Tuolumne County Probation (2023-2024 inspection cycle)

September 10, 2024 Dan Hawks, Chief Probation Officer Tuolumne County Probation Department 465 South Washington Street Sonora, CA 95370 2023-2024 TARGETED INSPECTION, WELFARE & INSTITUTIONS CODE SECTIONS 209 & 885, TUOLUMNE COUNTY PROBATION DEPARTMENT DETENTION FACILITIES Dear Chief Hawks: A Targeted Inspection of the Tuolumne County Probation Department has been completed. A pre-inspection briefing was held on Tuesday, March 19, 2024, and the following facilities were inspected on August 27, 2024: FACILITY NAME BSCC # FACILITY TYPE Tuolumne County MLRJDF 7716 JH Tuolumne County Steps to Success 7718 CAMP Tuolumne County Summit Program 7717 SYTF These inspections were conducted pursuant to Welfare and Institutions Code Sections 209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention Facilities as outlined in Title 15, California Code of Regulations. INSPECTION RESULTS We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the attached Procedures Checklist for detailed information. An Exit Briefing with your staff was held on Tuesday, August 27, 2024; 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) 704-2502 if you have any questions. Dan Hawks Chief Probation Officer Page 2 Sincerely, ELIZABETH GONG Field Representative Facilities Standards and Operations Division Enclosures Cc: Presiding Judge, Tuolumne County Juvenile Court* Chair, Juvenile Justice Commission, Tuolumne County* Chair, Board of Supervisors, Tuolumne County* County Administrator, Tuolumne County* Mike Arndt, Assistant Chief Probation Officer/Superintendent, Tuolumne County Mother Lode Regional Juvenile Detention Facility *Copies of the inspection are available upon request or online at www.bscc.ca.gov. 7716+ Tuolumne County Probation CAMP JH SYTF Targeted LTR 23-24 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7716 FACILITY NAME: Tuolumne County MLRJDF FACILITY TYPE: JH PERSON(S) INTERVIEWED: Dan Hawks, Chief Probation Officer; Mike Arndt, Assistant Chief Probation Officer – Superintendent; Christine Schultze, Supervising Probation Officer; Will Nielsen, Supervising Probation Officer; Pam Orebaugh, Clinical Social Worker assigned by the TCSOS; Youth: Adam, age 17; Bode, age 17; and Tiffany, age 16. FIELD REPRESENTATIVE: Elizabeth Gong DATE: August 27, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Section III, Number 2 Each juvenile facility shall: Section III, Number 2, Procedure I-A (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its The facility-rated capacity for Detention Youth programming, to provide for safety and security of youth is 22, with a staffing ratio of 1:8. and staff, and meet established standards and regulations; The facility has two Supervising Juvenile ☒ ☐ ☐ Corrections Officers (JCO). There are five Senior JCO’s plus one relief Senior (Extra Help), and eight JCO staff. One Senior and one JCO position are vacant. A Field Probation Officer is assigned to the facility to assist with the Steps 2 Success Camp Program and Summit SYTF Program. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ Section III, Number 2, Procedure I-A ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; ☒ Section III, Number 2, Procedure I-B ☐ ☐ (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Section III, Number 2, Procedure I-C completed the Juvenile Corrections Officer Core Course and PC 832 training; There is a Supervisor, Senior JCO, or ☒ ☐ ☐ designated lead staff on duty and in charge of the facility when the Superintendent is not on duty. (e)have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ Section III, Number 2, Procedure I-D ☐ ☐ 1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 1 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) have sufficient food service personnel relative to the number and security of living units, including staff Section III, Number 2, Procedure I-E qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct Meals continue to be provided by Summit ☒ food preparation and servings; conduct related training ☐ ☐ Foods through the Tuolumne County Jail and programs for culinary staff; and maintain necessary served by serve-safe certified JCO staff records; or, a facility may serve food that meets nutritional and/or youth. standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Section III, Number 2, Procedure I-F transportation, control room, facility security and other ☒ support staff for the efficient management of the facility, ☐ ☐ Support staff and ancillary personnel are not and to ensure that youth supervision staff shall not be part of the youth supervision staff. diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Section III, Number 2, Procedure I-G temporary variations in staff assignments to meet special ☒ program needs. Staffing shall be in compliance with a ☐ ☐ The facility has made the decision to staff at minimum youth-staff ratio for the following facility types: a 1:8 ratio. (1) Juvenile Halls (A) during the hours that youth are awake, one Section III, Number 2, Procedure I-H wide-awake youth supervision staff member on duty for each 10 youth in detention; The facility staffs the facility at 1:8 during waking hours. There were nine youths in ☒ detention of the 15-youth in custody on the ☐ ☐ day of the inspection. There are always two staff on duty as the detention, Camp, and SYTF youth occupy the sole 30-bed unit in the facility. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake Section III, Number 2, Procedure I-I youth supervision staff member on duty for each ☒ 30 youth in detention; ☐ ☐ The facility staffs the facility at a 1:16 ratio during sleeping hours. (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Section III, Number 2, Procedure I-J 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 Section III, Number 2, Procedure I-K ☐ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of Section III, Number 2, Procedure I-F personnel, academic or trade instruction, clerical, ☒ kitchen or maintenance shall not be classified as ☐ ☐ Only JCO staff assigned to the living units youth supervision staff positions. supervise youth in detention. (2) Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☐ ☒ awake youth supervision staff member on duty for ☐ each 10 youth in detention; 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 2 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (A) during the hours that youth are awake, one ☒ wide-awake youth supervision staff member on ☐ ☐ duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☒ arrangements have been made for backup support ☐ ☐ services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☒ ☐ ☐ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 3 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS 0B Section III, Number 31 Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual The facility has an electronic safety check observation of youth at a minimum of every 15 minutes, system and completes regular audits to at random or varied intervals during hours when youth ensure the checks are random and varied. are asleep or when youth are in their rooms, confined in Audits are done weekly with a special tool to holding cells or confined to their bed in a dormitory. account for different shifts and cover all staff. Supervision is not replaced, but may be supplemented A video review is in place to determine the by, an audio/visual electronic surveillance system reason for the late check. designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety The system has a deactivation mechanism checks shall be documented with the actual time the when youth are “all out” and no check is check is completed. needed. If there is a late check, facility administration is notified; and staff are ☒ required to make an entry in the unit log the ☐ ☐ reason for the late check. We reviewed safety check audits for the months of January, March, and May 2024. We found four late checks in the first week of January, two in March, and none in May. We also reviewed all safety checks for the month of July and found 16 recorded late, with three being recorded in error, so 13 late checks overall. The audit process in place is effective and any consistent patterns are handled administratively, per policy. 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 4 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT 1B Section V, Number 14 (a) The facility administrator shall develop and implement written policies and procedures addressing The facility has had 30 incidents of RC from the confinement of youth in their room that are January 2024 to July 2024, with 17 involving consistent with Welfare and Institutions Code Section one youth for sexually acting out or self- 208.3. The placement of a youth in room confinement harm-related behavior. Twenty nine of the 30 shall be accomplished in accordance with the following incidents were youth in detention, with one guidelines: involving a Summit SYTF youth for a safety watch from a self-harm incident. The agency has a process to ensure staff document all efforts to reintegrate and follow the RC form prompts. Incident report documentation for the reason for room confinement was clear in each incident we reviewed. The one youth with 17 incidents of RC had ☒ varying times in his room or intake due to his ☐ ☐ self-harm behaviors and at the request of Behavior Health. The other youth were in RC for 11 minutes to less than two hours. Each youth is required to participate in a Reintegration Plan, allowing staff to communicate and have a conversation about the incident, what could have been done differently, and a review of the Due Process operational process for the behavior leading to the RC. Our review of 15 RC Incident Reports revealed compliance with regulation and met the agency policy which is more restrictive than regulation. We shared the process and forms with other agencies to outline a streamlined process for RC reporting and integration. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Section V, Number 14, I-A and exhausted, unless attempting those options ☒ Section V, Number 14, Procedure II-A ☐ ☐ 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 V, Number 14, I-B ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health Section V, Number 14, I-C ☒ of the youth. ☐ ☐ Section V, Number 14, Procedure II-B (b) A youth may be held up to four hours in room confinement. After the youth has been held in room Section V, Number 14, Procedure II-C ☒ confinement for a period of four hours, staff shall do one ☐ ☐ or more of the following: Section V, Number 14, I-E, 1 (1) Return the youth to general population. ☒ ☐ ☐ Section V, Number 14, Procedure II-D, 1 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 5 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS Section V, Number 14, I-E, 3 (2) Consult with mental health or medical staff. ☒ ☐ ☐ Section V, Number 14, Procedure II-D, 2 (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate Section V, Number 14, I-E, 6 the youth to general population. Section V, Number 14, Procedure II-D, 3 ☒ As soon as a youth is placed on RC, an ☐ ☐ individual plan form is developed with the youth and attempts to follow through are made. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: Section V, Number 14, Procedure II-D, 4 (A) Document the reasons for room confinement Section V, Number 14, I-E, 2 and the basis for the extension, the date and time ☒ the youth was first placed in room confinement, ☐ ☐ Each component is addressed in the policy and when he or she is eventually released from and documentation review including the room confinement. elements required to extend. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ Section V, Number 14, I-E, 6 ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ Section V, Number 14, I-E, 5 ☐ ☐ 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 V, Number 14, I-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. ☒ Section V, Number 14, I-J ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ Section V, Number 14 Policy Statement ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires Section V, Number 14, I-K a significant departure from normal institutional operations, including a natural disaster or facility- ☒ wide threat that poses an imminent and substantial ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and Section V, Number 14, I-L 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. 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 6 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Section V, Number 17 (UF) The facility administrator, in cooperation with the Section V, Number 17, Procedure II-B, 5 responsible physician, shall develop and implement written policies and procedures for the use of force, We reviewed 15 of the 24 incidents of the which may include chemical agents. Force shall never use of force in detention from January 2024 be applied as punishment, discipline, retaliation or to the date of the inspection. The reports treatment. provide clear and relevant information and (a) At a minimum, each facility shall develop policies and are accompanied by additional procedures which: documentation if the incident involved Room Confinement (if appropriate), Separation, Use of Restraints, Due Process, or a response from agency partners. Most involved unit disturbances or assaultive ☒ behavior between youth. ☐ ☐ One of the incidents involved the use of OC Spray and all involved either Physical Restraint or Mechanical restraint for movement to their room or intake holding. It is worth noting, 16 of the 24 incidents involved one youth. Senior and supervisory staff review and debrief incidents along with involved staff and the superintendent. Documentation and forms were complete and articulate in terms of all requirements. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 Section V, Number 17, Procedure I-B ☒ 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 V, Number 17, Procedure V-A, 1-6 ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are expressly prohibited by the facility. ☒ Section V, Number 17, Procedure V-B, 1-8 ☐ ☐ (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative ☒ Section V, Number 17, Procedure II-B, 7 ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that includes time period and procedure for documenting Section V, Number 17, Procedure V and reporting the use of force, including reporting 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 V, Number 17, Procedure V-C ☐ ☐ 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 7 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) define the role, notification, and follow-up procedures required after use of force incidents for Section V, Number 17, Procedure VI-A, B ☒ medical, mental health staff and parents or legal ☐ ☐ and C guardians. (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) ☒ Section V, Number 17, Procedure III ☐ ☐ and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Section V, Number 18 (1) identify who is approved to carry and/or utilize Section V, Number 18, Procedure I-A chemical agents in the facility and the type, size and the approved method of deployment for those Only senior staff are permitted to carry OC chemical agents. ☒ spray in the facility. It is important to note ☐ ☐ there was one use of chemical spray from January 2024 to July 2024, and only 2 uses of OC Spray since October 2022, both involving one youth. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the Section V, Number 18, Procedure I-B 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 V, Number 18, Use I-F This shall include that youth who have been exposed Section V, Number 18, Use I-H, 5 and 6 ☒ to chemical agents shall not be left unattended until ☐ ☐ Section V, Number 18, Use I-I, 1 through 8 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 V, Number 18, Use I-E (CFMG) involving chemical agents for medical, mental health ☒ Section V, Number 18, Use I-F (BH and ☐ ☐ staff and parents or legal guardians. parent/legal guardian) (5) provide for the documentation of each incident of use of chemical agents, including the reasons for Section V, Number 18, Use I-G, 1-5 which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training Section V, Number 17, Procedure IV in use of force and chemical agents when appropriate Section V, Number 17, Procedure IV-B, 6 that address: ☒ (1) known medical and behavioral health conditions ☐ ☐ Senior staff are only authorized to carry OC that would contraindicate certain types of force; Spray. Staff are trained annually by certified STC Instructors. (2) acceptable chemical agents and the methods of application. ☒ Section V, Number 17, Procedure IV-B, 2 ☐ ☐ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ Section V, Number 17, Procedure IV-B, 7 ☐ ☐ 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 8 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) instruction on the Constitutional Limitations of Use of Force. Section V, Number 18, Procedure I-B ☒ ☐ ☐ This is part of the training curriculum for the Use of Force. (5) physical training force options that may require the use of perishable skills. ☒ Section V, Number 17, Procedure IV-B ☐ ☐ (6) timelines the facility uses to define regular training. ☒ Section V, Number 17, Procedure IV-B ☐ ☐ 1361 GRIEVANCE PROCEDURE Section V, Number 30 The facility administrator shall develop and implement written policies and procedures whereby any youth may The facility has had 42 grievances filed from appeal and have resolved grievances relating to any January to the date of the inspection, 27 filed condition of confinement, including but not limited to by four youths. We reviewed 15 of the health care services, classification decisions, program grievances and the entire grievance log; participation, telephone, mail or visiting procedures, noting each was resolved by staff without a food, clothing, bedding, mistreatment, harassment or request to appeal. violations of the nondiscrimination policy. There shall be ☒ ☐ ☐ no time limit on filing grievances. Policies and We interviewed youth and each knew the procedures shall include provisions whereby the facility process to file a grievance and to ask for an manager ensures: appeal if they did not agree with the outcome. Each youth believed the process to be fair. The forms are step-by-step based and compliant with policy and regulation. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to Section V, Number 30, Policy I-A ☒ ☐ ☐ have free access to the form; Section V, Number 30, Policy I-B (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Section V, Number 30, Policy I-D supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Section V, Number 30, Policy I-F (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances Section V, Number 30, Procedure I-C ☒ ☐ ☐ 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 V, Number 30, Procedure I-D ☒ ☐ ☐ 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 V, Number 30, Policy I-C (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Section V, Number 30, Policy I-F 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 9 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) a system which provides that any appeal of a grievance shall be heard by a person not directly Section V, Number 30, Procedure I-F ☒ ☐ ☐ involved in the circumstances which led to the Section V, Number 30, Procedure I-G grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer Section V, Number 30, Procedure I-H ☒ ☐ ☐ 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 V, Number 30, Procedure I-G Section V, Number 30, Procedure I-H ☒ ☐ ☐ Section V, Number 30, Procedure I-I Section V, Number 30, Procedure I-J Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be Section V, Number 30, Procedure I-N ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND 2B EXERCISE. Section VI, Number 3, Policy I-A The facility administrator shall develop and implement The facility has many programming choices written policies and procedures for programs, for youth, each allowing robust and recreation, and exercise for all youth. The intent is to educational options to meet the youth's minimize the amount of time youth are in their rooms or ☒ ☐ ☐ needs as it relates to programs, recreation, their bed area. and exercise. The opportunities are facilitated by County partners, Community Volunteers, and staff. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Section VI, Number 3, Policy I-B and C hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, of which The CICO Sheets, program schedule, and one hour shall be an outdoor activity, weather daily list of volunteers entering the facility permitting. ☒ ☐ ☐ along with a participant list verifying compliance with this regulation. Also, we observed programming, LME, and recreation while on site, as well as conducting interviews with youth. A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding Section VI, Number 3, Policy I-D 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 VI, Number 3, Policy I-E There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Section VI, Number 3, Policy I-F ☒ ☐ ☐ ensure content offered is current, consistent, and relevant to the population. 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 10 of 12 A453 JUV Targeted PRO eff. 1/2024 (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Section VI, Number 3, Policy I-G include, but not be limited to, trauma focused, cognitive, Section VI, Number 3, Policy I-G, 1-17 evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- The agency provides the following social interventions and activities designed to reduce programming opportunities: recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 Aggression Replacement Training (ART); and 1356. Such programs may be provided under the Interactive Journaling; Boys Council; Girls direction of the Chief Probation Officer or the County Circle; Parenting Education; Independent Office of Education and can be administered by county Living Skills; 4H-Master Gardner’s; Harvest partners such as mental health agencies, community of the Month (Health and Nutrition); Art based organizations, faith-based organizations or Therapy; Tools for Success; Mindfulness and Probation staff. Meditation; Book Club; Religious Services Programs may include but are not limited to: and Bible Study; Prison Education Project (1) Cognitive Behavior Interventions; (PEP); Mentoring; Substance Use Disorder (2) Management of Stress and Trauma; Groups; Ready Now Recovery; Individual (3) Anger Management; Psychotherapy; Education Related Mental (4) Conflict Resolution; Health Services (Individual and group); (5) Juvenile Justice System; Family Counseling, Sex Offender (6) Trauma-related interventions; Counseling; Podcasting, NA/AA; and, Drum (7) Victim Awareness; Circle. (8) Self-Improvement; (9) Parenting Skills and support; Additional opportunities for youth include (10)Tolerance and Diversity; partner services with Tuolumne County (11)Healing Informed Approaches; Behavior Health, Tuolumne County (12)Interventions by Credible Messengers; Superintendent of Schools, Mother Lode Job (13)Gender Specific Programming; Training, Infant Child Enrichment Services, A (14)Art, creative writing, or self-expression; Step Forward Counseling Group – Cal Poly (15)CPR and First Aid training; Pomona, 4-H Master Gardner’s, Teen Works, (16)Restorative Justice or Civic Engagement; ☒ ☐ ☐ Center for Non-Violent Community, UC Davis (17)Career and leadership opportunities; and, Cooperative Extension, Tuolumne County (18)Other topics suitable to the youth population. Me-Wok Social Services, and other community volunteers. The grant through 4-H to develop a Meditation Pond and Hydroponic Garden is closer to being operational, awaiting the last few steps for the waterfall. Facility staff work on “Check In, Check Out” (CICO) with youth to document positive and negative behaviors that teach the elements of PBIS. This tool provides incentive-based opportunities for youth. The CICO form also documents the youth have received their requirements for this regulation during the shift they receive it. TCBH has started to provide individual/group counseling to youth and Individual Psychotherapy weekly. They have been present for MDT and case treatment plans; and have a Case Manager who works with Clinicians locally to provide treatment to this population on a more consistent basis. The Clinician position for the facility remains vacant with the hopes it will be filled soon to supplement the counseling services provided by the Counselor from the TCSOS. 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 11 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A Clinical SW from the TCSOS is on-site 5 days each week to facilitate individual counseling and groups. These groups include CBT and Seeking Safety with upcoming new groups to include Overcoming Obstacles and Trauma-Focused CBT. The Golden Ridge Education Center (GREC) provides an aide for two hours each day to assist graduated youth with the Rising Scholars program component. Staff also facilitate programs for youth to provide a more robust part of a youth’s day. On the day of the inspection, staff were being trained in Interactive Journaling. Other opportunities are Mindfulness and Meditation; Work Programs on and off site; Boy’s Counsel; History; Independent Living Programming; Current Events and Team Sports. Work Programs for detention youth include daily cleaning of common areas, Food Service Training, Yard Maintenance, and, Classroom and Library Cleaning. (b)Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Section VI, Number 3, Policy I-H activities such as leisure reading, letter writing, and ☒ ☐ ☐ Section VI, Number 3, Policy I-K entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity ☒ ☐ ☐ Section VI, Number 3, Policy I-I each day. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and Section VI, Number 3, Policy I-J programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7716 Tuolumne County MLRJDF JH Targeted PRO 23-24 Page 12 of 12 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7718 FACILITY NAME: Tuolumne Steps to Succes FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Dan Hawks, Chief Probation Officer; Mike Arndt, Assistant Chief Probation Officer – Superintendent; Christine Schultze, Supervising Probation Officer; Will Nielsen, Supervising Probation Officer; Pam Orebaugh, Clinical Social Worker assigned by the TCSOS; Youth: Adam, age 17; Bode, age 17; and Tiffany, age 16. FIELD REPRESENTATIVE: Elizabeth Gong DATE: August 27, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Section III, Number 2 Each juvenile facility shall: Section III, Number 2, Procedure I-A (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its The facility-rated capacity for the Steps to programming, to provide for safety and security of youth Success Program (S2S) is five, with a and staff, and meet established standards and staffing ratio of 1:8. regulations; ☒ The facility has two Supervising Juvenile ☐ ☐ Corrections Officers (JCO). There are five Senior JCOs, one relief Senior (Extra Help), and eight JCO staff. One Senior and one JCO position are vacant. A Field Probation Officer is assigned to the facility to assist with the Steps 2 Success Camp Program and Summit SYTF Program. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ Section III, Number 2, Procedure I-A ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; ☒ Section III, Number 2, Procedure I-B ☐ ☐ (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Section III, Number 2, Procedure I-C completed the Juvenile Corrections Officer Core Course and PC 832 training; There is a Supervisor, Senior JCO, or ☒ ☐ ☐ designated lead staff on duty and in charge of the facility when the Superintendent is not on duty. (e)have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ Section III, Number 2, Procedure I-D ☐ ☐ 1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 1 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) have sufficient food service personnel relative to the number and security of living units, including staff Section III, Number 2, Procedure I-E qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct Meals continue to be provided by Summit ☒ food preparation and servings; conduct related training ☐ ☐ Foods through the Tuolumne County Jail and programs for culinary staff; and maintain necessary served by serve-safe certified JCO staff records; or, a facility may serve food that meets nutritional and/or youth. standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Section III, Number 2, Procedure I-F transportation, control room, facility security and other ☒ support staff for the efficient management of the facility, ☐ ☐ Support staff and ancillary personnel are not and to ensure that youth supervision staff shall not be part of the youth supervision staff. diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Section III, Number 2, Procedure I-G temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a The facility has decided to staff at a 1:8 ratio. minimum youth-staff ratio for the following facility types: (1)Juvenile Halls (A) during the hours that youth are awake, one ☐ ☒ wide-awake youth supervision staff member on ☐ duty for each 10 youth in detention; (B)during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☒ youth supervision staff member on duty for each ☐ 30 youth in detention; (C)at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☒ arrangement has been made for backup support ☐ services which allow for immediate response to emergencies; and, (D)at least one youth supervision staff member on duty who is the same gender as youth housed in ☐ ☒ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☒ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (2)Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☒ awake youth supervision staff member on duty for ☐ ☐ each 10 youth in detention; (B)during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; (C)at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, (D)at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 2 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (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 III, Number 2, I-H wide-awake youth supervision staff member on duty for each 15 youth in the camp population; The facility staffs the facility at 1:8 during waking hours. There were four S2S youth in ☒ ☐ ☐ custody of the total facility population. The RC for S2S is five. It is noted the facility houses detention, Camp, and SYTF youth in one 30-bed unit. (B)during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake Section III, Number 2, I-I youth supervision staff member on duty for each ☒ 30 youth present in the facility; ☐ ☐ The facility is staffed at a 1:16 ratio during sleeping hours. (C)at least two wide-awake youth supervision staff members on duty at all times, regardless of the Section III, Number 2, J 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 ☒ Section III, Number 2, I-K ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be The facility has dedicated five beds within the given to the size, design, and location of the camp; JH unit as Camp beds for the Steps to types of youth committed to the camp; and the ☒ Success Program. The physical plant is ☐ ☐ function of the camp in determining the level of within the more restrictive staffing ratios supervision necessary to maintain the safety and established by policy, 1:8. welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of Section III, Number 2, I-F personnel, academic or trade instruction, clerical, ☒ farm, forestry, kitchen or maintenance shall not be ☐ ☐ Only JCO staff assigned to the living units classified as youth supervision staff positions. supervise youth in detention. 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 3 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1328 SAFETY CHECKS 0B Section III, Number 31 Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual The facility has an electronic safety check observation of youth at a minimum of every 15 minutes, system and completes regular audits to at random or varied intervals during hours when youth ensure the checks are random and varied. are asleep or when youth are in their rooms, confined in Audits are done weekly with a special tool to holding cells or confined to their bed in a dormitory. account for different shifts and cover all staff. Supervision is not replaced, but may be supplemented A video review is in place to determine the by, an audio/visual electronic surveillance system reason for the late check. designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety The system has a deactivation mechanism checks shall be documented with the actual time the when youth are “all out” and no check is check is completed. needed. If there is a late check, facility administration is notified; and staff are ☒ required to make an entry in the unit log the ☐ ☐ reason for the late check. We reviewed safety check audits for the months of January, March, and May 2024. We found four late checks in the first week of January, two in March, and none in May. We also reviewed all safety checks for the month of July and found 16 were recorded late, with three being recorded in error, so 13 were late checks overall. The audit process in place is effective and any consistent patterns are handled administratively, per policy. 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 4 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT 1B Section V, Number 14 (a) The facility administrator shall develop and implement written policies and procedures addressing The facility has had 30 incidents of RC from the confinement of youth in their room that are January 2024 to July 2024, with 17 involving consistent with Welfare and Institutions Code Section one youth for sexually acting out or self- 208.3. The placement of a youth in room confinement harm-related behavior. None of the incidents shall be accomplished in accordance with the following involved S2S youth. guidelines: The agency has a process to ensure staff document all efforts to reintegrate and follow the RC form prompts. Incident report documentation for the reason for room confinement was clear in each incident we reviewed. ☒ ☐ ☐ In terms of process, each youth is required to participate in a Reintegration Plan, allowing staff to communicate and have a conversation about the incident, what could have been done differently, and a review of the Due Process operational process for the behavior leading to the RC. Our review of 15 RC Incident Reports revealed compliance with regulation and met the agency policy which is more restrictive than regulation. We shared the process and forms with other agencies to outline a streamlined process for RC reporting and integration. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Section V, Number 14, I-A and exhausted, unless attempting those options ☒ Section V, Number 14, Procedure II-A ☐ ☐ 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 V, Number 14, I-B ☐ ☐ retaliation by staff. (3) Room confinement shall not be used to the extent that it compromises the mental and physical health Section V, Number 14, I-C ☒ of the youth. ☐ ☐ Section V, Number 14, Procedure II-B (b) A youth may be held up to four hours in room confinement. After the youth has been held in room Section V, Number 14, Procedure II-C ☒ confinement for a period of four hours, staff shall do one ☐ ☐ or more of the following: Section V, Number 14, I-E, 1 (1) Return the youth to general population. ☒ ☐ ☐ Section V, Number 14, Procedure II-D, 1 Section V, Number 14, I-E, 3 (2) Consult with mental health or medical staff. ☒ ☐ ☐ Section V, Number 14, Procedure II-D, 2 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 5 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate Section V, Number 14, I-E, 6 the youth to general population. Section V, Number 14, Procedure II-D, 3 ☒ As soon as a youth is placed on RC, an ☐ ☐ individual plan form is developed with the youth and attempts to follow through are made. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: Section V, Number 14, Procedure II-D, 4 (A) Document the reasons for room confinement Section V, Number 14, I-E, 2 and the basis for the extension, the date and time ☒ the youth was first placed in room confinement, ☐ ☐ Each component is addressed in the policy and when he or she is eventually released from and documentation review including the room confinement. elements required to extend. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ Section V, Number 14, I-E, 6 ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ Section V, Number 14, I-E, 5 ☐ ☐ 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 V, Number 14, I-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. ☒ Section V, Number 14, I-J ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ Section V, Number 14 Policy Statement ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires Section V, Number 14, I-K a significant departure from normal institutional operations, including a natural disaster or facility- ☒ wide threat that poses an imminent and substantial ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and Section V, Number 14, I-L 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. 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 6 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Section V, Number 17 (UF) The facility administrator, in cooperation with the Section V, Number 17, Procedure II-B, 5 responsible physician, shall develop and implement written policies and procedures for the use of force, We reviewed 15 of the 24 incidents of the which may include chemical agents. Force shall never use of force from January 2024 to the date of be applied as punishment, discipline, retaliation or the inspection. All incidents involved youth treatment. in detention, noting no S2S youth have been (a) At a minimum, each facility shall develop policies and involved in a UF incident this year. procedures which: RC incident reports provide clear and relevant information and are accompanied by additional documentation if the incident involved Room Confinement (if appropriate), Separation, Use of Restraints, Due Process or a response from agency partners. Most ☒ ☐ ☐ involved unit disturbances or assaultive behavior between youth. One of the 24 incidents involved the use of OC Spray and all involved either Physical Restraint or Mechanical restraint for movement to their room or intake holding. It is worth noting, 16 of the 24 incidents involved one youth. Senior and supervisory staff review and debrief incidents along with involved staff and the superintendent. Documentation and forms were complete and articulate in terms of all requirements. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 Section V, Number 17, Procedure I-B ☒ 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 V, Number 17, Procedure V-A, 1-6 ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are expressly prohibited by the facility. ☒ Section V, Number 17, Procedure V-B, 1-8 ☐ ☐ (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative ☒ Section V, Number 17, Procedure II-B, 7 ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that includes time period and procedure for documenting Section V, Number 17, Procedure V and reporting the use of force, including reporting 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 V, Number 17, Procedure V-C ☐ ☐ 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 7 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) define the role, notification, and follow-up procedures required after use of force incidents for Section V, Number 17, Procedure VI-A, B ☒ medical, mental health staff and parents or legal ☐ ☐ and C guardians. (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) ☒ Section V, Number 17, Procedure III ☐ ☐ and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Section V, Number 18 (1) identify who is approved to carry and/or utilize Section V, Number 18, Procedure I-A chemical agents in the facility and the type, size and the approved method of deployment for those Only senior staff are permitted to carry OC chemical agents. ☒ spray in the facility. It is important to note ☐ ☐ there was one use of chemical spray from January 2024 to July 2024, and only two uses of OC Spray since October 2022, both involving one youth. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the Section V, Number 18, Procedure I-B 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 V, Number 18, Use I-F This shall include that youth who have been exposed Section V, Number 18, Use I-H, 5 and 6 ☒ to chemical agents shall not be left unattended until ☐ ☐ Section V, Number 18, Use I-I, 1 through 8 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 V, Number 18, Use I-E (CFMG) involving chemical agents for medical, mental health ☒ Section V, Number 18, Use I-F (BH and ☐ ☐ staff and parents or legal guardians. parent/legal guardian) (5) provide for the documentation of each incident of use of chemical agents, including the reasons for Section V, Number 18, Use I-G, 1-5 which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and regular training Section V, Number 17, Procedure IV in use of force and chemical agents when appropriate Section V, Number 17, Procedure IV-B, 6 that address: ☒ (1) known medical and behavioral health conditions ☐ ☐ Senior staff are only authorized to carry OC that would contraindicate certain types of force; Spray. Staff are trained annually by certified STC Instructor. (2) acceptable chemical agents and the methods of application. ☒ Section V, Number 17, Procedure IV-B, 2 ☐ ☐ (3) signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ Section V, Number 17, Procedure IV-B, 7 ☐ ☐ 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 8 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4) instruction on the Constitutional Limitations of Use of Force. Section V, Number 18, Procedure I-B ☒ ☐ ☐ This is part of the training curriculum for Use of Force. (5) physical training force options that may require the use of perishable skills. ☒ Section V, Number 17, Procedure IV-B ☐ ☐ (6) timelines the facility uses to define regular training. ☒ Section V, Number 17, Procedure IV-B ☐ ☐ 1361 GRIEVANCE PROCEDURE Section V, Number 30 The facility administrator shall develop and implement written policies and procedures whereby any youth may The facility has had 42 grievances filed from appeal and have resolved grievances relating to any January to the date of the inspection, 27 filed condition of confinement, including but not limited to by four youths, and 22 of the 42 involving health care services, classification decisions, program point loss. We reviewed five of the 15 participation, telephone, mail or visiting procedures, grievances filed by S2S youth and the entire food, clothing, bedding, mistreatment, harassment or grievance log; noting each was resolved by violations of the nondiscrimination policy. There shall be staff without a request to appeal. no time limit on filing grievances. Policies and ☒ ☐ ☐ procedures shall include provisions whereby the facility We interviewed youth and each knew the manager ensures: process to file a grievance and to ask for an appeal if they did not agree with the outcome. Each youth believed the process to be fair. The forms are step-by-step based and compliant with policy and regulation. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to Section V, Number 30, Policy I-A ☒ ☐ ☐ have free access to the form; Section V, Number 30, Policy I-B (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Section V, Number 30, Policy I-D supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Section V, Number 30, Policy I-F (d) provision for a prompt review and initial response to grievances within three (3) business days, grievances Section V, Number 30, Procedure I-C ☒ ☐ ☐ 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 V, Number 30, Procedure I-D ☒ ☐ ☐ 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 V, Number 30, Policy I-C (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Section V, Number 30, Policy I-F 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 9 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) a system which provides that any appeal of a grievance shall be heard by a person not directly Section V, Number 30, Procedure I-F ☒ ☐ ☐ involved in the circumstances which led to the Section V, Number 30, Procedure I-G grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer Section V, Number 30, Procedure I-H ☒ ☐ ☐ 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 V, Number 30, Procedure I-G Section V, Number 30, Procedure I-H ☒ ☐ ☐ Section V, Number 30, Procedure I-I Section V, Number 30, Procedure I-J Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be Section V, Number 30, Procedure I-N ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND 2B EXERCISE. Section VI, Number 3, Policy I-A The facility administrator shall develop and implement The facility has many programming choices written policies and procedures for programs, for youth, each allowing robust and recreation, and exercise for all youth. The intent is to educational options to meet the youth's minimize the amount of time youth are in their rooms or ☒ ☐ ☐ needs as it relates to programs, recreation, their bed area. and exercise. The opportunities are facilitated by County partners, Community Volunteers, and staff. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Section VI, Number 3, Policy I-B and C hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, of which The CICO Sheets, program schedule, and one hour shall be an outdoor activity, weather daily list of volunteers entering the facility permitting. ☒ ☐ ☐ along with a participant list verifying compliance with this regulation. Also, we observed programming, LME, and recreation while on site, as well as conducting interviews with youth. A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding Section VI, Number 3, Policy I-D 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 VI, Number 3, Policy I-E There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Section VI, Number 3, Policy I-F ☒ ☐ ☐ ensure content offered is current, consistent, and relevant to the population. 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 10 of 12 A453 JUV Targeted PRO eff. 1/2024 (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Section VI, Number 3, Policy I-G include, but not be limited to, trauma focused, cognitive, Section VI, Number 3, Policy I-G, 1-17 evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- The agency provides the following social interventions and activities designed to reduce programming opportunities: recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 Aggression Replacement Training (ART); and 1356. Such programs may be provided under the Interactive Journaling; Boys Council; Girls direction of the Chief Probation Officer or the County Circle; Parenting Education; Independent Office of Education and can be administered by county Living Skills; 4H-Master Gardner’s; Harvest partners such as mental health agencies, community of the Month (Health and Nutrition); Art based organizations, faith-based organizations or Therapy; Tools for Success; Mindfulness and Probation staff. Meditation; Book Club; Religious Services Programs may include but are not limited to: and Bible Study; Prison Education Project (1) Cognitive Behavior Interventions; (PEP); Mentoring; Substance Use Disorder (2) Management of Stress and Trauma; Groups; Ready Now Recovery; Individual (3) Anger Management; Psychotherapy; Education Related Mental (4) Conflict Resolution; Health Services (Individual and group); (5) Juvenile Justice System; Family Counseling, Sex Offender (6) Trauma-related interventions; Counseling; Podcasting, NA/AA; and, Drum (7) Victim Awareness; Circle. (8) Self-Improvement; (9) Parenting Skills and support; Additional opportunities for youth include (10) Tolerance and Diversity; partner services with Tuolumne County (11) Healing Informed Approaches; Behavior Health, Tuolumne County (12) Interventions by Credible Messengers; Superintendent of Schools, Mother Lode Job (13) Gender Specific Programming; Training, Infant Child Enrichment Services, A (14) Art, creative writing, or self-expression; Step Forward Counseling Group – Cal Poly (15) CPR and First Aid training; Pomona, 4-H Master Gardner’s, Teen Works, (16) Restorative Justice or Civic Engagement; ☒ ☐ ☐ Center for Non-Violent Community, UC Davis (17) Career and leadership opportunities; and, Cooperative Extension, Tuolumne County (18) Other topics suitable to the youth population. Me-Wok Social Services, and other community volunteers. The grant through 4-H to develop a Meditation Pond and Hydroponic Garden is closer to being operational, awaiting the last few steps for the waterfall. Facility staff work on “Check In, Check Out” (CICO) with youth to document positive and negative behaviors that teach the elements of PBIS. This tool provides incentive-based opportunities for youth. The CICO form also documents the youth have received their requirements for this regulation during the shift they receive it. TCBH has started to provide individual/group counseling to youth and Individual Psychotherapy weekly. They have been present for MDT and case treatment plans; and have a Case Manager who works with Clinicians locally to provide treatment to this population on a more consistent basis. The Clinician position for the facility remains vacant with the hopes it will be filled soon to supplement the counseling services provided by the Counselor from the TCSOS. 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 11 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A Clinical SW from the TCSOS is on-site five days each week to facilitate individual counseling and groups. These groups include CBT and Seeking Safety with upcoming new groups to include Overcoming Obstacles and Trauma-Focused CBT. The Golden Ridge Education Center (GREC) provides an aide for two hours each day to assist graduated youth with the Rising Scholars program component. Staff also facilitate programs for youth to provide a more robust part of a youth’s day. On the day of the inspection, staff were being trained in Interactive Journaling. Other opportunities are Mindfulness and Meditation; Work Programs on and off site; Boy’s Counsel; History; Independent Living Programming; Current Events and Team Sports. Work Programs for all youth include daily cleaning of common areas, Food Service Training, Yard Maintenance, and Classroom and Library Cleaning. The S2S youth also participate in Lobby cleaning, exterior landscaping, washing county vehicles, touch- up painting, and taking trash outside the facility to adjacent dumpsters. (b)Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Section VI, Number 3, Policy I-H activities such as leisure reading, letter writing, and ☒ ☐ ☐ Section VI, Number 3, Policy I-K entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity ☒ ☐ ☐ Section VI, Number 3, Policy I-I each day. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and Section VI, Number 3, Policy I-J programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7718 Tuolumne Steps to Success Camp Targeted PRO 23-24 Page 12 of 12 A453 JUV Targeted PRO eff. 1/2024 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7717 FACILITY NAME: Tuolumne County MLRJDF Summit Program FACILITY TYPE: SYTF PERSON(S) INTERVIEWED: Dan Hawks, Chief Probation Officer; Mike Arndt, Assistant Chief Probation Officer – Superintendent; Christine Schultze, Supervising Probation Officer; Will Nielsen, Supervising Probation Officer; Pam Orebaugh, Clinical Social Worker assigned by the TCSOS; Youth: Adam, age 17; Bode, age 17; and Tiffany, age 16. FIELD REPRESENTATIVE: Elizabeth Gong DATE: August 27, 2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1321 STAFFING Section III, Number 2 Each juvenile facility shall: Section III, Number 2, Procedure I-A (a) have an adequate number of personnel sufficient to carry out the overall facility operation and its The facility-rated capacity for the SYTF – programming, to provide for safety and security of youth Summit Program is four, with a staffing ratio and staff, and meet established standards and of 1:8. regulations; ☒ The facility has two Supervising Juvenile ☐ ☐ Corrections Officers (JCO). There are five Senior JCOs, one relief Senior (Extra Help), and eight JCO staff. One Senior and one JCO position are vacant. A Field Probation Officer is assigned to the facility to assist with the Steps 2 Success Camp Program and Summit SYTF Program. (b) ensure that no required services shall be denied because of insufficient numbers of staff on duty absent ☒ Section III, Number 2, Procedure I-A ☐ ☐ exigent circumstances; (c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; ☒ Section III, Number 2, Procedure I-B ☐ ☐ (d) have a clearly identified person on duty at all times who is responsible for operations and activities and has Section III, Number 2, Procedure I-C completed the Juvenile Corrections Officer Core Course and PC 832 training; There is a Supervisor, Senior JCO, or ☒ ☐ ☐ designated lead staff on duty and in charge of the facility when the Superintendent is not on duty. (e)have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ Section III, Number 2, Procedure I-D ☐ ☐ 1 This document is intended for use as a tool during the targeted inspection process; this worksheet may not contain each Title 15 regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations. 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 1 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) have sufficient food service personnel relative to the number and security of living units, including staff Section III, Number 2, Procedure I-E qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct Meals continue to be provided by Summit ☒ food preparation and servings; conduct related training ☐ ☐ Foods through the Tuolumne County Jail and programs for culinary staff; and maintain necessary served by serve-safe certified JCO staff records; or, a facility may serve food that meets nutritional and/or youth. standards prepared by an outside source; (g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building maintenance, Section III, Number 2, Procedure I-F transportation, control room, facility security and other ☒ support staff for the efficient management of the facility, ☐ ☐ Support staff and ancillary personnel are not and to ensure that youth supervision staff shall not be part of the youth supervision staff. diverted from supervising youth; and, (h) assign sufficient youth supervision staff to provide continuous wide awake supervision of youth, subject to Section III, Number 2, Procedure I-G temporary variations in staff assignments to meet special ☒ ☐ ☐ program needs. Staffing shall be in compliance with a The facility has decided to staff at a 1:8 ratio. minimum youth-staff ratio for the following facility types: (1)Juvenile Halls (A) during the hours that youth are awake, one Section III, Number 2, Procedure I-H wide-awake youth supervision staff member on duty for each 10 youth in detention; The Summit Program operates under the same staffing ratio as Juvenile Halls. The facility staffs the facility at 1:8 during ☒ ☐ ☐ waking hours. There was one youth in the Summit Program of the 15-youth in custody on the day of the inspection. There are always two staff on duty as the detention, Camp, and SYTF youth occupy the sole 30- bed unit in the facility. (B)during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake Section III, Number 2, Procedure I-I youth supervision staff member on duty for each ☒ 30 youth in detention; ☐ ☐ The facility staffs the facility at a 1:16 ratio during sleeping hours. (C)at least two wide-awake youth supervision staff members on duty at all times, regardless of the Section III, Number 2, Procedure I-J 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 ☒ Section III, Number 2, Procedure I-K ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of Section III, Number 2, Procedure I-F personnel, academic or trade instruction, clerical, ☒ kitchen or maintenance shall not be classified as ☐ ☐ Only JCO staff assigned to the living units youth supervision staff positions. supervise youth in detention. (2)Special Purpose Juvenile Halls (A) during hours that youth are awake, one wide- ☒ awake youth supervision staff member on duty for ☐ ☐ each 10 youth in detention; 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 2 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (B)during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth in detention; (C)at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☒ arrangement has been made for backup support ☐ ☐ services which allow for immediate response to emergencies; and, (D)at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. (3)Camps (A) during the hours that youth are awake, one ☒ wide-awake youth supervision staff member on ☐ ☐ duty for each 15 youth in the camp population; (B)during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☒ youth supervision staff member on duty for each ☐ ☐ 30 youth present in the facility; (C)at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in residence, unless ☒ arrangements have been made for backup support ☐ ☐ services which allow for immediate response to emergencies; (D)at least one youth supervision staff member on duty who is the same gender as youth housed in ☒ ☐ ☐ the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; ☐ ☐ ☒ 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 3 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. ☐ ☒ ☐ 1328 SAFETY CHECKS 0B Section III, Number 31 Safety Checks The facility administrator shall develop and implement policy and procedures that provide for direct visual The facility has an electronic safety check observation of youth at a minimum of every 15 minutes, system and completes regular audits to at random or varied intervals during hours when youth ensure the checks are random and varied. are asleep or when youth are in their rooms, confined in Audits are done weekly with a special tool to holding cells or confined to their bed in a dormitory. account for different shifts and cover all staff. Supervision is not replaced, but may be supplemented A video review is in place to determine the by, an audio/visual electronic surveillance system reason for the late check. designed to detect overt, aggressive or assaultive behavior and to summon aid in emergencies. All safety The system has a deactivation mechanism checks shall be documented with the actual time the when youth are “all out” and no check is check is completed. needed. If there is a late check, facility administration is notified; and staff are ☒ ☐ ☐ required to make an entry in the unit log the reason for the late check. We reviewed safety check audits for January, March, and May 2024. We found four late checks in the first week of January, two in March, and none in May. We also reviewed all safety checks for July and found 16 were recorded late, with three being recorded in error, so 13 were late checks overall. The audit process in place is effective and any consistent patterns are handled administratively, per policy. 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 4 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1354.5 ROOM CONFINEMENT 1B Section V, Number 14 (a) The facility administrator shall develop and implement written policies and procedures addressing The facility has had 30 incidents of RC from the confinement of youth in their room that are January 2024 to July 2024, with 17 involving consistent with Welfare and Institutions Code Section one youth for sexually acting out or self- 208.3. The placement of a youth in room confinement harm-related behavior. One of the incidents shall be accomplished in accordance with the following involved a Summit youth, for a Safety Watch. guidelines: The agency has a process to ensure staff document all efforts to reintegrate and follow the RC form prompts. Incident report documentation for the reason for room confinement was clear in each incident we reviewed. ☒ ☐ ☐ In terms of process, each youth is required to participate in a Reintegration Plan, allowing staff to communicate and have a conversation about the incident, what could have been done differently, and a review of the Due Process operational process for the behavior leading to the RC. Our review of 15 RC Incident Reports revealed compliance with regulation and met the agency policy which is more restrictive than regulation. We shared the agency operational procedures and forms with other agencies to outline a streamlined process for RC reporting and integration. (1) Room confinement shall not be used before other, less restrictive, options have been attempted Section V, Number 14, I-A and exhausted, unless attempting those options ☒ Section V, Number 14, Procedure II-A ☐ ☐ 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 V, Number 14, I-B ☐ ☐ retaliation by staff. (3)Room confinement shall not be used to the extent that it compromises the mental and physical health Section V, Number 14, I-C ☒ of the youth. ☐ ☐ Section V, Number 14, Procedure II-B (b) A youth may be held up to four hours in room confinement. After the youth has been held in room Section V, Number 14, Procedure II-C ☒ confinement for a period of four hours, staff shall do one ☐ ☐ or more of the following: Section V, Number 14, I-E, 1 (1)Return the youth to general population. ☒ ☐ ☐ Section V, Number 14, Procedure II-D, 1 Section V, Number 14, I-E, 3 (2)Consult with mental health or medical staff. ☒ ☐ ☐ Section V, Number 14, Procedure II-D, 2 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 5 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (3) Develop an individualized plan that includes the goals and objectives to be met in order to reintegrate Section V, Number 14, I-E, 6 the youth to general population. Section V, Number 14, Procedure II-D, 3 ☒ As soon as a youth is placed on RC, an ☐ ☐ individual plan form is developed with the youth and attempts to follow through are made. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: Section V, Number 14, Procedure II-D, 4 (A) Document the reasons for room confinement Section V, Number 14, I-E, 2 and the basis for the extension, the date and time ☒ the youth was first placed in room confinement, ☐ ☐ Each component is addressed in the policy and when he or she is eventually released from and documentation review including the room confinement. elements required to extend. (B) Develop an individualized plan that includes the goals and objectives to be met in order to ☒ Section V, Number 14, I-E, 6 ☐ ☐ integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her designee ☒ Section V, Number 14, I-E, 5 ☐ ☐ 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 V, Number 14, I-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. ☒ Section V, Number 14, I-J ☐ ☐ (7) Nothing in this section shall be construed to conflict with any law providing greater or additional ☒ Section V, Number 14 Policy Statement ☐ ☐ protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that requires Section V, Number 14, I-K a significant departure from normal institutional operations, including a natural disaster or facility- ☒ wide threat that poses an imminent and substantial ☐ ☐ risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat and Section V, Number 14, I-L 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. 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 6 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS 1357 USE OF FORCE Section V, Number 17 (UF) The facility administrator, in cooperation with the Section V, Number 17, Procedure II-B, 5 responsible physician, shall develop and implement written policies and procedures for the use of force, We reviewed 15 of the 24 incidents of UF which may include chemical agents. Force shall never from January 2024 to the date of the be applied as punishment, discipline, retaliation or inspection, none involving Summit youth. treatment. The reports provide clear and relevant (a) At a minimum, each facility shall develop policies and information and are accompanied by procedures which: additional documentation if the incident involved Room Confinement (if appropriate), Separation, Use of Restraints, Due Process, or a response from agency partners. Most involved unit disturbances or assaultive ☒ behavior between youth. ☐ ☐ One of the incidents involved the use of OC Spray (not Summit youth) and all involved either Physical Restraint or Mechanical restraint for movement to their room or intake holding. It is worth noting, 16 of the 24 incidents involved one youth. Senior and supervisory staff review and debrief incidents along with involved staff and the superintendent. Documentation and forms were complete and articulate in terms of all requirements. (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section 1302 Section V, Number 17, Procedure I-B ☒ 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 V, Number 17, Procedure V-A, 1-6 ☐ ☐ when those force options are appropriate. (3) describe force options or techniques that are expressly prohibited by the facility. ☒ Section V, Number 17, Procedure V-B, 1-8 ☐ ☐ (4) describe the requirements of staff to report any inappropriate use of force, and to take affirmative ☒ Section V, Number 17, Procedure II-B, 7 ☐ ☐ action to immediately stop it. (5) define a standardized reporting format that includes time period and procedure for documenting Section V, Number 17, Procedure V and reporting the use of force, including reporting 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 V, Number 17, Procedure V-C ☐ ☐ 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 7 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (7) define the role, notification, and follow-up procedures required after use of force incidents for Section V, Number 17, Procedure VI-A, B ☒ medical, mental health staff and parents or legal ☐ ☐ and C guardians. (8)describe the limitations of use of force on pregnant youth in accordance with Penal Code Section 6030(f) ☒ Section V, Number 17, Procedure III ☐ ☐ and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force option shall include policies and procedures that: Section V, Number 18 (1) identify who is approved to carry and/or utilize Section V, Number 18, Procedure I-A chemical agents in the facility and the type, size and the approved method of deployment for those Only senior staff are permitted to carry OC chemical agents. ☒ spray in the facility. It is important to note ☐ ☐ there was one use of chemical spray from January 2024 to July 2024, and only two uses of OC Spray since October 2022, both involving one youth. (2)mandate that chemical agents only be used when there is an imminent threat to the youth’s safety or the Section V, Number 18, Procedure I-B 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 V, Number 18, Use I-F This shall include that youth who have been exposed Section V, Number 18, Use I-H, 5 and 6 ☒ to chemical agents shall not be left unattended until ☐ ☐ Section V, Number 18, Use I-I, 1 through 8 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 V, Number 18, Use I-E (CFMG) involving chemical agents for medical, mental health ☒ Section V, Number 18, Use I-F (BH and ☐ ☐ staff and parents or legal guardians. parent/legal guardian) (5)provide for the documentation of each incident of use of chemical agents, including the reasons for Section V, Number 18, Use I-G, 1-5 which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, time and location ☒ ☐ ☐ of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c)Facilities shall develop policies and procedure which require that agencies provide initial and regular training Section V, Number 17, Procedure IV in use of force and chemical agents when appropriate Section V, Number 17, Procedure IV-B, 6 that address: ☒ (1) known medical and behavioral health conditions ☐ ☐ Senior staff are only authorized to carry OC that would contraindicate certain types of force; Spray. Staff are trained annually by certified STC Instructors. (2)acceptable chemical agents and the methods of application. ☒ Section V, Number 17, Procedure IV-B, 2 ☐ ☐ (3)signs or symptoms that should result in immediate referral to medical or behavioral health. ☒ Section V, Number 17, Procedure IV-B, 7 ☐ ☐ 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 8 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (4)instruction on the Constitutional Limitations of Use of Force. Section V, Number 18, Procedure I-B ☒ ☐ ☐ This is part of the training curriculum for Use of Force. (5)physical training force options that may require the use of perishable skills. ☒ Section V, Number 17, Procedure IV-B ☐ ☐ (6)timelines the facility uses to define regular training. ☒ Section V, Number 17, Procedure IV-B ☐ ☐ 1361 GRIEVANCE PROCEDURE Section V, Number 30 The facility administrator shall develop and implement written policies and procedures whereby any youth may The facility has had 42 grievances filed from appeal and have resolved grievances relating to any January to the date of the inspection, 27 filed condition of confinement, including but not limited to by four youths. Two grievances were filed by health care services, classification decisions, program Summit youth. We reviewed 15 of the participation, telephone, mail or visiting procedures, grievances and the entire grievance log; food, clothing, bedding, mistreatment, harassment or noting each was resolved by staff without a violations of the nondiscrimination policy. There shall be request to appeal. no time limit on filing grievances. Policies and ☒ ☐ ☐ procedures shall include provisions whereby the facility We interviewed youth and each knew the manager ensures: process to file a grievance and to ask for an appeal if they did not agree with the outcome. Each youth believed the process to be fair. The forms are step-by-step based and compliant with policy and regulation. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth to Section V, Number 30, Policy I-A ☒ ☐ ☐ have free access to the form; Section V, Number 30, Policy I-B (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Section V, Number 30, Policy I-D supervision staff working in the facility; (c)resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Section V, Number 30, Policy I-F (d)provision for a prompt review and initial response to grievances within three (3) business days, grievances Section V, Number 30, Procedure I-C ☒ ☐ ☐ 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 V, Number 30, Procedure I-D ☒ ☐ ☐ 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 V, Number 30, Policy I-C (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Section V, Number 30, Policy I-F 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 9 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS (f) a system which provides that any appeal of a grievance shall be heard by a person not directly Section V, Number 30, Procedure I-F ☒ ☐ ☐ involved in the circumstances which led to the Section V, Number 30, Procedure I-G grievance; (g)resolution of the grievance must occur within ten (10) business days unless circumstances dictate a longer Section V, Number 30, Procedure I-H ☒ ☐ ☐ 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 V, Number 30, Procedure I-G Section V, Number 30, Procedure I-H ☒ ☐ ☐ Section V, Number 30, Procedure I-I Section V, Number 30, Procedure I-J Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be Section V, Number 30, Procedure I-N ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1371 PROGRAMS, RECREATION, AND 2B EXERCISE. Section VI, Number 3, Policy I-A The facility administrator shall develop and implement The facility has many programming choices written policies and procedures for programs, for youth, each allowing robust and recreation, and exercise for all youth. The intent is to educational options to meet the youth's minimize the amount of time youth are in their rooms or ☒ ☐ ☐ needs as it relates to programs, recreation, their bed area. and exercise. The opportunities are facilitated by County partners, Community Volunteers, and staff. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Section VI, Number 3, Policy I-B and C hours a day during the week and five hours a day each Saturday, Sunday or other non-school days, of which The CICO Sheets, program schedule, and one hour shall be an outdoor activity, weather daily list of volunteers entering the facility permitting. ☒ ☐ ☐ along with a participant list verifying compliance with this regulation. Also, we observed programming, LME, and recreation while on site, as well as conducting interviews with youth. A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding Section VI, Number 3, Policy I-D 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 VI, Number 3, Policy I-E There will be a written annual review of the programs, recreation, and exercise by the responsible agency to Section VI, Number 3, Policy I-F ☒ ☐ ☐ ensure content offered is current, consistent, and relevant to the population. 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 10 of 12 A453 JUV Targeted PRO eff. 1/2024 (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily programming to Section VI, Number 3, Policy I-G include, but not be limited to, trauma focused, cognitive, Section VI, Number 3, Policy I-G, 1-17 evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro- The agency provides the following social interventions and activities designed to reduce programming opportunities: recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 Aggression Replacement Training (ART); and 1356. Such programs may be provided under the Interactive Journaling; Boys Council; Girls direction of the Chief Probation Officer or the County Circle; Parenting Education; Independent Office of Education and can be administered by county Living Skills; 4H-Master Gardner’s; Harvest partners such as mental health agencies, community of the Month (Health and Nutrition); Art based organizations, faith-based organizations or Therapy; Tools for Success; Mindfulness and Probation staff. Meditation; Book Club; Religious Services Programs may include but are not limited to: and Bible Study; Prison Education Project (1) Cognitive Behavior Interventions; (PEP); Mentoring; Substance Use Disorder (2) Management of Stress and Trauma; Groups; Ready Now Recovery; Individual (3) Anger Management; Psychotherapy; Education Related Mental (4) Conflict Resolution; Health Services (Individual and group); (5) Juvenile Justice System; Family Counseling, Sex Offender (6) Trauma-related interventions; Counseling; Podcasting, NA/AA; and, Drum (7) Victim Awareness; Circle. (8) Self-Improvement; (9) Parenting Skills and support; Additional opportunities for youth include (10) Tolerance and Diversity; partner services with Tuolumne County (11) Healing Informed Approaches; Behavior Health, Tuolumne County (12) Interventions by Credible Messengers; Superintendent of Schools, Mother Lode Job (13) Gender Specific Programming; Training, Infant Child Enrichment Services, A (14) Art, creative writing, or self-expression; Step Forward Counseling Group – Cal Poly (15) CPR and First Aid training; Pomona, 4-H Master Gardner’s, Teen Works, (16) Restorative Justice or Civic Engagement; ☒ ☐ ☐ Center for Non-Violent Community, UC Davis (17) Career and leadership opportunities; and, Cooperative Extension, Tuolumne County (18) Other topics suitable to the youth population. Me-Wok Social Services, and other community volunteers. The grant through 4-H to develop a Meditation Pond and Hydroponic Garden is closer to being operational, awaiting the last few steps for the waterfall. Facility staff work on “Check In, Check Out” (CICO) with youth to document positive and negative behaviors that teach the elements of PBIS. This tool provides incentive-based opportunities for youth. The CICO form also documents the youth have received their requirements for this regulation during the shift they receive it. TCBH has started to provide individual/group counseling to youth and Individual Psychotherapy weekly. They have been present for MDT and case treatment plans; and have a Case Manager who works with Clinicians locally to provide treatment to this population on a more consistent basis. The Clinician position for the facility remains vacant with the hopes it will be filled soon to supplement the counseling services provided by the Counselor from the TCSOS. 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 11 of 12 A453 JUV Targeted PRO eff. 1/2024 TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS A Clinical SW from the TCSOS is on-site five days each week to facilitate individual counseling and groups. These groups include CBT and Seeking Safety with upcoming new groups to include Overcoming Obstacles and Trauma-Focused CBT. The Golden Ridge Education Center (GREC) provides an aide for two hours each day to assist graduated youth with the Rising Scholars program component. Staff also facilitate programs for youth to provide a more robust part of a youth’s day. On the day of the inspection, staff were being trained in Interactive Journaling. Other opportunities are Mindfulness and Meditation; Work Programs on and off site; Boy’s Counsel; History; Independent Living Programming; Current Events and Team Sports. Work Programs for detention and Summit youth include daily cleaning of common areas, Food Service Training, Yard Maintenance, and, Classroom and Library Cleaning. (b)Recreation. All youth shall be provided the opportunity for at least one hour of daily access to unscheduled Section VI, Number 3, Policy I-H activities such as leisure reading, letter writing, and ☒ ☐ ☐ Section VI, Number 3, Policy I-K entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle activity ☒ ☐ ☐ Section VI, Number 3, Policy I-I each day. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and Section VI, Number 3, Policy I-J programs. The administrator/manager shall document ☒ ☐ ☐ the reasons why suspension of recreation and programs occurs. 7717 Tuolumne Summit SYTF Targeted PRO 23-24 Page 12 of 12 A453 JUV Targeted PRO eff. 1/2024