod environment. We were impressed with the remodel approach to softer and homelike opportunities for youth in and transitioning out of the detention/commitment setting. All youth shall be treated equally, and the education program shall be free from discriminatory action. Staff Section 5.3.1 (A) shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Education Code and include, but not be limited to, ☒ ☐ ☐ Section 5.3.1 Goals courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California Section 5.3.1 (C) ☒ ☐ ☐ Department of Education shall be made available to eligible youth. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 47 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Youth shall be informed of post-secondary ☒ ☐ ☐ education and vocational opportunities. Section 5.3.1 (E) (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Section 5.3.1 (C) Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress towards ☒ ☐ ☐ Section 5.3.1 (F) grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court Section 5.3.1 (D) schools. The facility administrator, in conjunction with education staff, must ensure that operational The facility school program includes 330 procedures do not interfere with the time afforded for educational minutes four days a week the minimum instructional day. Absences, time out of with a minimum day on Wednesdays. class or educational instruction, both excused and This averages in excess of 300 minutes unexcused, shall be documented. per day. The curriculum exceeds minimum standards and staffing includes ☒ ☐ ☐ at least one teacher in each classroom. Because the facility plant was designed to only allow 18 students in each classroom, some youth receive their instruction in the day room with a teacher and instructional aide. This is a rare occurrence with the opportunities in Vocational Education, which will be expanded in the coming months. (7) Education shall be provided to all youth regardless of classification, housing, security status, disciplinary Section 5.3.1 (G) or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline Section 5.3.3 (B) and (C) (1) Positive behavior management will be implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect the ☒ ☐ ☐ Section 5.3.3 (A) educational programming of students. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 48 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school Section 5.3.3 (B) shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and procedures Section 5.3.3 (C) ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations (1) State and federal laws and regulations shall be Section 5.3.4 observed for all individuals with disabilities or suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that addresses their Section 5.3.4 ☒ ☐ ☐ language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ Section 5.3.5 record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ Section 5.3.5 (A)(1) (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ Section 5.3.5 (A)(4) (C) Needs and services of special populations as ☒ ☐ ☐ defined by the State Education Code, including but Section 5.3.5 (A)(2) not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ Section 5.3.5 (A)(3) (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to Section 5.3.5 ☒ ☐ ☐ determine the youth's general academic functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary ☒ ☐ ☐ education plan shall be developed for each youth Section 5.3.5 (C) within five school days. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 49 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's Section 5.3.5 (D) records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting (1) The complete facility educational record of the Section 5.3.6 (A) ☒ ☐ ☐ youth shall be forwarded to the next educational placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course ☒ ☐ ☐ Section 5.3.6 (B) work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Section 5.3.6 (C) Probation Officer or designee, shall develop policies and procedures to meet the transition needs of youth, ☒ ☐ ☐ The facility hosts MDT meetings bi- including the development of an education transition monthly to facilitate the education, plan, in accordance with the State Education Code medical and mental health of youth as and in alignment with Title 15, Minimum Standards for they exit the facility. Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, Section 5.3.7 whenever possible, collaborate with local post- ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. Section 5.4 Recreation, Exercise and Programs The facility administrator shall develop and implement Section 5.8 Facility Programs written policies and procedures for programs, recreation, and exercise for all youth. The intent is to The implementation of a realistic minimize the amount of time youth are in their rooms or operational schedule, counseling with their bed area. Phoenix House and the Program Specialist, has resulted in robust program ☒ ☐ ☐ opportunities for youth. Directed Activities, which is programming facilitated by staff, offers structured curriculum-based topics and is only used when a provider is unavailable. Precision Psychiatric Services is contracted as the Mental Health provider and provides individual and crisis counseling as well as assessment services. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 50 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Section 5.4 Recreation and Exercise hours a day during the week and five hours a day each ☒ ☐ ☐ Section 5.8 Facility Programs Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding Section 5.4 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 be posted in the living units. Section 5.4 ☒ ☐ ☐ The unit schedule is posted in each living unit. There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Section 5.4 ensure content offered is current, consistent, and relevant to the population. ☒ ☐ ☐ The annual evaluation was completed by Division Manager Mike Santos on May 1, 2023. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 51 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Section 5.4.8 Facility Programs include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are The facility has programming and culturally relevant and linguistically appropriate, or pro- services to meet the various needs of social interventions and activities designed to reduce their youth population. Programs are recidivism. These programs should be based on the facilitated by probation staff, Precision youth’s individual needs as required by Sections 1355 Psychiatric Service Clinicians (Alcohol and 1356. Such programs may be provided under the and Drug Counseling), the TCOE, direction of the Chief Probation Officer or the County Phoenix House, and Program Specialist. Office of Education and can be administered by county Precision’s role is to provide individual partners such as mental health agencies, community and crisis counseling as well as initial based organizations, faith-based organizations or mental health assessments. Phoenix Probation staff. House provides numerous evidence- based programming as well as ongoing Programs may include but are not limited to: program assessments for each youth in detention. The Program Specialist Supervisor and Program Specialist responsibilities include monitoring and implementing programs in the facility as ☒ ☐ ☐ well as evaluating them for fidelity. Programs include: Coping and Support Training (CAST) through the TCOE Mental Wellness Service Team; 24/7 Dad thru Phoenix House (PH); Aggression Replacement Training (PH); Thinking for a Change (PH); Victim Impact – Listen and Learn (PH); Helping Men Recover (PH); Alcohol and Drug Education and Counseling – including Living in Balance, Stages of Change, and Seeking Safety; Adolescent Sexual Responsibility Program (ASRP) through TC Youth Services Bureau; Readiness for Employment through Sustainable Education and Training (RESET); Individual, Crisis and Psychiatric Services through Precision Mental Health; Physical Training Program; Youth Leaders Club; and Vocational Ed through the TCOE. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 52 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; Section 5.4.8 (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Section 5.4 activities such as leisure reading, letter writing, and entertainment. Activities shall be supervised and include ☒ ☐ ☐ Recreation Programs include reading, orientation and may include coaching of youth. writing, entertainment, television, radio, music, and video games. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Section 5.4 each day. The facility has a structured Physical ☒ ☐ ☐ Training program to ensure youth are exercising and participating in large muscle exercise daily. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and Section 5.4 programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 53 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1372 RELIGIOUS PROGRAM Section 5.5 Religious Programs The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Section 5.5.3 (A) (b) availability of clergy; and, ☒ ☐ ☐ Section 5.5.3 (c) availability of religious diets. ☒ ☐ ☐ Section 5.5.4 Religious Diets Section 5.14.7 Therapeutic Diets 1373 WORK PROGRAM Section 5.2 The facility administrator shall develop policies and procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth shall ☒ ☐ ☐ be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING Section 5.7.1 Visiting Programs The facility administrator shall develop and implement Section 5.7.5 Special Visits written policies and procedures for visiting, that include Section 5.7.5 (G) Children Visits provisions for special visits. Youth shall be allowed to Section 5.7.7 Supportive Adults receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family ☒ ☐ ☐ The facility has implemented a visiting members, such as grandparents and siblings, and schedule for Saturdays and Sundays to supportive adults, may be allowed to visit with the accommodate families in a 2-hour block approval of the facility administrator or designee, and in for each housing unit. conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and security. Section 5.7.1 (A) Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 54 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but conversations Section 5.7.2 (E) ☒ ☐ ☐ shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, shall Section 5.7.5 Special Visits be accommodated as necessary and within the discretion Section 5.7.6 Professional Visits of the facility administrator or designee. Family therapy ☒ ☐ ☐ and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an alternative, but not as a replacement, to in-person visiting. Section 5.7 ☒ ☐ ☐ The facility uses Skype and other virtual platforms to facilitate visits with families unable to visit. 1375 CORRESPONDENCE Section 5.11 Mail Policy The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth ☒ ☐ ☐ may send or receive; Section 5.11 (B) (b) youth may send two letters per week postage free; ☒ ☐ ☐ Section 5.11.1 (F) (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder of Section 5.11.3 public office, and the Board; however, authorized facility ☒ ☐ ☐ staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described in (c), may be read by staff only when there is reasonable Section 5.11.1 (D) ☒ ☐ ☐ cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Section 5.13 Telephone Policy The administrator of each juvenile facility shall develop ☒ ☐ ☐ and implement written policies and procedures to provide youth with access to telephone communications. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 55 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1377 ACCESS TO LEGAL SERVICES The facility administrator shall develop written procedures Section 5.1.2 (I) Mandatory to ensure the right of youth to have access to the courts ☒ ☐ ☐ Programming-Section 5.1.5 Access to and legal services. Such access shall include: Legal Services (a) access, upon request by the youth, to licensed ☒ ☐ ☐ attorneys and their authorized representatives; Section 5.1.2 (I)(1) (b) provision for confidential consultation with attorneys; ☒ ☐ ☐ and, Section 5.1.2 (I)(2) (c) unlimited postage free, legal correspondence and ☒ ☐ ☐ cost-free telephone access as appropriate. Section 5.1.2 (I)(3) 1390 DISCIPLINE Section 6.4.1(B) and (C) Discipline The facility administrator shall develop and implement Process written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Section 6.4.3(A) Bullet 1 (b) daily shower, access to drinking fountain, toilet and ☒ ☐ ☐ personal hygiene items, and clean clothing; Section 6.4.3(A) Bullet 2-5 (c) full nutrition; ☒ ☐ ☐ Section 6.4.3(A) Bullet 6 (d) contact with parent or attorney; ☒ ☐ ☐ Section 6.4.3(A) Bullet 7 (e) exercise; ☒ ☐ ☐ Section 6.4.3(A) Bullet 8 (f) medical services and counseling; ☒ ☐ ☐ Section 6.4.3(A) Bullet 9 (g) religious services; ☒ ☐ ☐ Section 6.4.3(A) Bullet 10 (h) clean and sanitary living conditions; ☒ ☐ ☐ Section 6.4.3(A) Bullet 11 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 56 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (i) the right to send and receive mail; ☒ ☐ ☐ Section 6.4.3(A) Bullet 12 (j) education; and, ☒ ☐ ☐ Section 6.4.3(A) Bullet 13 (k) rehabilitative programming. ☒ ☐ ☐ Section 6.4.3(A) Bullet 14 The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct of youth. Section 6.5 Rule Violations and Such rules and penalties shall include both major Disciplinary Sanctions violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 57 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1391 DISCIPLINE PROCESS Section 6.4 Progressive Discipline The facility administrator shall develop and implement Section 6.5 Rule Violations and written policies and procedures for the administration of Disciplinary Sanctions discipline which shall include, but not be limited to: Section 6.6 Disciplinary Due Process We reviewed 27 incident reports including Due Process (DP), as well as 34 RC incident reports that included the due process requirements. The form and timeliness in policy were in line with regulation. The agency has a matrix for sanctions which is being reimplemented to ensure consistency. The agency continues to complete Due Process forms for minor rule violations, resulting in an excessive amount of documentation. From July 2022 to the date of the inspection, there were 551 DP reports but only 80 major rule violation incidents. In 2020, the agency had 1097 ☒ ☐ ☐ DP incidents but when refined, there were 382 major rule violations in the same time period. Last cycle numbers were similar, with 236 major incidents and 1535 DP forms completed in a 21-month period. The others were documented minor rule violations and self-harm incidents. We again provided technical assistance recommendations for the facility to return to using “Consequence” forms only, rather than duplicating the process, for minor rule violations, documenting the minor violation and the minor sanction, if any was imposed. The amount of time spent completing an incident report and DP is exhaustive and unnecessary. The consequence form is appealable, entered in Caseload Explore so new and old minor violations can be seen, and most importantly, allow staff more time to supervise and re-direct behavior. (a) designation of personnel authorized to impose ☒ ☐ ☐ discipline for violation of rules; Section 6.4.3 (B) (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Section 6.4.3 (B) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 58 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) definition of major and minor rule violations and their consequences, and due process requirements; Section 6.5.2-4 ☒ ☐ ☐ Section 6.5.5 Commitment Program Rules and Sanctions (additional) (d) trauma-informed approaches and positive behavior ☒ ☐ ☐ interventions; Section 6.4.1 (C) (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct Section 6.6.3 Disciplinary Due Process imposing a minor consequence. Discipline shall be for Minor Rule Violations accompanied by written documentation and a policy of review and appeal to a supervisor; and, The facility currently completes an ☒ ☐ ☐ incident report and full due process for minor rule violations. We provided technical assistance to complete a lesser form of documentation and appeal request in line with the Consequence Sheet used in the past. (f) major rule violations and the discipline process shall be documented and require the following: ☒ ☐ ☐ Section 6.6.4 Disciplinary Due Process and Major Rule Violations (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Section 6.6.4 (A)(3)(1) (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Section 6.4.1 (E) learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ incident; Section 6.6.4 (A)(3)(2) (4) opportunity for the youth to be heard, present ☒ ☐ ☐ evidence and testimony; Section 6.6.4 (A)(3)(3) (5) provision for youth to be assisted by staff in the ☒ ☐ ☐ hearing process; Section 6.6.4 (A)(3)(4) (6) provision for administrative review. ☒ ☐ ☐ Section 6.6.4 (A)(3)(5) (g) violations that result in a removal from camp or commitment program, but not a return to court, will Section 6.5.5 (I) ☒ ☐ ☐ follow the due process provisions in subsection (e) above. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 59 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1410 MANAGEMENT OF COMMUNICABLE DISEASES. Tulare County Probation Department Juvenile Facility Manual (TCPDJFM) The health administrator/responsible physician, in Section 8.10.2 Management of cooperation with the facility administrator and the local health officer, shall develop written policies and ☒ ☐ ☐ Communicable Diseases Juvenile Detention Facility Response to procedures to address the identification, treatment, COVID-19 control and follow-up management of communicable diseases. The policies and procedures shall address, but not be limited to: TCPDJFM Section 8.10.2, A-1 Induction Health Screening Procedures (a) Intake health screening procedures; ☒ ☐ ☐ Juvenile Detention Facility Response to COVID-19: Booking Protocols TCPDJFM Section 8.10.2, A-2 Identification of Relevant Symptoms (b) Identification of relevant symptoms; ☒ ☐ ☐ Tulare County Pre-Screening Questionnaire TCPDJFM Section 8.10.2, A-3 Referral for Medical Evaluation (c) Referral for medical evaluation; ☒ ☐ ☐ TCPDJFM Section 8.10.2, C Juvenile Detention Facility Response to COVID-19: Booking Protocols: Bullet 2 TCPDJFM Section 8.10.2, A-4 Treatment responsibilities during detention. TCPDJFM Section 8.10.2, E Treatment based on assessment. (d) Treatment responsibilities during detention; ☒ ☐ ☐ TCPDJFM Section 8.10.2, G Treatment as prescribed by the attending physician Juvenile Detention Facility Response to COVID-19 TCPDJFM Section 8.10.2, A-5 (e) Coordination with public and private community- ☒ ☐ ☐ based resources for follow-up treatment; Coordination of public and private community-based resources for follow- up treatment. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 60 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS TCPDJFM Section 8.10.2, A-6 Reporting Requirements (f) Applicable reporting requirements; and, ☒ ☐ ☐ Juvenile Detention Facility Response to COVID-19 TCPDJFM Section 8.10.2, A-7 Strategies for handling disease outbreaks (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ TCPDJFM Section 8.10.2, E Communicable Disease Precautions Juvenile Detention Facility Response to COVID-19 The policies and procedures shall be updated as necessary to reflect communicable disease priorities The agency is fortunate to have 24-hour identified by the local health officer and currently medical personnel on-site every day. recommended public health interventions. ☒ ☐ ☐ This allows for comprehensive screening, treatment, and medical daily assessments of a youth’s condition. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 8, Section 8.7 Medical Treatment and Services The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE Section 5.9.1 The youth’s personal clothing, undergarments and footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily ☒ ☐ ☐ laundered, in good repair, and free of holes and tears. Section 5.9.1, A (b) The standard issue of climatically suitable clothing ☒ ☐ ☐ for youth shall consist of but not be limited to: (1) Socks and serviceable footwear; ☒ ☐ ☐ Section 5.9.1, D-1 and 7 (2) Outer garments; ☒ ☐ ☐ Section 5.9.1, E 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 61 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) New non-disposable underwear which shall ☒ ☐ ☐ remain with the youth throughout their stay, and; Section 5.9.1, D-2 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. ☒ ☐ ☐ Section 5.9.1, D-2 and 4 Section 5.9.2, B (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried Section 5.9.2, A ☒ ☐ ☐ completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Section 5.9.1 H 1482 CLOTHING EXCHANGE Section 5.9.2 Intro The facility administrator shall develop and implement written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL CLOTHING Section 5.9.2, D There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Section 5.10.1 There shall be written policies and site-specific Section 5.10.1 Toiletry Item H procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Section 5.10.1 Toiletry Item A (b) Toothpaste; ☒ ☐ ☐ Section 5.10.1 Toiletry Item B (c) Soap; ☒ ☐ ☐ Section 5.10.1 Toiletry Item C 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 62 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Comb; ☒ ☐ ☐ Section 5.10.1 Toiletry Item D (e) Shaving implements; ☒ ☐ ☐ Section 5.10.5 B (f) Deodorant; ☒ ☐ ☐ Section 5.10.1 Toiletry Item I (g) Lotion; ☒ ☐ ☐ Section 5.10.1 Toiletry Item E (h) Shampoo; and, ☒ ☐ ☐ Section 5.10.1 Toiletry Item G (i) Post-shower conditioning hair products. ☒ ☐ ☐ Section 5.10.1 Toiletry Item F Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap Section 5.10.1 C provided through a common dispenser is permitted. Section 5.10.5 B Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Section 5.10.1 B There shall be written policies and site specific Section 5.10.2 A and B procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Section 5.10.5 B Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 63 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1488 HAIR CARE SERVICES (EXCERPT) Section 5.10.5 A Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Section 5.8.1 Clean laundered, suitable bedding and linens, in good repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which meets the requirements of Section 1502 of these ☒ ☐ ☐ Section 5.8.1 B-1 through 3 regulations; (b) One pillow and a pillow case unless provided for in ☒ ☐ ☐ (a) above; Section 5.8.1 B-2 (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Section 5.8.1 A (d) One towel; and, ☒ ☐ ☐ Section 5.8.1 A (e) One blanket or more, up on request ☒ ☐ ☐ Section 5.8.1 A 1501 BEDDING LINEN EXCHANGE Section 5.8.2 A-1 and 2 The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered ☒ ☐ ☐ once a month. Section 5.8.1 A-3 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 64 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Section 7.11.5 Facility Sanitation Safety and Maintenance The facility administrator shall develop and implement written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 65 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☒ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ ☒ Dependent or neglected minors who are defined under Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 66 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☐ ☒ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7703 Tulare Juvenile Detention Facility JH PRO 23-24 Page 67 of 67 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7704 FACILITY NAME: Tulare County Youth Detention Facility (YDF) FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Kelly Vernon, Chief Probation Officer; Mike Santos, Division Manager; Margarita Luna, Deputy Chief Probation Officer; Leanne Williams, Assistant Chief Probation Officer; Greg Powers, Supervising Probation Officer (SPO); Michael Ortiz, SPO; Albert Fereira, SPO; Jennifer Childress, Institution Supervisor (IS); Lorena Torres, Probation Corrections Officer (PCO) III; ; Victor Arcero, PCO I; Susan Graf, Food Services Manger JDF; Deanna Huff, Wellpath Administrator; Eric Krenz, Wellpath Director of Nursing; Marco Ramirez, Wellpath RN Supervisor; Karen Valdavieso, Principal TCOE; Angela Gallardo, Phoenix House; Ashley Ramirez, Phoenix House; Gisel Angeles, Probation Program Specialist Supervisor; Mary Helen Gonzalez, Precision Psychiatric Services Director; Rupally Tilve, Vice President Operations Precision Psychiatric Services; Youth: Isiah G, age 17 (SYTF); Devon A, age 16 (Mid-Term Commit); Zerina O, age 16 (Mid-Term Commit); Santiago A, age 19 (SYTF); Lelani A, age 14 (Detention) FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 15-18, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS May 24, 2022 April 6, 2021 On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ documented inspection and evaluation from the ☐ The 2023 Building Inspection was following: occurring while on-site, May 16, 2023. (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code Section ☒ October 6, 2022 ☐ ☐ 13146.1(a) and (b); March 23, 2021 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7704 Tulare JDFC Camp PRO 23-24 Page 1 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: December 1, 2022 October 5, 2021 Medical/Mental Health: December 7, 2022* September 20, 2021 Nutritional Health: November 28, 2022 October 6, 2021 ☒ ☐ ☐ We noted the 2022 Medical Inspection found Wellpath was not providing Education Services to youth upon admission or throughout their stay. Our review found documented education during the initial assessments and ongoing services for youth. The Wellpath Manual also articulates this to include a documentation component. (d) county superintendent of schools on the adequacy of educational services and facilities as required in Section ☒ May 10, 2023 ☐ ☐ 1370; March 18, 2022 (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, ☒ February 15, 2023 ☐ ☐ March 17, 2022 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ June 30, 2022 ☐ ☐ Probation Commission as required by Section 240 of the April 21, 2021 Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS The elements of this regulation are BSCC Note: Compliance with this section is determined addressed in a memorandum completed by receipt of the Chief Probation Officer’s certification by Deputy Chief Probation Officer letter confirming that all elements of regulation are met. Margarita Luna dated August 27, 2022. There was no Chief in place when completed, however, the new Chief (a) Appointment ☒ ☐ ☐ Probation Officer is Kelly Vernon. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and The memorandum verifies the agency employees. Such superintendent, director, facility hires qualified candidates that meet the manager and other employees of the facility shall be specifications required by the agency and appointed by the facility administrator pursuant to regulation. applicable provisions of law. 7704 Tulare JDFC Camp PRO 23-24 Page 2 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Employee Qualifications Each facility shall: Section 2.2.1 (A) (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ Section 2.2.1 (A) ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and Section 2.2.1 (C) (4) conduct a criminal records review, on each new employee, and psychological examination in Section 2.2.1 (B) ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Section 2.2.1 (D) facility, shall have such clearance and qualifications as ☒ may be required by law, and their presence at the facility ☐ ☐ shall be subject to the approval and control of the facility manager. 7704 Tulare JDFC Camp PRO 23-24 Page 3 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Each juvenile facility shall: Section 2.1(F)(1) (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its programming, to provide for safety and security of youth The Juvenile Facilities (JF) have one and staff, and meet established standards and Division Manager, 3 Supervising regulations; Probation Officers, 13 Institution Supervisors, 4 Probation Corrections Officer (PCO) III’s, 28 Probation Corrections Officer I/II’s, 4 transportation staff, 6 Intake officers, 13 Detention Services Officers, and 10 kitchen and laundry staff. ☒ There are 43 vacant PCO I/II/III positions, ☐ ☐ 13 on a long-term Leave of Absence (LOA) and 11 frozen positions. All PCO’s are core trained. Due to the shortages, the agency has a process in place for mandatory overtime. The Deputy Probation Officers (DPO) have been mandated to work one shift per week. The DPO schedule is based on seniority and these staff have the option of working overtime or in lieu of their scheduled field day. Of the 85 DPO staff, half are core trained. The schedule and administration of the OT is getting better as new staff come on board, but it remains difficult to manage. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; Section 2.1(F)(2) 7704 Tulare JDFC Camp PRO 23-24 Page 4 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Section 2.1(F)(3) There is a minimum of one Institutional ☒ ☐ ☐ Supervisor on duty at all times, however, we note, since the IS series works 12- hour shifts, there are typically 2 on duty each shift. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has ☒ completed the Juvenile Corrections Officer Core Course ☐ ☐ Section 2.1(F)(4) and PC 832 training; (e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ Section 2.1(F)(5) ☐ ☐ (f) have sufficient food service personnel relative to the number and security of living units, including staff qualified and available to: plan menus meeting nutritional Section 2.1(F)(6) requirements of youth; provide kitchen supervision; direct food preparation and servings; conduct related training programs for culinary staff; and maintain necessary ☒ There is a Food Services Manager, 4 ☐ ☐ records; or, a facility may serve food that meets nutritional cooks, a stock clerk/Warehouse staff, and standards prepared by an outside source; 3 laundry technicians assigned to the facility. 7704 Tulare JDFC Camp PRO 23-24 Page 5 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Section 2.1(F)(7) transportation, control room, facility security and other support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and, The facility is sufficiently staffed for their population. Wellpath provides 24-hour per day medical services, seven days a week. Precision Psychiatric Services via Kaweah Hospital provides Mental Health Services Monday through Friday, but is available 24 hours a day, via on-call. ☒ ☐ ☐ There is a Clinician, Discharge Planner (LVN), and Medical Assistant scheduled during the week and a Psychiatrist on site on Mondays. Phoenix House staff and the Program Specialist provide programming in order for staff to facilitate operational needs. There is ancillary sufficient staff to ensure no services for the youth population are diverted from youth supervision staff responsibilities. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ Section 2.1(F)(8) ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls ☐ ☒ (A) during the hours that youth are awake, one ☐ The YDF is not a Juvenile Hall program. 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. 7704 Tulare JDFC Camp PRO 23-24 Page 6 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☒ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☒ This facility is not a SPJH, therefore, the ☐ ☐ awake youth supervision staff member on duty for balance of this section will be left blank. each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (A) during the hours that youth are awake, one Section 2.1(B) wide-awake youth supervision staff member on duty for each 15 youth in the camp population; The Youth Detention Facility is a Camp program; however, due to population of each program (9 males YDFC, 3 Females and 11 males YF and 5 males in SYT), the ☒ ☐ ☐ Camp and SYT programs’ male population are housed in the B and C Unit of Pod 5. There are always two staff on duty in these pods. Unit D (GP and Commitment Program female youth) comply with the 1:10 ratio even though 3 youth in the unit are commitment youth. 7704 Tulare JDFC Camp PRO 23-24 Page 7 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 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 ☐ Section 2.1(C) 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 Section 2.1 arrangements have been made for backup support services which allow for immediate response to emergencies; ☒ ☐ We reviewed the staff schedules and ☐ roster, noting there are at minimum 8 staff on duty during the sleeping hours, well beyond the minimum required ratio. (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; Section 2.1(D) (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be Section 2.1(H) 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 Section 2.1(G) personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Section 2.6.2(A) (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Section 2.6.2(A)(1) their duties, including: (1) youth supervision duties; The Department training curriculum, updated in 2020, exceeds minimum standards and includes all required elements, including a 160- to 200-hour ☒ ☐ ☐ training and orientation process, monitored by a Field Training Officer. Staff are provided significant training before shadowing permanent staff as ‘on the job’ training. 7704 Tulare JDFC Camp PRO 23-24 Page 8 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) scope of decisions they shall make; ☒ Section 2.6.2(A)(2) ☐ ☐ (3) the identity of their supervisor; ☒ Section 2.6.2(A)(3) ☐ ☐ (4) the identity of persons who are responsible to them; ☒ Section 2.6.2(A)(3) ☐ ☐ (5) persons to contact for decisions that are beyond their responsibility; and ☒ Section 2.6.2(A)(4) ☐ ☐ (6) ethical responsibilities. ☒ Section 2.6.2(A)(5) ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 9 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff Section 2.6.2(B) member shall receive a minimum of 40 hours of facility- specific orientation, including: Section 2.6.2 Bullet 1 The facility provides 160 to 200 hours of curriculum in their Orientation and training process, depending on assignment and successful completion of three specific phases, prior to assuming any youth supervision duties. Staff assigned to Booking and Intake require more specific ☒ ☐ ☐ training. The basic requirements for all staff include New Staff Orientation/Training and Observation Training. Additional training may be provided, which includes Proficiency Training (Remediation skill training) and Re-Integration Training (staff who have been absent for a period of time). This is a comprehensive and intensive training process. (1) individual and group supervision techniques; ☒ Section 2.6.2 Bullet 1 ☐ ☐ Section 2.6.2 Bullet 2 (2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; New staff receive an Orientation Binder to use as a study tool. (3) basic health, sanitation and safety measures; ☒ Section 2.6.2 Bullet 3 ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 10 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 2.6.2 Bullet 4 (4) suicide prevention and response to suicide ☒ attempts ☐ ☐ Suicide Prevention training is part of the department’s annual training for all facility staff. (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Section 2.6.2 Bullet 5 physical restraints; Section 2.6.2 Bullet 6 (6) review of policies and procedures referencing ☒ trauma and trauma-informed approaches; ☐ ☐ All new youth supervision staff are required to read the Policy and Procedure Manual prior to mentoring in the facility. Section 2.6.2 Bullet 7 This is the agency’s Emergency (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Procedures policy and procedures. The County of Tulare also has an Emergency Action Plan designed specifically to the Facility site. (8) routine security measures, including facility ☒ Section 2.6.2 Bullet 8 perimeter and grounds; ☐ ☐ (9) crisis intervention and mental health referrals to ☒ Section 2.6.2 Bullet 9 mental health services; ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 11 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (10) documentation; and ☒ Section 2.6.2 Bullet 10 ☐ ☐ Section 2.6.2 Bullet 11 (11) fire/life safety training ☒ ☐ ☐ All new staff are provided CPR/First Aid Training within the first two months of hire, sooner if the staff is cored. (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ Section 2.6.4 (A) ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. Section 2.6.4 (B) 1323 FIRE AND LIFE SAFETY Whenever there is a youth in a juvenile facility, there shall Section 2.6.4 (D) Training be at least one wide awake person on duty at all times ☒ ☐ ☐ who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL All facility administrators shall develop, publish, and Section 1.4 TCJDF Policy and implement a manual of written policies and procedures Procedures Manual that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, ☒ and shall be administratively reviewed at a minimum ☐ ☐ The current manual was reviewed and every two years, and updated, as necessary. Those updated in April 2023. It is compliant with records relating to the standards and requirements set regulations and addresses all facets of forth in these regulations shall be accessible to the Board detention, commitment, and SYTF. on request. The manual shall include: 7704 Tulare JDFC Camp PRO 23-24 Page 12 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) table of organization, including channels of communications and a description of job classifications; Section 1.2 Table ☒ Section 1.4 (A) ☐ ☐ Section 2.3 Job Descriptions (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or Section 1.3 Purpose, Vision, Mission ☒ Probation Committee, probation staff, school personnel ☐ ☐ Section 1.4 (B) and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Section 2.3 Job Descriptions of ☒ ☐ ☐ Institutional Positions (d) initial orientation and training program for employees; Section 2.6.2 Minimum Orientation and ☒ ☐ ☐ Training (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, contract ☒ employees, school, mental/behavioral health and ☐ ☐ Section 2.6.7 Non-Sworn Support Staff medical staff, program providers and volunteers; Training (f) maintenance of record-keeping, statistics and communication system to ensure: Section 7.4 Maintenance of Youth ☒ ☐ ☐ Records (1) efficient operation of the juvenile facility; ☒ Section 1.4 (E)(1) ☐ ☐ (2) legal and proper care of youth; ☒ Section 1.4 (E)(2) ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 13 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) maintenance of individual youth's records; ☒ Section 1.4 (E)(3) ☐ ☐ Section 1.4 (E)(4) (4) supply of information to the juvenile court and ☒ those authorized by the court or by the law; and, ☐ ☐ Section 3.1.2 Juvenile Court Release of Information Section 1.4(E)(5) (5) release of information regarding youth. ☒ ☐ ☐ Section 3.1.3 Juvenile Detention Facility Release of Information (g) ethical responsibilities; ☒ Section 2.6.2 (A)(5) ☐ ☐ (h) trauma-informed approaches; ☒ Section 1.4 (W) ☐ ☐ (i) culturally responsive approaches; ☒ Section 1.4 (X) ☐ ☐ (j) gender responsive approaches; ☒ Section 1.4 (Y) ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 14 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Section 1.4 (T); Section 4.7(B) to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ The Non-Discrimination Policy (NDP) is national origin, immigration status, color, religion, gender, posted in each living unit, listed in the sexual orientation, gender identity, gender expression, Youth Handbook, and part of the Policy mental or physical disability, or HIV status, including and Procedures Manual. restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; Section 7.13.6.7 Use of Force (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible youth; and, Section 4.3.4 (B)(3) Intake Procedures ☒ ☐ ☐ Section 8.7.4 Medical Services (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, PREA policy detecting and responding to such conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a The agency has a PREA Policy, with ☒ third party. ☐ ☐ posters of a zero tolerance for sexual assault or abuse, and all youth entering the facility are shown the PREA video before placement in a living unit. 1325 FIRE SAFETY PLAN The facility administrator shall consult with the local fire Section 3.0 Emergency Procedures department having jurisdiction over the facility, or with the Manual State Fire Marshal, in developing a plan for fire safety which shall include, but not be limited to: ☒ ☐ ☐ (a) a fire prevention plan to be included as part of the The County of Tulare has an Emergency manual of policy and procedures; Action Plan that describes each element in regulation, specific to the facility site. 7704 Tulare JDFC Camp PRO 23-24 Page 15 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; The Monthly Fire and Life Safety Inspections include documented facility- specific elements of safety as well as a check of all First Aid kits in the facility. The facility keeps detailed logs of the monthly checks, perimeter checks, Earthquake drills, and Fire Alarm checks. Additionally, the staff are required to read ☒ and sign off that they have reviewed the ☐ ☐ monthly OSHA Fact Sheet, indicating their understanding of the educational briefing each month. We reviewed the monthly fire and life safety inspections from July 2022 to April 2023. We provided technical assistance to use one form for each of the 13 areas inspected to consolidate the process. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); The most recent Fire Inspection was completed on October 6, 2022. The ☒ ☐ ☐ agency implemented annual fire inspections recommended last cycle. (d) an evacuation plan; There are evacuation maps throughout ☒ ☐ ☐ the facility. 7704 Tulare JDFC Camp PRO 23-24 Page 16 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; The facility policy is more restrictive than regulation and requires monthly fire drills at different times and days of the week. Our review of facility-wide drills revealed ☒ ☐ ☐ drills were practiced almost daily through 2022, whenever youth go outside for recreation or exercise. In 2023, the agency began doing drills several times a month to ensure youth and staff were prepared. (f) a written plan for the emergency housing of youth in the case of fire; and, Section 3.11 Youth Fire Relocation Plan The policy indicates the agency will ☒ ☐ ☐ relocate youth to an adjacent County Juvenile Hall. CPOC Central Valley is coordinating an emergency housing plan for all counties in the region. (g) development of a fire suppression pre-plan in cooperation with the local fire department. ☒ Section 3.10 Fire Suppression Pre-Plan ☐ ☐ 1326 SECURITY REVIEW Each facility administrator shall develop policies and Section 7.11.7 (I) procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. A Security Review Memorandum was ☒ ☐ ☐ completed by Division Manager Mike Santos on June 22, 2022, outlining the review of internal and external facility security measures. 7704 Tulare JDFC Camp PRO 23-24 Page 17 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific Emergency Procedures Manual (EPM) policies and procedures for emergencies that shall include, but not be limited to: ☒ ☐ ☐ The agency has an updated EPM which all youth supervision staff are required to read annually. EPM 2.0 Escape (a) escape, disturbances, and the taking of hostages; ☒ 5.0 Hostage ☐ ☐ 7.0 Facility Disturbances EPM 8.0 Civil Disturbances (b) civil disturbance, active shooter and terrorist ☒ attack; ☐ ☐ 8.1 Active Shooter/Terrorist Attack (c) fire and natural disasters; ☒ EPM 9.0 Natural Disasters ☐ ☐ The facility has sprinklers checked two (d) periodic testing of emergency equipment; ☒ times each year and alarms are tested ☐ ☐ monthly. (e) emergency evacuation of the facility; and ☒ EPM 6.0 Evacuation Plan ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 18 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Staff are required to review an OSHA Educational tool after each monthly fire (f) a program to provide all youth supervision staff drill and the EPM one time per year. We ☒ with an annual review of emergency procedures. ☐ ☐ reviewed the agency training records as it relates to the facility annual review and found compliance with the regulation. 7704 Tulare JDFC Camp PRO 23-24 Page 19 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 1328 SAFETY CHECKS The facility administrator shall develop and implement Section 3.4.1 (B) Unit Shift Logs policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, Section 3.4.3 (A) Guard 1 Visual Cell at random or varied intervals during hours when youth Safety Checks are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. Supervision is not replaced, but may be supplemented We reviewed safety checks, documented by, an audio/visual electronic surveillance system on a unit safety check log, recording time designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety of check and the number of youths checks shall be documented with the actual time the housed in each individual unit. The check is completed. agency went away from the Guard 1 tool after our last inspection, however, began using it again in January 2023. Our review included safety checks for the months of August and October 2022 and January 2023, for each of the four occupied units in Pod 5. The agency developed a safety check form last cycle to allow Institution Supervisor reviews during each shift. This prompted the IS to walk around the ☒ ☐ ☐ units and check the safety logs randomly each shift. In January 2023, the agency went to a Guard 1 Pipe check only. This resulted in a change to audits, making real-time reviews difficult. The operations IS uploads the pipe tool and assigned IS’s review the checks that occurred while they were on duty, post time. Not ideal but this allows the facility to audit, by electronic record and camera, for accountability of late or non- random/varied checks. Many factors, including the requirement for DPO coverage, removing the handwritten checks, and pipe inefficiencies are factors we considered. Additionally, the lack of staff factored into some late checks the first week of January. Later and current reviews revealed compliance and noted improvements. 7704 Tulare JDFC Camp PRO 23-24 Page 20 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The agency is moving to a new version of the Guard 1 pipe system that allows for movement and audit functions in real-time so administrators can review more efficiently. We plan to return in the coming months to review this system once operational. 7704 Tulare JDFC Camp PRO 23-24 Page 21 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 1329 SUICIDE PREVENTION PLAN The facility administrator, in collaboration with the Section 8.14 Suicide Recognition and healthcare and behavioral/mental health administrators, Prevention shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. JMH-G-04 Precision Psychiatric Services The plan shall consider the needs of youth experiencing Manual past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall There have been 16 incidents of suicidal include the following elements: statements and gestures since our inspection in June 2022. Fifteen incidents were verbal statements made of self- harm and 1 involved a suicidal gesture. All agency partners responded per policy and met the requirements in regulation, objectives in policy, and consolidated approach in practice. The facility plan articulates procedures to follow for suicide events but also provides information for staff of what to look for, be aware of, and critical timing of critical events which illustrate the risk for suicide ☒ ☐ ☐ behaviors. It is a plan with informative triggers for staff to be aware of and is supported by 24/7 medical staff on site as well as Monday-Friday on-site mental health services with Precision Psychiatric Services and on-call services shared with the jail across the street after hours. Our review of the Precision Manual and Policy as it relates to Suicide Prevention is more of a summary with placement in the Safety Room and Smock as defined in the Suicide Watch policy, stepping down to a lesser restrictive environment upon communication with Precision staff. Wellpath nursing communicates with Precision and facility staff to design and develop individual plans and provides supervision while a youth is on any suicide or special watch. There is fragmented communication amongst all parties with the involvement of HHSA. We provided technical assistance to the Probation Administration to be clear in the 7704 Tulare JDFC Camp PRO 23-24 Page 22 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS roles and follow up from agency partners directly. (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Training Section 8.14.1 and the Juvenile Corrections Officer Core Course. All staff receive Suicide Prevention ☒ Training in Core and annually. Staff ☐ ☐ assigned to the Intake unit receive additional training for screening and recognizing if a youth is at risk for suicide or self-harm. (b) Screening, Identification Assessment and Precautionary Protocols Section 8.14 (A)(1) (1) All youth shall be screened for risk of suicide at intake and as needed during detention. The facility completes numerous assessments and screening of youth by probation, medical, and mental health ☒ ☐ ☐ staff at admission. The MAYSI, medical screening, and referral to mental health for assessment articulate risks at admission. We reviewed timelines for the intake implementation of the MAYSI upon admission. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. Section 8.14.1 (3) All youth who have been identified during the intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ Section 8.14 (A)(1) and (2) suicide risk assessment. Section 4.3.4 (A)(6) (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the Section 8.14 (A)(4) behavioral/mental health assessment. ☒ ☐ ☐ Section 4.3.1 (10) 7704 Tulare JDFC Camp PRO 23-24 Page 23 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Referral process to behavioral/mental health staff for assessment and/or services. Section 8.14 ☒ Section 8.2.3 (C) ☐ ☐ Section 4.3.4 (A)(6) (d) Procedures for monitoring of youth identified at risk for suicide. Section 8.14. ☒ ☐ ☐ Section 4.3.1 (10) (e) Safety Interventions (1) Procedures to address intervention protocols for ☒ Section 8.14.5 (A) ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ Section 8.14.5 (D) ☐ ☐ (B) Treatment strategies including trauma- informed approaches ☒ Section 8.14.5 (A)(11) ☐ ☐ (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal ☒ ☐ ☐ Section 8.14.4 (A) and (B) behaviors. (f) Communication (1) The intake process shall include communication Section 4.3.2 (C) with the arresting officer and family guardians regarding the youth’s past or present suicidal ideations, behaviors or attempts. ☒ ☐ ☐ The intake unit is adjacent to Medical and Mental Health offices, allowing for constant and timely communication. 7704 Tulare JDFC Camp PRO 23-24 Page 24 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Procedures for clear and current information sharing about youth at risk for suicide with youth Section 8.14 (A) supervision, healthcare, and behavioral/mental health staff. All agency partners communicate daily regarding any youth presenting suicidal behaviors. Wellpath takes the lead as they are on-site 24/7 and with Precision ☒ ☐ ☐ Psychiatric Services, Phoenix House, and a Program Specialist in place, the agency promotes a coordinated approach to youth behavior, response, and follow-up. We encouraged stronger communication amongst these agencies to ensure all youth needs are met timely and efficiently. (g) Debriefing of Critical Incidents Related to Suicides or Attempts (1) Process for administrative review of the ☒ Section 8.14.4 (D)(1) ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected ☒ Section 8.14.4 (D)(2) staff. ☐ ☐ (3) Process for a debriefing event with affected youth. ☒ Section 8.14.4(D)(3) ☐ ☐ (h) Documentation (1) Documentation processes shall be developed to Section 8.14.0 (A)(1) ensure compliance with this regulation ☒ ☐ ☐ Section 8.14.4 (D)(4) Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, services Section 8.14.5 (J) and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ youth or security of the facility. Any deprivation of ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 7704 Tulare JDFC Camp PRO 23-24 Page 25 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1340 REPORTING OF LEGAL ACTIONS Each facility shall submit to the Board a letter of Section 3.6 Reporting of Legal Actions notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. ☒ ☐ ☐ The agency has one possible legal action with a current investigation through the TCSO. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Section 8.14.9 (C)(4) and (5) Death of a (1) Death of a Youth. Youth (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while There have been no youth deaths this detained, which include notifications to necessary cycle. parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the facility administrator, shall develop written policies and procedures to assure there is a medical and Section 8.14.9 (G) operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ Section 8.14.9 (E)(3) ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within 30 Section 8.14.9 (E)(3)(a) calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7704 Tulare JDFC Camp PRO 23-24 Page 26 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Serious Illness or Injury of Youth. (a) The facility administrator, in cooperation with Section 8.14.8 (D) the health administrator, shall develop written policies and procedures for the notification to necessary parties, which may include the Juvenile The facility process for serious illness and Court, the parent, guardian or person standing in ☒ ☐ ☐ injury includes notification to all parties in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. the event of an incident as defined by medical staff, who are on duty 24 hours each day. 1342 POPULATION ACCOUNTING Each juvenile facility shall submit required population ☒ Section 7.3.4 Administrative Count and profile survey reports to the Board within 10 working ☐ ☐ Records days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) When the number of youth detained in a living unit of a Section 4.7.8 Juvenile Facility Capacity juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 7704 Tulare JDFC Camp PRO 23-24 Page 27 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES The facility administrator shall develop and implement Section 4.3 Admittance Procedures written policies and procedures for admittance of youth that emphasize respectful and humane engagement with youth, and reflect that the admission process may be traumatic to youth who may have already The facility has numerous screening and experienced trauma. Policies shall be trauma-informed, assessment tools, including the SOGIE, culturally relevant, and responsive to the language and Victim Vulnerability Assessment, and literacy needs of youth. In addition to the requirements Intake Assessment with Mental Health of Sections 1324 and 1430 of these regulations: Assessment. Each are facilitated by probation staff, medical personnel, and mental health clinicians. There are RN’s on duty 24 hours each day and mental health services available 8 hours each day on-site (services shared with the jail) and on-call, allowing for all required elements of regulation. The process and practice includes intake ☒ responsibilities for admitting a youth, ☐ ☐ questionnaires and screenings by medical staff including all aspects of a youth’s personal, physical, and mental presentations, and a series of mental health assessments, facilitated by medical staff and referred to Precision staff if mental health is not on duty. The process flows well, especially given the proximity to the intake unit. We suggested a more targeted and seamless approach to these assessments with Wellpath and Precision, to ensure the youth needs are addressed timely and efficiently. We reviewed numerous intake packets and found the process consistent with the intent of admission processing of a youth. (a) the admittance process shall include: (1) Access to two free phone calls within one hour of ☒ admittance in accordance with the provisions of ☐ ☐ Section 4.3.5 Welfare and Institution Code Section 627; 7704 Tulare JDFC Camp PRO 23-24 Page 28 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Offer of a shower; ☒ Section 4.3.3 (O); 4.3.8 (A) ☐ ☐ (3) Documented secure storage of personal ☒ Section 4.3.6 belongings; ☐ ☐ (4) Offer of food upon arrival; ☒ Section 4.3.8 (D) ☐ ☐ (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; Section 4.3.9 (6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, ☒ Section 4.3.1 (3) ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are suspected of or identified as having a ☒ Section 4.9 (C)(5) ☐ ☐ developmental disability, pursuant to Section 1413; Section 8.2 (A)(3) Initial Assessment and, Section 4.6 Transgender and Intersex (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Youth (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. Section 4.7.1 Classification (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures that advise the youth of the estimated length of stay, inform Section 4.3.4 (B) Intake Procedures ☒ them of program guidelines and provide written ☐ ☐ screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures that advise any committed youth of the estimated length ☒ ☐ ☐ Section 4.3.4 (B) Intake Procedures of his/her stay. 7704 Tulare JDFC Camp PRO 23-24 Page 29 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Section 4.3.4 (B)(2) SOGIE The facility administrator shall develop and implement written policies and procedures to reduce the risk of Section 4.3.12 Screening for the Risk of sexual abuse by or upon youth. The policy shall require Sexual Abuse facility staff to assess each youth within 72 hours of admission based on the following information: ☒ ☐ ☐ The SOGIE is a tool to assess the youth’s likelihood of being abused. The Victim Vulnerability Assessment is completed to assist in determining the youth’s propensity to be victimized or to victimize. (a) Prior sexual victimization or abusiveness; ☒ Section 4.3.12 Bullet 1 ☐ ☐ (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, ☒ queer or intersex, and whether the youth may, therefore, ☐ ☐ Section 4.3.12 Bullet 2 be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ Section 4.3.12 Bullet 3 ☐ ☐ (d) Age; ☒ Section 4.3.12 Bullet 4 ☐ ☐ (e) Level of emotional and cognitive development; ☒ Section 4.3.12 Bullet 5 ☐ ☐ (f) Physical size and stature; ☒ Section 4.3.12 Bullet 6 ☐ ☐ (g) Mental illness or mental disabilities; ☒ Section 4.3.12 Bullet 7 ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 30 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Intellectual or developmental disabilities; ☒ Section 4.3.12 Bullet 8 ☐ ☐ (i) Physical disabilities; ☒ Section 4.3.12 Bullet 9 ☐ ☐ (j) The youth’s perception of vulnerability; and, ☒ Section 4.3.12 Bullet 10 ☐ ☐ (k) Any other specific information about the individual youth that may indicate heightened needs for supervision, additional safety precautions, or separation ☒ ☐ ☐ Section 4.3.12 Bullet 11 from certain other youth. Section 4.3.12 (D) Staff shall ascertain this information through conversations with the youth during the admittance Section 4.3.12 (A) process, medical and behavioral health screenings; ☒ during classification assessments; and by reviewing ☐ ☐ court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate controls on the dissemination of information within the facility relative to responses received pursuant to this Section 4.13.2 (B) ☒ assessment in order to ensure that sensitive information ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 7704 Tulare JDFC Camp PRO 23-24 Page 31 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1351 RELEASE PROCEDURES The facility administrator shall develop and implement Section 4.5 Release Procedures written policies and procedures for release of youth from custody which provide for: The facility release procedures begin with a Multi-Disciplinary Team (MDT) meeting to assess the most appropriate re-entry plan for committed youth or a Special Needs planning meeting to address a youth’s needs as they release from ☒ detention into the community. We ☐ ☐ reviewed numerous Transition Release Plans with articulated direction for the youth upon re-entry. The addition of Precision Psychiatric Services, Phoenix House, and the Program Specialist positions have promoted a coordinated release process. (a) verification of identity/release papers; ☒ Section 4.5.2 (C)(1) ☐ ☐ (b) return of personal clothing and valuables; ☒ Section 4.5.2 (C)(2) ☐ ☐ (c) notification to the youth's parents or guardian; ☒ Section 4.5.2 (C)(4) ☐ ☐ (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ Section 4.5.2 (C)(8) regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ Section 4.5.2 (C)(10) ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 32 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) notification of facility mental health personnel. ☒ Section 4.5.2 (C)(8) ☐ ☐ The facility administrator shall develop and implement policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry Section 4.5.7 Transition and Re-entry services including, but not limited to, medical and Services behavioral health, education, probation supervision and community-based services. ☒ ☐ ☐ The facility has bi-weekly MDT meetings to determine appropriate services for school, Mental Health, and medical linkage upon release to the community. The facility administrator shall develop and implement written policies and procedures for the furlough of youth Section 4.5.3 Temporary Releases from custody. The facility does not currently furlough ☒ ☐ ☐ youth from either of their camp programs, however, is considering this option (post- Covid) as reintegrating youth into the community prior to permanent release. 7704 Tulare JDFC Camp PRO 23-24 Page 33 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352 CLASSIFICATION The facility administrator shall develop and implement Section 4.7 Classification written policies and procedures on classification of youth for the purpose of determining housing placement in the facility. Due to the facility’s low population, they Such procedures shall: have merged (committed) program youth, SYTF, female youth, and general population detention youth, and WIC 707 (b) offender youth into one pod with four separate units. Although the plan is to move SYTF youth into Pod 1, they are awaiting physical improvements and more staff to facilitate the move. The ☒ current housing is not the preference but ☐ ☐ necessary for staffing. The Youth Detention Facility program houses Short and Mid Term committed youth from 3 to 6 months or more, depending on their points earned and goals achieved. The agency has developed a structured program including both the Phoenix House Program, services from the Program Specialist, and technical/vocational options. (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the appropriate, least restrictive housing and program Section 4.7.1 Bullet 1 ☒ settings. Housing assignments shall consider the need ☐ ☐ Section 4.7.2 Factors Affecting Unit for single, double or dormitory assignment or location Assignments within the dormitory; (b) consider facility populations and physical design of the facility; ☒ Section 4.7.1 Bullet 2 ☐ ☐ (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall include, but not be limited to: age, maturity, Section 4.7.1 Bullet 3 sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; 7704 Tulare JDFC Camp PRO 23-24 Page 34 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) provide for periodic classification reviews, including provisions that consider the level of supervision and the Section 4.7.1 Bullet 4 youth's behavior while in custody; and, Section 4.7.2 (H) Classification of youth is reviewed at the weekly Special Needs meeting and bi- weekly at the MDT meetings. The agency added policy to require assigned IS staff to review their (assigned) unit classifications weekly. ☒ ☐ ☐ Youth presenting behaviors demanding attention of mental health and/or medical staff, as well as teachers, are evaluated for appropriate unit placement as necessary. As noted above, the facility administration returned two older and more sophisticated youth to their appropriately classified unit in order to comply with regulation elements and policy while on-site. E(e) provide that facility staff shall not separate youth from the general population or assign youth to a single Section 4.7.1 Bullet 5 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex identification or ☒ status as an indicator of likelihood of being sexually ☐ ☐ Section 4.7.1 Bullet 6 abusive. 7704 Tulare JDFC Camp PRO 23-24 Page 35 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. The facility administrator shall develop written policies Section 4.6 Transgender and Intersex and procedures ensuring respectful and equitable Youth treatment of transgender and intersex youth. The policies shall provide that: The facilities have process and procedure elements in place to address all facets of the regulation. Wellpath Medical staff assist the PCO/IS in providing resources for this population. The agency has sufficient policies for transgender youth, meeting all regulation components, ☒ including documentation regarding the ☐ ☐ Transgender and Intersex Youth Statement for Searches and the Housing Preference Form, which include the youth’s statement for preferred name and pronoun. We provided technical assistance to administration to include a youth’s clothing preference to the form, allowing for integration into appropriate placement. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the Section 4.6 (A) youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their gender ☒ Section 4.6 (B) identity and shall provide youth with the institution’s ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes their Section 4.6 (C) safety and well-being. Staff may not automatically house youth according to their external anatomy and shall ☒ document the reasons for any decision to house youth ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. 7704 Tulare JDFC Camp PRO 23-24 Page 36 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Facility administrators shall ensure that transgender and intersex youth have access to medical and ☒ ☐ ☐ Section 4.6 (D) behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ Section 4.6 (E) ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ Section 4.6 (F) ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION The facility administrator shall develop and implement Section 4.4 Orientation written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal information shall be provided and supplemented with video orientation if feasible. Provision shall be made to We reviewed a significant number of provide accessible orientation information to all detained Orientation forms, each requiring the youth including those with disabilities, limited literacy, or youth to sign as an acknowledgment of English language learners. Orientation shall include understanding expectations and information that addresses: processes. This is originally completed by the Booking/Intake staff with the youth prior to placement in their assigned living unit. ☒ ☐ ☐ Each youth is provided a youth handbook, articulating all components of regulation, as well as a verbal characterization of the detention process, youth rights, and other required components. Youth also watch the PREA video. Medical staff articulate their process of orienting a youth to any medical related information on the Wellpath Receiving Screening form. 7704 Tulare JDFC Camp PRO 23-24 Page 37 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) facility rules including contraband and searches and disciplinary procedures; Section 4.4 Bullet 1 Contraband and Searches Section 4.4 Bullet 20 Progressive ☒ ☐ ☐ Discipline Section 4.4 Bullet 23 Youth Rights Section 4.4 Bullet 28 Rules of Conduct (b) facility’s system of positive behavior interventions and supports, including behavior expectations, incentives that youth will receive for complying with Section 4.4 Bullet 2 Positive Behavior facility rules, and consequences that may result when Incentive System youth violate the rules of the facility; ☒ ☐ ☐ Section 4.4 Bullet 20 Section 4.4 Bullet 28 (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual ☒ harassment and how to report incidents or suspicions of ☐ ☐ Section 4.4 Bullet 3 PREA sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ Section 4.4 Bullet 4 Chain of Command ☐ ☐ (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free ☒ of retaliation for reporting a grievance, and the name of ☐ ☐ Section 4.4 Bullet 5 Grievance Procedure the person or position designated to resolve the issue; and Policy Section 4.4 Bullet 6 Access to Legal (f) access to legal services and information on the ☒ Services and Information on the Court court process; ☐ ☐ Process Section 4.4 Bullet 7 Access to Medical Services (g) access to routine and emergency health and mental ☒ health care; ☐ ☐ Section 4.4 Bullet 8 Access to Mental Health Services 7704 Tulare JDFC Camp PRO 23-24 Page 38 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 4.4 Bullet 9 Religious Services (h) access to education, religious services, and ☒ Section 4.4 Bullet 10 Recreation recreational activities; ☐ ☐ Section 4.4 Bullet 11 Education Section 4.4 Bullet 12 Housing (i) housing assignments; ☒ ☐ ☐ Assignments (j) opportunity for personal hygiene and daily showers including the availability of personal care items Section 4.4 Bullet 13, Access to Showers, ☒ ☐ ☐ Hygiene and Personal Care/Shaving (k) rules and access to correspondence, visits and telephone use; Section 4.4 Bullet 14 Correspondence ☒ Section 4.4 Bullet 15 Visiting ☐ ☐ Section 4.4 Bullet 16 Telephone (l) availability of reading materials, programming, and other activities; Section 4.4 Bullet 17 Programs, Reading ☒ ☐ ☐ Material, and Activities (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; Section 4.4 Bullet 18 UF and UR ☒ ☐ ☐ Section 4.4 Bullet 19 Room Confinement Section 4.4 Bullet 21 Immigration Legal (n) immigration legal services; ☒ ☐ ☐ Services 7704 Tulare JDFC Camp PRO 23-24 Page 39 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 4.4 Bullet 27 Emergencies and (o) emergencies including evacuation procedures; ☒ ☐ ☐ Evacuation (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; Section 4.4 Bullet 22 NDP (q) availability of services and programs in a language other than English if appropriate; Section 4.4 Bullet 23 Availability of ☒ ☐ ☐ Services for Language other than English (r) the process for requesting different housing, education, programming and work assignments; Section 4.4 Bullet 25 Request change in ☒ Housing, Education, Programming or ☐ ☐ Work Assignments (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Section 4.4 Parent/Guardian Information questions and provides contact information for the Brochure facility, medical, school and mental health; and, ☒ The facilities provide information for ☐ ☐ parents on all aspects of the pre- and post-disposition programs, as well as how they may contact the facility for any question regarding the youth’s stay. (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. ☒ Section 4.4 Bullet 26 Access to T15 ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 40 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION The facility administrator shall develop and implement Section 6.5 Separation written policies and procedures that address: The policy for Separation is compliant with regulation and provides a description of each form of separation. Medically separated youth are housed in the Medical Unit. The mental health and program separation components are articulated in the policy and addressed based on classification factors and mental health recommendations. Behavior separations ☒ and self-separation are addressed in ☐ ☐ policy depending on the circumstances. Each separation is well documented in the agency Caseload Pro Program in detail. Facility staff have adjusted their process in identifying and responding to Self- Separation incidents. Our review of the Caseload Pro Case Management System entries reveals staff efforts made to reintegrate the youth into general programming. There have been 14 incidents of self-separation from July 2022 to date of inspection. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, ☒ assaultive behavior, disciplinary consequences and ☐ ☐ Section 6.5, Paragraph # 1 protective custody. (b) consideration of positive youth development and trauma-informed care. ☒ Section 6.5, Paragraph # 2 ☐ ☐ (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ ☐ ☐ Section 6.5, Paragraph # 2 necessary to accomplish the objective of separation. 7704 Tulare JDFC Camp PRO 23-24 Page 41 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. ☒ Section 6.5 (E) Daily Separation Review ☐ ☐ (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and ☒ Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ Section 6.6 (A) Room Confinement these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains Section 6.5.1 (A) necessary. This section articulates the reviews shall ☒ ☐ ☐ occur during the first hour of each shift by the Institutional Supervisor, who is to log the termination or continuance of separation in the Separation Log. 7704 Tulare JDFC Camp PRO 23-24 Page 42 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT (a) The facility administrator shall develop and Section 6.6 (A) Room Confinement (RC) implement written policies and procedures addressing the confinement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The placement of a youth in room confinement We reviewed 11 incidents involving 15 shall be accomplished in accordance with the following youth placed on RC in 2023, with 3 youth guidelines: involved in 5 overall incidents. The resulting placement was appropriate and compliant with regulation. The reasons for placement, ten of the 11 for assaultive behavior, were well documented in incident reports. In total, there were 36 incidents of RC from July 2022 to May 1, ☒ 2023. ☐ ☐ The process for documenting behavior checks, reviewing the need to continue, and the length of time on RC were detailed and informative. The RC log outlines the youth’s behavior at the time of the check as well as contact with staff and partners. IS and SPO make every effort to reintegrate the youth into normal programming the day following the incident. (1) Room confinement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those options ☒ Section 6.6 (B)(1) ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. Section 6.6 (B)(2) (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ Section 6.6 (B)(3) of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ confinement for a period of four hours, staff shall do one ☐ ☐ or more of the following: 7704 Tulare JDFC Camp PRO 23-24 Page 43 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Return the youth to general population. ☒ Section 6.6 (F) ☐ ☐ (2) Consult with mental health or medical staff. ☒ Section 6.6 (H) ☐ ☐ (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ Section 6.6 (G)(2) the youth to general population. (4) If room confinement must be extended beyond ☒ 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, ☒ Section 6.6 (G)(1) ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ Section 6.6 (G)(2) integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ Section 6.6 (G)(3) every four hours thereafter. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth ☒ in juvenile facilities and does not apply to normal ☐ ☐ Section 6.6 (I) sleeping hours. (6) This section does not apply to youth or wards in ☒ court holding facilities or adult facilities. ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires a significant departure from normal institutional Section 6.6 (I) Paragraph #1 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. 7704 Tulare JDFC Camp PRO 23-24 Page 44 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and Section 6.6 (I) Paragraph #2 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 The facility administrator shall develop and implement ☒ Section 4.9 Assessment and Plan ☐ ☐ written policies and procedures for assessment and case planning. (a) Assessment: The assessment is based on information collected Section 4.9 Introduction and (A) 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, We reviewed 34 youth Action Plans counseling, behavioral health, consideration of known including 10 Initial, 10 Ongoing, and 14 history of trauma, and family strengths and needs. Release plans. The agency does a thorough job targeting service needs through the weekly Special Needs and bi- weekly MDT meetings. The facility is compliant with review and updates. The ☒ ☐ ☐ transition plan includes an MDT meeting with all agency partners to discuss the most appropriate and individualized re- entry service referrals. The agency 90-day timeline for ongoing plans allows the youth more time to meet objectives and goals, providing a timely review of the youth’s progress. (b) Institutional Case Plan: (1) A case plan shall be developed for each youth ☒ held for at least 30 days or more and created within ☐ ☐ Section 4.9 (C) 40 days of admission. 7704 Tulare JDFC Camp PRO 23-24 Page 45 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) The institutional plan shall include, but not be limited to, written documentation that provides: ☒ Section 4.9 ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ Section 4.9 (C)(1) ☐ ☐ (B) a plan for meeting the objectives that includes a description of program resources needed and ☒ individuals responsible for assuring that the plan ☐ ☐ Section 4.9 (C)(2) is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; Section 4.9 (C)(3) (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for ☒ post dispositional youth in accordance with Section ☐ ☐ Section 4.9 (C)(4) 1351; and, (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ Section 4.9 (C)(5) ☐ ☐ and Regional Center for the Developmentally Section 4.9 (G) Supportive Adults Disabled. 1356 COUNSELING AND CASEWORK SERVICES The facility administrator shall develop and implement Section 4.9 (E) written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: The staff document notes in the Caseload Pro system that include both positive and ☒ ☐ ☐ negative interactions or incidents of youth behavior. We reviewed numerous ‘event’ entries documenting the positive and negative actions of every youth in custody. (a) youth will receive assistance with needs or concerns that may arise; ☒ Section 4.9 (E)(1)(a) ☐ ☐ (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, Section 4.9 (E)(1)(b) 7704 Tulare JDFC Camp PRO 23-24 Page 46 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) youth will be provided access to available resources to meet the youth’s needs. ☒ Section 4.9 (E)(1)(c) ☐ ☐ 1357 USE OF FORCE The facility administrator, in cooperation with the Section 7.13.1 (E) Use of Force responsible physician, shall develop and implement written policies and procedures for the use of force, which may include chemical agents. Force shall never be applied as punishment, discipline, retaliation or We reviewed 27 incident reports of the UF treatment. within the facility, 13 involving the use of OC Spray and 11 resulting in Room (a) At a minimum, each facility shall develop policies and Confinement. All incidents involved youth- procedures which: on-youth assaults (mutual fights), assaults to staff or youth assaults. The staff response was compliant with regulation and involved administrative review. The facility has had 80 UF incidents since ☒ ☐ ☐ July 2022, involving youth-on-youth assaults and violent actions by youth. Of these, 52 involved the use of OC spray, 50 included physical restraint use for moving the youth to their room, and 36 resulted in RC. These numbers are down significantly from the 273 in 2018, 177 in 2019, and 114 in 2021. The staff are fortunate to have agency partners on site to medically clear youth after an incident, including decontamination and initiation mental health referrals if necessary. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 ☒ to ensure the safety and security of youth, staff, others ☐ ☐ Section 7.13.3 (A) and the facility. (2) outline the force options available to staff including both physical and non-physical options and define ☒ Section 7.13.2 Use of Force Options ☐ ☐ when those force options are appropriate. 7704 Tulare JDFC Camp PRO 23-24 Page 47 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) describe force options or techniques that are expressly prohibited by the facility. Section 7.13.9 Choke Holds ☒ Section 7.13.1(B) ☐ ☐ Section 7.14.5 (K) Positional Asphyxia (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative action to immediately stop it. Section 7.13.3 (C) ☒ ☐ ☐ Section 7.14.2 (G) (5) define a standardized reporting format that includes time period and procedure for documenting and reporting the use of force, including reporting Section 7.13.4 Reporting, Debriefing and requirements of management and line staff and Notification procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for investigating unreasonable use of force. ☒ Section 7.13.4 (B) ☐ ☐ (7) define the role, notification, and follow-up procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ Section 7.13.3 (C) guardians. Section 7.13.4 (D) (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. ☒ Section 7.13.5 Limitations of Force on ☐ ☐ Pregnant Youth (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Section 7.13.6 Use of OC Spray (1) identify who is approved to carry and/or utilize ☒ chemical agents in the facility and the type, size and ☐ ☐ Section 7.13.6 (B) and (C) the approved method of deployment for those chemical agents. Section 7.13.6.4 7704 Tulare JDFC Camp PRO 23-24 Page 48 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the ☒ Section 7.13.6 safety of others and only when de-escalation efforts ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ Section 7.13.6.5 Decontamination ☐ ☐ to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents involving chemical agents for medical, mental health ☒ ☐ ☐ Section 7.13.6.3 (J) staff and parents or legal guardians. Section 7.13.6.5 (A)(7) (5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, Section 7.13.6.6 (A) Documentation youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training ☒ in use of force and chemical agents when appropriate ☐ ☐ Section 7.13.6 (D) that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; ☒ Section 7.13.6 (D)(1) and (2) ☐ ☐ (2) acceptable chemical agents and the methods of application. ☒ Section 7.13.6 (D)(3) ☐ ☐ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ Section 7.13.6 (D)(4) ☐ ☐ (4) instruction on the Constitutional Limitations of Use of Force. ☒ Section 7.13.6 (D)(5) ☐ ☐ 7704 Tulare JDFC Camp PRO 23-24 Page 49 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) physical training force options that may require the use of perishable skills. ☒ Section 7.13.6 (D)(6) ☐ ☐ (6) timelines the facility uses to define regular training. ☒ Section 7.13.6 (D)(6) ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS The facility administrator, in cooperation with the Section 7.14.1 Use of Restraints (UR) responsible physician and mental health director, shall develop and implement written policies and procedures Section 7.15 Safety WRAP for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being There has been no use of restraints (the ambulatory. WRAP) as specified in this regulation since July 2022 when we were on site last cycle. ☒ ☐ ☐ The agency has a detailed form when the WRAP is used, which prompts staff to provide food, water, allowance to stretch, restroom needs, 30-minute reviews by the IS, initial and supplemental contact with medical and mental health staff, and audits of placement. Physical restraints may be used only for those youth who present an immediate danger to themselves or others, who exhibit behavior which results in the Section 7.14.1 (A) destruction of property, or reveals the intent to cause ☒ Section 7.15 (A) self-inflicted physical harm. Physical restraints should ☐ ☐ be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or Section 7.14.3 Restricted UR other fixture, including a restraint chair, or through affixing ☒ Section 7.14.3 (D) Hogtying Restriction of hands and feet together behind the back (hogtying) is ☐ ☐ prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7704 Tulare JDFC Camp PRO 23-24 Page 50 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when used Section 7.14.1 (A) to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for ☒ Movement Within the Facility. ☐ ☐ This section refers to 7.14.6 Restraints for Movement and Transportation within the Facility. Youth shall be placed in restraints only with the approval of the facility manager or designee. The facility manager Section 7.14.2 (A) may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints Section 7.15 (B) shall be reviewed and documented at a minimum of every hour. ☒ ☐ ☐ This allows delegation to the on-duty facility Institutional Supervisor. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no later than two hours from the time of placement. The Section 7.14.2 (B) youth shall be medically cleared for continued retention Section 7.15 (E) at least every three hours thereafter. Medical personnel are on site 24 hours each day and respond immediately to the placement of a youth in the WRAP. Policy ☒ and practice dictate they monitor the ☐ ☐ youth a minimum of every hour if placement in the WRAP and every 3 hours after placement in mechanical restraints (none this cycle). Youth are moved to the medical or intake area and personnel respond more frequently, as documented in the WRAP Placement form. 7704 Tulare JDFC Camp PRO 23-24 Page 51 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from the Section 7.14.2 (B) time of placement, to assess the need for mental health treatment. Section 7.15 (G) Mental Health staff are on site or on call 24 hours each day and when a youth is placed in restraint, they respond immediately, per policy. ☒ ☐ ☐ For WRAP placement, the facility administration and mental health personnel assess if the youth is to remain in the WRAP or be transported to a mental health facility for WIC 5150 evaluation. Precision Psychiatric Services has not been involved in this process to date as they just began services in the agency after the last inspection. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly employed, and Section 7.14.2 (C) to ensure the safety and well-being of the youth. ☒ Observations of the youth's behavior and any staff ☐ ☐ Section 7.15 (C) interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and procedures shall address: Section 7.14.4 Reports and (a) documentation of the circumstances leading to an Documentation application of restraints. ☒ ☐ ☐ Section 7.14.4 (5) (b) known medical conditions that would contraindicate certain restraint devices and/or techniques. ☒ ☐ ☐ Section 7.14.2 (I) 1-g 7704 Tulare JDFC Camp PRO 23-24 Page 52 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) acceptable restraint devices. 7.14.5 (L) 1-4 ☒ ☐ ☐ The facility allows for handcuffs, shackles, belly chains, and the WRAP. (d) signs or symptoms which should result in immediate medical/mental health referral. Section 7.14.2 (E) ☒ ☐ ☐ Section 7.15 (F) (e) availability of cardiopulmonary resuscitation equipment. ☒ ☐ ☐ Section 7.14.2 (E) (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth which makes Section 7.14.2 provision to protect the youth from abuse. Section 7.15.1 (B) ☒ ☐ ☐ If a youth is placed in the WRAP, they are moved to a Medical Observation room or a holding room/safety cell in Intake. Section 7.14.5 (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Section 7.15 (J) and (K) Section 7.14.5 (h) exercising of extremities. ☒ ☐ ☐ Section 7.15 (L) 7704 Tulare JDFC Camp PRO 23-24 Page 53 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Section 7.14.6 Restraints for Movement WITHIN THE FACILITY. and Transportation within the Facility The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health Section 3.3.2 (H)13 Articulate use of director, shall develop and implement written policies Handcuff in Incident Report and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: The facilities had 50 incidents of ☒ ☐ ☐ movement of youth in restraints as articulated in this regulation. Agency supervisors review video and audio of all incidents requiring any use of force or restraints and they articulate the need for application in the Caseload Pro System. The staff documentation in the incident reports for the need to apply restraints has improved this cycle. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Section 7.14.6 (B) training. ☒ ☐ ☐ Handcuffs and Shackles (b) the circumstances leading to the application of restraints must be documented. ☒ ☐ ☐ Section 7.14.6 (D) (c) an individual assessment of the need to apply restraints for movement or transportation that includes Section 7.14.6 (A) consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint devices shall not be used for the purposes of discipline or ☒ ☐ ☐ Section 7.14.6 (D) retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. Section 7.14.3 (F) 7704 Tulare JDFC Camp PRO 23-24 Page 54 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in Section 7.14.7 Safety Room Placement cooperation with the responsible physician, shall develop and implement written policies and procedures JMH-G-04 Precision Psychiatric Services governing the use of safety rooms, as described in Title Manual 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☒ ☐ ☐ danger to themselves or others, who exhibit behavior There have been no Safety Room which results in the destruction of property, or reveals placements from July 2022 to the date of the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or the inspection. as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; Section 7.14.7 (I) (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☒ ☐ ☐ Section 7.14.7(C) room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any staff interventions every 15 minutes, with actual time ☒ ☐ ☐ Section 7.14.7 (F) and (G) recorded; (4) provide that the youth shall be evaluated by the facility manager, or designee, every four hours; Section 7.14.7 (J) ☒ ☐ ☐ Policy requires evaluation every hour. (5) provide for immediate medical assessment, where appropriate, or an assessment at the next daily sick call; and, Section 7.14.7 (H) ☒ ☐ ☐ The facility is to have immediate response by medical and evaluations every 15 minutes until the youth is removed from the safety room. (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☒ ☐ ☐ Section 7.14.7(G) and (J) means of control, and decisions to continue and end placement. 7704 Tulare JDFC Camp PRO 23-24 Page 55 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and exhausted, unless attempting those options poses a ☒ ☐ ☐ Section 7.14.7 Purpose threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. Section 7.14.7 (B) (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☒ ☐ ☐ youth. Section 7.14.7 Purpose (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room for a period of four hours, staff shall do one or more of ☒ ☐ ☐ Section 7.14.7 (K) the following: ☒ ☐ ☐ Section 7.14.7 (K)(1) (1) return the youth to general population. ☒ ☐ ☐ Section 7.14.7 (K)(2) (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. Section 7.14.7 (K)(3) (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☒ ☐ ☐ Section 7.14.7 (L) and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement Section 7.7 Youth Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures Section 7.8.3 Unit Searches shall provide that: Section 7.8.5 Area Searches ☒ ☐ ☐ Section 7.8.6 Random Unit Searches Section 7.8.8 Facility Perimeter Searches Section 5.7.1 (D) Visitor Search 7704 Tulare JDFC Camp PRO 23-24 Page 56 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Section 7.7.1 Purpose staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being ☒ ☐ ☐ Section 7.7.1 Purpose searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Section 7.7.2 (D)-(F) and (I) ☒ ☐ ☐ The agency has not conducted any strip searches from July 2022 to date of inspection. (d) Physical body cavity searches shall only be conducted by a medical professional. ☒ ☐ ☐ Section 7.7.2 (I) (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Section 7.7.3(C)(3) when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ Section 7.7.3 (G) (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when ☒ ☐ ☐ Section 7.7.2 (G) and (H) conducted by a medical professional. Such searches must be justified and documented in writing. 7704 Tulare JDFC Camp PRO 23-24 Page 57 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement Section 6.3.4 Institution Grievance written policies and procedures whereby any youth may Procedures appeal and have resolved grievances relating to any condition of confinement, including but not limited to health care services, classification decisions, program participation, telephone, mail or visiting procedures, There have been 201 grievances filed food, clothing, bedding, mistreatment, harassment or from July 2022 to date of inspection; with violations of the nondiscrimination policy. There shall be the majority being resolved at the lead no time limit on filing grievances. Policies and staff and IS level. We noted of the 201 procedures shall include provisions whereby the facility filed in the last 10 months, 56 were filed manager ensures: by one youth, approximately 25%. There were 203 filed in 2022, down significantly from the 342 filed in 2018 and 324 in 2019. ☒ ☐ ☐ With regard to the process, all facility grievances were responded to the same day submitted or the following day and each was resolved within 3-4 days. Staff take the time to review video and logs to ensure any statements by youth are addressed. The form and process exceed regulation. If the grievance is with medical or mental health services, they are provided to the Wellpath or Precision staff to respond. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; Section 6.3.4 (A)(1) (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ supervision staff working in the facility; Section 6.3.4 (F)(6) (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Section 6.3.4 (A)2) (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances that relate to health and safety issues must be ☒ ☐ ☐ Section 6.3.4 (A)(3) and (A)(4) addressed immediately; 7704 Tulare JDFC Camp PRO 23-24 Page 58 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The youth may elect to be present to explain his/her version of the grievance to a person not ☒ ☐ ☐ Section 6.3.4 (A)(3)(a) directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ Section 6.3.4 (A)(3)(b) (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Section 6.3.4 (A)(4) (f) a system which provides that any appeal of a grievance shall be heard by a person not directly involved in the circumstances which led to the ☒ ☐ ☐ Section 6.3.4 (A)(5) grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer ☒ ☐ ☐ Section 6.3.4 (A)(6) time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Section 6.3.4 (A)(7) Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ Section 6.3.4 (A) Last Paragraph policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical Section 3.3 Institutional Records and harm, use of force, serious threat of physical harm, or Reports death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 7704 Tulare JDFC Camp PRO 23-24 Page 59 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, IMPRESSIONS Section 4.3.4.1 (D) (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force ☐ ☐ ☒ to collect blood specimens, saliva samples, and thumb The facility does not use force to collect or palm print impressions from individuals who are DNA that has been Court Ordered or by required to provide such samples, specimens or written notice by any law enforcement impressions pursuant to Penal Code Section 296 and officer. Rather, the youth is returned to who refuse following written or oral request. Court. This has not occurred this cycle. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that an objective, trained and competent correctional ☐ ☐ ☒ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☐ ☐ ☒ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The authorization shall include information that reflects the ☐ ☐ ☒ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☐ ☐ ☒ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7704 Tulare JDFC Camp PRO 23-24 Page 60 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM (a) School Programs Section 5.3 Education Programs The County Board of Education shall provide for the administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee The Tulare County Office of Education is pursuant to applicable State laws. The school and facility involved with youth outside of the administrators shall develop and implement written policy classroom, promoting post-secondary and procedures to ensure communication and involvement in both the classroom coordination between educators and probation staff. through online learning and in Vocational Culturally responsive and trauma-informed approaches Education. TCOE staff complete regular should be applied when providing instruction. Education evaluation and testing of youth to staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe determine individual needs in the technology practices. The facility administrator shall classroom and the Paxton-Patterson request an annual review of each required element of the Program introduces a robust program by the Superintendent of Schools, and a report construction-focused curriculum. Non- or review checklist on compliance, deficiencies, and graduated youth are eligible for and corrective action needed to achieve compliance with this participate in credit recovery opportunities section. Such a review, when conducted, cannot be to gain the most from the educational time delegated to the principal or any other staff of any juvenile in the classroom. court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item ☒ ☐ ☐ We spoke with the Vocational Ed CTE with the Superintendent of Schools and shall take instructor who is passionate about the whatever corrective action is necessary to address each opportunities for the program and anxious deficiency and to fully protect the educational interests of for more students to be involved, pre- and all youth in the facility. post-graduates. His enthusiasm is obvious and his passion to provide a positive experience was contagious. The school continues to offer the “Re- Start” program. If a youth is refusing to go to the classroom or is having difficulties with behavior in the classroom, he/she is provided classroom instruction 1:1 for the remainder of a school period. This allows an opportunity for the youth to realize the benefits of this “school time out” and return without significant consequence. By allowing the youth a bit of reflection, in most cases, they are able to return to the school setting and finish their day. 7704 Tulare JDFC Camp PRO 23-24 Page 61 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements The facility school program shall comply with the State Section 5.3.1 Education Objectives Education Code and County Board of Education policies, all applicable federal education statutes and regulations Section 5.3.3 Introduction Paragraph and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall Students are given the opportunity to establish and maintain learning environments that are explore interests and aptitudes for a physically, emotionally, and intellectually safe. Youth shall career in the construction industry be provided a rigorous, quality educational program that through participation in the Vocational responds to the different learning styles and abilities of students and prepares them for high school graduation, Education Program. Tulare County career entry, and post-secondary education. Office of Education Court School provides a Career Technology Education in a Construction pathway. There are 14 trades youth are exposed to at an introductory level. The trades involve the use of various tools for the identified construction trade, including but not limited to electrical, plumbing, drywall, roofing, concrete, cabinetry, power tools, ☒ ☐ ☐ and general construction. The Youth Facility Building has been remodeled to allow for a softer version of alternative education program space and computer lab opportunities. Although the agency has (temporarily) lost the dorm- type environment of the facility, the end result is classrooms and training space, youth incentive and recreation space, and the opportunities to participate in activities in an area outside the condensed unit/pod environment. We were impressed with the remodel approach to softer and homelike opportunities for youth in and transitioning out of the detention/commitment setting. All youth shall be treated equally, and the education program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ Section 5.3.1 (A) nonconforming youth by their preferred name and gender. 7704 Tulare JDFC Camp PRO 23-24 Page 62 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The course of study shall comply with the State Education Code and include, but not be limited to, ☒ ☐ ☐ Section 5.3.1 Goals courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ Section 5.3.1 (C) Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ Section 5.3.1 (E) (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. Section 5.3.1 (C) (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. Section 5.3.1 (F) (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with Section 5.3.1 (D) education staff, must ensure that operational procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of The facility school program includes 330 class or educational instruction, both excused and educational minutes four days a week unexcused, shall be documented. with a minimum day on Wednesdays. This averages in excess of 300 minutes per day. The curriculum exceeds minimum standards and staffing includes at least one teacher in each classroom. ☒ ☐ ☐ Because the facility plant was designed to only allow 18 students in each classroom, some youth receive their instruction in the day room with a teacher and instructional aide. This is a rare occurrence with the opportunities in Vocational Education, which will be expanded in the coming months. 7704 Tulare JDFC Camp PRO 23-24 Page 63 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) Education shall be provided to all youth regardless of classification, housing, security status, disciplinary Section 5.3.1 (G) or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline (1) Positive behavior management will be Section 5.3.3 (B) and (C) implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. Section 5.3.3 (A) (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school shall be imposed only when other means of correction Section 5.3.3 (B) fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and procedures that address the rights of any student who has ☒ ☐ ☐ Section 5.3.3 (C) continuing difficulty completing a school day. (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Section 5.3.4 suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ Section 5.3.4 federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's Section 5.3.5 educational history, including but not limited to: 7704 Tulare JDFC Camp PRO 23-24 Page 64 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) School progress/school history; ☒ ☐ ☐ Section 5.3.5 (A)(1) (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ Section 5.3.5 (A)(4) (C) Needs and services of special populations as defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. Section 5.3.5 (A)(2) (D) Discipline problems. ☒ ☐ ☐ Section 5.3.5 (A)(3) (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ Section 5.3.5 levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary education plan shall be developed for each youth ☒ ☐ ☐ within five school days. Section 5.3.5 (C) (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's records from his/her prior school(s), including, but not Section 5.3.5 (D) limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ Section 5.3.6 (A) placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in Section 5.3.6 (B) accordance with the State Education Code. 7704 Tulare JDFC Camp PRO 23-24 Page 65 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies Section 5.3.6 (C) and procedures to meet the transition needs of youth, including the development of an education transition plan, in accordance with the State Education Code ☒ ☐ ☐ The facility hosts MDT meetings bi- and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. monthly to facilitate the education, medical, and mental health of youth as they exit the facility. (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- Section 5.3.7 ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. Section 5.4 Recreation, Exercise and The facility administrator shall develop and implement Programs written policies and procedures for programs, recreation, and exercise for all youth. The intent is to Section 5.8 Facility Programs minimize the amount of time youth are in their rooms or their bed area. The implementation of a realistic operational schedule, counseling with Phoenix House and the Program ☒ ☐ ☐ Specialist, have resulted in robust program opportunities for youth. Directed Activities, which is programming facilitated by staff, offers structured curriculum-based topics and is only used when a provider is unavailable. Precision Psychiatric Services is contracted as the Mental Health provider and provides individual and crisis counseling as well as assessment services. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each Section 5.4 Recreation and Exercise Saturday, Sunday or other non-school days, of which ☒ ☐ ☐ Section 5.8 Facility Programs one hour shall be an outdoor activity, weather permitting. 7704 Tulare JDFC Camp PRO 23-24 Page 66 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ Section 5.4 represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. Section 5.4 ☒ ☐ ☐ The unit schedule is posted in each living unit. There will be a written annual review of the programs, recreation, and exercise by the responsible agency to ensure content offered is current, consistent, and Section 5.4 relevant to the population. ☒ ☐ ☐ The annual evaluation was completed by Division Manager Mike Santos on May 1, 2023. 7704 Tulare JDFC Camp PRO 23-24 Page 67 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Section 5.4.8 Facility Programs include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce The facility has programming and recidivism. These programs should be based on the services to meet the various needs of youth’s individual needs as required by Sections 1355 their youth population. Programs are and 1356. Such programs may be provided under the facilitated by probation staff, Precision direction of the Chief Probation Officer or the County Psychiatric Service Clinicians (Alcohol Office of Education and can be administered by county partners such as mental health agencies, community and Drug Counseling), the TCOE, based organizations, faith-based organizations or Phoenix House, and Program Specialist. Probation staff. Precision’s role is to provide individual and crisis counseling as well as initial Programs may include but are not limited to: mental health assessments. Phoenix House provides numerous evidence- based programming as well as ongoing program assessments for each youth in detention. The Program Specialist Supervisor and Program Specialist responsibilities include monitoring and implementing programs in the facility as well as evaluating them for fidelity. ☒ ☐ ☐ Programs include: Coping and Support Training (CAST) through the TCOE Mental Wellness Service Team; 24/7 Dad thru Phoenix House (PH); Aggression Replacement Training (PH); Thinking for a Change (PH); Victim Impact – Listen and Learn (PH); Helping Men Recover (PH); Alcohol and Drug Education and Counseling – including Living in Balance, Stages of Change, and Seeking Safety; Adolescent Sexual Responsibility Program (ASRP) through TC Youth Services Bureau; Readiness for Employment through Sustainable Education and Training (RESET); Individual, Crisis and Psychiatric Services through Precision Mental Health; Physical Training Program; Youth Leaders Club; and Vocational Ed through the TCOE. 7704 Tulare JDFC Camp PRO 23-24 Page 68 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; Section 5.4.8 (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Section 5.4 entertainment. Activities shall be supervised and include orientation and may include coaching of youth. ☒ ☐ ☐ Recreation Programs include reading, writing, entertainment, television, radio, music, and video games. 7704 Tulare JDFC Camp PRO 23-24 Page 69 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Section 5.4 each day. The facility has a structured Physical Training program to ensure youth are ☒ ☐ ☐ exercising and participating in large muscle exercise daily. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ Section 5.4 the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to religious Section 5.5 Religious Programs services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Section 5.5.3 (A) (b) availability of clergy; and, ☒ ☐ ☐ Section 5.5.3 Section 5.5.4 Religious Diets (c) availability of religious diets. ☒ ☐ ☐ Section 5.14.7 Therapeutic Diets 7704 Tulare JDFC Camp PRO 23-24 Page 70 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1373 WORK PROGRAM The facility administrator shall develop policies and Section 5.2 procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth shall ☒ ☐ ☐ be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING The facility administrator shall develop and implement Section 5.7.1 Visiting Programs written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Section 5.7.5 Special Visits receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family Section 5.7.5 (G) Children Visits members, such as grandparents and siblings, and Section 5.7.7 Supportive Adults supportive adults, may be allowed to visit with the ☒ ☐ ☐ approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. The facility has implemented a visiting schedule for Saturdays and Sundays to accommodate families in a 2-hour block for each housing unit. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and security. Section 5.7.1 (A) Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but conversations shall not be monitored unless there is a security or safety ☒ ☐ ☐ Section 5.7.2 (E) need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion Section 5.7.5 Special Visits of the facility administrator or designee. Family therapy ☒ ☐ ☐ Section 5.7.6 Professional Visits and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. 7704 Tulare JDFC Camp PRO 23-24 Page 71 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility may provide access to technology as an alternative, but not as a replacement, to in-person visiting. Section 5.7 ☒ ☐ ☐ The facility uses Skype and other virtual platforms to facilitate visits with families unable to visit. 1375 CORRESPONDENCE The facility administrator shall develop and implement ☒ ☐ ☐ Section 5.11 Mail Policy written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth may send or receive; ☒ ☐ ☐ Section 5.11 (B) (b) youth may send two letters per week postage free; ☒ ☐ ☐ Section 5.11.1 (F) (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ Section 5.11.3 staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described in (c), may be read by staff only when there is reasonable cause to believe facility safety and security, public safety, ☒ ☐ ☐ Section 5.11.1 (D) or youth safety is jeopardized. 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop ☒ ☐ ☐ Section 5.13 Telephone Policy and implement written policies and procedures to provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: Section 5.1.2 (I) Mandatory Programming ☒ ☐ ☐ Section 5.1.5 Access to Legal Services 7704 Tulare JDFC Camp PRO 23-24 Page 72 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; ☒ ☐ ☐ Section 5.1.2 (I)(1) (b) provision for confidential consultation with attorneys; and, ☒ ☐ ☐ Section 5.1.2 (I)(2) (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. ☒ ☐ ☐ Section 5.1.2 (I)(3) 1390 DISCIPLINE The facility administrator shall develop and implement Section 6.4.1(B) and (C) Discipline written policies and procedures for the discipline of youth Process that shall promote acceptable behavior; including the use of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Section 6.4.3(A) Bullet 1 (b) daily shower, access to drinking fountain, toilet and ☒ ☐ ☐ Section 6.4.3(A) Bullet 2-5 personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Section 6.4.3(A) Bullet 6 (d) contact with parent or attorney; ☒ ☐ ☐ Section 6.4.3(A) Bullet 7 (e) exercise; ☒ ☐ ☐ Section 6.4.3(A) Bullet 8 7704 Tulare JDFC Camp PRO 23-24 Page 73 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) medical services and counseling; ☒ ☐ ☐ Section 6.4.3(A) Bullet 9 (g) religious services; ☒ ☐ ☐ Section 6.4.3(A) Bullet 10 (h) clean and sanitary living conditions; ☒ ☐ ☐ Section 6.4.3(A) Bullet 11 (i) the right to send and receive mail; ☒ ☐ ☐ Section 6.4.3(A) Bullet 12 (j) education; and, ☒ ☐ ☐ Section 6.4.3(A) Bullet 13 (k) rehabilitative programming. ☒ ☐ ☐ Section 6.4.3(A) Bullet 14 The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major Section 6.5 Rule Violations and violations and minor violations, be stated simply and Disciplinary Sanctions ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7704 Tulare JDFC Camp PRO 23-24 Page 74 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 1391 DISCIPLINE PROCESS The facility administrator shall develop and implement Section 6.4 Progressive Discipline written policies and procedures for the administration of discipline which shall include, but not be limited to: Section 6.5 Rule Violations and Disciplinary Sanctions Section 6.6 Disciplinary Due Process We reviewed 27 incident reports including Due Process (DP), as well as 34 RC incident reports that included the due process requirements. The form and timeliness in policy were in line with regulation. The agency has a matrix for sanctions which is being reimplemented to ensure consistency. The agency continues to complete Due Process for minor rule violations, resulting in an excessive amount of documentation. From July 2022 to the date of the inspection, there were 551 DP ☒ ☐ ☐ reports but only 80 major rule violation incidents. In 2020, the agency had 1097 DP incidents but when refined, there were 382 major rule violations in the same time period. Last cycle numbers were similar, with 236 major incidents and 1535 DP forms completed in a 21-month period. The others were documented minor rule violations and self-harm incidents. We again provided technical assistance recommendations for the facility to return to using “Consequence” forms only, rather than duplicating the process, for minor rule violations, documenting the minor violation and the minor sanction, if any was imposed. The amount of time spent completing an incident report and DP is exhaustive and unnecessary. The consequence form is appealable, entered in Caseload Explore so new and old minor violations can be seen, and most importantly, allows staff more time to supervise and re-direct behavior. 7704 Tulare JDFC Camp PRO 23-24 Page 75 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ Section 6.4.3 (B) (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Section 6.4.3 (B) (c) definition of major and minor rule violations and their consequences, and due process requirements; Section 6.5.2-4 ☒ ☐ ☐ Section 6.5.5 Commitment Program Rules and Sanctions (additional) (d) trauma-informed approaches and positive behavior interventions; ☒ ☐ ☐ Section 6.4.1 (C) (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be Section 6.6.3 Disciplinary Due Process accompanied by written documentation and a policy of for Minor Rule Violations review and appeal to a supervisor; and, The facility currently completes an ☒ ☐ ☐ incident report and full due process for minor rule violations. We provided technical assistance to complete a lesser form of documentation and appeal request in line with the Consequence Sheet used in the past. (f) major rule violations and the discipline process shall be documented and require the following: Section 6.6.4 Disciplinary Due Process ☒ ☐ ☐ and Major Rule Violations (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Section 6.6.4 (A)(3)(1) 7704 Tulare JDFC Camp PRO 23-24 Page 76 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Section 6.4.1 (E) learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ Section 6.6.4 (A)(3)(2) incident; (4) opportunity for the youth to be heard, present ☒ ☐ ☐ Section 6.6.4 (A)(3)(3) evidence and testimony; (5) provision for youth to be assisted by staff in the ☒ ☐ ☐ Section 6.6.4 (A)(3)(4) hearing process; (6) provision for administrative review. ☒ ☐ ☐ Section 6.6.4 (A)(3)(5) (g) violations that result in a removal from camp or commitment program, but not a return to court, will follow the due process provisions in subsection (e) ☒ ☐ ☐ Section 6.5.5 (I) above. 1410 MANAGEMENT OF COMMUNICABLE DISEASES. Tulare County Probation Department The health administrator/responsible physician, in Juvenile Facility Manual (TCPDJFM) cooperation with the facility administrator and the local Section 8.10.2 Management of health officer, shall develop written policies and ☒ ☐ ☐ Communicable Diseases procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, Juvenile Detention Facility Response to but not be limited to: COVID-19 TCPDJFM Section 8.10.2, A-1 Induction Health Screening Procedures (a) Intake health screening procedures; ☒ ☐ ☐ Juvenile Detention Facility Response to COVID-19: Booking Protocols 7704 Tulare JDFC Camp PRO 23-24 Page 77 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS TCPDJFM Section 8.10.2, A-2 Identification of Relevant Symptoms (b) Identification of relevant symptoms; ☒ ☐ ☐ Tulare County Pre-Screening Questionnaire TCPDJFM Section 8.10.2, A-3 Referral for Medical Evaluation (c) Referral for medical evaluation; ☒ ☐ ☐ TCPDJFM Section 8.10.2, C Juvenile Detention Facility Response to COVID-19: Booking Protocols: Bullet 2 TCPDJFM Section 8.10.2, A-4 Treatment responsibilities during detention. TCPDJFM Section 8.10.2, E Treatment based on assessment. (d) Treatment responsibilities during detention; ☒ ☐ ☐ TCPDJFM Section 8.10.2, G Treatment as prescribed by the attending physician Juvenile Detention Facility Response to COVID-19 TCPDJFM Section 8.10.2, A-5 (e) Coordination with public and private community- ☒ ☐ ☐ based resources for follow-up treatment; Coordination of public and private community-based resources for follow- up treatment. 7704 Tulare JDFC Camp PRO 23-24 Page 78 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS TCPDJFM Section 8.10.2, A-6 Reporting Requirements (f) Applicable reporting requirements; and, ☒ ☐ ☐ Juvenile Detention Facility Response to COVID-19 TCPDJFM Section 8.10.2, A-7 Strategies for handling disease outbreaks (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ TCPDJFM Section 8.10.2, E Communicable Disease Precautions Juvenile Detention Facility Response to COVID-19 The policies and procedures shall be updated as necessary to reflect communicable disease priorities identified by the local health officer and currently The agency is fortunate to have 24-hour recommended public health interventions. medical personnel on-site every day. ☒ ☐ ☐ This allows for comprehensive screening, treatment, and medical daily assessments of a youth’s condition. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 8, Section 8.7 Medical Treatment The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ and Services establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE The youth’s personal clothing, undergarments and Section 5.9.1 footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily laundered, in good repair, and free of holes and tears. ☒ ☐ ☐ Section 5.9.1, A (b) The standard issue of climatically suitable clothing ☒ ☐ ☐ for youth shall consist of but not be limited to: 7704 Tulare JDFC Camp PRO 23-24 Page 79 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Socks and serviceable footwear; ☒ ☐ ☐ Section 5.9.1, D-1 and 7 (2) Outer garments; ☒ ☐ ☐ Section 5.9.1, E (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; ☒ ☐ ☐ Section 5.9.1, D-2 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. Section 5.9.1, D-2 and 4 ☒ ☐ ☐ Section 5.9.2, B (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried completely in a mechanical dryer or other laundry ☒ ☐ ☐ Section 5.9.2, A method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Section 5.9.1 H 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement Section 5.9.2 Intro written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL CLOTHING Section 5.9.2, D There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 7704 Tulare JDFC Camp PRO 23-24 Page 80 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1485 ISSUE OF PERSONAL CARE ITEMS There shall be written policies and site-specific Section 5.10.1 procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ Section 5.10.1 Toiletry Item H items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Section 5.10.1 Toiletry Item A (b) Toothpaste; ☒ ☐ ☐ Section 5.10.1 Toiletry Item B (c) Soap; ☒ ☐ ☐ Section 5.10.1 Toiletry Item C (d) Comb; ☒ ☐ ☐ Section 5.10.1 Toiletry Item D (e) Shaving implements; ☒ ☐ ☐ Section 5.10.5 B (f) Deodorant; ☒ ☐ ☐ Section 5.10.1 Toiletry Item I (g) Lotion; ☒ ☐ ☐ Section 5.10.1 Toiletry Item E (h) Shampoo; and, ☒ ☐ ☐ Section 5.10.1 Toiletry Item G 7704 Tulare JDFC Camp PRO 23-24 Page 81 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (i) Post-shower conditioning hair products. ☒ ☐ ☐ Section 5.10.1 Toiletry Item F Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Section 5.10.1 C Youth shall not share disposable razors. Double edged Section 5.10.5 B safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE There shall be written policies and site specific Section 5.10.1 B procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Section 5.10.2 A and B teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Youth shall have access to a razor daily, unless their Section 5.10.5 B appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Hair care services shall be available in all juvenile Section 5.10.5 A facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good Section 5.8.1 repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; Section 5.8.1 B-1 through 3 7704 Tulare JDFC Camp PRO 23-24 Page 82 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ Section 5.8.1 B-2 (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Section 5.8.1 A (d) One towel; and, ☒ ☐ ☐ Section 5.8.1 A (e) One blanket or more, up on request ☒ ☐ ☐ Section 5.8.1 A 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement Section 5.8.2 A-1 and 2 site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once a month. ☒ ☐ ☐ Section 5.8.1 A-3 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Section 7.11.5 Facility Sanitation Safety The facility administrator shall develop and implement and Maintenance written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7704 Tulare JDFC Camp PRO 23-24 Page 83 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 7704 Tulare JDFC Camp PRO 23-24 Page 84 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ ☒ Dependent or neglected minors who are defined under Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) 7704 Tulare JDFC Camp PRO 23-24 Page 85 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☐ ☒ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7704 Tulare JDFC Camp PRO 23-24 Page 86 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7707 FACILITY NAME: Tulare County Secure Youth Treatment Facility (SYTF) FACILITY TYPE: JH PERSON(S) INTERVIEWED: Kelly Vernon, Chief Probation Officer; Mike Santos, Division Manager; Margarita Luna, Deputy Chief Probation Officer; Leanne Williams, Assistant Chief Probation Officer; Greg Powers, Supervising Probation Officer (SPO); Michael Ortiz, SPO; Albert Fereira, SPO; Jennifer Childress, Institution Supervisor (IS); Lorena Torres, Probation Corrections Officer (PCO) III; ; Victor Arcero, PCO I; Susan Graf, Food Services Manger JDF; Deanna Huff, Wellpath Administrator; Eric Krenz, Wellpath Director of Nursing; Marco Ramirez, Wellpath RN Supervisor; Karen Valdavieso, Principal TCOE; Angela Gallardo, Phoenix House; Ashley Ramirez, Phoenix House; Gisel Angeles, Probation Program Specialist Supervisor; Mary Helen Gonzalez, Precision Psychiatric Services Director; Rupally Tilve, Vice President Operations Precision Psychiatric Services; Youth: Isiah G, age 17 (SYTF); Devon A, age 16 (Mid-Term Commit); Zerina O, age 16 (Mid-Term Commit); Santiago A, age 19 (SYTF); Lelani A, age 14 (Detention) FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 15-18, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS May 24, 2022 April 6, 2021 On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ documented inspection and evaluation from the ☐ The 2023 Building Inspection was following: occurring while on-site, May 16, 2023. (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code Section ☒ October 6, 2022 ☐ ☐ 13146.1(a) and (b); March 23, 2021 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7707 Tulare SYTF JH PRO 23-24 Page 1 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: December 1, 2022 October 5, 2021 Medical/Mental Health: December 7, 2022* September 20, 2021 Nutritional Health: November 28, 2022 October 6, 2021 ☒ ☐ ☐ We noted the 2022 Medical Inspection found Wellpath was not providing Education Services to youth upon admission or throughout their stay. Our review found documented education during the initial assessments and ongoing services for youth. The Wellpath Manual also articulates this to include a documentation component. (d) county superintendent of schools on the adequacy of educational services and facilities as required in Section ☒ May 10, 2023 ☐ ☐ 1370; March 18, 2022 (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, ☒ February 15, 2023 ☐ ☐ March 17, 2022 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ June 30, 2022 ☐ ☐ Probation Commission as required by Section 240 of the April 21, 2021 Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS The elements of this regulation are BSCC Note: Compliance with this section is determined addressed in a memorandum completed by receipt of the Chief Probation Officer’s certification by Deputy Chief Probation Officer letter confirming that all elements of regulation are met. Margarita Luna dated August 27, 2022. There was no Chief in place when completed, however, the new Chief (a) Appointment ☒ ☐ ☐ Probation Officer is Kelly Vernon. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and The memorandum verifies the agency employees. Such superintendent, director, facility hires qualified candidates that meet the manager and other employees of the facility shall be specifications required by the agency and appointed by the facility administrator pursuant to regulation. applicable provisions of law. 7707 Tulare SYTF JH PRO 23-24 Page 2 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Employee Qualifications Each facility shall: Section 2.2.1 (A) (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ Section 2.2.1 (A) ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and Section 2.2.1 (C) (4) conduct a criminal records review, on each new employee, and psychological examination in Section 2.2.1 (B) ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Section 2.2.1 (D) facility, shall have such clearance and qualifications as ☒ may be required by law, and their presence at the facility ☐ ☐ shall be subject to the approval and control of the facility manager. 7707 Tulare SYTF JH PRO 23-24 Page 3 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Each juvenile facility shall: Section 2.1(F)(1) (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its programming, to provide for safety and security of youth The Juvenile Facilities (JF) have one and staff, and meet established standards and Division Manager, 3 Supervising regulations; Probation Officers, 13 Institution Supervisors, 4 Probation Corrections Officer (PCO) III’s, 28 Probation Corrections Officer I/II’s, 4 transportation staff, 6 Intake officers, 13 Detention Services Officers, and 10 kitchen and laundry staff. ☒ There are 43 vacant PCO I/II/III positions, ☐ ☐ 13 on a long-term Leave of Absence (LOA) and 11 frozen positions. All PCO’s are core trained. Due to the shortages, the agency has a process in place for mandatory overtime. The Deputy Probation Officers (DPO) have been mandated to work one shift per week. The DPO schedule is based on seniority and these staff have the option of working overtime or in lieu of their scheduled field day. Of the 85 DPO staff, half are core trained. The schedule and administration of the OT is getting better as new staff come on board, but it remains difficult to manage. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; Section 2.1(F)(2) 7707 Tulare SYTF JH PRO 23-24 Page 4 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Section 2.1(F)(3) There is a minimum of one Institutional ☒ ☐ ☐ Supervisor on duty at all times, however, we note since the IS series works 12-hour shifts, there are typically 2 on duty each shift. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has ☒ completed the Juvenile Corrections Officer Core Course ☐ ☐ Section 2.1(F)(4) and PC 832 training; (e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ Section 2.1(F)(5) ☐ ☐ (f) have sufficient food service personnel relative to the number and security of living units, including staff qualified and available to: plan menus meeting nutritional Section 2.1(F)(6) requirements of youth; provide kitchen supervision; direct food preparation and servings; conduct related training programs for culinary staff; and maintain necessary ☒ There is a Food Services Manager, 4 ☐ ☐ records; or, a facility may serve food that meets nutritional cooks, a stock clerk/Warehouse staff, and standards prepared by an outside source; 3 laundry technicians assigned to the facility. 7707 Tulare SYTF JH PRO 23-24 Page 5 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Section 2.1(F)(7) transportation, control room, facility security and other support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and, The facility is sufficiently staffed for their population. Wellpath provides 24-hour per day medical services, seven days a week. Precision Psychiatric Services via Kaweah Hospital provides Mental Health Services Monday through Friday, but is available 24 hours a day, via on-call. ☒ ☐ ☐ There is a Clinician, Discharge Planner (LVN) and Medical Assistant scheduled during the week and a Psychiatrist on site on Mondays. Phoenix House staff and the Program Specialist provide programming in order for staff to facilitate operational needs. There is ancillary sufficient staff to ensure no services for the youth population are diverted from youth supervision staff responsibilities. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ Section 2.1(F)(8) ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls (A) during the hours that youth are awake, one Section 2.1 (B) wide-awake youth supervision staff member on duty for each 10 youth in detention; Units A, (Max Security General Population (GP) male youth); B (GP ☒ males and GP/Commitment Female ☐ ☐ youth); and D (SYTF) comply with the 1:10 ratio. Unit C (Short, Mid, and Long- term commitment male youth) is camp youth, and they are able to operate with a 1:15 ratio. (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 ☐ ☐ Section 2.1(C) 30 youth in detention; 7707 Tulare SYTF JH PRO 23-24 Page 6 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Section 2.1 number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to emergencies; and, ☒ We reviewed the staff schedules and ☐ ☐ roster, noting there are at minimum 8 staff on duty during sleeping hours, well beyond the minimum required ratio. (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. Section 2.1(D) (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ Section 2.1(G) ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☒ This facility is not a SPJH, therefore, the ☐ ☐ awake youth supervision staff member on duty for balance of this section will be left blank. each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (A) during the hours that youth are awake, one ☒ This facility is not a Camp; therefore, the ☐ ☐ wide-awake youth supervision staff member on balance of this section will be left blank. duty for each 15 youth in the camp population; 7707 Tulare SYTF JH PRO 23-24 Page 7 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 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 present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☒ arrangements have been made for backup support ☐ ☐ services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☒ ☐ ☐ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Section 2.6.2(A) (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Section 2.6.2(A)(1) their duties, including: (1) youth supervision duties; The Department training curriculum, updated in 2020, exceeds minimum standards and includes all required elements, including a 160- to 200-hour ☒ ☐ ☐ training and orientation process, monitored by a Field Training Officer. Staff are provided significant training before shadowing permanent staff as ‘on the job’ training. (2) scope of decisions they shall make; ☒ Section 2.6.2(A)(2) ☐ ☐ 7707 Tulare SYTF JH PRO 23-24 Page 8 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) the identity of their supervisor; ☒ Section 2.6.2(A)(3) ☐ ☐ (4) the identity of persons who are responsible to them; ☒ Section 2.6.2(A)(3) ☐ ☐ (5) persons to contact for decisions that are beyond their responsibility; and ☒ Section 2.6.2(A)(4) ☐ ☐ (6) ethical responsibilities. ☒ Section 2.6.2(A)(5) ☐ ☐ (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff Section 2.6.2(B) member shall receive a minimum of 40 hours of facility- specific orientation, including: Section 2.6.2 Bullet 1 The facility provides 160 to 200 hours of curriculum in their Orientation and training process, depending on assignment and successful completion of three specific phases, prior to assuming any youth supervision duties. Staff assigned to Booking and Intake require more specific ☒ ☐ ☐ training. The basic requirements for all staff include New Staff Orientation/Training and Observation Training. Additional training may be provided which includes Proficiency Training (Remediation skill training) and Re-Integration Training (staff who have been absent for a period of time). This is a comprehensive and intensive training process. 7707 Tulare SYTF JH PRO 23-24 Page 9 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) individual and group supervision techniques; ☒ Section 2.6.2 Bullet 1 ☐ ☐ Section 2.6.2 Bullet 2 (2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; New staff receive an Orientation Binder to use as a study tool. (3) basic health, sanitation and safety measures; ☒ Section 2.6.2 Bullet 3 ☐ ☐ Section 2.6.2 Bullet 4 (4) suicide prevention and response to suicide ☒ attempts ☐ ☐ Suicide Prevention training is part of the department’s annual training for all facility staff. (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Section 2.6.2 Bullet 5 physical restraints; Section 2.6.2 Bullet 6 (6) review of policies and procedures referencing ☒ trauma and trauma-informed approaches; ☐ ☐ All new youth supervision staff are required to read the Policy and Procedure Manual prior to mentoring in the facility. 7707 Tulare SYTF JH PRO 23-24 Page 10 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 2.6.2 Bullet 7 This is the agency Emergency (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Procedures policy and procedures. The County of Tulare also has an Emergency Action Plan designed specifically to the Facility site. (8) routine security measures, including facility ☒ Section 2.6.2 Bullet 8 perimeter and grounds; ☐ ☐ (9) crisis intervention and mental health referrals to ☒ Section 2.6.2 Bullet 9 mental health services; ☐ ☐ (10) documentation; and ☒ Section 2.6.2 Bullet 10 ☐ ☐ Section 2.6.2 Bullet 11 (11) fire/life safety training ☒ ☐ ☐ All new staff are provided CPR/First Aid Training within the first two months of hire, sooner if the staff is cored. (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ Section 2.6.4 (A) ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. Section 2.6.4 (B) 7707 Tulare SYTF JH PRO 23-24 Page 11 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1323 FIRE AND LIFE SAFETY Whenever there is a youth in a juvenile facility, there shall Section 2.6.4 (D) Training be at least one wide awake person on duty at all times ☒ ☐ ☐ who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL All facility administrators shall develop, publish, and Section 1.4 TCJDF Policy and implement a manual of written policies and procedures Procedures Manual that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, ☒ and shall be administratively reviewed at a minimum ☐ ☐ The current manual was reviewed and every two years, and updated, as necessary. Those updated in April 2023. It is compliant with records relating to the standards and requirements set regulations and addresses all facets of forth in these regulations shall be accessible to the Board detention, commitment, and SYTF. on request. The manual shall include: (a) table of organization, including channels of communications and a description of job classifications; Section 1.2 Table ☒ Section 1.4 (A) ☐ ☐ Section 2.3 Job Descriptions (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or Section 1.3 Purpose, Vision, Mission ☒ Probation Committee, probation staff, school personnel ☐ ☐ Section 1.4 (B) and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Section 2.3 Job Descriptions of ☒ ☐ ☐ Institutional Positions (d) initial orientation and training program for employees; Section 2.6.2 Minimum Orientation and ☒ ☐ ☐ Training (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, contract ☒ employees, school, mental/behavioral health and ☐ ☐ Section 2.6.7 Non-Sworn Support Staff medical staff, program providers and volunteers; Training 7707 Tulare SYTF JH PRO 23-24 Page 12 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) maintenance of record-keeping, statistics and communication system to ensure: Section 7.4 Maintenance of Youth ☒ ☐ ☐ Records (1) efficient operation of the juvenile facility; ☒ Section 1.4 (E)(1) ☐ ☐ (2) legal and proper care of youth; ☒ Section 1.4 (E)(2) ☐ ☐ (3) maintenance of individual youth's records; ☒ Section 1.4 (E)(3) ☐ ☐ Section 1.4 (E)(4) (4) supply of information to the juvenile court and ☒ those authorized by the court or by the law; and, ☐ ☐ Section 3.1.2 Juvenile Court Release of Information Section 1.4(E)(5) (5) release of information regarding youth. ☒ ☐ ☐ Section 3.1.3 Juvenile Detention Facility Release of Information (g) ethical responsibilities; ☒ Section 2.6.2 (A)(5) ☐ ☐ (h) trauma-informed approaches; ☒ Section 1.4 (W) ☐ ☐ 7707 Tulare SYTF JH PRO 23-24 Page 13 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (i) culturally responsive approaches; ☒ Section 1.4 (X) ☐ ☐ (j) gender responsive approaches; ☒ Section 1.4 (Y) ☐ ☐ (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Section 1.4 (T); Section 4.7(B) to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ The Non-Discrimination Policy (NDP) is national origin, immigration status, color, religion, gender, posted in each living unit, listed in the sexual orientation, gender identity, gender expression, Youth Handbook, and part of the Policy mental or physical disability, or HIV status, including and Procedures Manual. restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; Section 7.13.6.7 Use of Force (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible youth; and, Section 4.3.4 (B)(3) Intake Procedures ☒ ☐ ☐ Section 8.7.4 Medical Services (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, PREA policy detecting and responding to such conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a The agency has a PREA Policy, with ☒ third party. ☐ ☐ posters of a zero tolerance for sexual assault or abuse, and all youth entering the facility are shown the PREA video before placement in a living unit. 7707 Tulare SYTF JH PRO 23-24 Page 14 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1325 FIRE SAFETY PLAN The facility administrator shall consult with the local fire Section 3.0 Emergency Procedures department having jurisdiction over the facility, or with the Manual State Fire Marshal, in developing a plan for fire safety which shall include, but not be limited to: ☒ ☐ ☐ (a) a fire prevention plan to be included as part of the The County of Tulare has an Emergency manual of policy and procedures; Action Plan that describes each element in regulation, specific to the facility site. (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; The Monthly Fire and Life Safety Inspections include documented facility- specific elements of safety as well as a check of all First Aid kits in the facility. The facility keeps detailed logs of the monthly checks, perimeter checks, Earthquake drills, and Fire Alarm checks. Additionally, the staff are required to read ☒ and sign off that they have reviewed the ☐ ☐ monthly OSHA Fact Sheet, indicating their understanding of the educational briefing each month. We reviewed the monthly fire and life safety inspections from July 2022 to April 2023. We provided technical assistance to use one form for each of the 13 areas inspected to consolidate the process. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); The most recent Fire Inspection was completed on October 6, 2022. The ☒ ☐ ☐ agency implemented annual fire inspections recommended last cycle. 7707 Tulare SYTF JH PRO 23-24 Page 15 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) an evacuation plan; There are evacuation maps throughout ☒ ☐ ☐ the facility. (e) documented fire drills not less than quarterly; The facility policy is more restrictive than regulation and requires monthly fire drills at different times and days of the week. Our review of facility-wide drills revealed ☒ ☐ ☐ drills were practiced almost daily through 2022, whenever youth go outside for recreation or exercise. In 2023, the agency began doing drills several times a month to ensure youth and staff were prepared. (f) a written plan for the emergency housing of youth in the case of fire; and, Section 3.11 Youth Fire Relocation Plan The policy indicates the agency will ☒ ☐ ☐ relocate youth to an adjacent County Juvenile Hall. CPOC Central Valley is coordinating an emergency housing plan for all counties in the region. (g) development of a fire suppression pre-plan in cooperation with the local fire department. ☒ Section 3.10 Fire Suppression Pre-Plan ☐ ☐ 7707 Tulare SYTF JH PRO 23-24 Page 16 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1326 SECURITY REVIEW Each facility administrator shall develop policies and Section 7.11.7 (I) procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. A Security Review Memorandum was ☒ ☐ ☐ completed by Division Manager Mike Santos on June 22, 2022, outlining the review of internal and external facility security measures. 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific Emergency Procedures Manual (EPM) policies and procedures for emergencies that shall include, but not be limited to: ☒ ☐ ☐ The agency has an updated EPM which all youth supervision staff are required to read annually. EPM 2.0 Escape (a) escape, disturbances, and the taking of hostages; ☒ 5.0 Hostage ☐ ☐ 7.0 Facility Disturbances EPM 8.0 Civil Disturbances (b) civil disturbance, active shooter and terrorist ☒ attack; ☐ ☐ 8.1 Active Shooter/Terrorist Attack (c) fire and natural disasters; ☒ EPM 9.0 Natural Disasters ☐ ☐ The facility has sprinklers checked two (d) periodic testing of emergency equipment; ☒ times each year and alarms are tested ☐ ☐ monthly. 7707 Tulare SYTF JH PRO 23-24 Page 17 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) emergency evacuation of the facility; and ☒ EPM 6.0 Evacuation Plan ☐ ☐ Staff are required to review an OSHA Educational tool after each monthly fire (f) a program to provide all youth supervision staff drill and the EPM one time per year. We ☒ with an annual review of emergency procedures. ☐ ☐ reviewed the agency training records as it relates to the facility annual review and found compliance with the regulation. 7707 Tulare SYTF JH PRO 23-24 Page 18 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 1328 SAFETY CHECKS The facility administrator shall develop and implement Section 3.4.1 (B) Unit Shift Logs policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, Section 3.4.3 (A) Guard 1 Visual Cell at random or varied intervals during hours when youth Safety Checks are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. Supervision is not replaced, but may be supplemented We reviewed safety checks, documented by, an audio/visual electronic surveillance system on a unit safety check log, recording time designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety of check and the number of youths checks shall be documented with the actual time the housed in each individual unit. The check is completed. agency went away from the Guard 1 tool after our last inspection; however, began using it again in January 2023. Our review included safety checks for the months of August and October 2022 and January 2023, for each of the four occupied units in Pod 5. The agency developed a safety check form last cycle to allow Institution Supervisor reviews during each shift. This prompted the IS to walk around the ☒ ☐ ☐ units and check the safety logs randomly each shift. In January 2023, the agency went to a Guard 1 Pipe check only. This resulted in a change to audits, making real-time reviews difficult. The operations IS uploads the pipe tool and assigned IS’s review the checks that occurred while they were on duty, post time. Not ideal but this allows the facility to audit, by electronic record and camera, for accountability of late or non- random/varied checks. Many factors, including the requirement for DPO coverage, removing the handwritten checks, and pipe inefficiencies are factors we considered. Additionally, the lack of staff factored into some late checks the first week of January. Later and current reviews revealed substantial compliance and noted improvements. 7707 Tulare SYTF JH PRO 23-24 Page 19 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The agency is moving to a new version of the Guard 1 pipe system that allows for movement and audit functions in real-time so administrators can review more efficiently. We plan to return in the coming months to review this system once operational. 7707 Tulare SYTF JH PRO 23-24 Page 20 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 1329 SUICIDE PREVENTION PLAN The facility administrator, in collaboration with the Section 8.14 Suicide Recognition and healthcare and behavioral/mental health administrators, Prevention shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. JMH-G-04 Precision Psychiatric Services The plan shall consider the needs of youth experiencing Manual past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall There have been 16 incidents of suicidal include the following elements: statements and gestures since our inspection in June 2022. Fifteen incidents were verbal statements made of self- harm and 1 involved a suicidal gesture. All agency partners responded per policy and met the requirements in regulation, objectives in policy, and consolidated approach in practice. The facility plan articulates procedures to follow for suicide events but also provides information for staff of what to look for, be aware of, and critical timing of critical events which illustrate the risk for suicide ☒ ☐ ☐ behaviors. It is a plan with informative triggers for staff to be aware of and is supported by 24/7 medical staff on site as well as Monday-Friday on-site mental health services with Precision Psychiatric Services and on-call services shared with the jail across the street after hours. Our review of the Precision Manual and Policy as it relates to Suicide Prevention is more of a summary with placement in the Safety Room and Smock as defined in the Suicide Watch policy, stepping down to a lesser restrictive environment upon communication with Precision staff. Wellpath nursing communicates with Precision and facility staff to design and develop individual plans and provides supervision while a youth is on any suicide or special watch. There is fragmented communication amongst all parties with the involvement of HHSA. We provided technical assistance to the Probation Administration to be clear in the 7707 Tulare SYTF JH PRO 23-24 Page 21 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS roles and follow up from agency partners directly. (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Training Section 8.14.1 and the Juvenile Corrections Officer Core Course. All staff receive Suicide Prevention ☒ Training in Core and annually. Staff ☐ ☐ assigned to the Intake unit receive additional training for screening and recognizing if a youth is at risk for suicide or self-harm. (b) Screening, Identification Assessment and Precautionary Protocols Section 8.14 (A)(1) (1) All youth shall be screened for risk of suicide at intake and as needed during detention. The facility completes numerous assessments and screening of youth by probation, medical, and mental health ☒ ☐ ☐ staff at admission. The MAYSI, medical screening, and referral to mental health for assessment articulate risks at admission. We reviewed timelines for the intake implementation of the MAYSI upon admission. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. Section 8.14.1 (3) All youth who have been identified during the intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ Section 8.14 (A)(1) and (2) suicide risk assessment. Section 4.3.4 (A)(6) (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the Section 8.14 (A)(4) behavioral/mental health assessment. ☒ ☐ ☐ Section 4.3.1 (10) 7707 Tulare SYTF JH PRO 23-24 Page 22 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Referral process to behavioral/mental health staff for assessment and/or services. Section 8.14 ☒ Section 8.2.3 (C) ☐ ☐ Section 4.3.4 (A)(6) (d) Procedures for monitoring of youth identified at risk for suicide. Section 8.14. ☒ ☐ ☐ Section 4.3.1 (10) (e) Safety Interventions (1) Procedures to address intervention protocols for ☒ Section 8.14.5 (A) ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ Section 8.14.5 (D) ☐ ☐ (B) Treatment strategies including trauma- informed approaches ☒ Section 8.14.5 (A)(11) ☐ ☐ (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal ☒ ☐ ☐ Section 8.14.4 (A) and (B) behaviors. (f) Communication (1) The intake process shall include communication Section 4.3.2 (C) with the arresting officer and family guardians regarding the youth’s past or present suicidal ideations, behaviors or attempts. ☒ ☐ ☐ The intake unit is adjacent to Medical and Mental Health offices, allowing for constant and timely communication. 7707 Tulare SYTF JH PRO 23-24 Page 23 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Procedures for clear and current information sharing about youth at risk for suicide with youth Section 8.14 (A) supervision, healthcare, and behavioral/mental health staff. All agency partners communicate daily regarding any youth presenting suicidal behaviors. Wellpath takes the lead as they are on-site 24/7 and with Precision ☒ ☐ ☐ Psychiatric Services, Phoenix House, and a Program Specialist in place, the agency promotes a coordinated approach to youth behavior, response, and follow-up. We encouraged stronger communication amongst these agencies to ensure all youth needs are met timely and efficiently. (g) Debriefing of Critical Incidents Related to Suicides or Attempts (1) Process for administrative review of the ☒ Section 8.14.4 (D)(1) ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected ☒ Section 8.14.4 (D)(2) staff. ☐ ☐ (3) Process for a debriefing event with affected youth. ☒ Section 8.14.4(D)(3) ☐ ☐ (h) Documentation (1) Documentation processes shall be developed to Section 8.14.0 (A)(1) ensure compliance with this regulation ☒ ☐ ☐ Section 8.14.4 (D)(4) Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, services Section 8.14.5 (J) and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ youth or security of the facility. Any deprivation of ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 7707 Tulare SYTF JH PRO 23-24 Page 24 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1340 REPORTING OF LEGAL ACTIONS Each facility shall submit to the Board a letter of Section 3.6 Reporting of Legal Actions notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. ☒ ☐ ☐ The agency has one possible legal action with a current investigation through the TCSO. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Section 8.14.9 (C)(4) and (5) Death of a (1) Death of a Youth. Youth (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while There have been no youth deaths this detained, which include notifications to necessary cycle. parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the facility administrator, shall develop written policies and procedures to assure there is a medical and Section 8.14.9 (G) operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ Section 8.14.9 (E)(3) ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within 30 Section 8.14.9 (E)(3)(a) calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7707 Tulare SYTF JH PRO 23-24 Page 25 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Serious Illness or Injury of Youth. (a) The facility administrator, in cooperation with Section 8.14.8 (D) the health administrator, shall develop written policies and procedures for the notification to necessary parties, which may include the Juvenile The facility process for serious illness and Court, the parent, guardian or person standing in ☒ ☐ ☐ injury includes notification to all parties in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. the event of an incident as defined by medical staff, who are on duty 24 hours each day. 1342 POPULATION ACCOUNTING Each juvenile facility shall submit required population ☒ Section 7.3.4 Administrative Count and profile survey reports to the Board within 10 working ☐ ☐ Records days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) When the number of youth detained in a living unit of a Section 4.7.8 Juvenile Facility Capacity juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 7707 Tulare SYTF JH PRO 23-24 Page 26 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES The facility administrator shall develop and implement Section 4.3 Admittance Procedures written policies and procedures for admittance of youth that emphasize respectful and humane engagement with youth, and reflect that the admission process may be traumatic to youth who may have already The facility has numerous screening and experienced trauma. Policies shall be trauma-informed, assessment tools, including the SOGIE, culturally relevant, and responsive to the language and Victim Vulnerability Assessment, and literacy needs of youth. In addition to the requirements Intake Assessment with Mental Health of Sections 1324 and 1430 of these regulations: Assessment. Each are facilitated by probation staff, medical personnel, and mental health clinicians. There are RN’s on duty 24 hours each day and mental health services available 8 hours each day on-site (services shared with the jail) and on-call, allowing for all required elements of regulation. The process and practice includes intake ☒ responsibilities for admitting a youth, ☐ ☐ questionnaires and screenings by medical staff including all aspects of a youth’s personal, physical, and mental presentations, and a series of mental health assessments, facilitated by medical staff and referred to Precision staff if mental health is not on duty. The process flows well, especially given the proximity to the intake unit. We suggested a more targeted and seamless approach to these assessments with Wellpath and Precision, to ensure the youth needs are addressed timely and efficiently. We reviewed numerous intake packets and found the process consistent with the intent of admission processing of a youth. (a) the admittance process shall include: (1) Access to two free phone calls within one hour of ☒ admittance in accordance with the provisions of ☐ ☐ Section 4.3.5 Welfare and Institution Code Section 627; 7707 Tulare SYTF JH PRO 23-24 Page 27 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Offer of a shower; ☒ Section 4.3.3 (O); 4.3.8 (A) ☐ ☐ (3) Documented secure storage of personal ☒ Section 4.3.6 belongings; ☐ ☐ (4) Offer of food upon arrival; ☒ Section 4.3.8 (D) ☐ ☐ (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ disabilities; Section 4.3.9 (6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, ☒ Section 4.3.1 (3) ☐ ☐ and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are Section 4.9 (C)(5) suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; Section 8.2 (A)(3) Initial Medical and, Assessment Section 4.6 Transgender and Intersex (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Youth (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. Section 4.7.1 Classification (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures that Section 4.3.4 (B) Intake Procedures advise the youth of the estimated length of stay, inform ☒ them of program guidelines and provide written ☐ ☐ screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures that advise any committed youth of the estimated length ☒ ☐ ☐ of his/her stay. Section 4.3.4 (B) Intake Procedures 7707 Tulare SYTF JH PRO 23-24 Page 28 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Section 4.3.4 (B)(2) SOGIE The facility administrator shall develop and implement written policies and procedures to reduce the risk of Section 4.3.12 Screening for the Risk of sexual abuse by or upon youth. The policy shall require Sexual Abuse facility staff to assess each youth within 72 hours of admission based on the following information: ☒ ☐ ☐ The SOGIE is a tool to assess the youth’s likelihood of being abused. The Victim Vulnerability Assessment is completed to assist in determining the youth’s propensity to be victimized or to victimize. (a) Prior sexual victimization or abusiveness; ☒ Section 4.3.12 Bullet 1 ☐ ☐ (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, ☒ queer or intersex, and whether the youth may, therefore, ☐ ☐ Section 4.3.12 Bullet 2 be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ Section 4.3.12 Bullet 3 ☐ ☐ (d) Age; ☒ Section 4.3.12 Bullet 4 ☐ ☐ (e) Level of emotional and cognitive development; ☒ Section 4.3.12 Bullet 5 ☐ ☐ (f) Physical size and stature; ☒ Section 4.3.12 Bullet 6 ☐ ☐ (g) Mental illness or mental disabilities; ☒ Section 4.3.12 Bullet 7 ☐ ☐ 7707 Tulare SYTF JH PRO 23-24 Page 29 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (h) Intellectual or developmental disabilities; ☒ Section 4.3.12 Bullet 8 ☐ ☐ (i) Physical disabilities; ☒ Section 4.3.12 Bullet 9 ☐ ☐ (j) The youth’s perception of vulnerability; and, ☒ Section 4.3.12 Bullet 10 ☐ ☐ (k) Any other specific information about the individual youth that may indicate heightened needs for supervision, additional safety precautions, or separation ☒ ☐ ☐ Section 4.3.12 Bullet 11 from certain other youth. Section 4.3.12 (D) Staff shall ascertain this information through conversations with the youth during the admittance Section 4.3.12 (A) process, medical and behavioral health screenings; ☒ during classification assessments; and by reviewing ☐ ☐ court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate controls on the dissemination of information within the facility relative to responses received pursuant to this Section 4.13.2 (B) ☒ assessment in order to ensure that sensitive information ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 7707 Tulare SYTF JH PRO 23-24 Page 30 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1351 RELEASE PROCEDURES The facility administrator shall develop and implement Section 4.5 Release Procedures written policies and procedures for release of youth from custody which provide for: The facility release procedures begin with a Multi-Disciplinary Team (MDT) meeting to assess the most appropriate re-entry plan for committed youth or a Special Needs planning meeting to address a youth’s needs as they release from ☒ detention into the community. We ☐ ☐ reviewed numerous Transition Release Plans with articulated direction for the youth upon re-entry. The addition of Precision Psychiatric Services, Phoenix House, and the Program Specialist positions have promoted a coordinated release process. (a) verification of identity/release papers; ☒ Section 4.5.2 (C)(1) ☐ ☐ (b) return of personal clothing and valuables; ☒ Section 4.5.2 (C)(2) ☐ ☐ (c) notification to the youth's parents or guardian; ☒ Section 4.5.2 (C)(4) ☐ ☐ (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ Section 4.5.2 (C)(8) regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ Section 4.5.2 (C)(10) ☐ ☐ 7707 Tulare SYTF JH PRO 23-24 Page 31 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) notification of facility mental health personnel. ☒ Section 4.5.2 (C)(8) ☐ ☐ The facility administrator shall develop and implement policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry Section 4.5.7 Transition and Re-entry services including, but not limited to, medical and Services behavioral health, education, probation supervision and community-based services. ☒ ☐ ☐ The facility has bi-weekly MDT meetings to determine appropriate services for school, Mental Health, and medical linkage upon release to the community. The facility administrator shall develop and implement written policies and procedures for the furlough of youth Section 4.5.3 Temporary Releases from custody. The facility does not currently furlough ☒ ☐ ☐ youth from either of their camp programs, however, is considering this option (post- Covid) as reintegrating youth into the community prior to permanent release. 7707 Tulare SYTF JH PRO 23-24 Page 32 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352 CLASSIFICATION The facility administrator shall develop and implement Section 4.7 Classification written policies and procedures on classification of youth for the purpose of determining housing placement in the facility. Due to the facility’s low population, they Such procedures shall: have merged (committed) program youth, SYTF, female youth, and general population detention youth, and WIC 707 (b) offender youth into one pod with four separate units. Although the plan is to move SYTF youth into Pod 1, they are awaiting physical improvements and more staff to facilitate the move. The current housing is not the preference but necessary for staffing. The agency currently has 9 youth committed to SYTF; and facilitated one unit in Pod 5 for this population. The ☒ agency has developed a structured ☐ ☐ program including both the Phoenix House Program, services from the Program Specialist, and technical/vocational options. We provided technical assistance as it relates to two specific youth placed in the GP/Female unit who were SB 823 admissions and 19/20 years of age. Their age and sophistication have created a difficult situation for the female youth, who feel intimidated by their presence. Facility administrators responded by placing the youth in a Special Program in Unit A (707 b Offenders) and, with the assistance of agency partners, will provide a more secure and safe placement for all youth involved. 7707 Tulare SYTF JH PRO 23-24 Page 33 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the Section 4.7.1 Bullet 1 appropriate, least restrictive housing and program ☒ settings. Housing assignments shall consider the need ☐ ☐ Section 4.7.2 Factors Affecting Unit for single, double or dormitory assignment or location Assignments within the dormitory; (b) consider facility populations and physical design of the facility; ☒ Section 4.7.1 Bullet 2 ☐ ☐ (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall Section 4.7.1 Bullet 3 include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, including provisions that consider the level of supervision and the youth's behavior while in custody; and, Section 4.7.1 Bullet 4 Section 4.7.2 (H) Classification of youth is reviewed at the weekly Special Needs meeting and bi- weekly at the MDT meetings. The agency added policy to require assigned IS staff to review their (assigned) unit classifications weekly. ☒ ☐ ☐ Youth presenting behaviors demanding attention of mental health and/or medical staff, as well as teachers, are evaluated for appropriate unit placement as necessary. As noted above, the facility administration returned two older and more sophisticated youth to their appropriately classified unit in order to comply with regulation elements and policy while on-site. 7707 Tulare SYTF JH PRO 23-24 Page 34 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) provide that facility staff shall not separate youth from the general population or assign youth to a single Section 4.7.1 Bullet 5 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex identification or ☒ status as an indicator of likelihood of being sexually ☐ ☐ Section 4.7.1 Bullet 6 abusive. 7707 Tulare SYTF JH PRO 23-24 Page 35 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. The facility administrator shall develop written policies Section 4.6 Transgender and Intersex and procedures ensuring respectful and equitable Youth treatment of transgender and intersex youth. The policies shall provide that: The facilities have process and procedure elements in place to address all facets of the regulation. Wellpath Medical staff assist the PCO/IS in providing resources for this population. The agency has sufficient policies for transgender youth, meeting all regulation components, ☒ including documentation regarding the ☐ ☐ Transgender and Intersex Youth Statement for Searches and the Housing Preference Form, which include the youth’s statement for preferred name and pronoun. We provided technical assistance to administration to include a youth’s clothing preference to the form, allowing for integration into appropriate placement. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the Section 4.6 (A) youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their gender ☒ Section 4.6 (B) identity and shall provide youth with the institution’s ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes their Section 4.6 (C) safety and well-being. Staff may not automatically house youth according to their external anatomy and shall ☒ document the reasons for any decision to house youth ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. 7707 Tulare SYTF JH PRO 23-24 Page 36 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Facility administrators shall ensure that transgender and intersex youth have access to medical and ☒ ☐ ☐ Section 4.6 (D) behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ Section 4.6 (E) ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ Section 4.6 (F) ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION The facility administrator shall develop and implement Section 4.4 Orientation written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal information shall be provided and supplemented with video orientation if feasible. Provision shall be made to We reviewed a significant number of provide accessible orientation information to all detained Orientation forms, each requiring the youth including those with disabilities, limited literacy, or youth to sign as an acknowledgment of English language learners. Orientation shall include understanding expectations and information that addresses: processes. This is originally completed by the Booking/Intake staff with the youth prior to placement in their assigned living unit. ☒ ☐ ☐ Each youth is provided a youth handbook, articulating all components of regulation, as well as a verbal characterization of the detention process, youth rights, and other required components. Youth also watch the PREA video. Medical staff articulate their process of orienting a youth to any medical related information on the Wellpath Receiving Screening form. 7707 Tulare SYTF JH PRO 23-24 Page 37 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) facility rules including contraband and searches and disciplinary procedures; Section 4.4 Bullet 1 Contraband and Searches Section 4.4 Bullet 20 Progressive ☒ ☐ ☐ Discipline Section 4.4 Bullet 23 Youth Rights Section 4.4 Bullet 28 Rules of Conduct (b) facility’s system of positive behavior interventions and supports, including behavior expectations, incentives that youth will receive for complying with Section 4.4 Bullet 2 Positive Behavior facility rules, and consequences that may result when Incentive System youth violate the rules of the facility; ☒ ☐ ☐ Section 4.4 Bullet 20 Section 4.4 Bullet 28 (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual ☒ harassment and how to report incidents or suspicions of ☐ ☐ Section 4.4 Bullet 3 PREA sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ Section 4.4 Bullet 4 Chain of Command ☐ ☐ (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free ☒ of retaliation for reporting a grievance, and the name of ☐ ☐ Section 4.4 Bullet 5 Grievance Procedure the person or position designated to resolve the issue; and Policy Section 4.4 Bullet 6 Access to Legal (f) access to legal services and information on the ☒ Services and Information on the Court court process; ☐ ☐ Process Section 4.4 Bullet 7 Access to Medical Services (g) access to routine and emergency health and mental ☒ health care; ☐ ☐ Section 4.4 Bullet 8 Access to Mental Health Services 7707 Tulare SYTF JH PRO 23-24 Page 38 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 4.4 Bullet 9 Religious Services (h) access to education, religious services, and ☒ Section 4.4 Bullet 10 Recreation recreational activities; ☐ ☐ Section 4.4 Bullet 11 Education Section 4.4 Bullet 12 Housing (i) housing assignments; ☒ ☐ ☐ Assignments (j) opportunity for personal hygiene and daily showers including the availability of personal care items Section 4.4 Bullet 13, Access to Showers, ☒ ☐ ☐ Hygiene and Personal Care/Shaving (k) rules and access to correspondence, visits and telephone use; Section 4.4 Bullet 14 Correspondence ☒ Section 4.4 Bullet 15 Visiting ☐ ☐ Section 4.4 Bullet 16 Telephone (l) availability of reading materials, programming, and other activities; Section 4.4 Bullet 17 Programs, Reading ☒ ☐ ☐ Material, and Activities (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; Section 4.4 Bullet 18 UF and UR ☒ ☐ ☐ Section 4.4 Bullet 19 Room Confinement Section 4.4 Bullet 21 Immigration Legal (n) immigration legal services; ☒ ☐ ☐ Services 7707 Tulare SYTF JH PRO 23-24 Page 39 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 4.4 Bullet 27 Emergencies and (o) emergencies including evacuation procedures; ☒ ☐ ☐ Evacuation (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; Section 4.4 Bullet 22 NDP (q) availability of services and programs in a language other than English if appropriate; Section 4.4 Bullet 23 Availability of ☒ ☐ ☐ Services for Language other than English (r) the process for requesting different housing, education, programming and work assignments; Section 4.4 Bullet 25 Request change in ☒ Housing, Education, Programming or ☐ ☐ Work Assignments (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Section 4.4 Parent/Guardian Information questions and provides contact information for the Brochure facility, medical, school and mental health; and, ☒ The facilities provide information for ☐ ☐ parents on all aspects of the pre and post disposition programs, as well as how they may contact the facility for any question regarding the youth’s stay. (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. ☒ Section 4.4 Bullet 26 Access to T15 ☐ ☐ 7707 Tulare SYTF JH PRO 23-24 Page 40 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION The facility administrator shall develop and implement Section 6.5 Separation written policies and procedures that address: The policy for Separation is compliant with regulation and provides a description of each form of separation. Medically separated youth are housed in the Medical Unit. The mental health and program separation components are articulated in the policy and addressed based on classification factors and mental health recommendations. Behavior separations ☒ and self-separation are addressed in ☐ ☐ policy depending on the circumstances. Each separation is well documented in the agency Caseload Pro Program in detail. Facility staff have adjusted their process in identifying and responding to Self- Separation incidents. Our review of the Caseload Pro Case Management System entries reveals staff efforts made to reintegrate the youth into general programming. There have been 14 incidents of self-separation from July 2022 to date of inspection. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, ☒ assaultive behavior, disciplinary consequences and ☐ ☐ Section 6.5, Paragraph # 1 protective custody. (b) consideration of positive youth development and trauma-informed care. ☒ Section 6.5, Paragraph # 2 ☐ ☐ (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ ☐ ☐ Section 6.5, Paragraph # 2 necessary to accomplish the objective of separation. 7707 Tulare SYTF JH PRO 23-24 Page 41 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. ☒ Section 6.5 (E) Daily Separation Review ☐ ☐ (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and ☒ Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ Section 6.6 (A) Room Confinement these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains Section 6.5.1 (A) necessary. This section articulates the reviews shall ☒ ☐ ☐ occur during the first hour of each shift by the Institutional Supervisor, who is to log the termination or continuance of separation in the Separation Log. 7707 Tulare SYTF JH PRO 23-24 Page 42 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT (a) The facility administrator shall develop and Section 6.6 (A) Room Confinement (RC) implement written policies and procedures addressing the confinement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The placement of a youth in room confinement We reviewed 11 incidents involving 15 shall be accomplished in accordance with the following youth placed on RC in 2023, with 3 youth guidelines: involved in 5 overall incidents. The resulting placement was appropriate and compliant with regulation. The reasons for placement, ten of the 11 for assaultive behavior, were well documented in incident reports. In total, there were 36 incidents of RC from July 2022 to May 1, ☒ 2023. ☐ ☐ The process for documenting behavior checks, reviewing the need to continue, and the length of time on RC were detailed and informative. The RC log outlines the youth behavior at the time of the check as well as contact with staff and partners. IS and SPO make every effort to reintegrate the youth into normal programming the day following the incident. (1) Room confinement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those options ☒ Section 6.6 (B)(1) ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. Section 6.6 (B)(2) (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ Section 6.6 (B)(3) of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ confinement for a period of four hours, staff shall do one ☐ ☐ or more of the following: 7707 Tulare SYTF JH PRO 23-24 Page 43 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Return the youth to general population. ☒ Section 6.6 (F) ☐ ☐ (2) Consult with mental health or medical staff. ☒ Section 6.6 (H) ☐ ☐ (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ Section 6.6 (G)(2) the youth to general population. (4) If room confinement must be extended beyond ☒ 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, ☒ Section 6.6 (G)(1) ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ Section 6.6 (G)(2) integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ Section 6.6 (G)(3) every four hours thereafter. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth ☒ in juvenile facilities and does not apply to normal ☐ ☐ Section 6.6 (I) sleeping hours. (6) This section does not apply to youth or wards in ☒ court holding facilities or adult facilities. ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires a significant departure from normal institutional Section 6.6 (I) Paragraph #1 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. 7707 Tulare SYTF JH PRO 23-24 Page 44 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and Section 6.6 (I) Paragraph #2 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 The facility administrator shall develop and implement ☒ Section 4.9 Assessment and Plan ☐ ☐ written policies and procedures for assessment and case planning. (a) Assessment: The assessment is based on information collected Section 4.9 Introduction and (A) 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, We reviewed 34 youth Action Plans counseling, behavioral health, consideration of known including 10 Initial, 10 Ongoing, and 14 history of trauma, and family strengths and needs. Release plans. The agency does a thorough job targeting service needs through the weekly Special Needs and bi- weekly MDT meetings. The facility is compliant with review and updates. The ☒ ☐ ☐ transition plan includes an MDT meeting with all agency partners to discuss the most appropriate and individualized re- entry service referrals. The agency 90-day timeline for ongoing plans allows the youth more time to meet objectives and goals, providing a timely review of the youth’s progress. (b) Institutional Case Plan: (1) A case plan shall be developed for each youth ☒ held for at least 30 days or more and created within ☐ ☐ Section 4.9 (C) 40 days of admission. 7707 Tulare SYTF JH PRO 23-24 Page 45 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) The institutional plan shall include, but not be limited to, written documentation that provides: ☒ Section 4.9 ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ Section 4.9 (C)(1) ☐ ☐ (B) a plan for meeting the objectives that includes a description of program resources needed and ☒ individuals responsible for assuring that the plan ☐ ☐ Section 4.9 (C)(2) is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; Section 4.9 (C)(3) (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for ☒ post dispositional youth in accordance with Section ☐ ☐ Section 4.9 (C)(4) 1351; and, (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ Section 4.9 (C)(5) ☐ ☐ and Regional Center for the Developmentally Section 4.9 (G) Supportive Adults Disabled. 1356 COUNSELING AND CASEWORK SERVICES The facility administrator shall develop and implement Section 4.9 (E) written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: The staff document notes in the Caseload Pro system that include both positive and ☒ ☐ ☐ negative interactions or incidents of youth behavior. We reviewed numerous ‘event’ entries documenting the positive and negative actions of every youth in custody. (a) youth will receive assistance with needs or concerns that may arise; ☒ Section 4.9 (E)(1)(a) ☐ ☐ (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, Section 4.9 (E)(1)(b) 7707 Tulare SYTF JH PRO 23-24 Page 46 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) youth will be provided access to available resources to meet the youth’s needs. ☒ Section 4.9 (E)(1)(c) ☐ ☐ 1357 USE OF FORCE The facility administrator, in cooperation with the Section 7.13.1 (E) Use of Force responsible physician, shall develop and implement written policies and procedures for the use of force, which may include chemical agents. Force shall never be applied as punishment, discipline, retaliation or We reviewed 27 incident reports of the UF treatment. within the facility, 13 involving the use of OC Spray and 11 resulting in Room (a) At a minimum, each facility shall develop policies and Confinement. All incidents involved youth- procedures which: on-youth assaults (mutual fights), assaults to staff or youth assaults. The staff response was compliant with regulation and involved administrative review. The facility has had 80 UF incidents since ☒ ☐ ☐ July 2022, involving youth-on-youth assaults and violent actions by youth. Of these, 52 involved the use of OC spray, 50 included physical restraint use for moving the youth to their room and 36 resulted in RC. These numbers are down significantly from the 273 in 2018, 177 in 2019, and 114 in 2021. The staff are fortunate to have agency partners on site to medically clear youth after an incident, including decontamination, and initiation mental health referrals if necessary. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 ☒ to ensure the safety and security of youth, staff, others ☐ ☐ Section 7.13.3 (A) and the facility. (2) outline the force options available to staff including both physical and non-physical options and define ☒ Section 7.13.2 Use of Force Options ☐ ☐ when those force options are appropriate. 7707 Tulare SYTF JH PRO 23-24 Page 47 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) describe force options or techniques that are expressly prohibited by the facility. Section 7.13.9 Choke Holds ☒ Section 7.13.1(B) ☐ ☐ Section 7.14.5 (K) Positional Asphyxia (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative action to immediately stop it. Section 7.13.3 (C) ☒ ☐ ☐ Section 7.14.2 (G) (5) define a standardized reporting format that includes time period and procedure for documenting and reporting the use of force, including reporting Section 7.13.4 Reporting, Debriefing and requirements of management and line staff and Notification procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for investigating unreasonable use of force. ☒ Section 7.13.4 (B) ☐ ☐ (7) define the role, notification, and follow-up procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ Section 7.13.3 (C) guardians. Section 7.13.4 (D) (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. ☒ Section 7.13.5 Limitations of Force on ☐ ☐ Pregnant Youth (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Section 7.13.6 Use of OC Spray (1) identify who is approved to carry and/or utilize ☒ chemical agents in the facility and the type, size and ☐ ☐ Section 7.13.6 (B) and (C) the approved method of deployment for those chemical agents. Section 7.13.6.4 7707 Tulare SYTF JH PRO 23-24 Page 48 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the ☒ Section 7.13.6 safety of others and only when de-escalation efforts ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ Section 7.13.6.5 Decontamination ☐ ☐ to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents involving chemical agents for medical, mental health ☒ ☐ ☐ Section 7.13.6.3 (J) staff and parents or legal guardians. Section 7.13.6.5 (A)(7) (5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, Section 7.13.6.6 (A) Documentation youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training ☒ in use of force and chemical agents when appropriate ☐ ☐ Section 7.13.6 (D) that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; ☒ Section 7.13.6 (D)(1) and (2) ☐ ☐ (2) acceptable chemical agents and the methods of application. ☒ Section 7.13.6 (D)(3) ☐ ☐ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ Section 7.13.6 (D)(4) ☐ ☐ (4) instruction on the Constitutional Limitations of Use of Force. ☒ Section 7.13.6 (D)(5) ☐ ☐ 7707 Tulare SYTF JH PRO 23-24 Page 49 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) physical training force options that may require the use of perishable skills. ☒ Section 7.13.6 (D)(6) ☐ ☐ (6) timelines the facility uses to define regular training. ☒ Section 7.13.6 (D)(6) ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS The facility administrator, in cooperation with the Section 7.14.1 Use of Restraints (UR) responsible physician and mental health director, shall develop and implement written policies and procedures Section 7.15 Safety WRAP for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being There has been no use of restraints (the ambulatory. WRAP) as specified in this regulation since July 2022 when we were on site last cycle. ☒ ☐ ☐ The agency has a detailed form when the WRAP is used, which prompts staff to provide food, water, allowance to stretch, restroom needs, 30-minute reviews by the IS, initial and supplemental contact with medical and mental health staff, and audits of placement. Physical restraints may be used only for those youth who present an immediate danger to themselves or others, who exhibit behavior which results in the Section 7.14.1 (A) destruction of property, or reveals the intent to cause ☒ Section 7.15 (A) self-inflicted physical harm. Physical restraints should ☐ ☐ be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or Section 7.14.3 Restricted UR other fixture, including a restraint chair, or through affixing ☒ Section 7.14.3 (D) Hogtying Restriction of hands and feet together behind the back (hogtying) is ☐ ☐ prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7707 Tulare SYTF JH PRO 23-24 Page 50 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when used Section 7.14.1 (A) to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for ☒ Movement Within the Facility. ☐ ☐ This section refers to 7.14.6 Restraints for Movement and Transportation within the Facility. Youth shall be placed in restraints only with the approval of the facility manager or designee. The facility manager Section 7.14.2 (A) may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints Section 7.15 (B) shall be reviewed and documented at a minimum of every hour. ☒ ☐ ☐ This allows delegation to the on-duty facility Institutional Supervisor. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no later than two hours from the time of placement. The Section 7.14.2 (B) youth shall be medically cleared for continued retention Section 7.15 (E) at least every three hours thereafter. Medical personnel are on site 24 hours each day and respond immediately to the placement of a youth in the WRAP. Policy ☒ and practice dictate they monitor the ☐ ☐ youth a minimum of every hour if placement in the WRAP and every 3 hours after placement in mechanical restraints (none this cycle). Youth are moved to the medical or intake area and personnel respond more frequently, as documented in the WRAP Placement form. 7707 Tulare SYTF JH PRO 23-24 Page 51 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from the Section 7.14.2 (B) time of placement, to assess the need for mental health treatment. Section 7.15 (G) Mental Health staff are on-site or on call 24 hours each day and when a youth is placed in restraint, they respond immediately, per policy. ☒ ☐ ☐ For WRAP placement, the facility administration and mental health personnel assess if the youth is to remain in the WRAP or be transported to a mental health facility for WIC 5150 evaluation. Precision Psychiatric Services has not been involved in this process to date as they just began services in the agency after the last inspection. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly employed, and Section 7.14.2 (C) to ensure the safety and well-being of the youth. ☒ Observations of the youth's behavior and any staff ☐ ☐ Section 7.15 (C) interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and procedures shall address: Section 7.14.4 Reports and (a) documentation of the circumstances leading to an Documentation application of restraints. ☒ ☐ ☐ Section 7.14.4 (5) (b) known medical conditions that would contraindicate certain restraint devices and/or techniques. ☒ ☐ ☐ Section 7.14.2 (I) 1-g 7707 Tulare SYTF JH PRO 23-24 Page 52 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) acceptable restraint devices. 7.14.5 (L) 1-4 ☒ ☐ ☐ The facility allows for handcuffs, shackles, belly chains, and the WRAP. (d) signs or symptoms which should result in immediate medical/mental health referral. Section 7.14.2 (E) ☐ ☐ ☐ Section 7.15 (F) (e) availability of cardiopulmonary resuscitation equipment. ☐ ☐ ☐ Section 7.14.2 (E) (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth which makes Section 7.14.2 provision to protect the youth from abuse. Section 7.15.1 (B) ☒ ☐ ☐ If a youth is placed in the WRAP, they are moved to a Medical Observation room or a holding room/safety cell in Intake. Section 7.14.5 (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Section 7.15 (J) and (K) Section 7.14.5 (h) exercising of extremities. ☒ ☐ ☐ Section 7.15 (L) 7707 Tulare SYTF JH PRO 23-24 Page 53 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Section 7.14.6 Restraints for Movement WITHIN THE FACILITY. and Transportation within the Facility The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health Section 3.3.2 (H)13 Articulate use of director, shall develop and implement written policies Handcuff in Incident Report and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: The facilities had 50 incidents of ☒ ☐ ☐ movement of youth in restraints as articulated in this regulation. Agency supervisors review video and audio of all incidents requiring any use of force or restraints and they articulate the need for application in the Caseload Pro System. The staff documentation in the incident reports for the need to apply restraints has improved this cycle. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Section 7.14.6 (B) training. ☒ ☐ ☐ Handcuffs and Shackles (b) the circumstances leading to the application of restraints must be documented. ☒ ☐ ☐ Section 7.14.6 (D) (c) an individual assessment of the need to apply restraints for movement or transportation that includes Section 7.14.6 (A) consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint devices shall not be used for the purposes of discipline or ☒ ☐ ☐ Section 7.14.6 (D) retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. Section 7.14.3 (F) 7707 Tulare SYTF JH PRO 23-24 Page 54 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in Section 7.14.7 Safety Room Placement cooperation with the responsible physician, shall develop and implement written policies and procedures JMH-G-04 Precision Psychiatric Services governing the use of safety rooms, as described in Title Manual 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☒ ☐ ☐ danger to themselves or others, who exhibit behavior There have been no Safety Room which results in the destruction of property, or reveals placements from July 2022 to the date of the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or the inspection. as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; Section 7.14.7 (I) (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☒ ☐ ☐ Section 7.14.7(C) room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any staff interventions every 15 minutes, with actual time ☒ ☐ ☐ Section 7.14.7 (F) and (G) recorded; (4) provide that the youth shall be evaluated by the facility manager, or designee, every four hours; Section 7.14.7 (J) ☒ ☐ ☐ Policy requires evaluation every hour. (5) provide for immediate medical assessment, where appropriate, or an assessment at the next daily sick call; and, Section 7.14.7 (H) ☒ ☐ ☐ The facility is to have immediate response by medical and evaluations every 15 minutes until the youth is removed from the safety room. (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☒ ☐ ☐ Section 7.14.7(G) and (J) means of control, and decisions to continue and end placement. 7707 Tulare SYTF JH PRO 23-24 Page 55 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and exhausted, unless attempting those options poses a ☒ ☐ ☐ Section 7.14.7 Purpose threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. Section 7.14.7 (B) (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☒ ☐ ☐ youth. Section 7.14.7 Purpose (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room for a period of four hours, staff shall do one or more of ☒ ☐ ☐ Section 7.14.7 (K) the following: ☒ ☐ ☐ Section 7.14.7 (K)(1) (1) return the youth to general population. ☒ ☐ ☐ Section 7.14.7 (K)(2) (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. Section 7.14.7 (K)(3) (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☒ ☐ ☐ Section 7.14.7 (L) and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement Section 7.7 Youth Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures Section 7.8.3 Unit Searches shall provide that: Section 7.8.5 Area Searches ☒ ☐ ☐ Section 7.8.6 Random Unit Searches Section 7.8.8 Facility Perimeter Searches Section 5.7.1 (D) Visitor Search 7707 Tulare SYTF JH PRO 23-24 Page 56 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Section 7.7.1 Purpose staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being ☒ ☐ ☐ Section 7.7.1 Purpose searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Section 7.7.2 (D)-(F) and (I) ☒ ☐ ☐ The agency has not conducted any strip searches from July 2022 to date of inspection. (d) Physical body cavity searches shall only be conducted by a medical professional. ☒ ☐ ☐ Section 7.7.2 (I) (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Section 7.7.3(C)(3) when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ Section 7.7.3 (G) (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when ☒ ☐ ☐ Section 7.7.2 (G) and (H) conducted by a medical professional. Such searches must be justified and documented in writing. 7707 Tulare SYTF JH PRO 23-24 Page 57 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement Section 6.3.4 Institution Grievance written policies and procedures whereby any youth may Procedures appeal and have resolved grievances relating to any condition of confinement, including but not limited to health care services, classification decisions, program participation, telephone, mail or visiting procedures, There have been 201 grievances filed food, clothing, bedding, mistreatment, harassment or from July 2022 to date of inspection, with violations of the nondiscrimination policy. There shall be the majority being resolved at the lead no time limit on filing grievances. Policies and staff and IS level. We noted of the 201 procedures shall include provisions whereby the facility filed in the last 10 months, 56 were filed manager ensures: by one youth, approximately 25%. There were 203 filed in 2022, down significantly from the 342 filed in 2018 and 324 in 2019. ☒ ☐ ☐ With regard to the process, all facility grievances were responded to the same day submitted or the following day and each was resolved within 3-4 days. Staff take the time to review video and logs to ensure any statements by youth are addressed. The form and process exceed regulation. If the grievance is with medical or mental health services, they are provided to the Wellpath or Precision staff to respond. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; Section 6.3.4 (A)(1) (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ supervision staff working in the facility; Section 6.3.4 (F)(6) (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Section 6.3.4 (A)2) (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances that relate to health and safety issues must be ☒ ☐ ☐ Section 6.3.4 (A)(3) and (A)(4) addressed immediately; 7707 Tulare SYTF JH PRO 23-24 Page 58 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The youth may elect to be present to explain his/her version of the grievance to a person not ☒ ☐ ☐ Section 6.3.4 (A)(3)(a) directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ Section 6.3.4 (A)(3)(b) (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Section 6.3.4 (A)(4) (f) a system which provides that any appeal of a grievance shall be heard by a person not directly involved in the circumstances which led to the ☒ ☐ ☐ Section 6.3.4 (A)(5) grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer ☒ ☐ ☐ Section 6.3.4 (A)(6) time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Section 6.3.4 (A)(7) Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be addressed and documented in accordance with written ☒ ☐ ☐ Section 6.3.4 (A) Last Paragraph policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical Section 3.3 Institutional Records and harm, use of force, serious threat of physical harm, or Reports death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 7707 Tulare SYTF JH PRO 23-24 Page 59 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, IMPRESSIONS Section 4.3.4.1 (D) (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force ☐ ☐ ☒ to collect blood specimens, saliva samples, and thumb The facility does not use force to collect or palm print impressions from individuals who are DNA that has been Court Ordered or by required to provide such samples, specimens or written notice by any law enforcement impressions pursuant to Penal Code Section 296 and officer. Rather, the youth is returned to who refuse following written or oral request. Court. This has not occurred this cycle. (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that an objective, trained and competent correctional ☐ ☐ ☒ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☐ ☐ ☒ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The authorization shall include information that reflects the ☐ ☐ ☒ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☐ ☐ ☒ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7707 Tulare SYTF JH PRO 23-24 Page 60 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM (a) School Programs Section 5.3 Education Programs The County Board of Education shall provide for the administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee The Tulare County Office of Education is pursuant to applicable State laws. The school and facility involved with youth outside of the administrators shall develop and implement written policy classroom, promoting post-secondary and procedures to ensure communication and involvement in both the classroom coordination between educators and probation staff. through online learning and in Vocational Culturally responsive and trauma-informed approaches Education. TCOE staff complete regular should be applied when providing instruction. Education evaluation and testing of youth to staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe determine individual needs in the technology practices. The facility administrator shall classroom and the Paxton-Patterson request an annual review of each required element of the Program introduces a robust program by the Superintendent of Schools, and a report construction-focused curriculum. Non- or review checklist on compliance, deficiencies, and graduated youth are eligible for and corrective action needed to achieve compliance with this participate in credit recovery opportunities section. Such a review, when conducted, cannot be to gain the most from the educational time delegated to the principal or any other staff of any juvenile in the classroom. court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item ☒ ☐ ☐ We spoke with the Vocational Ed CTE with the Superintendent of Schools and shall take instructor who is passionate about the whatever corrective action is necessary to address each opportunities for the program and anxious deficiency and to fully protect the educational interests of for more students to be involved, pre- and all youth in the facility. post-graduates. His enthusiasm is obvious and his passion to provide a positive experience was contagious. The school continues to offer the “Re- Start” program. If a youth is refusing to go to the classroom or is having difficulties with behavior in the classroom, he/she is provided classroom instruction 1:1 for the remainder of a school period. This allows an opportunity for the youth to realize the benefits of this “school time out” and return without significant consequence. By allowing the youth a bit of reflection, in most cases, they are able to return to the school setting and finish their day. 7707 Tulare SYTF JH PRO 23-24 Page 61 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements The facility school program shall comply with the State Section 5.3.1 Education Objectives Education Code and County Board of Education policies, all applicable federal education statutes and regulations Section 5.3.3 Introduction Paragraph and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall Students are given the opportunity to establish and maintain learning environments that are explore interests and aptitudes for a physically, emotionally, and intellectually safe. Youth shall career in the construction industry be provided a rigorous, quality educational program that through participation in the Vocational responds to the different learning styles and abilities of students and prepares them for high school graduation, Education Program. Tulare County career entry, and post-secondary education. Office of Education Court School provides a Career Technology Education in a Construction pathway. There are 14 trades youth are exposed to at an introductory level. The trades involve the use of various tools for the identified construction trade, including but not limited to electrical, plumbing, drywall, roofing, concrete, cabinetry, power tools, ☒ ☐ ☐ and general construction. The Youth Facility Building has been remodeled to allow for a softer version of alternative education program space and computer lab opportunities. Although the agency has (temporarily) lost the dorm- type environment of the facility, the end result is classrooms and training space, youth incentive and recreation space, and the opportunities to participate in activities in an area outside the condensed unit/pod environment. We were impressed with the remodel approach to softer and homelike opportunities for youth in and transitioning out of the detention/commitment setting. All youth shall be treated equally, and the education program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ Section 5.3.1 (A) nonconforming youth by their preferred name and gender. 7707 Tulare SYTF JH PRO 23-24 Page 62 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The course of study shall comply with the State Education Code and include, but not be limited to, ☒ ☐ ☐ Section 5.3.1 Goals courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ Section 5.3.1 (C) Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ Section 5.3.1 (E) (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. Section 5.3.1 (C) (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. Section 5.3.1 (F) (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with Section 5.3.1 (D) education staff, must ensure that operational procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of The facility school program includes 330 class or educational instruction, both excused and educational minutes four days a week unexcused, shall be documented. with a minimum day on Wednesdays. This averages in excess of 300 minutes per day. The curriculum exceeds minimum standards and staffing includes at least one teacher in each classroom. ☒ ☐ ☐ Because the facility plant was designed to only allow 18 students in each classroom, some youth receive their instruction in the day room with a teacher and instructional aide. This is a rare occurrence with the opportunities in Vocational Education, which will be expanded in the coming months. 7707 Tulare SYTF JH PRO 23-24 Page 63 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) Education shall be provided to all youth regardless of classification, housing, security status, disciplinary Section 5.3.1 (G) or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline (1) Positive behavior management will be Section 5.3.3 (B) and (C) implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. Section 5.3.3 (A) (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school shall be imposed only when other means of correction Section 5.3.3 (B) fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and procedures that address the rights of any student who has ☒ ☐ ☐ Section 5.3.3 (C) continuing difficulty completing a school day. (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Section 5.3.4 suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ Section 5.3.4 federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's Section 5.3.5 educational history, including but not limited to: 7707 Tulare SYTF JH PRO 23-24 Page 64 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) School progress/school history; ☒ ☐ ☐ Section 5.3.5 (A)(1) (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ Section 5.3.5 (A)(4) (C) Needs and services of special populations as defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. Section 5.3.5 (A)(2) (D) Discipline problems. ☒ ☐ ☐ Section 5.3.5 (A)(3) (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ Section 5.3.5 levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary education plan shall be developed for each youth ☒ ☐ ☐ within five school days. Section 5.3.5 (C) (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's records from his/her prior school(s), including, but not Section 5.3.5 (D) limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ Section 5.3.6 (A) placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in Section 5.3.6 (B) accordance with the State Education Code. 7707 Tulare SYTF JH PRO 23-24 Page 65 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies Section 5.3.6 (C) and procedures to meet the transition needs of youth, including the development of an education transition plan, in accordance with the State Education Code ☒ ☐ ☐ The facility hosts MDT meetings bi- and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. monthly to facilitate the education, medical and mental health of youth as they exit the facility. (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- Section 5.3.7 ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. Section 5.4 Recreation, Exercise and The facility administrator shall develop and implement Programs written policies and procedures for programs, recreation, and exercise for all youth. The intent is to Section 5.8 Facility Programs minimize the amount of time youth are in their rooms or their bed area. The implementation of a realistic operational schedule, counseling with Phoenix House and the Program ☒ ☐ ☐ Specialist, have resulted in robust program opportunities for youth. Directed Activities, which is programming facilitated by staff, offers structured curriculum-based topics and is only used when a provider is unavailable. Precision Psychiatric Services is contracted as the Mental Health provider and provides individual and crisis counseling as well as assessment services. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each Section 5.4 Recreation and Exercise Saturday, Sunday or other non-school days, of which ☒ ☐ ☐ Section 5.8 Facility Programs one hour shall be an outdoor activity, weather permitting. 7707 Tulare SYTF JH PRO 23-24 Page 66 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ Section 5.4 represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. Section 5.4 ☒ ☐ ☐ The unit schedule is posted in each living unit. There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Section 5.4 ensure content offered is current, consistent, and relevant to the population. ☒ ☐ ☐ The annual evaluation was completed by Division Manager Mike Santos on May 1, 2023. 7707 Tulare SYTF JH PRO 23-24 Page 67 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Section 5.4.8 Facility Programs include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce The facility has programming and recidivism. These programs should be based on the services to meet the various needs of youth’s individual needs as required by Sections 1355 their youth population. Programs are and 1356. Such programs may be provided under the facilitated by probation staff, Precision direction of the Chief Probation Officer or the County Psychiatric Service Clinicians (Alcohol Office of Education and can be administered by county partners such as mental health agencies, community and Drug Counseling), the TCOE, based organizations, faith-based organizations or Phoenix House, and Program Specialist. Probation staff. Precision’s role is to provide individual and crisis counseling as well as initial Programs may include but are not limited to: mental health assessments. Phoenix House provides numerous evidence- based programming as well as ongoing program assessments for each youth in detention. The Program Specialist Supervisor and Program Specialist responsibilities include monitoring and implementing programs in the facility as well as evaluating them for fidelity. ☒ ☐ ☐ Programs include: Coping and Support Training (CAST) through the TCOE Mental Wellness Service Team; 24/7 Dad thru Phoenix House (PH); Aggression Replacement Training (PH); Thinking for a Change (PH); Victim Impact – Listen and Learn (PH); Helping Men Recover (PH); Alcohol and Drug Education and Counseling – including Living in Balance, Stages of Change, and Seeking Safety; Adolescent Sexual Responsibility Program (ASRP) through TC Youth Services Bureau; Readiness for Employment through Sustainable Education and Training (RESET); Individual, Crisis and Psychiatric Services through Precision Mental Health; Physical Training Program; Youth Leaders Club; and Vocational Ed through the TCOE. 7707 Tulare SYTF JH PRO 23-24 Page 68 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; Section 5.4.8 (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Section 5.4 entertainment. Activities shall be supervised and include orientation and may include coaching of youth. ☒ ☐ ☐ Recreation Programs include reading, writing, entertainment, television, radio, music, and video games. 7707 Tulare SYTF JH PRO 23-24 Page 69 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Section 5.4 each day. The facility has a structured Physical Training program to ensure youth are ☒ ☐ ☐ exercising and participating in large muscle exercise daily. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ Section 5.4 the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to religious Section 5.5 Religious Programs services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Section 5.5.3 (A) (b) availability of clergy; and, ☒ ☐ ☐ Section 5.5.3 Section 5.5.4 Religious Diets (c) availability of religious diets. ☒ ☐ ☐ Section 5.14.7 Therapeutic Diets 7707 Tulare SYTF JH PRO 23-24 Page 70 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1373 WORK PROGRAM The facility administrator shall develop policies and Section 5.2 procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth shall ☒ ☐ ☐ be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING The facility administrator shall develop and implement Section 5.7.1 Visiting Programs written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Section 5.7.5 Special Visits receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family Section 5.7.5 (G) Children Visits members, such as grandparents and siblings, and Section 5.7.7 Supportive Adults supportive adults, may be allowed to visit with the ☒ ☐ ☐ approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. The facility has implemented a visiting schedule for Saturdays and Sundays to accommodate families in a 2-hour block for each housing unit. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and security. Section 5.7.1 (A) Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but conversations shall not be monitored unless there is a security or safety ☒ ☐ ☐ Section 5.7.2 (E) need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion Section 5.7.5 Special Visits of the facility administrator or designee. Family therapy ☒ ☐ ☐ Section 5.7.6 Professional Visits and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. 7707 Tulare SYTF JH PRO 23-24 Page 71 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility may provide access to technology as an alternative, but not as a replacement, to in-person visiting. Section 5.7 ☒ ☐ ☐ The facility uses Skype and other virtual platforms to facilitate visits with families unable to visit. 1375 CORRESPONDENCE The facility administrator shall develop and implement ☒ ☐ ☐ Section 5.11 Mail Policy written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth may send or receive; ☒ ☐ ☐ Section 5.11 (B) (b) youth may send two letters per week postage free; ☒ ☐ ☐ Section 5.11.1 (F) (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ Section 5.11.3 staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described in (c), may be read by staff only when there is reasonable cause to believe facility safety and security, public safety, ☒ ☐ ☐ Section 5.11.1 (D) or youth safety is jeopardized. 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop ☒ ☐ ☐ Section 5.13 Telephone Policy and implement written policies and procedures to provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: Section 5.1.2 (I) Mandatory ☒ ☐ ☐ Programming-Section 5.1.5 Access to Legal Services 7707 Tulare SYTF JH PRO 23-24 Page 72 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; ☒ ☐ ☐ Section 5.1.2 (I)(1) (b) provision for confidential consultation with attorneys; and, ☒ ☐ ☐ Section 5.1.2 (I)(2) (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. ☒ ☐ ☐ Section 5.1.2 (I)(3) 1390 DISCIPLINE The facility administrator shall develop and implement Section 6.4.1(B) and (C) Discipline written policies and procedures for the discipline of youth Process that shall promote acceptable behavior; including the use of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Section 6.4.3(A) Bullet 1 (b) daily shower, access to drinking fountain, toilet and ☒ ☐ ☐ Section 6.4.3(A) Bullet 2-5 personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Section 6.4.3(A) Bullet 6 (d) contact with parent or attorney; ☒ ☐ ☐ Section 6.4.3(A) Bullet 7 (e) exercise; ☒ ☐ ☐ Section 6.4.3(A) Bullet 8 7707 Tulare SYTF JH PRO 23-24 Page 73 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) medical services and counseling; ☒ ☐ ☐ Section 6.4.3(A) Bullet 9 (g) religious services; ☒ ☐ ☐ Section 6.4.3(A) Bullet 10 (h) clean and sanitary living conditions; ☒ ☐ ☐ Section 6.4.3(A) Bullet 11 (i) the right to send and receive mail; ☒ ☐ ☐ Section 6.4.3(A) Bullet 12 (j) education; and, ☒ ☐ ☐ Section 6.4.3(A) Bullet 13 (k) rehabilitative programming. ☒ ☐ ☐ Section 6.4.3(A) Bullet 14 The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major Section 6.5 Rule Violations and violations and minor violations, be stated simply and Disciplinary Sanctions ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7707 Tulare SYTF JH PRO 23-24 Page 74 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 1391 DISCIPLINE PROCESS The facility administrator shall develop and implement Section 6.4 Progressive Discipline written policies and procedures for the administration of discipline which shall include, but not be limited to: Section 6.5 Rule Violations and Disciplinary Sanctions Section 6.6 Disciplinary Due Process We reviewed 27 incident reports including Due Process (DP), as well as 34 RC incident reports that included the due process requirements. The form and timeliness in policy were in line with regulation. The agency has a matrix for sanctions which is being reimplemented to ensure consistency. The agency continues to complete Due Process for minor rule violations, resulting in an excessive amount of documentation. From July 2022 to the date of the inspection, there were 551 DP ☒ ☐ ☐ reports but only 80 major rule violation incidents. In 2020, the agency had 1097 DP incidents but when refined, there were 382 major rule violations in the same time period. Last cycle numbers were similar, with 236 major incidents and 1535 DP forms completed in a 21-month period. The others were documented minor rule violations and self-harm incidents. We again provided technical assistance recommendations for the facility to return to using “Consequence” forms only, rather than duplicating the process, for minor rule violations, documenting the minor violation and the minor sanction, if any was imposed. The amount of time spent completing an incident report and DP is exhaustive and unnecessary. The consequence form is appealable, entered in Caseload Explore so new and old minor violations can be seen, and most importantly, allows staff more time to supervise and re-direct behavior. 7707 Tulare SYTF JH PRO 23-24 Page 75 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ Section 6.4.3 (B) (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Section 6.4.3 (B) (c) definition of major and minor rule violations and their consequences, and due process requirements; Section 6.5.2-4 ☒ ☐ ☐ Section 6.5.5 Commitment Program Rules and Sanctions (additional) (d) trauma-informed approaches and positive behavior interventions; ☒ ☐ ☐ Section 6.4.1 (C) (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be Section 6.6.3 Disciplinary Due Process accompanied by written documentation and a policy of for Minor Rule Violations review and appeal to a supervisor; and, The facility currently completes an ☒ ☐ ☐ incident report and full due process for minor rule violations. We provided technical assistance to complete a lesser form of documentation and appeal request in line with the Consequence Sheet used in the past. (f) major rule violations and the discipline process shall be documented and require the following: Section 6.6.4 Disciplinary Due Process ☒ ☐ ☐ and Major Rule Violations (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Section 6.6.4 (A)(3)(1) 7707 Tulare SYTF JH PRO 23-24 Page 76 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Section 6.4.1 (E) learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ Section 6.6.4 (A)(3)(2) incident; (4) opportunity for the youth to be heard, present ☒ ☐ ☐ Section 6.6.4 (A)(3)(3) evidence and testimony; (5) provision for youth to be assisted by staff in the ☒ ☐ ☐ Section 6.6.4 (A)(3)(4) hearing process; (6) provision for administrative review. ☒ ☐ ☐ Section 6.6.4 (A)(3)(5) (g) violations that result in a removal from camp or commitment program, but not a return to court, will follow the due process provisions in subsection (e) ☒ ☐ ☐ Section 6.5.5 (I) above. 1410 MANAGEMENT OF COMMUNICABLE DISEASES. Tulare County Probation Department The health administrator/responsible physician, in Juvenile Facility Manual (TCPDJFM) cooperation with the facility administrator and the local Section 8.10.2 Management of health officer, shall develop written policies and ☒ ☐ ☐ Communicable Diseases procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, Juvenile Detention Facility Response to but not be limited to: COVID-19 TCPDJFM Section 8.10.2, A-1 Induction Health Screening Procedures (a) Intake health screening procedures; ☒ ☐ ☐ Juvenile Detention Facility Response to COVID-19: Booking Protocols 7707 Tulare SYTF JH PRO 23-24 Page 77 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS TCPDJFM Section 8.10.2, A-2 Identification of Relevant Symptoms (b) Identification of relevant symptoms; ☒ ☐ ☐ Tulare County Pre-Screening Questionnaire TCPDJFM Section 8.10.2, A-3 Referral for Medical Evaluation (c) Referral for medical evaluation; ☒ ☐ ☐ TCPDJFM Section 8.10.2, C Juvenile Detention Facility Response to COVID-19: Booking Protocols: Bullet 2 TCPDJFM Section 8.10.2, A-4 Treatment responsibilities during detention. TCPDJFM Section 8.10.2, E Treatment based on assessment. (d) Treatment responsibilities during detention; ☒ ☐ ☐ TCPDJFM Section 8.10.2, G Treatment as prescribed by the attending physician Juvenile Detention Facility Response to COVID-19 TCPDJFM Section 8.10.2, A-5 (e) Coordination with public and private community- ☒ ☐ ☐ based resources for follow-up treatment; Coordination of public and private community-based resources for follow- up treatment. 7707 Tulare SYTF JH PRO 23-24 Page 78 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS TCPDJFM Section 8.10.2, A-6 Reporting Requirements (f) Applicable reporting requirements; and, ☒ ☐ ☐ Juvenile Detention Facility Response to COVID-19 TCPDJFM Section 8.10.2, A-7 Strategies for handling disease outbreaks (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ TCPDJFM Section 8.10.2, E Communicable Disease Precautions Juvenile Detention Facility Response to COVID-19 The policies and procedures shall be updated as necessary to reflect communicable disease priorities identified by the local health officer and currently The agency is fortunate to have 24-hour recommended public health interventions. medical personnel on-site every day. ☒ ☐ ☐ This allows for comprehensive screening, treatment, and medical daily assessments of a youth’s condition. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 8, Section 8.7 Medical Treatment The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ and Services establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE The youth’s personal clothing, undergarments and Section 5.9.1 footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily laundered, in good repair, and free of holes and tears. ☒ ☐ ☐ Section 5.9.1, A (b) The standard issue of climatically suitable clothing ☒ ☐ ☐ for youth shall consist of but not be limited to: 7707 Tulare SYTF JH PRO 23-24 Page 79 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Socks and serviceable footwear; ☒ ☐ ☐ Section 5.9.1, D-1 and 7 (2) Outer garments; ☒ ☐ ☐ Section 5.9.1, E (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; ☒ ☐ ☐ Section 5.9.1, D-2 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. Section 5.9.1, D-2 and 4 ☒ ☐ ☐ Section 5.9.2, B (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried ☒ ☐ ☐ Section 5.9.2, A completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Section 5.9.1 H 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement Section 5.9.2 Intro written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL CLOTHING Section 5.9.2, D There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 7707 Tulare SYTF JH PRO 23-24 Page 80 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1485 ISSUE OF PERSONAL CARE ITEMS There shall be written policies and site-specific Section 5.10.1 procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ Section 5.10.1 Toiletry Item H items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Section 5.10.1 Toiletry Item A (b) Toothpaste; ☒ ☐ ☐ Section 5.10.1 Toiletry Item B (c) Soap; ☒ ☐ ☐ Section 5.10.1 Toiletry Item C (d) Comb; ☒ ☐ ☐ Section 5.10.1 Toiletry Item D (e) Shaving implements; ☒ ☐ ☐ Section 5.10.5 B (f) Deodorant; ☒ ☐ ☐ Section 5.10.1 Toiletry Item I (g) Lotion; ☒ ☐ ☐ Section 5.10.1 Toiletry Item E (h) Shampoo; and, ☒ ☐ ☐ Section 5.10.1 Toiletry Item G 7707 Tulare SYTF JH PRO 23-24 Page 81 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (i) Post-shower conditioning hair products. ☒ ☐ ☐ Section 5.10.1 Toiletry Item F Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Section 5.10.1 C Youth shall not share disposable razors. Double edged Section 5.10.5 B safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE There shall be written policies and site specific Section 5.10.1 B procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Section 5.10.2 A and B teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Youth shall have access to a razor daily, unless their Section 5.10.5 B appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Hair care services shall be available in all juvenile Section 5.10.5 A facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good Section 5.8.1 repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; Section 5.8.1 B-1 through 3 7707 Tulare SYTF JH PRO 23-24 Page 82 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ Section 5.8.1 B-2 (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Section 5.8.1 A (d) One towel; and, ☒ ☐ ☐ Section 5.8.1 A (e) One blanket or more, up on request ☒ ☐ ☐ Section 5.8.1 A 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement Section 5.8.2 A-1 and 2 site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once a month. ☒ ☐ ☐ Section 5.8.1 A-3 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Section 7.11.5 Facility Sanitation Safety The facility administrator shall develop and implement and Maintenance written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7707 Tulare SYTF JH PRO 23-24 Page 83 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 7707 Tulare SYTF JH PRO 23-24 Page 84 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☐ ☒ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ ☒ Dependent or neglected minors who are defined under Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) 7707 Tulare SYTF JH PRO 23-24 Page 85 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☐ ☒ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7707 Tulare SYTF JH PRO 23-24 Page 86 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7708 FACILITY NAME: Tulare County Detention Facility Camp (JDFC) FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Kelly Vernon, Chief Probation Officer; Mike Santos, Division Manager; Margarita Luna, Deputy Chief Probation Officer; Leanne Williams, Assistant Chief Probation Officer; Greg Powers, Supervising Probation Officer (SPO); Michael Ortiz, SPO; Albert Fereira, SPO; Jennifer Childress, Institution Supervisor (IS); Lorena Torres, Probation Corrections Officer (PCO) III; ; Victor Arcero, PCO I; Susan Graf, Food Services Manger JDF; Deanna Huff, Wellpath Administrator; Eric Krenz, Wellpath Director of Nursing; Marco Ramirez, Wellpath RN Supervisor; Karen Valdavieso, Principal TCOE; Angela Gallardo, Phoenix House; Ashley Ramirez, Phoenix House; Gisel Angeles, Probation Program Specialist Supervisor; Mary Helen Gonzalez, Precision Psychiatric Services Director; Rupally Tilve, Vice President Operations Precision Psychiatric Services; Youth: Isiah G, age 17 (SYTF); Devon A, age 16 (Mid-Term Commit); Zerina O, age 16 (Mid-Term Commit); Santiago A, age 19 (SYTF); Lelani A, age 14 (Detention) FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 15-18, 2023 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS May 24, 2022 April 6, 2021 On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a ☒ ☐ documented inspection and evaluation from the ☐ The 2023 Building Inspection was following: occurring while on-site, May 16, 2023. (a) county building inspector or person designated by the Board of Supervisors to approve building safety; (b) fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code Section ☒ October 6, 2022 ☐ ☐ 13146.1(a) and (b); March 23, 2021 1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7708 Tulare JDFC Camp PRO 23-24 Page 1 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) local health officer, inspection in accordance with Health and Safety Code Section 101045; Environmental Health: December 1, 2022 October 5, 2021 Medical/Mental Health: December 7, 2022* September 20, 2021 Nutritional Health: November 28, 2022 October 6, 2021 ☒ ☐ ☐ We noted the 2022 Medical Inspection found Wellpath was not providing Education Services to youth upon admission or throughout their stay. Our review found documented education during the initial assessments and ongoing services for youth. The Wellpath Manual also articulates this to include a documentation component. (d) county superintendent of schools on the adequacy of educational services and facilities as required in Section ☒ May 10, 2023 ☐ ☐ 1370; March 18, 2022 (e) juvenile court as required by Section 209 of the Welfare and Institutions Code; and, ☒ February 15, 2023 ☐ ☐ March 17, 2022 (f) the Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ June 30, 2022 ☐ ☐ Probation Commission as required by Section 240 of the April 21, 2021 Welfare and Institutions Code. 1320 APPOINTMENT AND QUALIFICATIONS The elements of this regulation are BSCC Note: Compliance with this section is determined addressed in a memorandum completed by receipt of the Chief Probation Officer’s certification by Deputy Chief Probation Officer letter confirming that all elements of regulation are met. Margarita Luna dated August 27, 2022. There was no Chief in place when completed; however, the new Chief (a) Appointment ☒ ☐ ☐ Probation Officer is Kelly Vernon. In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and The memorandum verifies the agency employees. Such superintendent, director, facility hires qualified candidates that meet the manager and other employees of the facility shall be specifications required by the agency and appointed by the facility administrator pursuant to regulation. applicable provisions of law. 7708 Tulare JDFC Camp PRO 23-24 Page 2 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Employee Qualifications Each facility shall: Section 2.2.1 (A) (1) recruit and hire employees who possess ☒ ☐ ☐ knowledge, skills and abilities appropriate to their job classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening test and evaluation for immunity to contagious illnesses of ☒ Section 2.2.1 (A) ☐ ☐ childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and Section 2.2.1 (C) (4) conduct a criminal records review, on each new employee, and psychological examination in Section 2.2.1 (B) ☒ accordance with Section 1031 of the Government ☐ ☐ Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Section 2.2.1 (D) facility, shall have such clearance and qualifications as ☒ may be required by law, and their presence at the facility ☐ ☐ shall be subject to the approval and control of the facility manager. 7708 Tulare JDFC Camp PRO 23-24 Page 3 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Each juvenile facility shall: Section 2.1(F)(1) (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its programming, to provide for safety and security of youth The Juvenile Facilities (JF) have one and staff, and meet established standards and Division Manager, 3 Supervising regulations; Probation Officers, 13 Institution Supervisors, 4 Probation Corrections Officer (PCO) III’s, 28 Probation Corrections Officer I/II’s, 4 transportation staff, 6 Intake officers, 13 Detention Services Officers, and 10 kitchen and laundry staff. ☒ There are 43 vacant PCO I/II/III positions, ☐ ☐ 13 on a long-term Leave of Absence (LOA) and 11 frozen positions. All PCO’s are core trained. Due to the shortages, the agency has a process in place for mandatory overtime. The Deputy Probation Officers (DPO) have been mandated to work one shift per week. The DPO schedule is based on seniority and these staff have the option of working overtime or in lieu of their scheduled field day. Of the 85 DPO staff, half are core trained. The schedule and administration of the OT is getting better as new staff come on board, but it remains difficult to manage. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ ☐ ☐ exigent circumstances; Section 2.1(F)(2) 7708 Tulare JDFC Camp PRO 23-24 Page 4 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; Section 2.1(F)(3) There is a minimum of one Institutional ☒ ☐ ☐ Supervisor on duty at all times, however, we note since the IS series works 12-hour shifts, there are typically 2 on duty each shift. (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has ☒ completed the Juvenile Corrections Officer Core Course ☐ ☐ Section 2.1(F)(4) and PC 832 training; (e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ Section 2.1(F)(5) ☐ ☐ (f) have sufficient food service personnel relative to the number and security of living units, including staff qualified and available to: plan menus meeting nutritional Section 2.1(F)(6) requirements of youth; provide kitchen supervision; direct food preparation and servings; conduct related training programs for culinary staff; and maintain necessary ☒ There is a Food Services Manager, 4 ☐ ☐ records; or, a facility may serve food that meets nutritional cooks, a stock clerk/Warehouse staff, and standards prepared by an outside source; 3 laundry technicians assigned to the facility. 7708 Tulare JDFC Camp PRO 23-24 Page 5 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Section 2.1(F)(7) transportation, control room, facility security and other support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and, The facility is sufficiently staffed for their population. Wellpath provides 24-hour per day medical services, seven days a week. Precision Psychiatric Services via Kaweah Hospital provides Mental Health Services Monday through Friday, but is available 24 hours a day, via on-call. ☒ ☐ ☐ There is a Clinician, Discharge Planner (LVN), and Medical Assistant scheduled during the week and a Psychiatrist on site on Mondays. Phoenix House staff and the Program Specialist provide programming in order for staff to facilitate operational needs. There is ancillary sufficient staff to ensure no services for the youth population are diverted from youth supervision staff responsibilities. (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to temporary variations in staff assignments to meet special ☒ Section 2.1(F)(8) ☐ ☐ program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls ☐ ☒ (A) during the hours that youth are awake, one ☐ The JDFC is not a Juvenile Hall program. 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. 7708 Tulare JDFC Camp PRO 23-24 Page 6 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☒ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☒ This facility is not a SPJH, therefore, the ☐ ☐ awake youth supervision staff member on duty for balance of this section will be left blank. each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (A) during the hours that youth are awake, one Section 2.1(B) wide-awake youth supervision staff member on duty for each 15 youth in the camp population; The Juvenile Detention Facility Camp is a ☒ ☐ Camp program, however, due to ☐ population of each program the Camp and YF program’s male population are housed together in C Unit of Pod 5. There are always two staff on duty in these pods. (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 ☐ Section 2.1(C) 30 youth present in the facility; 7708 Tulare JDFC Camp PRO 23-24 Page 7 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Section 2.1 number of youth in residence, unless arrangements have been made for backup support services which allow for immediate response to emergencies; ☒ ☐ We reviewed the staff schedules and ☐ roster, noting there are at minimum 8 staff on duty during the sleeping hours, well beyond the minimum required ratio. (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; Section 2.1(D) (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be Section 2.1(H) 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 Section 2.1(G) personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Section 2.6.2(A) (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to Section 2.6.2(A)(1) their duties, including: (1) youth supervision duties; The Department training curriculum, updated in 2020, exceeds minimum standards and includes all required ☒ ☐ ☐ elements, including a 160- to 200-hour training and orientation process, monitored by a Field Training Officer. Staff are provided significant training before shadowing permanent staff as ‘on the job’ training. 7708 Tulare JDFC Camp PRO 23-24 Page 8 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) scope of decisions they shall make; ☒ Section 2.6.2(A)(2) ☐ ☐ (3) the identity of their supervisor; ☒ Section 2.6.2(A)(3) ☐ ☐ (4) the identity of persons who are responsible to them; ☒ Section 2.6.2(A)(3) ☐ ☐ (5) persons to contact for decisions that are beyond their responsibility; and ☒ Section 2.6.2(A)(4) ☐ ☐ (6) ethical responsibilities. ☒ Section 2.6.2(A)(5) ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 9 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff Section 2.6.2(B) member shall receive a minimum of 40 hours of facility- specific orientation, including: Section 2.6.2 Bullet 1 The facility provides 160 to 200 hours of curriculum in their Orientation and training process, depending on assignment and successful completion of three specific phases, prior to assuming any youth supervision duties. Staff assigned to Booking and Intake require more specific ☒ ☐ ☐ training. The basic requirements for all staff include New Staff Orientation/Training and Observation Training. Additional training may be provided which includes Proficiency Training (Remediation skill training) and Re-Integration Training (staff who have been absent for a period of time). This is a comprehensive and intensive training process. (1) individual and group supervision techniques; ☒ Section 2.6.2 Bullet 1 ☐ ☐ Section 2.6.2 Bullet 2 (2) regulations and policies relating to discipline and rights of youth pursuant to law and the provisions of ☒ ☐ ☐ this chapter; New staff receive an Orientation Binder to use as a study tool. u(3) basic health, sanitation and safety measures; ☒ Section 2.6.2 Bullet 3 ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 10 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 2.6.2 Bullet 4 (4) suicide prevention and response to suicide ☒ attempts ☐ ☐ Suicide Prevention training is part of the department’s annual training for all facility staff. (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Section 2.6.2 Bullet 5 physical restraints; Section 2.6.2 Bullet 6 (6) review of policies and procedures referencing ☒ trauma and trauma-informed approaches; ☐ ☐ All new youth supervision staff are required to read the Policy and Procedure Manual prior to mentoring in the facility. Section 2.6.2 Bullet 7 This is the agency Emergency (7) procedures to follow in the event of emergencies; ☒ ☐ ☐ Procedures policy and procedures. The County of Tulare also has an Emergency Action Plan designed specifically to the Facility site. (8) routine security measures, including facility ☒ Section 2.6.2 Bullet 8 perimeter and grounds; ☐ ☐ (9) crisis intervention and mental health referrals to ☒ Section 2.6.2 Bullet 9 mental health services; ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 11 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (10) documentation; and ☒ Section 2.6.2 Bullet 10 ☐ ☐ Section 2.6.2 Bullet 11 (11) fire/life safety training ☒ ☐ ☐ All new staff are provided CPR/First Aid Training within the first two months of hire, sooner if the staff is cored. (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully complete the requirements of the Juvenile Corrections ☒ Section 2.6.4 (A) ☐ ☐ Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete training ☒ ☐ ☐ pursuant to Section 830 et seq. of the Penal Code. Section 2.6.4 (B) 1323 FIRE AND LIFE SAFETY Whenever there is a youth in a juvenile facility, there shall Section 2.6.4 (D) Training be at least one wide awake person on duty at all times ☒ ☐ ☐ who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL All facility administrators shall develop, publish, and Section 1.4 TCJDF Policy and implement a manual of written policies and procedures Procedures Manual that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made available to all employees, reviewed by all employees, ☒ and shall be administratively reviewed at a minimum ☐ ☐ The current manual was reviewed and every two years, and updated, as necessary. Those updated in April 2023. It is compliant with records relating to the standards and requirements set regulations and addresses all facets of forth in these regulations shall be accessible to the Board detention, commitment, and SYTF. on request. The manual shall include: 7708 Tulare JDFC Camp PRO 23-24 Page 12 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) table of organization, including channels of communications and a description of job classifications; Section 1.2 Table ☒ Section 1.4 (A) ☐ ☐ Section 2.3 Job Descriptions (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Juvenile Justice/Delinquency Prevention Commission or Section 1.3 Purpose, Vision, Mission ☒ Probation Committee, probation staff, school personnel ☐ ☐ Section 1.4 (B) and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; Section 2.3 Job Descriptions of ☒ ☐ ☐ Institutional Positions (d) initial orientation and training program for employees; Section 2.6.2 Minimum Orientation and ☒ ☐ ☐ Training (e) initial orientation, including safety and security issues and anti-discrimination policies, for support staff, contract ☒ employees, school, mental/behavioral health and ☐ ☐ Section 2.6.7 Non-Sworn Support Staff medical staff, program providers and volunteers; Training (f) maintenance of record-keeping, statistics and communication system to ensure: Section 7.4 Maintenance of Youth ☒ ☐ ☐ Records (1) efficient operation of the juvenile facility; ☒ Section 1.4 (E)(1) ☐ ☐ (2) legal and proper care of youth; ☒ Section 1.4 (E)(2) ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 13 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) maintenance of individual youth's records; ☒ Section 1.4 (E)(3) ☐ ☐ Section 1.4 (E)(4) (4) supply of information to the juvenile court and ☒ those authorized by the court or by the law; and, ☐ ☐ Section 3.1.2 Juvenile Court Release of Information Section 1.4(E)(5) (5) release of information regarding youth. ☒ ☐ ☐ Section 3.1.3 Juvenile Detention Facility Release of Information (g) ethical responsibilities; ☒ Section 2.6.2 (A)(5) ☐ ☐ (h) trauma-informed approaches; ☒ Section 1.4 (W) ☐ ☐ (i) culturally responsive approaches; ☒ Section 1.4 (X) ☐ ☐ (j) gender responsive approaches; ☒ Section 1.4 (Y) ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 14 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal access Section 1.4 (T) to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to Section 4.7(B) discrimination or harassment on the basis of actual or perceived race, ethnic group identification, ancestry, ☒ ☐ ☐ national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, The Non-Discrimination Policy (NDP) is mental or physical disability, or HIV status, including posted in each living unit, listed in the restrictive housing or classification decisions based solely Youth Handbook, and part of the Policy on any of the above mentioned categories; and Procedures Manual. (l) storage and maintenance requirements for any chemical agents related security devices, and weapons ☒ ☐ ☐ and ammunition, where applicable; Section 7.13.6.7 Use of Force (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible youth; Section 4.3.4 (B)(3) Intake Procedures and, ☒ ☐ ☐ Section 8.7.4 Medical Services (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. The policy shall include an approach to preventing, PREA policy detecting and responding to such conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a The agency has a PREA Policy, with ☒ third party. ☐ ☐ posters of a zero tolerance for sexual assault or abuse, and all youth entering the facility are shown the PREA video before placement in a living unit. 1325 FIRE SAFETY PLAN The facility administrator shall consult with the local fire Section 3.0 Emergency Procedures department having jurisdiction over the facility, or with the Manual State Fire Marshal, in developing a plan for fire safety which shall include, but not be limited to: ☒ ☐ ☐ (a) a fire prevention plan to be included as part of the The County of Tulare has an Emergency manual of policy and procedures; Action Plan that describes each element in regulation, specific to the facility site. 7708 Tulare JDFC Camp PRO 23-24 Page 15 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) monthly fire and life safety inspections by facility staff with two-year retention of the inspection record; The Monthly Fire and Life Safety Inspections include documented facility- specific elements of safety as well as a check of all First Aid kits in the facility. The facility keeps detailed logs of the monthly checks, perimeter checks, Earthquake drills, and Fire Alarm checks. Additionally, the staff are required to read ☒ and sign off that they have reviewed the ☐ ☐ monthly OSHA Fact Sheet, indicating their understanding of the educational briefing each month. We reviewed the monthly fire and life safety inspections from July 2022 to April 2023. We provided technical assistance to use one form for each of the 13 areas inspected to consolidate the process. (c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); The most recent Fire Inspection was completed on October 6, 2022. The ☒ ☐ ☐ agency implemented annual fire inspections recommended last cycle. (d) an evacuation plan; There are evacuation maps throughout ☒ ☐ ☐ the facility. 7708 Tulare JDFC Camp PRO 23-24 Page 16 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (e) documented fire drills not less than quarterly; The facility policy is more restrictive than regulation and requires monthly fire drills at different times and days of the week. Our review of facility-wide drills revealed ☒ ☐ ☐ drills were practiced almost daily through 2022, whenever youth go outside for recreation or exercise. In 2023, the agency began doing drills several times a month to ensure youth and staff were prepared. (f) a written plan for the emergency housing of youth in the case of fire; and, Section 3.11 Youth Fire Relocation Plan The policy indicates the agency will ☒ ☐ ☐ relocate youth to an adjacent County Juvenile Hall. CPOC Central Valley is coordinating an emergency housing plan for all counties in the region. (g) development of a fire suppression pre-plan in cooperation with the local fire department. ☒ Section 3.10 Fire Suppression Pre-Plan ☐ ☐ 1326 SECURITY REVIEW Each facility administrator shall develop policies and Section 7.11.7 (I) procedures to annually review, evaluate, and document security of the facility. The review and evaluation shall include internal and external security, including, but not limited to, key control, equipment, and staff training. A Security Review Memorandum was ☒ ☐ ☐ completed by Division Manager Mike Santos on June 22, 2022, outlining the review of internal and external facility security measures. 7708 Tulare JDFC Camp PRO 23-24 Page 17 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific Emergency Procedures Manual (EPM) policies and procedures for emergencies that shall include, but not be limited to: ☒ ☐ ☐ The agency has an updated EPM which all youth supervision staff are required to read annually. EPM 2.0 Escape (a) escape, disturbances, and the taking of hostages; ☒ 5.0 Hostage ☐ ☐ 7.0 Facility Disturbances EPM 8.0 Civil Disturbances (b) civil disturbance, active shooter and terrorist ☒ attack; ☐ ☐ 8.1 Active Shooter/Terrorist Attack (c) fire and natural disasters; ☒ EPM 9.0 Natural Disasters ☐ ☐ The facility has sprinklers checked two (d) periodic testing of emergency equipment; ☒ times each year and alarms are tested ☐ ☐ monthly. (e) emergency evacuation of the facility; and ☒ EPM 6.0 Evacuation Plan ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 18 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Staff are required to review an OSHA Educational tool after each monthly fire (f) a program to provide all youth supervision staff drill and the EPM one time per year. We ☒ with an annual review of emergency procedures. ☐ ☐ reviewed the agency training records as it relates to the facility annual review and found compliance with the regulation. 7708 Tulare JDFC Camp PRO 23-24 Page 19 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 1328 SAFETY CHECKS The facility administrator shall develop and implement Section 3.4.1 (B) Unit Shift Logs policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, Section 3.4.3 (A) Guard 1 Visual Cell at random or varied intervals during hours when youth Safety Checks are asleep or when youth are in their rooms, confined in holding cells or confined to their bed in a dormitory. Supervision is not replaced, but may be supplemented We reviewed safety checks, documented by, an audio/visual electronic surveillance system on a unit safety check log, recording time designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety of check and the number of youths checks shall be documented with the actual time the housed in each individual unit. The check is completed. agency went away from the Guard 1 tool after our last inspection, however, began using it again in January 2023. Our review included safety checks for the months of August and October 2022 and January 2023, for each of the four occupied units in Pod 5. The agency developed a safety check form last cycle to allow Institution Supervisor reviews during each shift. This prompted the IS to walk around the ☒ ☐ ☐ units and check the safety logs randomly each shift. In January 2023, the agency went to a Guard 1 Pipe check only. This resulted in a change to audits, making real-time reviews difficult. The operations IS uploads the pipe tool and assigned IS’s review the checks that occurred while they were on duty, post time. Not ideal but this allows the facility to audit, by electronic record and camera, for accountability of late or non- random/varied checks. Many factors, including the requirement for DPO coverage, removing the handwritten checks, and pipe inefficiencies are factors we considered. Additionally, the lack of staff factored into some late checks the first week of January. Later and current reviews revealed substantial compliance and noted improvements. 7708 Tulare JDFC Camp PRO 23-24 Page 20 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The agency is moving to a new version of the Guard 1 pipe system that allows for movement and audit functions in real-time so administrators can review more efficiently. We plan to return in the coming months to review this system once operational. 7708 Tulare JDFC Camp PRO 23-24 Page 21 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 1329 SUICIDE PREVENTION PLAN The facility administrator, in collaboration with the Section 8.14 Suicide Recognition and healthcare and behavioral/mental health administrators, Prevention shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. JMH-G-04 Precision Psychiatric Services The plan shall consider the needs of youth experiencing Manual past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall There have been 16 incidents of suicidal include the following elements: statements and gestures since our inspection in June 2022. Fifteen incidents were verbal statements made of self- harm and 1 involved a suicidal gesture. All agency partners responded per policy and met the requirements in regulation, objectives in policy, and consolidated approach in practice. The facility plan articulates procedures to follow for suicide events but also provides information for staff of what to look for, be aware of, and critical timing of critical events which illustrate the risk for suicide ☒ ☐ ☐ behaviors. It is a plan with informative triggers for staff to be aware of and is supported by 24/7 medical staff on site as well as Monday-Friday on-site mental health services with Precision Psychiatric Services and on-call services shared with the jail across the street after hours. Our review of the Precision Manual and Policy as it relates to Suicide Prevention is more of a summary with placement in the Safety Room and Smock as defined in the Suicide Watch policy, stepping down to a lesser restrictive environment upon communication with Precision staff. Wellpath nursing communicates with Precision and facility staff to design and develop individual plans and provides supervision while a youth is on any suicide or special watch. There is fragmented communication amongst all parties with the involvement of HHSA. We provided technical assistance to the Probation Administration to be clear in the 7708 Tulare JDFC Camp PRO 23-24 Page 22 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS roles and follow up from agency partners directly. (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and Training Section 8.14.1 and the Juvenile Corrections Officer Core Course. All staff receive Suicide Prevention ☒ Training in Core and annually. Staff ☐ ☐ assigned to the Intake unit receive additional training for screening and recognizing if a youth is at-risk for suicide or self-harm. (b) Screening, Identification Assessment and Precautionary Protocols Section 8.14 (A)(1) (1) All youth shall be screened for risk of suicide at intake and as needed during detention. The facility completes numerous assessments and screening of youth by probation, medical, and mental health ☒ ☐ ☐ staff at admission. The MAYSI, medical screening, and referral to mental health for assessment articulate risks at admission. We reviewed timelines for the intake implementation of the MAYSI upon admission. (2) All youth supervision staff who perform intake processes shall be trained in screening youth for risk ☒ ☐ ☐ of suicide. Section 8.14.1 (3) All youth who have been identified during the intake screening process to be at risk of suicide shall be referred to behavioral/mental health staff for a ☒ ☐ ☐ Section 8.14 (A)(1) and (2) suicide risk assessment. Section 4.3.4 (A)(6) (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the Section 8.14 (A)(4) behavioral/mental health assessment. ☒ ☐ ☐ Section 4.3.1 (10) 7708 Tulare JDFC Camp PRO 23-24 Page 23 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Referral process to behavioral/mental health staff for assessment and/or services. Section 8.14 ☒ Section 8.2.3 (C) ☐ ☐ Section 4.3.4 (A)(6) (d) Procedures for monitoring of youth identified at risk for suicide. Section 8.14. ☒ ☐ ☐ Section 4.3.1 (10) (e) Safety Interventions (1) Procedures to address intervention protocols for ☒ Section 8.14.5 (A) ☐ ☐ youth identified at risk for suicide which may include, but are not limited to: (A) Housing consideration ☒ Section 8.14.5 (D) ☐ ☐ (B) Treatment strategies including trauma- informed approaches ☒ Section 8.14.5 (A)(11) ☐ ☐ (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit suicidal ☒ ☐ ☐ Section 8.14.4 (A) and (B) behaviors. (f) Communication (1) The intake process shall include communication Section 4.3.2 (C) with the arresting officer and family guardians regarding the youth’s past or present suicidal ideations, behaviors or attempts. ☒ ☐ ☐ The intake unit is adjacent to Medical and Mental Health offices, allowing for constant and timely communication. 7708 Tulare JDFC Camp PRO 23-24 Page 24 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Procedures for clear and current information sharing about youth at risk for suicide with youth Section 8.14 (A) supervision, healthcare, and behavioral/mental health staff. All agency partners communicate daily regarding any youth presenting suicidal behaviors. Wellpath takes the lead as they are on-site 24/7 and with Precision ☒ ☐ ☐ Psychiatric Services, Phoenix House, and a Program Specialist in place, the agency promotes a coordinated approach to youth behavior, response, and follow-up. We encouraged stronger communication amongst these agencies to ensure all youth needs are met timely and efficiently. (g) Debriefing of Critical Incidents Related to Suicides or Attempts (1) Process for administrative review of the ☒ Section 8.14.4 (D)(1) ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected ☒ Section 8.14.4 (D)(2) staff. ☐ ☐ (3) Process for a debriefing event with affected youth. ☒ Section 8.14.4(D)(3) ☐ ☐ (h) Documentation (1) Documentation processes shall be developed to Section 8.14.0 (A)(1) ensure compliance with this regulation ☒ ☐ ☐ Section 8.14.4 (D)(4) Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, services Section 8.14.5 (J) and activities which are available to other non-suicidal youth, unless deemed necessary for the safety of the ☒ youth or security of the facility. Any deprivation of ☐ ☐ programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 7708 Tulare JDFC Camp PRO 23-24 Page 25 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1340 REPORTING OF LEGAL ACTIONS Each facility shall submit to the Board a letter of Section 3.6 Reporting of Legal Actions notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. ☒ ☐ ☐ The agency has one possible legal action pending with a current investigation through the TCSO. 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE DETAINED Section 8.14.9 (C)(4) and (5) Death of a (1) Death of a Youth. Youth (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and ☒ ☐ ☐ procedures in the event of the death of a youth while There have been no youth deaths this detained, which include notifications to necessary cycle. parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the facility administrator, shall develop written policies and procedures to assure there is a medical and Section 8.14.9 (G) operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Board a copy of the report submitted to the Attorney General under Government Code Section ☒ Section 8.14.9 (E)(3) ☐ ☐ 12525. A copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within 30 Section 8.14.9 (E)(3)(a) calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to ☒ ☐ ☐ the provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7708 Tulare JDFC Camp PRO 23-24 Page 26 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) Serious Illness or Injury of Youth. (a) The facility administrator, in cooperation with Section 8.14.8 (D) the health administrator, shall develop written policies and procedures for the notification to necessary parties, which may include the Juvenile The facility process for serious illness and Court, the parent, guardian or person standing in ☒ ☐ ☐ injury includes notification to all parties in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. the event of an incident as defined by medical staff, who are on duty 24 hours each day. 1342 POPULATION ACCOUNTING Each juvenile facility shall submit required population ☒ Section 7.3.4 Administrative Count and profile survey reports to the Board within 10 working ☐ ☐ Records days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY (EXCERPT) When the number of youth detained in a living unit of a Section 4.7.8 Juvenile Facility Capacity juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 7708 Tulare JDFC Camp PRO 23-24 Page 27 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1350 ADMITTANCE PROCEDURES The facility administrator shall develop and implement Section 4.3 Admittance Procedures written policies and procedures for admittance of youth that emphasize respectful and humane engagement with youth, and reflect that the admission process may be traumatic to youth who may have already The facility has numerous screening and experienced trauma. Policies shall be trauma-informed, assessment tools, including the SOGIE, culturally relevant, and responsive to the language and Victim Vulnerability Assessment, and literacy needs of youth. In addition to the requirements Intake Assessment with Mental Health of Sections 1324 and 1430 of these regulations: Assessment. Each are facilitated by probation staff, medical personnel, and mental health clinicians. There are RN’s on duty 24 hours each day and mental health services available 8 hours each day on-site (services shared with the jail) and on-call, allowing for all required elements of regulation. The process and practice includes intake responsibilities for admitting a youth, questionnaires, and screenings by medical staff including all aspects of a ☒ ☐ ☐ youth’s personal, physical, and mental presentations, and a series of mental health assessments, facilitated by medical staff and referred to Precision staff if mental health is not on duty. The process flows well, especially given the proximity to the intake unit. We suggested a more targeted and seamless approach to these assessments with Wellpath and Precision, to ensure the youth needs are addressed timely and efficiently. We reviewed numerous intake packets and found the process consistent with the intent of admission processing of a youth. Youth committed to either camp program is merely transferred to an adjacent unit upon commitment. 7708 Tulare JDFC Camp PRO 23-24 Page 28 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) the admittance process shall include: (1) Access to two free phone calls within one hour of ☒ admittance in accordance with the provisions of ☐ ☐ Section 4.3.5 Welfare and Institution Code Section 627; (2) Offer of a shower; ☒ Section 4.3.3 (O); 4.3.8 (A) ☐ ☐ (3) Documented secure storage of personal ☒ Section 4.3.6 belongings; ☐ ☐ (4) Offer of food upon arrival; ☒ Section 4.3.8 (D) ☐ ☐ (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ Section 4.3.9 disabilities; (6) Screening for physical and developmental disabilities in accordance with Sections 1329, 1413, ☒ ☐ ☐ and 1430 of these regulations; Section 4.3.1 (3) (7) Contact with Regional Center for the Developmentally Disabled for youth that are suspected of or identified as having a ☒ Section 4.9 (C)(5) ☐ ☐ developmental disability, pursuant to Section 1413; Section 8.2 (A)(3) Initial Assessment and, Section 4.6 Transgender and Intersex (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Youth (b) juvenile hall administrators shall establish written criteria for detention that considers the least restrictive ☒ ☐ ☐ environment. Section 4.7.1 Classification (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures that Section 4.3.4 (B) Intake Procedures advise the youth of the estimated length of stay, inform ☒ them of program guidelines and provide written ☐ ☐ screening criteria for inclusion and exclusion from the program. 7708 Tulare JDFC Camp PRO 23-24 Page 29 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) juvenile halls shall develop policies and procedures that advise any committed youth of the estimated length ☒ ☐ ☐ Section 4.3.4 (B) Intake Procedures of his/her stay. 1350.5 SCREENING FOR THE RISK OF SEXUAL ABUSE Section 4.3.4 (B)(2) SOGIE The facility administrator shall develop and implement written policies and procedures to reduce the risk of Section 4.3.12 Screening for the Risk of sexual abuse by or upon youth. The policy shall require Sexual Abuse facility staff to assess each youth within 72 hours of admission based on the following information: ☒ ☐ ☐ The SOGIE is a tool to assess the youth’s likelihood of being abused. The Victim Vulnerability Assessment is completed to assist in determining the youth’s propensity to be victimized or to victimize. (a) Prior sexual victimization or abusiveness; ☒ Section 4.3.12 Bullet 1 ☐ ☐ (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, transgender, ☒ queer or intersex, and whether the youth may, therefore, ☐ ☐ Section 4.3.12 Bullet 2 be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ Section 4.3.12 Bullet 3 ☐ ☐ (d) Age; ☒ Section 4.3.12 Bullet 4 ☐ ☐ (e) Level of emotional and cognitive development; ☒ Section 4.3.12 Bullet 5 ☐ ☐ (f) Physical size and stature; ☒ Section 4.3.12 Bullet 6 ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 30 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Mental illness or mental disabilities; ☒ Section 4.3.12 Bullet 7 ☐ ☐ (h) Intellectual or developmental disabilities; ☒ Section 4.3.12 Bullet 8 ☐ ☐ (i) Physical disabilities; ☒ Section 4.3.12 Bullet 9 ☐ ☐ (j) The youth’s perception of vulnerability; and, ☒ Section 4.3.12 Bullet 10 ☐ ☐ (k) Any other specific information about the individual youth that may indicate heightened needs for supervision, additional safety precautions, or separation ☒ ☐ ☐ Section 4.3.12 Bullet 11 from certain other youth. Section 4.3.12 (D) Staff shall ascertain this information through conversations with the youth during the admittance process, medical and behavioral health screenings; Section 4.3.12 (A) ☒ during classification assessments; and by reviewing ☐ ☐ court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate controls on the dissemination of information within the Section 4.13.2 (B) facility relative to responses received pursuant to this ☒ assessment in order to ensure that sensitive information ☐ ☐ is not exploited to the youth’s detriment by staff or other youth. 7708 Tulare JDFC Camp PRO 23-24 Page 31 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1351 RELEASE PROCEDURES The facility administrator shall develop and implement Section 4.5 Release Procedures written policies and procedures for release of youth from custody which provide for: The facility release procedures begin with a Multi-Disciplinary Team (MDT) meeting to assess the most appropriate re-entry plan for committed youth or a Special Needs planning meeting to address a youth’s needs as they release from ☒ detention into the community. We ☐ ☐ reviewed numerous Transition Release Plans with articulated direction for the youth upon re-entry. The addition of Precision Psychiatric Services, Phoenix House, and the Program Specialist positions have promoted a coordinated release process. (a) verification of identity/release papers; ☒ Section 4.5.2 (C)(1) ☐ ☐ (b) return of personal clothing and valuables; ☒ Section 4.5.2 (C)(2) ☐ ☐ (c) notification to the youth's parents or guardian; ☒ Section 4.5.2 (C)(4) ☐ ☐ (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ Section 4.5.2 (C)(8) regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ Section 4.5.2 (C)(10) ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 32 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) notification of facility mental health personnel. ☒ Section 4.5.2 (C)(8) ☐ ☐ The facility administrator shall develop and implement policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry Section 4.5.7 Transition and Re-entry services including, but not limited to, medical and Services behavioral health, education, probation supervision and community-based services. ☒ ☐ ☐ The facility has bi-weekly MDT meetings to determine appropriate services for school, Mental Health, and medical linkage upon release to the community. The facility administrator shall develop and implement written policies and procedures for the furlough of youth Section 4.5.3 Temporary Releases from custody. The facility does not currently furlough ☒ ☐ ☐ youth from either of their camp programs, however, is considering this option (post- Covid) as reintegrating youth into the community prior to permanent release. 7708 Tulare JDFC Camp PRO 23-24 Page 33 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352 CLASSIFICATION The facility administrator shall develop and implement Section 4.7 Classification written policies and procedures on classification of youth for the purpose of determining housing placement in the facility. Due to the facility’s low population, they Such procedures shall: have merged (committed) program youth, SYTF, female youth, general population detention youth, and WIC 707 (b) offender youth into one pod with four separate units. Although the plan is to move SYTF ☒ youth into Pod 1, they are awaiting ☐ ☐ physical improvements and more staff to facilitate the move. The current housing is not the preference but necessary for staffing. We note the JDFC program is the identified program for Long Term commits, typically up to one year. (a) provide for the safety of the youth, other youth, facility staff, and the public by placing youth in the appropriate, least restrictive housing and program Section 4.7.1 Bullet 1 ☒ settings. Housing assignments shall consider the need ☐ ☐ Section 4.7.2 Factors Affecting Unit for single, double or dormitory assignment or location Assignments within the dormitory; (b) consider facility populations and physical design of the facility; ☒ Section 4.7.1 Bullet 2 ☐ ☐ (c) provide that a youth shall be classified upon admittance to the facility; classification factors shall Section 4.7.1 Bullet 3 include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, legal ☒ ☐ ☐ status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; 7708 Tulare JDFC Camp PRO 23-24 Page 34 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) provide for periodic classification reviews, including provisions that consider the level of supervision and the Section 4.7.1 Bullet 4 youth's behavior while in custody; and, Section 4.7.2 (H) Classification of youth are reviewed at the weekly Special Needs meeting and bi- weekly at the MDT meetings. The agency added policy to require assigned IS staff to review their (assigned) unit classifications weekly. ☒ ☐ ☐ Youth presenting behaviors demanding attention of mental health and/or medical staff, as well as teachers, are evaluated for appropriate unit placement as necessary. As noted above, the facility administration returned two older and more sophisticated youth to their appropriately classified unit in order to comply with regulation elements and policy while on-site. (e) provide that facility staff shall not separate youth from the general population or assign youth to a single Section 4.7.1 Bullet 5 occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, gender expression, mental ☒ ☐ ☐ or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex identification or ☒ status as an indicator of likelihood of being sexually ☐ ☐ Section 4.7.1 Bullet 6 abusive. 7708 Tulare JDFC Camp PRO 23-24 Page 35 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. The facility administrator shall develop written policies Section 4.6 Transgender and Intersex and procedures ensuring respectful and equitable Youth treatment of transgender and intersex youth. The policies shall provide that: The facilities have process and procedure elements in place to address all facets of the regulation. Wellpath Medical staff assist the PCO/IS in providing resources for this population. The agency has sufficient policies for transgender youth, meeting all regulation components, ☒ including documentation regarding the ☐ ☐ Transgender and Intersex Youth Statement for Searches and the Housing Preference Form, which include the youth’s statement for preferred name and pronoun. We provided technical assistance to administration to include a youth’s clothing preference to the form, allowing for integration into appropriate placement. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the Section 4.6 (A) youth’s legal name. Facilities may prohibit the use of ☒ ☐ ☐ gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their gender ☒ Section 4.6 (B) identity and shall provide youth with the institution’s ☐ ☐ clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes their Section 4.6 (C) safety and well-being. Staff may not automatically house youth according to their external anatomy and shall ☒ document the reasons for any decision to house youth ☐ ☐ in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. 7708 Tulare JDFC Camp PRO 23-24 Page 36 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) Facility administrators shall ensure that transgender and intersex youth have access to medical and ☒ ☐ ☐ Section 4.6 (D) behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical plant, facility staff shall make every effort to ensure the safety ☒ Section 4.6 (E) ☐ ☐ and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall ☒ Section 4.6 (F) ☐ ☐ respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION The facility administrator shall develop and implement Section 4.4 Orientation written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal information shall be provided and supplemented with video orientation if feasible. Provision shall be made to We reviewed a significant number of provide accessible orientation information to all detained Orientation forms, each requiring the youth including those with disabilities, limited literacy, or youth to sign as an acknowledgment of English language learners. Orientation shall include understanding expectations and information that addresses: processes. This is originally completed by the Booking/Intake staff with the youth prior to placement in their assigned living unit. ☒ ☐ ☐ Each youth is provided a youth handbook, articulating all components of regulation, as well as a verbal characterization of the detention process, youth rights, and other required components. Youth also watch the PREA video. Medical staff articulate their process of orienting a youth to any medical-related information on the Wellpath Receiving Screening form. 7708 Tulare JDFC Camp PRO 23-24 Page 37 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) facility rules including contraband and searches and disciplinary procedures; Section 4.4 Bullet 1 Contraband and Searches Section 4.4 Bullet 20 Progressive ☒ ☐ ☐ Discipline Section 4.4 Bullet 23 Youth Rights Section 4.4 Bullet 28 Rules of Conduct (b) facility’s system of positive behavior interventions and supports, including behavior expectations, incentives that youth will receive for complying with Section 4.4 Bullet 2 Positive Behavior facility rules, and consequences that may result when Incentive System youth violate the rules of the facility; ☒ ☐ ☐ Section 4.4 Bullet 20 Section 4.4 Bullet 28 (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual ☒ harassment and how to report incidents or suspicions of ☐ ☐ Section 4.4 Bullet 3 PREA sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ Section 4.4 Bullet 4 Chain of Command ☐ ☐ (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be free ☒ of retaliation for reporting a grievance, and the name of ☐ ☐ Section 4.4 Bullet 5 Grievance Procedure the person or position designated to resolve the issue; and Policy Section 4.4 Bullet 6 Access to Legal (f) access to legal services and information on the ☒ Services and Information on the Court court process; ☐ ☐ Process Section 4.4 Bullet 7 Access to Medical Services (g) access to routine and emergency health and mental ☒ health care; ☐ ☐ Section 4.4 Bullet 8 Access to Mental Health Services 7708 Tulare JDFC Camp PRO 23-24 Page 38 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 4.4 Bullet 9 Religious Services (h) access to education, religious services, and ☒ Section 4.4 Bullet 10 Recreation recreational activities; ☐ ☐ Section 4.4 Bullet 11 Education Section 4.4 Bullet 12 Housing (i) housing assignments; ☒ ☐ ☐ Assignments (j) opportunity for personal hygiene and daily showers including the availability of personal care items Section 4.4 Bullet 13, Access to ☒ Showers, Hygiene and Personal ☐ ☐ Care/Shaving (k) rules and access to correspondence, visits and telephone use; Section 4.4 Bullet 14 Correspondence ☒ Section 4.4 Bullet 15 Visiting ☐ ☐ Section 4.4 Bullet 16 Telephone (l) availability of reading materials, programming, and other activities; Section 4.4 Bullet 17 Programs, Reading ☒ ☐ ☐ Material, and Activities (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; Section 4.4 Bullet 18 UF and UR ☒ ☐ ☐ Section 4.4 Bullet 19 Room Confinement Section 4.4 Bullet 21 Immigration Legal (n) immigration legal services; ☒ ☐ ☐ Services 7708 Tulare JDFC Camp PRO 23-24 Page 39 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section 4.4 Bullet 27 Emergencies and (o) emergencies including evacuation procedures; ☒ ☐ ☐ Evacuation (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; Section 4.4 Bullet 22 NDP (q) availability of services and programs in a language other than English if appropriate; Section 4.4 Bullet 23 Availability of ☒ ☐ ☐ Services for Language other than English (r) the process for requesting different housing, education, programming and work assignments; Section 4.4 Bullet 25 Request change in ☒ Housing, Education, Programming or ☐ ☐ Work Assignments (s) a process for which parents/guardians receive information regarding the youth’s stay in the facility that at a minimum includes answers to frequently asked Section 4.4 Parent/Guardian Information questions and provides contact information for the Brochure facility, medical, school and mental health; and, ☒ The facilities provide information for ☐ ☐ parents on all aspects of the pre- and post-disposition programs, as well as how they may contact the facility for any question regarding the youth’s stay. (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. ☒ Section 4.4 Bullet 26 Access to T15 ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 40 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354 SEPARATION The facility administrator shall develop and implement Section 6.5 Separation written policies and procedures that address: The policy for Separation is compliant with regulation and provides a description of each form of separation. Medically separated youth are housed in the Medical Unit. The mental health and program separation components are articulated in the policy and addressed based on classification factors and mental health recommendations. Behavior separations ☒ and self-separation are addressed in ☐ ☐ policy depending on the circumstances. Each separation is well documented in the agency Caseload Pro Program in detail. Facility staff have adjusted their process in identifying and responding to Self- Separation incidents. Our review of the Caseload Pro Case Management System entries reveals staff efforts made to reintegrate the youth into general programming. There have been 14 incidents of self-separation from July 2022 to date of inspection. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health conditions, ☒ assaultive behavior, disciplinary consequences and ☐ ☐ Section 6.5, Paragraph # 1 protective custody. (b) consideration of positive youth development and trauma-informed care. ☒ Section 6.5, Paragraph # 2 ☐ ☐ (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ ☐ ☐ Section 6.5, Paragraph # 2 necessary to accomplish the objective of separation. 7708 Tulare JDFC Camp PRO 23-24 Page 41 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. ☒ Section 6.5 (E) Daily Separation Review ☐ ☐ (e) when separation results in room confinement, the separation shall occur in accordance with Welfare and ☒ Institutions Code Section 208.3 and Section 1354.5 of ☐ ☐ Section 6.6 (A) Room Confinement these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation remains Section 6.5.1 (A) necessary. This section articulates the reviews shall ☒ ☐ ☐ occur during the first hour of each shift by the Institutional Supervisor, who is to log the termination or continuance of separation in the Separation Log. 7708 Tulare JDFC Camp PRO 23-24 Page 42 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT (a) The facility administrator shall develop and Section 6.6 (A) Room Confinement (RC) implement written policies and procedures addressing the confinement of youth in their room that are consistent with Welfare and Institutions Code Section 208.3. The placement of a youth in room confinement We reviewed 11 incidents involving 15 shall be accomplished in accordance with the following youth placed on RC in 2023, with 3 youth guidelines: involved in 5 overall incidents. The resulting placement was appropriate and compliant with regulation. The reasons for placement, ten of the 11 for assaultive behavior, were well documented in incident reports. In total, there were 36 incidents of RC from July 2022 to May 1, ☒ 2023. ☐ ☐ The process for documenting behavior checks, reviewing the need to continue, and the length of time on RC were detailed and informative. The RC log outlines the youth’s behavior at the time of the check as well as contact with staff and partners. IS and SPO make every effort to reintegrate the youth into normal programming the day following the incident. (1) Room confinement shall not be used before other, less restrictive, options have been attempted and exhausted, unless attempting those options ☒ Section 6.6 (B)(1) ☐ ☐ poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. Section 6.6 (B)(2) (3) Room confinement shall not be used to the extent that it compromises the mental and physical health ☒ ☐ ☐ Section 6.6 (B)(3) of the youth. (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ confinement for a period of four hours, staff shall do one ☐ ☐ or more of the following: 7708 Tulare JDFC Camp PRO 23-24 Page 43 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Return the youth to general population. ☒ Section 6.6 (F) ☐ ☐ (2) Consult with mental health or medical staff. ☒ Section 6.6 (H) ☐ ☐ (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ Section 6.6 (G)(2) the youth to general population. (4) If room confinement must be extended beyond ☒ 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, ☒ Section 6.6 (G)(1) ☐ ☐ and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ ☐ ☐ Section 6.6 (G)(2) integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ ☐ ☐ Section 6.6 (G)(3) every four hours thereafter. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of youth ☒ in juvenile facilities and does not apply to normal ☐ ☐ Section 6.6 (I) sleeping hours. (6) This section does not apply to youth or wards in ☒ court holding facilities or adult facilities. ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires a significant departure from normal institutional Section 6.6 (I) Paragraph #1 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. 7708 Tulare JDFC Camp PRO 23-24 Page 44 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and Section 6.6 (I) Paragraph #2 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 The facility administrator shall develop and implement ☒ Section 4.9 Assessment and Plan ☐ ☐ written policies and procedures for assessment and case planning. (a) Assessment: The assessment is based on information collected Section 4.9 Introduction and (A) 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, We reviewed 34 youth Action Plans counseling, behavioral health, consideration of known including 10 Initial, 10 Ongoing, and 14 history of trauma, and family strengths and needs. Release plans. The agency does a thorough job targeting service needs through the weekly Special Needs and bi- weekly MDT meetings. The facility is compliant with review and updates. The ☒ ☐ ☐ transition plan includes an MDT meeting with all agency partners to discuss the most appropriate and individualized re- entry service referrals. The agency 90-day timeline for ongoing plans allows the youth more time to meet objectives and goals, providing a timely review of the youth’s progress. (b) Institutional Case Plan: (1) A case plan shall be developed for each youth ☒ held for at least 30 days or more and created within ☐ ☐ Section 4.9 (C) 40 days of admission. 7708 Tulare JDFC Camp PRO 23-24 Page 45 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) The institutional plan shall include, but not be limited to, written documentation that provides: ☒ Section 4.9 ☐ ☐ (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ Section 4.9 (C)(1) ☐ ☐ (B) a plan for meeting the objectives that includes a description of program resources needed and ☒ individuals responsible for assuring that the plan ☐ ☐ Section 4.9 (C)(2) is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review and ☒ ☐ ☐ discussion of the plan with the youth; Section 4.9 (C)(3) (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed for ☒ post dispositional youth in accordance with Section ☐ ☐ Section 4.9 (C)(4) 1351; and, (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be developed with input from the family, supportive adults, youth, ☒ Section 4.9 (C)(5) ☐ ☐ and Regional Center for the Developmentally Section 4.9 (G) Supportive Adults Disabled. 1356 COUNSELING AND CASEWORK SERVICES The facility administrator shall develop and implement Section 4.9 (E) written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: The staff document notes in the Caseload Pro system that include both positive and ☒ ☐ ☐ negative interactions or incidents of youth behavior. We reviewed numerous ‘event’ entries documenting the positive and negative actions of every youth in custody. (a) youth will receive assistance with needs or concerns that may arise; ☒ Section 4.9 (E)(1)(a) ☐ ☐ (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, clergy, ☒ ☐ ☐ probation officer, or other public official; and, Section 4.9 (E)(1)(b) 7708 Tulare JDFC Camp PRO 23-24 Page 46 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) youth will be provided access to available resources to meet the youth’s needs. ☒ Section 4.9 (E)(1)(c) ☐ ☐ 1357 USE OF FORCE The facility administrator, in cooperation with the Section 7.13.1 (E) Use of Force responsible physician, shall develop and implement written policies and procedures for the use of force, which may include chemical agents. Force shall never be applied as punishment, discipline, retaliation or We reviewed 27 incident reports of the UF treatment. within the facility, 13 involving the use of OC Spray and 11 resulting in Room (a) At a minimum, each facility shall develop policies and Confinement. All incidents involved youth- procedures which: on-youth assaults (mutual fights), assaults to staff or youth assaults. The staff response was compliant with regulation and involved administrative review. The facility has had 80 UF incidents since ☒ ☐ ☐ July 2022, involving youth-on-youth assaults and violent actions by youth. Of these, 52 involved the use of OC spray, 50 included physical restraint use for moving the youth to their room and 36 resulted in RC. These numbers are down significantly from the 273 in 2018, 177 in 2019, and 114 in 2021. The staff are fortunate to have agency partners on site to medically clear youth after an incident, including decontamination, and initiation mental health referrals if necessary. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 ☒ to ensure the safety and security of youth, staff, others ☐ ☐ Section 7.13.3 (A) and the facility. (2) outline the force options available to staff including both physical and non-physical options and define ☒ Section 7.13.2 Use of Force Options ☐ ☐ when those force options are appropriate. 7708 Tulare JDFC Camp PRO 23-24 Page 47 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) describe force options or techniques that are expressly prohibited by the facility. Section 7.13.9 Choke Holds ☒ Section 7.13.1(B) ☐ ☐ Section 7.14.5 (K) Positional Asphyxia (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative action to immediately stop it. Section 7.13.3 (C) ☒ ☐ ☐ Section 7.14.2 (G) (5) define a standardized reporting format that includes time period and procedure for documenting and reporting the use of force, including reporting Section 7.13.4 Reporting, Debriefing and requirements of management and line staff and Notification procedures for reviewing and tracking use of force incidents by supervisory and or management staff, ☒ ☐ ☐ which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for investigating unreasonable use of force. ☒ Section 7.13.4 (B) ☐ ☐ (7) define the role, notification, and follow-up procedures required after use of force incidents for medical, mental health staff and parents or legal ☒ ☐ ☐ Section 7.13.3 (C) guardians. Section 7.13.4 (D) (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. ☒ Section 7.13.5 Limitations of Force on ☐ ☐ Pregnant Youth (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Section 7.13.6 Use of OC Spray (1) identify who is approved to carry and/or utilize ☒ chemical agents in the facility and the type, size and ☐ ☐ Section 7.13.6 (B) and (C) the approved method of deployment for those chemical agents. Section 7.13.6.4 7708 Tulare JDFC Camp PRO 23-24 Page 48 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the ☒ Section 7.13.6 safety of others and only when de-escalation efforts ☐ ☐ have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and timelines for decontamination from chemical agents. This shall include that youth who have been exposed ☒ Section 7.13.6.5 Decontamination ☐ ☐ to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents involving chemical agents for medical, mental health ☒ ☐ ☐ Section 7.13.6.3 (J) staff and parents or legal guardians. Section 7.13.6.5 (A)(7) (5) provide for the documentation of each incident of use of chemical agents, including the reasons for which it was used, efforts to de-escalate prior to use, Section 7.13.6.6 (A) Documentation youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training ☒ in use of force and chemical agents when appropriate ☐ ☐ Section 7.13.6 (D) that address: (1) known medical and behavioral health conditions that would contraindicate certain types of force; ☒ Section 7.13.6 (D)(1) and (2) ☐ ☐ (2) acceptable chemical agents and the methods of application. ☒ Section 7.13.6 (D)(3) ☐ ☐ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ Section 7.13.6 (D)(4) ☐ ☐ (4) instruction on the Constitutional Limitations of Use of Force. ☒ Section 7.13.6 (D)(5) ☐ ☐ 7708 Tulare JDFC Camp PRO 23-24 Page 49 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (5) physical training force options that may require the use of perishable skills. ☒ Section 7.13.6 (D)(6) ☐ ☐ (6) timelines the facility uses to define regular training. ☒ Section 7.13.6 (D)(6) ☐ ☐ 1358 USE OF PHYSICAL RESTRAINTS The facility administrator, in cooperation with the Section 7.14.1 Use of Restraints (UR) responsible physician and mental health director, shall develop and implement written policies and procedures Section 7.15 Safety WRAP for the use of restraint devices. Restraint devices include any devices which immobilize a youth's extremities and/or prevent the youth from being There has been no use of restraints (the ambulatory. WRAP) as specified in this regulation since July 2022 when we were on site last cycle. ☒ ☐ ☐ The agency has a detailed form when the WRAP is used, which prompts staff to provide food, water, allowance to stretch, restroom needs, 30-minute reviews by the IS, initial and supplemental contact with medical and mental health staff, and audits of placement. Physical restraints may be used only for those youth who present an immediate danger to themselves or others, who exhibit behavior which results in the Section 7.14.1 (A) destruction of property, or reveals the intent to cause ☒ Section 7.15 (A) self-inflicted physical harm. Physical restraints should ☐ ☐ be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or Section 7.14.3 Restricted UR other fixture, including a restraint chair, or through affixing ☒ Section 7.14.3 (D) Hogtying Restriction of hands and feet together behind the back (hogtying) is ☐ ☐ prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. 7708 Tulare JDFC Camp PRO 23-24 Page 50 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when used Section 7.14.1 (A) to restrain youth for movement or transportation within the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for ☒ Movement Within the Facility. ☐ ☐ This section refers to 7.14.6 Restraints for Movement and Transportation within the Facility. Youth shall be placed in restraints only with the approval of the facility manager or designee. The facility manager Section 7.14.2 (A) may delegate authority to place a youth in restraints to a physician. Reasons for continued retention in restraints Section 7.15 (B) shall be reviewed and documented at a minimum of every hour. ☒ ☐ ☐ This allows delegation to the on-duty facility Institutional Supervisor. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no later than two hours from the time of placement. The Section 7.14.2 (B) youth shall be medically cleared for continued retention Section 7.15 (E) at least every three hours thereafter. Medical personnel are on-site 24 hours each day and respond immediately to the placement of a youth in the WRAP. Policy ☒ and practice dictate they monitor the ☐ ☐ youth a minimum of every hour if placement in the WRAP and every 3 hours after placement in mechanical restraints (none this cycle). Youth are moved to the medical or intake area and personnel respond more frequently, as documented in the WRAP Placement form. 7708 Tulare JDFC Camp PRO 23-24 Page 51 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from the Section 7.14.2 (B) time of placement, to assess the need for mental health treatment. Section 7.15 (G) Mental Health staff are on-site or on-call 24 hours each day and when a youth is placed in restraint, they respond immediately, per policy. ☒ ☐ ☐ For WRAP placement, the facility administration and mental health personnel assess if the youth is to remain in the WRAP or be transported to a mental health facility for WIC 5150 evaluation. Precision Psychiatric Services has not been involved in this process to date as they just began services in the agency after the last inspection. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly employed, and Section 7.14.2 (C) to ensure the safety and well-being of the youth. ☒ Observations of the youth's behavior and any staff ☐ ☐ Section 7.15 (C) interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and procedures shall address: Section 7.14.4 Reports and (a) documentation of the circumstances leading to an Documentation application of restraints. ☒ ☐ ☐ Section 7.14.4 (5) (b) known medical conditions that would contraindicate certain restraint devices and/or techniques. ☒ ☐ ☐ Section 7.14.2 (I) 1-g 7708 Tulare JDFC Camp PRO 23-24 Page 52 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) acceptable restraint devices. 7.14.5 (L) 1-4 ☒ ☐ ☐ The facility allows for handcuffs, shackles, belly chains, and the WRAP. (d) signs or symptoms which should result in immediate medical/mental health referral. Section 7.14.2 (E) ☐ ☐ ☐ Section 7.15 (F) (e) availability of cardiopulmonary resuscitation equipment. ☐ ☐ ☐ Section 7.14.2 (E) (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth which makes Section 7.14.2 provision to protect the youth from abuse. Section 7.15.1 (B) ☒ ☐ ☐ If a youth is placed in the WRAP, they are moved to a Medical Observation room or a holding room/safety cell in Intake. Section 7.14.5 (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Section 7.15 (J) and (K) Section 7.14.5 (h) exercising of extremities. ☒ ☐ ☐ Section 7.15 (L) 7708 Tulare JDFC Camp PRO 23-24 Page 53 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR MOVEMENT AND TRANSPORTATION Section 7.14.6 Restraints for Movement WITHIN THE FACILITY. and Transportation within the Facility The Facility Administrator, in cooperation with the responsible physician and behavioral/mental health Section 3.3.2 (H)13 Articulate use of director, shall develop and implement written policies Handcuff in Incident Report and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: The facilities had 50 incidents of ☒ ☐ ☐ movement of youth in restraints as articulated in this regulation. Agency supervisors review video and audio of all incidents requiring any use of force or restraints and they articulate the need for application in the Caseload Pro System. The staff documentation in the incident reports for the need to apply restraints has improved this cycle. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the required Section 7.14.6 (B) training. ☒ ☐ ☐ Handcuffs and Shackles (b) the circumstances leading to the application of restraints must be documented. ☒ ☐ ☐ Section 7.14.6 (D) (c) an individual assessment of the need to apply restraints for movement or transportation that includes Section 7.14.6 (A) consideration of less restrictive alternatives, consideration of a youth’s known medical or mental ☒ ☐ ☐ health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint devices shall not be used for the purposes of discipline or ☒ ☐ ☐ Section 7.14.6 (D) retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. Section 7.14.3 (F) 7708 Tulare JDFC Camp PRO 23-24 Page 54 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in Section 7.14.7 Safety Room Placement cooperation with the responsible physician, shall develop and implement written policies and procedures JMH-G-04 Precision Psychiatric Services governing the use of safety rooms, as described in Title Manual 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who present an immediate ☒ ☐ ☐ danger to themselves or others, who exhibit behavior There have been no Safety Room which results in the destruction of property, or reveals placements from July 2022 to the date of the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or the inspection. as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, and suitable ☒ ☐ ☐ clothing to provide for privacy; Section 7.14.7 (I) (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☒ ☐ ☐ Section 7.14.7(C) room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and any staff interventions every 15 minutes, with actual time ☒ ☐ ☐ Section 7.14.7 (F) and (G) recorded; (4) provide that the youth shall be evaluated by the facility manager, or designee, every four hours; Section 7.14.7 (J) ☒ ☐ ☐ Policy requires evaluation every hour. (5) provide for immediate medical assessment, where appropriate, or an assessment at the next daily sick call; and, Section 7.14.7 (H) ☒ ☐ ☐ The facility is to have immediate response by medical and evaluations every 15 minutes until the youth is removed from the safety room. (6) provide a process for documenting the reason for placement, including attempts to use less restrictive ☒ ☐ ☐ Section 7.14.7(G) and (J) means of control, and decisions to continue and end placement. 7708 Tulare JDFC Camp PRO 23-24 Page 55 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) The placement of a youth in the safety room shall be ☒ ☐ ☐ accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and exhausted, unless attempting those options poses a ☒ ☐ ☐ Section 7.14.7 Purpose threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or retaliation by ☒ ☐ ☐ staff. Section 7.14.7 (B) (3) safety room shall not be used to the extent that it compromises the mental and physical health of the ☒ ☐ ☐ youth. Section 7.14.7 Purpose (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety room for a period of four hours, staff shall do one or more of ☒ ☐ ☐ Section 7.14.7 (K) the following: ☒ ☐ ☐ Section 7.14.7 (K)(1) (1) return the youth to general population. ☒ ☐ ☐ Section 7.14.7 (K)(2) (2) consult with mental health or medical staff, (3) develop an individualized plan that includes the goals and objectives to be met in order to reintegrate ☒ ☐ ☐ the youth to general population. Section 7.14.7 (K)(3) (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements of Section 1354.5 ☒ ☐ ☐ Section 7.14.7 (L) and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES The facility administrator shall develop and implement Section 7.7 Youth Searches written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures Section 7.8.3 Unit Searches shall provide that: Section 7.8.5 Area Searches ☒ ☐ ☐ Section 7.8.6 Random Unit Searches Section 7.8.8 Facility Perimeter Searches Section 5.7.1 (D) Visitor Search 7708 Tulare JDFC Camp PRO 23-24 Page 56 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Section 7.7.1 Purpose staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person being ☒ ☐ ☐ Section 7.7.1 Purpose searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section 4030. Section 7.7.2 (D)-(F) and (I) ☒ ☐ ☐ The agency has not conducted any strip searches from July 2022 to date of inspection. (d) Physical body cavity searches shall only be conducted by a medical professional. ☒ ☐ ☐ Section 7.7.2 (I) (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Section 7.7.3(C)(3) when there is reasonable suspicion based on specific ☒ ☐ ☐ and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ Section 7.7.3 (G) (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or when ☒ ☐ ☐ Section 7.7.2 (G) and (H) conducted by a medical professional. Such searches must be justified and documented in writing. 7708 Tulare JDFC Camp PRO 23-24 Page 57 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement Section 6.3.4 Institution Grievance written policies and procedures whereby any youth may Procedures appeal and have resolved grievances relating to any condition of confinement, including but not limited to health care services, classification decisions, program participation, telephone, mail or visiting procedures, There have been 201 grievances filed food, clothing, bedding, mistreatment, harassment or from July 2022 to date of inspection, with violations of the nondiscrimination policy. There shall be the majority being resolved at the lead no time limit on filing grievances. Policies and staff and IS level. We noted of the 201 procedures shall include provisions whereby the facility filed in the last 10 months, 56 were filed manager ensures: by one youth, approximately 25%. There were 203 filed in 2022, down significantly from the 342 filed in 2018 and 324 in 2019. ☒ ☐ ☐ With regard to the process, all facility grievances were responded to the same day submitted or the following day and each was resolved within 3-4 days. Staff take the time to review video and logs to ensure any statements by youth are addressed. The form and process exceed regulation. If the grievance is with medical or mental health services, they are provided to the Wellpath or Precision staff to respond. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to ☒ ☐ ☐ have free access to the form; Section 6.3.4 (A)(1) (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ supervision staff working in the facility; Section 6.3.4 (F)(6) (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Section 6.3.4 (A)2) (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances that relate to health and safety issues must be ☒ ☐ ☐ Section 6.3.4 (A)(3) and (A)(4) addressed immediately; 7708 Tulare JDFC Camp PRO 23-24 Page 58 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The youth may elect to be present to explain his/her version of the grievance to a person not ☒ ☐ ☐ Section 6.3.4 (A)(3)(a) directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ Section 6.3.4 (A)(3)(b) (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Section 6.3.4 (A)(4) (f) a system which provides that any appeal of a grievance shall be heard by a person not directly involved in the circumstances which led to the ☒ ☐ ☐ Section 6.3.4 (A)(5) grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer ☒ ☐ ☐ Section 6.3.4 (A)(6) time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual harassment. ☒ ☐ ☐ Section 6.3.4 (A)(7) Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be ☒ ☐ ☐ Section 6.3.4 (A) Last Paragraph addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical Section 3.3 Institutional Records and harm, use of force, serious threat of physical harm, or Reports death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO COLLECT DNA SPECIMENS, SAMPLES, IMPRESSIONS Section 4.3.4.1 (D) (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ reasonable force ☐ ☐ ☒ to collect blood specimens, saliva samples, and thumb The facility does not use force to collect or palm print impressions from individuals who are DNA that has been Court Ordered or by required to provide such samples, specimens or written notice by any law enforcement impressions pursuant to Penal Code Section 296 and officer. Rather, the youth is returned to who refuse following written or oral request. Court. This has not occurred this cycle. 7708 Tulare JDFC Camp PRO 23-24 Page 59 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force that an objective, trained and competent correctional ☐ ☐ ☒ employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented ☐ ☐ ☒ and include an advisement of the legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. The authorization shall include information that reflects the ☐ ☐ ☒ fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the agency for the ☐ ☐ ☒ length of time required by statute. Notwithstanding the use of the video as evidence in a court proceeding, the tape shall be retained administratively. 7708 Tulare JDFC Camp PRO 23-24 Page 60 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1370 EDUCATION PROGRAM (a) School Programs Section 5.3 Education Programs The County Board of Education shall provide for the administration and operation of juvenile court schools in conjunction with the Chief Probation Officer, or designee The Tulare County Office of Education is pursuant to applicable State laws. The school and facility involved with youth outside of the administrators shall develop and implement written policy classroom, promoting post-secondary and procedures to ensure communication and involvement in both the classroom coordination between educators and probation staff. through online learning and in Vocational Culturally responsive and trauma-informed approaches Education. TCOE staff complete regular should be applied when providing instruction. Education evaluation and testing of youth to staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe determine individual needs in the technology practices. The facility administrator shall classroom and the Paxton-Patterson request an annual review of each required element of the Program introduces a robust program by the Superintendent of Schools, and a report construction-focused curriculum. Non- or review checklist on compliance, deficiencies, and graduated youth are eligible for and corrective action needed to achieve compliance with this participate in credit recovery opportunities section. Such a review, when conducted, cannot be to gain the most from the educational time delegated to the principal or any other staff of any juvenile in the classroom. court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item ☒ ☐ ☐ We spoke with the Vocational Ed CTE with the Superintendent of Schools and shall take instructor who is passionate about the whatever corrective action is necessary to address each opportunities for the program and anxious deficiency and to fully protect the educational interests of for more students to be involved, pre- and all youth in the facility. post-graduates. His enthusiasm is obvious and his passion to provide a positive experience was contagious. The school continues to offer the “Re- Start” program. If a youth is refusing to go to the classroom or is having difficulties with behavior in the classroom, he/she is provided classroom instruction 1:1 for the remainder of a school period. This allows an opportunity for the youth to realize the benefits of this “school time out” and return without significant consequence. By allowing the youth a bit of reflection, in most cases, they are able to return to the school setting and finish their day. 7708 Tulare JDFC Camp PRO 23-24 Page 61 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) Required Elements The facility school program shall comply with the State Section 5.3.1 Education Objectives Education Code and County Board of Education policies, all applicable federal education statutes and regulations Section 5.3.3 Introduction Paragraph and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the Teaching Profession, teachers shall Students are given the opportunity to establish and maintain learning environments that are explore interests and aptitudes for a physically, emotionally, and intellectually safe. Youth shall career in the construction industry be provided a rigorous, quality educational program that through participation in the Vocational responds to the different learning styles and abilities of students and prepares them for high school graduation, Education Program. Tulare County career entry, and post-secondary education. Office of Education Court School provides a Career Technology Education in a Construction pathway. There are 14 trades youth are exposed to at an introductory level. The trades involve the use of various tools for the identified construction trade, including but not limited to electrical, plumbing, drywall, roofing, concrete, cabinetry, power tools, ☒ ☐ ☐ and general construction. The Youth Facility Building has been remodeled to allow for a softer version of alternative education program space and computer lab opportunities. Although the agency has (temporarily) lost the dorm- type environment of the facility, the end result is classrooms and training space, youth incentive and recreation space, and the opportunities to participate in activities in an area outside the condensed unit/pod environment. We were impressed with the remodel approach to softer and homelike opportunities for youth in and transitioning out of the detention/commitment setting. All youth shall be treated equally, and the education program shall be free from discriminatory action. Staff shall refer to transgender, intersex and gender- ☒ ☐ ☐ Section 5.3.1 (A) nonconforming youth by their preferred name and gender. 7708 Tulare JDFC Camp PRO 23-24 Page 62 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) The course of study shall comply with the State Education Code and include, but not be limited to, ☒ ☐ ☐ Section 5.3.1 Goals courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ Section 5.3.1 (C) Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ Section 5.3.1 (E) (4) Administration of the High School Equivalency Tests as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. Section 5.3.1 (C) (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. Section 5.3.1 (F) (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with Section 5.3.1 (D) education staff, must ensure that operational procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of The facility school program includes 330 class or educational instruction, both excused and educational minutes four days a week unexcused, shall be documented. with a minimum day on Wednesdays. This averages in excess of 300 minutes per day. The curriculum exceeds minimum standards and staffing includes at least one teacher in each classroom. ☒ ☐ ☐ Because the facility plant was designed to only allow 18 students in each classroom, some youth receive their instruction in the day room with a teacher and instructional aide. This is a rare occurrence with the opportunities in Vocational Education, which will be expanded in the coming months. 7708 Tulare JDFC Camp PRO 23-24 Page 63 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) Education shall be provided to all youth regardless of classification, housing, security status, disciplinary Section 5.3.1 (G) or separation status, including room confinement, except when providing education poses an immediate ☒ ☐ ☐ threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline (1) Positive behavior management will be Section 5.3.3 (B) and (C) implemented to reduce the need for disciplinary action ☒ ☐ ☐ in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. Section 5.3.3 (A) (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school shall be imposed only when other means of correction Section 5.3.3 (B) fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☒ ☐ ☐ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and procedures that address the rights of any student who has ☒ ☐ ☐ Section 5.3.3 (C) continuing difficulty completing a school day. (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or Section 5.3.4 suspected disabilities. This includes but is not limited ☒ ☐ ☐ to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that addresses their language needs pursuant to all applicable state and ☒ ☐ ☐ Section 5.3.4 federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission (1) Youth shall be interviewed after admittance and a ☒ ☐ ☐ record maintained that documents a youth's Section 5.3.5 educational history, including but not limited to: 7708 Tulare JDFC Camp PRO 23-24 Page 64 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (A) School progress/school history; ☒ ☐ ☐ Section 5.3.5 (A)(1) (B) Home Language Survey and the results of the State Test used for English language proficiency; ☒ ☐ ☐ Section 5.3.5 (A)(4) (C) Needs and services of special populations as defined by the State Education Code, including but ☒ ☐ ☐ not limited to, students with special needs. Section 5.3.5 (A)(2) (D) Discipline problems. ☒ ☐ ☐ Section 5.3.5 (A)(3) (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to determine the youth's general academic functioning ☒ ☐ ☐ Section 5.3.5 levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary education plan shall be developed for each youth ☒ ☐ ☐ within five school days. Section 5.3.5 (C) (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's records from his/her prior school(s), including, but not Section 5.3.5 (D) limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment scores, ☒ ☐ ☐ immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting (1) The complete facility educational record of the youth shall be forwarded to the next educational ☒ ☐ ☐ Section 5.3.6 (A) placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for course ☒ ☐ ☐ work completed while in juvenile court school in Section 5.3.6 (B) accordance with the State Education Code. 7708 Tulare JDFC Camp PRO 23-24 Page 65 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies Section 5.3.6 (C) and procedures to meet the transition needs of youth, including the development of an education transition plan, in accordance with the State Education Code ☒ ☐ ☐ The facility hosts MDT meetings bi- and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. monthly to facilitate the education, medical, and mental health of youth as they exit the facility. (h) Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- Section 5.3.7 ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND EXERCISE. Section 5.4 Recreation, Exercise and The facility administrator shall develop and implement Programs written policies and procedures for programs, recreation, and exercise for all youth. The intent is to Section 5.8 Facility Programs minimize the amount of time youth are in their rooms or their bed area. The implementation of a realistic operational schedule, counseling with Phoenix House and the Program ☒ ☐ ☐ Specialists, have resulted in robust program opportunities for youth. Directed Activities, which is programming facilitated by staff, offers structured curriculum-based topics and is only used when a provider is unavailable. Precision Psychiatric Services is contracted as the Mental Health provider and provides individual and crisis counseling as well as assessment services. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each Section 5.4 Recreation and Exercise Saturday, Sunday or other non-school days, of which ☒ ☐ ☐ Section 5.8 Facility Programs one hour shall be an outdoor activity, weather permitting. 7708 Tulare JDFC Camp PRO 23-24 Page 66 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding by the administrator/manager or designee that a youth ☒ ☐ ☐ Section 5.4 represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. Section 5.4 ☒ ☐ ☐ The unit schedule is posted in each living unit. There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Section 5.4 ensure content offered is current, consistent, and relevant to the population. ☒ ☐ ☐ The annual evaluation was completed by Division Manager Mike Santos on May 1, 2023. 7708 Tulare JDFC Camp PRO 23-24 Page 67 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Section 5.4.8 Facility Programs include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- social interventions and activities designed to reduce The facility has programming and recidivism. These programs should be based on the services to meet the various needs of youth’s individual needs as required by Sections 1355 their youth population. Programs are and 1356. Such programs may be provided under the facilitated by probation staff, Precision direction of the Chief Probation Officer or the County Psychiatric Service Clinicians (Alcohol Office of Education and can be administered by county partners such as mental health agencies, community and Drug Counseling), the TCOE, based organizations, faith-based organizations or Phoenix House, and Program Specialist. Probation staff. Precision’s role is to provide individual and crisis counseling as well as initial Programs may include but are not limited to: mental health assessments. Phoenix House provides numerous evidence- based programming as well as ongoing program assessments for each youth in detention. The Program Specialist Supervisor and Program Specialist responsibilities include monitoring and implementing programs in the facility as well as evaluating them for fidelity. ☒ ☐ ☐ Programs include: Coping and Support Training (CAST) through the TCOE Mental Wellness Service Team; 24/7 Dad thru Phoenix House (PH); Aggression Replacement Training (PH); Thinking for a Change (PH); Victim Impact – Listen and Learn (PH); Helping Men Recover (PH); Alcohol and Drug Education and Counseling – including Living in Balance, Stages of Change, and Seeking Safety; Adolescent Sexual Responsibility Program (ASRP) through TC Youth Services Bureau; Readiness for Employment through Sustainable Education and Training (RESET); Individual, Crisis and Psychiatric Services through Precision Mental Health; Physical Training Program; Youth Leaders Club; and Vocational Ed through the TCOE. 7708 Tulare JDFC Camp PRO 23-24 Page 68 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; Section 5.4.8 (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled activities such as leisure reading, letter writing, and Section 5.4 entertainment. Activities shall be supervised and include orientation and may include coaching of youth. ☒ ☐ ☐ Recreation Programs include reading, writing, entertainment, television, radio, music, and video games. 7708 Tulare JDFC Camp PRO 23-24 Page 69 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity Section 5.4 each day. The facility has a structured Physical Training program to ensure youth are ☒ ☐ ☐ exercising and participating in large muscle exercise daily. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. The administrator/manager shall document ☒ ☐ ☐ Section 5.4 the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to religious Section 5.5 Religious Programs services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐ allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Section 5.5.3 (A) (b) availability of clergy; and, ☒ ☐ ☐ Section 5.5.3 Section 5.5.4 Religious Diets (c) availability of religious diets. ☒ ☐ ☐ Section 5.14.7 Therapeutic Diets 7708 Tulare JDFC Camp PRO 23-24 Page 70 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1373 WORK PROGRAM The facility administrator shall develop policies and Section 5.2 procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth shall ☒ ☐ ☐ be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure 1374 VISITING The facility administrator shall develop and implement Section 5.7.1 Visiting Programs written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Section 5.7.5 Special Visits receive visits by parents, guardians or persons standing in loco parentis, and children of youth. Other family Section 5.7.5 (G) Children Visits members, such as grandparents and siblings, and Section 5.7.7 Supportive Adults supportive adults, may be allowed to visit with the ☒ ☐ ☐ approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. The facility has implemented a visiting schedule for Saturdays and Sundays to accommodate families in a 2-hour block for each housing unit. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and security. Section 5.7.1 (A) Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, whether the visitor’s criminal history represents a risk to ☒ ☐ ☐ the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but conversations shall not be monitored unless there is a security or safety ☒ ☐ ☐ Section 5.7.2 (E) need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion Section 5.7.5 Special Visits of the facility administrator or designee. Family therapy ☒ ☐ ☐ Section 5.7.6 Professional Visits and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. 7708 Tulare JDFC Camp PRO 23-24 Page 71 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS The facility may provide access to technology as an alternative, but not as a replacement, to in-person visiting. Section 5.7 ☒ ☐ ☐ The facility uses Skype and other virtual platforms to facilitate visits with families unable to visit. 1375 CORRESPONDENCE The facility administrator shall develop and implement ☒ ☐ ☐ Section 5.11 Mail Policy written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth may send or receive; ☒ ☐ ☐ Section 5.11 (B) (b) youth may send two letters per week postage free; ☒ ☐ ☐ Section 5.11.1 (F) (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized facility ☒ ☐ ☐ Section 5.11.3 staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described in (c), may be read by staff only when there is reasonable cause to believe facility safety and security, public safety, ☒ ☐ ☐ Section 5.11.1 (D) or youth safety is jeopardized. 1376 TELEPHONE ACCESS The administrator of each juvenile facility shall develop ☒ ☐ ☐ Section 5.13 Telephone Policy and implement written policies and procedures to provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: Section 5.1.2 (I) Mandatory Programming ☒ ☐ ☐ Section 5.1.5 Access to Legal Services 7708 Tulare JDFC Camp PRO 23-24 Page 72 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; ☒ ☐ ☐ Section 5.1.2 (I)(1) (b) provision for confidential consultation with attorneys; and, ☒ ☐ ☐ Section 5.1.2 (I)(2) (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. ☒ ☐ ☐ Section 5.1.2 (I)(3) 1390 DISCIPLINE The facility administrator shall develop and implement Section 6.4.1(B) and (C) Discipline written policies and procedures for the discipline of youth Process that shall promote acceptable behavior; including the use of positive behavior interventions and supports. Discipline ☒ ☐ ☐ shall be imposed at the least restrictive level which promotes the desired behavior and shall not include corporal punishment, group punishment, physical or psychological degradation. Deprivation of the following is not permitted: (a) bed and bedding; ☒ ☐ ☐ Section 6.4.3(A) Bullet 1 (b) daily shower, access to drinking fountain, toilet and ☒ ☐ ☐ Section 6.4.3(A) Bullet 2-5 personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ Section 6.4.3(A) Bullet 6 (d) contact with parent or attorney; ☒ ☐ ☐ Section 6.4.3(A) Bullet 7 (e) exercise; ☒ ☐ ☐ Section 6.4.3(A) Bullet 8 7708 Tulare JDFC Camp PRO 23-24 Page 73 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) medical services and counseling; ☒ ☐ ☐ Section 6.4.3(A) Bullet 9 (g) religious services; ☒ ☐ ☐ Section 6.4.3(A) Bullet 10 (h) clean and sanitary living conditions; ☒ ☐ ☐ Section 6.4.3(A) Bullet 11 (i) the right to send and receive mail; ☒ ☐ ☐ Section 6.4.3(A) Bullet 12 (j) education; and, ☒ ☐ ☐ Section 6.4.3(A) Bullet 13 (k) rehabilitative programming. ☒ ☐ ☐ Section 6.4.3(A) Bullet 14 The facility administrator shall establish rules of conduct and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major Section 6.5 Rule Violations and violations and minor violations, be stated simply and Disciplinary Sanctions ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 7708 Tulare JDFC Camp PRO 23-24 Page 74 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 1391 DISCIPLINE PROCESS The facility administrator shall develop and implement Section 6.4 Progressive Discipline written policies and procedures for the administration of discipline which shall include, but not be limited to: Section 6.5 Rule Violations and Disciplinary Sanctions Section 6.6 Disciplinary Due Process We reviewed 27 incident reports including Due Process (DP), as well as 34 RC incident reports that included the due process requirements. The form and timeliness in policy were in line with regulation. The agency has a matrix for sanctions which is being reimplemented to ensure consistency. The agency continues to complete Due Process for minor rule violations, resulting in an excessive amount of documentation. From July 2022 to the date of the inspection, there were 551 DP ☒ ☐ ☐ reports but only 80 major rule violation incidents. In 2020, the agency had 1097 DP incidents but when refined, there were 382 major rule violations in the same time period. Last cycle numbers were similar, with 236 major incidents and 1535 DP forms completed in a 21-month period. The others were documented minor rule violations and self-harm incidents. We again provided technical assistance recommendations for the facility to return to using “Consequence” forms only, rather than duplicating the process, for minor rule violations, documenting the minor violation and the minor sanction, if any was imposed. The amount of time spent completing an incident report and DP is exhaustive and unnecessary. The consequence form is appealable, entered in Caseload Explore so new and old minor violations can be seen, and most importantly, allow staff more time to supervise and re-direct behavior. 7708 Tulare JDFC Camp PRO 23-24 Page 75 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ Section 6.4.3 (B) (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Section 6.4.3 (B) (c) definition of major and minor rule violations and their consequences, and due process requirements; Section 6.5.2-4 ☒ ☐ ☐ Section 6.5.5 Commitment Program Rules and Sanctions (additional) (d) trauma-informed approaches and positive behavior interventions; ☒ ☐ ☐ Section 6.4.1 (C) (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be Section 6.6.3 Disciplinary Due Process accompanied by written documentation and a policy of for Minor Rule Violations review and appeal to a supervisor; and, The facility currently completes an ☒ ☐ ☐ incident report and full due process for minor rule violations. We provided technical assistance to complete a lesser form of documentation and appeal request in line with the Consequence Sheet used in the past. (f) major rule violations and the discipline process shall be documented and require the following: Section 6.6.4 Disciplinary Due Process ☒ ☐ ☐ and Major Rule Violations (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Section 6.6.4 (A)(3)(1) 7708 Tulare JDFC Camp PRO 23-24 Page 76 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (2) accommodations provided to youth with disabilities, limited literacy, and English language ☒ ☐ ☐ Section 6.4.1 (E) learners; (3) hearing by a person who is not a party to the ☒ ☐ ☐ Section 6.6.4 (A)(3)(2) incident; (4) opportunity for the youth to be heard, present ☒ ☐ ☐ Section 6.6.4 (A)(3)(3) evidence and testimony; (5) provision for youth to be assisted by staff in the ☒ ☐ ☐ Section 6.6.4 (A)(3)(4) hearing process; (6) provision for administrative review. ☒ ☐ ☐ Section 6.6.4 (A)(3)(5) (g) violations that result in a removal from camp or commitment program, but not a return to court, will follow the due process provisions in subsection (e) ☒ ☐ ☐ Section 6.5.5 (I) above. 1410 MANAGEMENT OF COMMUNICABLE DISEASES. Tulare County Probation Department The health administrator/responsible physician, in Juvenile Facility Manual (TCPDJFM) cooperation with the facility administrator and the local Section 8.10.2 Management of health officer, shall develop written policies and ☒ ☐ ☐ Communicable Diseases procedures to address the identification, treatment, control and follow-up management of communicable diseases. The policies and procedures shall address, Juvenile Detention Facility Response to but not be limited to: COVID-19 TCPDJFM Section 8.10.2, A-1 Induction Health Screening Procedures (a) Intake health screening procedures; ☒ ☐ ☐ Juvenile Detention Facility Response to COVID-19: Booking Protocols 7708 Tulare JDFC Camp PRO 23-24 Page 77 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS TCPDJFM Section 8.10.2, A-2 Identification of Relevant Symptoms (b) Identification of relevant symptoms; ☒ ☐ ☐ Tulare County Pre-Screening Questionnaire TCPDJFM Section 8.10.2, A-3 Referral for Medical Evaluation (c) Referral for medical evaluation; ☒ ☐ ☐ TCPDJFM Section 8.10.2, C Juvenile Detention Facility Response to COVID-19: Booking Protocols: Bullet 2 TCPDJFM Section 8.10.2, A-4 Treatment responsibilities during detention. TCPDJFM Section 8.10.2, E Treatment based on assessment. (d) Treatment responsibilities during detention; ☒ ☐ ☐ TCPDJFM Section 8.10.2, G Treatment as prescribed by the attending physician Juvenile Detention Facility Response to COVID-19 TCPDJFM Section 8.10.2, A-5 (e) Coordination with public and private community- ☒ ☐ ☐ based resources for follow-up treatment; Coordination of public and private community-based resources for follow- up treatment. 7708 Tulare JDFC Camp PRO 23-24 Page 78 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS TCPDJFM Section 8.10.2, A-6 Reporting Requirements (f) Applicable reporting requirements; and, ☒ ☐ ☐ Juvenile Detention Facility Response to COVID-19 TCPDJFM Section 8.10.2, A-7 Strategies for handling disease outbreaks (g) Strategies for handling disease outbreaks. ☒ ☐ ☐ TCPDJFM Section 8.10.2, E Communicable Disease Precautions Juvenile Detention Facility Response to COVID-19 The policies and procedures shall be updated as necessary to reflect communicable disease priorities identified by the local health officer and currently The agency is fortunate to have 24-hour recommended public health interventions. medical personnel on-site every day. ☒ ☐ ☐ This allows for comprehensive screening, treatment, and medical daily assessments of a youth’s condition. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Chapter 8, Section 8.7 Medical Treatment The health administrator, in cooperation with the facility administrator, shall develop policy and procedures to ☒ ☐ ☐ and Services establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE The youth’s personal clothing, undergarments and Section 5.9.1 footwear may be substituted for the institutional clothing ☒ ☐ ☐ and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily laundered, in good repair, and free of holes and tears. ☒ ☐ ☐ Section 5.9.1, A (b) The standard issue of climatically suitable clothing ☒ ☐ ☐ for youth shall consist of but not be limited to: 7708 Tulare JDFC Camp PRO 23-24 Page 79 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (1) Socks and serviceable footwear; ☒ ☐ ☐ Section 5.9.1, D-1 and 7 (2) Outer garments; ☒ ☐ ☐ Section 5.9.1, E (3) New non-disposable underwear which shall remain with the youth throughout their stay, and; ☒ ☐ ☐ Section 5.9.1, D-2 (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. Section 5.9.1, D-2 and 4 ☒ ☐ ☐ Section 5.9.2, B (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and dried ☒ ☐ ☐ Section 5.9.2, A completely in a mechanical dryer or other laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Section 5.9.1 H 1482 CLOTHING EXCHANGE The facility administrator shall develop and implement Section 5.9.2 Intro written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless work, climatic conditions, or illness necessitates more ☒ ☐ ☐ frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL CLOTHING Section 5.9.2, D There shall be written policies and site-specific procedures developed and implemented by the facility administrator to control the contamination and/or spread ☒ ☐ ☐ of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 7708 Tulare JDFC Camp PRO 23-24 Page 80 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1485 ISSUE OF PERSONAL CARE ITEMS There shall be written policies and site-specific Section 5.10.1 procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ Section 5.10.1 Toiletry Item H items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Section 5.10.1 Toiletry Item A (b) Toothpaste; ☒ ☐ ☐ Section 5.10.1 Toiletry Item B (c) Soap; ☒ ☐ ☐ Section 5.10.1 Toiletry Item C (d) Comb; ☒ ☐ ☐ Section 5.10.1 Toiletry Item D (e) Shaving implements; ☒ ☐ ☐ Section 5.10.5 B (f) Deodorant; ☒ ☐ ☐ Section 5.10.1 Toiletry Item I (g) Lotion; ☒ ☐ ☐ Section 5.10.1 Toiletry Item E (h) Shampoo; and, ☒ ☐ ☐ Section 5.10.1 Toiletry Item G 7708 Tulare JDFC Camp PRO 23-24 Page 81 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (i) Post-shower conditioning hair products. ☒ ☐ ☐ Section 5.10.1 Toiletry Item F Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap provided through a common dispenser is permitted. Section 5.10.1 C Youth shall not share disposable razors. Double edged Section 5.10.5 B safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE There shall be written policies and site specific Section 5.10.1 B procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ Section 5.10.2 A and B teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Youth shall have access to a razor daily, unless their Section 5.10.5 B appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 1488 HAIR CARE SERVICES (EXCERPT) Hair care services shall be available in all juvenile Section 5.10.5 A facilities. Youth shall receive hair care services monthly. ☒ ☐ ☐ Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Clean laundered, suitable bedding and linens, in good Section 5.8.1 repair, shall be provided for each youth entering a living ☒ ☐ ☐ area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which meets the requirements of Section 1502 of these ☒ ☐ ☐ regulations; Section 5.8.1 B-1 through 3 7708 Tulare JDFC Camp PRO 23-24 Page 82 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ Section 5.8.1 B-2 (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Section 5.8.1 A (d) One towel; and, ☒ ☐ ☐ Section 5.8.1 A (e) One blanket or more, up on request ☒ ☐ ☐ Section 5.8.1 A 1501 BEDDING LINEN EXCHANGE The facility administrator shall develop and implement Section 5.8.2 A-1 and 2 site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. The covering blanket shall be cleaned or laundered once a month. ☒ ☐ ☐ Section 5.8.1 A-3 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Section 7.11.5 Facility Sanitation Safety The facility administrator shall develop and implement and Maintenance written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7708 Tulare JDFC Camp PRO 23-24 Page 83 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot 7708 Tulare JDFC Camp PRO 23-24 Page 84 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF Camp Eligibility Form are being provided at the facility. (Refer ☒ ☐ ☐ to the JPCF Camp Eligibility Form) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐ ☐ ☒ Dependent or neglected minors who are defined under Section 300 of the Welfare and Institutions Code (WIC) Violation are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) ☐ ☒ ☐ Are adult inmates held in the facility? (When a person in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) 7708 Tulare JDFC Camp PRO 23-24 Page 85 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot If adult inmates are held, they are appropriately ☐ ☒ ☐ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers ☐ ☐ ☒ or “Scared Straight” programs) are not allowed in the facility in a manner that allows contact with minors. Violation 7708 Tulare JDFC Camp PRO 23-24 Page 86 of 86 A453 JUV PRO eff. 1/2019 (23-24).dot JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009; 2014; 2018 BSCC Code: 7703 7704 7707 7708 FACILITY NAME: Tulare County Youth Detention Facility (JDF) FACILITY TYPE: JH Tulare County Secure Youth Treatment Facility (SYTF) JH Tulare County Youth Detention Facility (YDF) Camp Tulare County Youth Treatment Facility Camp (JDFC) Camp 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That Apply): XX FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 16, 2023 TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.1 Reception/intake admission. In each juvenile hall, space used for the reception of youth pending admission to juvenile hall shall have the following space and equipment: 1. Weapons lockers as specified in Section 1230.2.9; There is a weapons locker located in the X Sallyport of the Juvenile Detention Facility complex. 2. A secure room for the confinement of youth pending admission to juvenile hall as specified in Section There are 8 holding cells in the intake and 1230.1.2; booking area of the facility. In each juvenile hall, camp and ranch, space used X for the reception of youth pending admission to these facilities shall have the following space and equipment: 3. Access to a shower; There are 2 showers in the intake and booking X area of the facility. 4. A secure vault or storage space for youth, valuables; X 5. Telephone accessible to youth; and X 6. Access to hot and cold running water for staff use. X 1230.1.2 Locked holding room. A locked holding room shall: 1. Contain a minimum of 15 square feet of floor area X per youth; 2. Provide no less than 45 square feet of floor space X and have a clear ceiling height of 8 feet or more; 3. Contain seating to accommodate all youth as X specified in Section 1230.2.8; 4. Be equipped with a toilet, wash basin, mirror and drinking fountain unless as specified in Section 1230.2, unless a procedure is in effect to give the X youth access to a toilet, wash basin and drinking fountain; 7703+ Tulare JDF, YDF, SYTF, JDFC JH Camp PHY 23-24 - 1 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 5. Maximize visual supervision of youth by staff; and X 6. Have an outward swinging or lateral sliding door. X 1230.1.3 Natural light. There are no windows in the individual cells. Outer-facing exterior windows where youth’s privacy is Natural light comes from the Pod Day Space not at risk shall be provided in locked sleeping rooms, with floor-to-ceiling windows into each unit. single occupancy sleeping rooms, double occupancy X sleeping rooms, dormitories and dayrooms. Natural light may be provided by, but is not limited to, skylights or windows in dayrooms, windows in adjacent exterior exercise areas, and in sleeping rooms and/or dormitories. 1230.1.4 Corridors The facility is a Pod design with no corridor Corridors in living areas shall be at least eight feet within the pod. The youth walk out of the pod X wide. to facility corridors to go to medical offices, Court, and the outside recreation field. 1230.1.5 Living unit. A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy X sleeping rooms, or dormitories, dayroom space, toilet, wash basins, drinking fountains and showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention or X other action if needed. In juvenile halls, the number of youth housed in a living unit shall not exceed 30. 1230.1.6 Locked sleeping rooms. Locked sleeping rooms shall be equipped with an X individual or combination toilet, wash basin, mirror and drinking fountain. Doors to locked sleeping rooms shall swing outward or X slide laterally. 1230.1.7 Single occupancy sleeping rooms. Single occupancy sleeping rooms shall provide the X following: 1. A minimum of 70 square feet of floor area; 2. A minimum ceiling height of eight feet; and, X 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a X minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. X 1230.1.8 Double occupancy sleeping rooms. Double occupancy sleeping rooms shall provide the X following: 1. A minimum of 100 square feet of floor area; 2. A minimum clear ceiling height of 8 feet and a X minimum width of 7 feet; and, 7703+ Tulare JDF, YDF, SYTF, JDFC JH Camp PHY 23-24 - 2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a X minimum of 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. X 1230.1.9 Dormitories Dormitories shall provide the following: 1. A minimum of 50 square feet of floor area per X youth with the minimum size of a dormitory being 200 square feet of floor area and a minimum 8- foot clear ceiling height; 2. Designed for no fewer than four youth; X 3. Dormitories in juvenile halls shall be designed for X no more than 30 youth; 4. Camps shall conform to Items 1 and 2. X 1230.1.10 Dayrooms Dayrooms shall contain 35 square feet of floor area per X youth, contain tables and seating to accommodate the maximum numbers of youth allowed access at a given time. Access must be provided to toilets, wash basins, drinking fountains and showers as specified in Section Youth have a toilet, wash basin, and drinking X 1230.2. fountain in their sleeping room. 1230.1.11 Physical activity and recreation areas. The Juvenile Facility has an outdoor Indoor/outdoor physical activity and recreation areas recreation area adjacent to each pod and a shall be designed as follows: large outdoor space behind the facility. The 1. Minimum indoor outdoor recreation space for agency has plans to reconstruct the outdoor facility capacity: 40 or less is 9,000 square feet; space for a more efficient area. Additionally, 41-274 is 225 square feet per youth up to 61,650 the YF Building, on the same physical plant as square feet; 275 or more is 61,650 square feet, X the existing facility, has been remodeled to plus 145 square feet for each youth beyond 274 include program space, vocational space for a [up to a maximum of 87,120 square feet] Computer Lab, and classrooms which can be used for groups or alternative programming. A Vocational Ed Building was constructed to provide space for the Construction Program and curriculum-based classrooms. 1.1 At least one quarter of the dedicated indoor/outdoor space shall be a paved or like X surface. 1.2 The required recreation area shall contain no X single dimension less than 40 feet. 2. A portion of the dedicated space for physical activity and recreation shall be out-of-doors and be sufficient size and equipped in such a manner to allow X compliance with Title 15, Section 1371, which requires at least one hour per day of outdoor activity for each detained youth. 3. Lighting of outdoor recreation areas shall be provided to allow for evening activities and to provide X security. 7703+ Tulare JDF, YDF, SYTF, JDFC JH Camp PHY 23-24 - 3 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 4. Access must be provided to a toilet, wash basin X and drinking fountain as specified in Section 1230.2. 1230.1.12 Academic classrooms. There are 4 classrooms in each pod, each X There shall be a dedicated classroom space for every assigned to a specific unit. juvenile in every facility. The primary purpose for the academic classroom shall X be for education. Each academic classroom shall contain a minimum of 160 square feet of floor space for the teacher’s desk X and work area and a minimum of 28 square feet of floor space per minor. A communication system shall be provided in each classroom to allow for immediate response to There are intercoms and cameras in each X emergencies. classroom. The classroom shall be designed for a maximum of 20 X minors. There shall be space available in every juvenile facility that may be used for specialized, one-on-one or small X group educational purposes. 1230.1.13 Safety room. There are 2 safety rooms in the intake and A safety room shall: booking area. The medical area has one X 1. Contain a minimum of 48 square feet of floor area safety room but it has not been used in years and a minimum clear ceiling height of 8 feet; due to its unusual and undersized space. 2. Be limited to one youth; X 3. Be padded as specified in Section 1230.2.7; X 4. Provide one or more vertical view panels constructed of security glazing. These view panels shall be no more than 4 inches wide nor less than 24 X inches long, which shall provide a view of the entire room; 5. Provide an audio monitoring system as specified X in Section 1230.1.22; 6. Contain a flushing ring toilet, capable of accepting solid waste, mounted flush with the floor, the controls X for which must be located outside of the room; 7. Be equipped with a variable intensity, security- type lighting fixture with controls located outside the X room; 8. Any wall or ceiling-mounted devices must be designed to prohibit access to the youth occupant; X and, 9. Provide a food pass with lockable shutter, no more than 4 inches high, and located between 26 inches X and 32 inches as measured from the bottom of the food pass to the floor. 1230.1.14 Medical examination room. The Juvenile Facility has a medical There must be a minimum of one suitably equipped examination suite of offices and medical beds medical examination room in every juvenile facility. X for youth needing constant medical supervision. Adjacent to the medical space are offices for the Precision Behavior Health staff. 7703+ Tulare JDF, YDF, SYTF, JDFC JH Camp PHY 23-24 - 4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Medical examination rooms shall provide the following: 1. Space for carrying out routine medical X examinations and emergency care and used for no other purpose; 2. Privacy for youth; X 3. Lockable storage space for medical supplies; X 4. Not less than 144 square feet of floor space with X no single dimension less than 7 feet; 5. Hot and cold running water; X 6. Smooth, nonporous, washable surface; X 7. A medical exam table; and, X 8. Adequate lighting. X 1230.1.15 Pharmaceutical storage. Provide lockable storage space for medical supplies X and pharmaceutical preparations as specified by Title 15, Section 1438. 1230.1.16 Dining areas. Youth consume all meals in the dayroom area Dining areas in juvenile facilities shall contain a X of each unit. minimum of 15 square feet of floor space and sufficient tables and seating for each person being fed. Persons being fed include youth, staff and visitors. X Dining areas shall not contain toilets or showers in the X same room without appropriate visual barrier. 1230.1.17 Visiting space. Space shall be provided in all juvenile facilities for in- X person visiting which shall be unobstructed by barriers such as, but not limited to, security glazing for mesh. 1230.1.18 Institutional storage. One or more storage rooms shall be provided to X accommodate a minimum of 80 cubic feet of storage space per minor. Items to be stored shall be institutional clothing, X bedding, supplies and activity equipment. 1230.1.19 Personal storage. All youth store personal property in a locked Each youth in a juvenile facility shall be provided with X storage cabinet in each unit. a minimum of 9 cubic feet of secure storage space for personal clothing and belongings. 1230.1.20 Safety equipment storage. In all juvenile facilities, a secure area shall be provided X for the storage of safety equipment, such as fire extinguishers, self-contained breathing apparatus, wire and bar cutters, emergency lights, etc. 1230.1.21 Janitorial closet. In all juvenile facilities, at least one securely lockable X janitorial closet, containing a mop sink and sufficient area for the storage of cleaning implements, must be provided within a security area of the facility. 7703+ Tulare JDF, YDF, SYTF, JDFC JH Camp PHY 23-24 - 5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.22 Audio monitoring system. In safety rooms, locked holding rooms, locked sleeping rooms, single and double occupancy rooms X and dormitories, there must be an audio monitoring system capable of actuation by the minor that alerts personnel. 1230.1.23 Emergency power. There shall be a source of emergency power in all juvenile facilities capable of providing minimal lighting X in all living units, activities areas, corridors, stairs and central control points, and to maintain fire and life safety, security, communications and alarm systems (Title 24, Part 2, Chapter 27). Such an emergency power source shall conform to the requirements specified in Title, 24, Part 3, Article 700, X California Electrical Code, California Code of Regulations. 1230.1.24 Confidential interview room. Confidential Interviews occur in the visiting X Confidential interview rooms shall contain a minimum space on the second floor of each pod. of 60 square feet of floor area. In juvenile halls there shall be a minimum of one X suitably furnished interview room for each 30 youth. In camps there shall be a minimum of one suitably X furnished interview room for each facility. This interview room shall provide for confidential X consultations with youth. 1230.1.25 Special-purpose juvenile halls. Special-purpose juvenile halls shall conform to all X minimum standards for juvenile facilities contained in this section with the following exceptions: 1. Physical activity and recreation areas as specified X in Section 1230.1.11; 2. Academic classrooms as specified in Section X 1230.1.12; 3. Medical examination room as specified in Section X 1230.1.14; and, 4. Dining areas as specified in Section 1230.1.16. X 1230.1.26 Court holding room for youth. The Courthouse is adjacent to the Juvenile A court holding room shall: X Facility, with office space in between for 1. Contain a minimum of 10 square feet of floor area Juvenile Field staff. per youth; 2. Be limited to no more than 16 youth; X 3. Provide no less than 40 square feet of floor area X and have a ceiling height of 8 feet or more; 4. Contain seating to accommodate all youth as X specified in Section 1230.2.8; 5. Contain a toilet, wash basin and drinking fountain X as specified in Section 1230.2; 6. Maximize visual supervision of youth by staff; and, X 7703+ Tulare JDF, YDF, SYTF, JDFC JH Camp PHY 23-24 - 6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 7. A mirror of material appropriate to the level of security shall be provided as specified in Section X 1230.2.11. 1230.1.27 Programs and activity areas. All juvenile facilities shall include adequate space for X specific programs in addition to recreation and exercise areas. 1230.2.1 Toilets/urinals. All toilet areas shall provide privacy for the youth and X help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Toilets must be available in a ratio to youth as follows: X 1. Juvenile halls 1:6; 2. Camps 1:10; and X 3. Locked holding rooms 1:8: X One toilet and one urinal may be substituted for every X 15 males. 1230.2.2 Wash basins. In living units, wash basins must be available in a ratio X to youth as follows: 1. Juvenile halls 1:6; 2. Camps 1:10; and X 3. Locked holding rooms 1:8: X Wash basis must be provided with hot and cold or X tempered water. 1230.2.3 Drinking fountains. In living areas and indoor and outdoor recreation X areas, drinking fountains must be accessible to youth and to staff. 1. The drinking fountain bubbler shall be on an angle which prevents waste water from flowing over the X drinking bubbler; and, 2. The water flow shall be actuated by a mechanical X means. 1230.2.4 Showers. Shower areas shall provide privacy for the youth and X help reduce the risk of voyeurism without mitigating staff’s ability to supervise. Showers shall be available to all youth on a ratio of at least one shower or bathtub to every six youth. X Showers shall be provided with tempered water. 1230.2.5 Beds. X Beds shall be at least 30 inches wide and 76 inches long and be of the solid bottom type. Beds shall be at least 12 inches off the floor and X spaced no less than 36 inches apart Bunk beds must have no less than 33 inches vertically X between the solid bottoms. 7703+ Tulare JDF, YDF, SYTF, JDFC JH Camp PHY 23-24 - 7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS In secure facilities, the bunks shall be securely X anchored and flushed against the floor and/or wall. 1230.2.6 Lighting. Lighting in locked sleeping rooms, single occupancy X rooms, double occupancy rooms, dormitories, day rooms and activity areas shall provide not less than 20 foot candles of illumination at desk level. Night lighting is required in these areas to provide for good visibility for supervision and be conducive to X sleep. 1230.2.7 Padding. Padding in safety rooms, padding shall cover the X entire floor, door, walls and everything on walls to a clear height of eight feet. Benches or platforms are not to be placed on the floor X of this room. All padded rooms must be equipped with a tamper resistant fire sprinkler as approved by the State Fire X Marshal. All padding must be: X 1. Approved for use by the State Fire Marshal; 2. Nonporous to facilitate cleaning; X 3. At least 112 inch thick; X 4. Of a unitary or laminated construction to prevent its destruction by teeth, hand tearing or small metal X objects; 5. Firmly bonded to all padded surfaces to prevent X tearing or ripping; and, 6. Without any exposed seams susceptible to tearing X or ripping. 1230.2.8 Seating. X Seating shall be designed for the level of security. When bench seating is used, 18 inches of bench is X seating for one person. 1230.2.9 Weapons lockers. Weapons lockers are located in the sallyport Weapons lockers are required in all secure juvenile X and lobby entrance of the Juvenile Facility. facilities and shall be located outside the secure area of the facility. Weapons lockers shall be equipped with individual X compartments, each with an individual locking device. 1230.2.10 Security glazing. Security glazing shall comply with the minimum requirements of one of the following test standards: American Society for Testing and Materials, ASTM F X 1233-98, Class III glass, or; California Department of Corrections, CDC 860-94d, Class C glass or; H.P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. 7703+ Tulare JDF, YDF, SYTF, JDFC JH Camp PHY 23-24 - 8 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.11 Mirrors. A mirror of a material appropriate to the level of X security must be provided near each wash basin specified in these regulations. 7703+ Tulare JDF, YDF, SYTF, JDFC JH Camp PHY 23-24 - 9 - J456 PHY 98 01 03 09 14 18 dot BOARD OF STATE & COMMUNITY CORRECTIONS - BIENNIAL INSPECTION JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION BSCC Code: 7703, 7704, 7707 and 7708 FACILITY: Tulare County Juvenile Detention Facility (JDF) TYPE: JH RC: JDF: 69 Tulare County Youth Detention Facility (YDF) CAMP YDF: 60 Tulare County Secure Youth Treatment Facility (SYTF) CAMP SYTF: 21 Juvenile Detention Facility Camp (JDFC) JDFC: 60 Total RC: 210 FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 16, 2023 ALL DIMENSIONS BASED ON CYA DATA UNLESS OTHERWISE DESIGNATED. ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* Designation Type Standards Rooms RC or # RC Square/Cubic T U W F S Beds Feet Booking Intake & Release Irregular Shape B1 Holding 1998 1 0 (2) (2) 1 1 1 58 Sq. Ft. Note: RC is limited by3’ bench for seating. B2 Holding 1998 1 0 (2) (2) 9' x 6.3' x 10' 1 1 1 Note: RC is limited by 3’ bench for seating. Irregular Shape B3 Holding 1998 1 0 (0) (0) 1 1 1 54 Sq. Ft. Note: No seating available, equipped with a handicap accessible toilet/sink/fountain unit. Irregular Shape B4 Safety 1998 1 0 (1) (1) 1 82 Sq. Ft. B5 Safety 1998 1 0 (1) (1) 10.5' x 7.4' x 10' 1 Note: B5 is the smaller of the safety cells. Flush ring toilets are located in both safety cells. Voice activated intercom in ceiling. B6-8 Holding 1998 3 0 (5) (5) 10.5' x 8' x 10' 1 1 1 Note: 10.5' bench, less 3 Sq. Ft. pipe chase. B9 Holding 1998 1 0 (6) (6) 10.5' x 8.5' x 10' 1 1 1 Note: 10.5' bench, less 3 Sq. Ft. pipe chase. Two showers (1 ADA assessable) are available in intake area, storage located in intake office. Conveyer system for clothing storage. Medical Area Isolation 1-2 Medical 1998 2 1 (1) (2) Note: Negative pressure rooms. Medical Hold Holding 1998 1 0 (6) (6) 10' x 13.75' x 9' 1 1 1 Note: 10' Bench. *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. 7703+ Tulare JDF YDF SYTF JDFC JH CAMP LASE 23-24 - 1 - J460 LAS JUV.dot (9/98) ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* Designation Type Standards Rooms RC or # RC Square/Cubic T U W F S Beds Feet Med 1-8 Medical 1998 8 0 (1) (8) Note: Eight medical rooms with removable cots. Medical Safety 1998 1 0 (0) (0) 7.6' x 7.3' x 10' 1 Note: This space is an undersized room containing 55.6 Sq. Ft. This safety room is not in use. Housing Pod #1 This Pod was not occupied during the inspection. It is the intention of the agency to move the SYTF population into Pod 1 in the coming months, awaiting cosmetic improvements from the County. They will then consider moving JDFC or YDF youth into the vacant units in this pod to keep all program youth together. Unit A Single 1998 15 1 1 15 6.6' x 9.75' x 8” 1 1 1 (lower)/10'(upper) Unit B Single 1998 15 1 1 15 6.6' x 9.75' x 8/10' 1 1 1 Unit C Single 1998 15 1 1 15 6.6' x 9.75' x 8/10' 1 1 1 Unit D Single 1998 15 1 1 15 6.6' x 9.75' x 8/10' 1 1 1 NOTE: There are 8 rooms on lower floor, 7 on upper floor. There are 3 showers off the dayroom. The attached Exercise Yard is 2,736 square feet. Each unit contains 570 square feet dayroom space. All units share one common dayroom containing 1,293 square feet of dayroom space. The RC for Pod 1 is 60. Housing Pod #2 This Pod was not occupied during the inspection. Unit A Single 1998 15 1 1 15 6.6' x 9.75' x 8/10' 1 1 1 Unit B Single 1998 15 1 1 15 6.6' x 9.75' x 8/10' 1 1 1 Unit C Single 1998 15 1 1 15 6.6' x 9.75' x 8/10' 1 1 1 Unit D Single 1998 15 1 1 15 6.6' x 9.75' x 8/10' 1 1 1 Note: There are 8 rooms on lower floor, 7 on upper floor. There are 3 showers off the dayroom. The attached Exercise Yard is 2,736 square feet. Each unit contains 570 square feet dayroom space. All units share one common dayroom containing 1,293 square feet of dayroom space. The RC for Pod 2 is 60. Housing Pod #5: On the day of the inspection, all in-custody youth were occupying this Pod due to low population. Housing Unit A – This unit currently houses maximum security Detention male youth, 11 on the day of the inspection. A 1-7 Double 1998 7 2 2 14 12.6'x 8.1'x 8' 1 1 1 A 8-14 Single 1998 7 1 1 7 12.6'x 8.1'x 10' 1 1 1 Note: There are 5 showers in unit: 3 upstairs, 2 downstairs. Housing Unit B – This unit houses female detention and commitment youth, and younger detention male youth, 21 on the day of the inspection. B 1-8 Double 1998 8 2 2 16 12.6'x 8.1 x 8' 1 1 1 *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. 7703+ Tulare JDF YDF SYTF JDFC JH CAMP LASE 23-24 - 2 - J460 LAS JUV.dot (9/98) ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) FIXTURES* Designation Type Standards Rooms RC or # RC Square/Cubic T U W F S Beds Feet B 9-16 Single 1998 8 1 1 8 12.6'x 8.1'x 10' 1 1 1 Note: There are 6 showers in unit: 3 upstairs, 3 downstairs. 24 beds on entire unit. Housing Unit C – This unit houses all post disposition male youth in Short, Mid (YDF) and Long- term commitments (JDFC). There were 24 on the day of the inspection C 1 Single 1998 1 1 1 1 12.6'x 8.1'x 10' 1 1 1 ADA C 2-8, 16 Double 1998 8 2 2 16 12.6'x 8.1' x 8' 1 1 1 C 9-15 Single 1998 7 1 1 7 12.6'x 8.1'x 10' 1 1 1 Note: There are 6 showers in unit: 3 upstairs, 3 downstairs. Housing Unit D – This unit houses SYTF youth, nine in the program during the inspection. D 1-7 Double 1998 7 2 2 14 12.6'x 8.1' x 8' 1 1 1 D 8-14 Single 1998 7 1 1 7 12.6'x 8.1'x 10' 1 1 1 Note: There are 5 showers in unit: 3 upstairs, 2 downstairs. Note: The corner rooms in the pod are slightly larger (approx. 112 square feet). Attached exercise yard is 2,812 square feet and there is one common dayroom, shared by all of the units, that contain 1,293 square feet of dayroom space. Each unit includes 1,176 square feet dayroom space. Additionally, double rooms are located on the lower level; single rooms are located on the upper level. Ceiling fixtures are below 8' level on lower level rooms. The 14-16 Inspection corrected Unit C to reflect the ADA room and Double/Single designations. **The RC for Pod 5 is 90. Court Holding Rooms Holding 1998 2 0 6.75'x8.75'x10' 1 1 1 Note: Less 3 square feet pipe chase Holding 1998 2 0 9.6'x8.75'x10' 1 1 1 Note: Less 3 square feet pipe chase Holding 1998 2 0 6.75'x8.75'x10' 1 1 1 Note: Less 3 square feet pipe chase Holding 1998 2 0 9.6'x8.75'x10' 1 1 1 Note: Less 3 square feet pipe chase Note: The Tulare Sheriff Department staff operates Court holding. Probation staff supervises minors while detained in the court holding rooms. Sheriff bailiffs move minors between the courtroom and the holding rooms. *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. 7703+ Tulare JDF YDF SYTF JDFC JH CAMP LASE 23-24 - 3 - J460 LAS JUV.dot (9/98)