BSCC
Tuolumne (2025-2026 inspection cycle)
October 3, 2025
Dan Hawks, Chief Probation Officer
Tuolumne County Probation Department
465 South Washington Street
Sonora, CA 95370
2025-2026 COMPREHENSIVE INSPECTION, WELFARE & INSTITUTIONS CODE
SECTIONS 209 & 885, TUOLUMNE COUNTY PROBATION DEPARTMENT
DETENTION FACILITIES
Dear Chief Hawks:
The 2025-2026 Comprehensive Inspection of the Tuolumne County Probation
Department has been completed. A pre-inspection briefing was held on Wednesday,
March 12, 2025, and the following facilities were inspected on/between Tuesday,
September 16, 2025, and Thursday, September 18, 2025:
FACILITY NAME BSCC # FACILITY TYPE
Tuolumne County Mother Lode Regional
7716 JH
Juvenile Detention Facility (TCMLRJDF)
TCMLRJDF Summit Program 7717 SYTF
TCMLRJDF Steps to Success (S2S) 7718 CAMP
These inspections were conducted pursuant to Welfare and Institutions Code Sections
209 and 885 to determine compliance with the Minimum Standards for Juvenile Detention
Facilities as outlined in Titles 15 and 24, California Code of Regulations.
In addition to the inspection(s) by the Board of State and Community Corrections (BSCC),
Title 15, Section 1313, and its authorizing statute require annual inspections conducted
by a local Health Officer, fire authority having jurisdiction, county building inspection by
an agency designated by the County Board of Supervisors, County Superintendent of
Schools, Juvenile Court, and Juvenile Justice Commission. The results of those
inspections are considered a part of this report.
INSPECTION RESULTS
We identified no items of noncompliance with Title 15 Minimum Standards. Refer to the
attached Title 15 Procedures Checklist for detailed information.
No items of noncompliance were identified with Title 24 Minimum Standards. Refer to the
Physical Plant Evaluation and Living Area Space Evaluation attachments for information
related to Rated Capacity.
Dan Hawks
Chief Probation Officer
Page 2
An Exit Briefing with your staff was held on Thursday, September 18, 2025; BSCC staff
presented an inspection overview and discussed technical assistance and best practice
recommendations.
* * *
Please email me at elizabeth.gong@bscc.ca.gov or call (916) 704-2503 if you have any
questions.
Sincerely,
ELIZABETH GONG
Field Representative
Facilities Standards and Operations Division
Enclosures
Cc: Presiding Judge, 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, Tuolumne County Probation
*Copies of the inspection are available upon request or online at www.bscc.ca.gov.
7716+ Tuolumne TCMLRJDF JH Camp SYTF CI LTR 25-26
JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7716
FACILITY NAME: FACILITY TYPE:
Tuolumne County Mother Lode Regional Juvenile Detention Facility JH
PERSON(S) INTERVIEWED: Dan Hawks, Chief Probation Officer; Mike Arndt, Assistant Chief Probation Officer; Will Neilson,
Supervising Probation Officer (SPO); Christine Schulze, SPO; Pam Orebaugh, Clinician GREC; Jason Sevier, Psychologist -
Tuolumne County Superintendent Of Schools (TCSOS); Ashley Chambeaux, Teacher – TCSOS; Janelle Wend, RN – Wellpath
Medical Services; Kayla Rolfe, Dual Enrollment Specialist, TCSOS; Steve Roos, Supervisor -Tuolumne County Behavior Health;
Melissa High, Case Manager – GEO; Ocean Arrelano, Smile Keepers Dental Services; 2Youth: Michael, age 18; Russell, age 20
(prior SYTF); Anita, age 16; Tristan, age 17; and, Raul, age 16.
FIELD REPRESENTATIVE: Elizabeth Gong DATE: September 16-18, 2025
TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
1313 COUNTY INSPECTION AND EVALUATION OF
BUILDING AND GROUNDS September 3, 2024*
July 22, 2025
On an annual basis, or as otherwise required by law, each
juvenile facility administrator shall obtain a documented ☒ ☐ ☐
*Corrections made on September 20, 2024
inspection and evaluation from the following:
(a) county building inspector or person designated by the
Board of Supervisors to approve building safety;
(b) fire authority having jurisdiction, including a fire
clearance as required by Health and Safety Code Section September 25, 2024
13146.1(a) and (b); ☒ ☐ ☐ June 26, 2025
(c) local health officer, inspection in accordance with
Health and Safety Code Section 101045; 2024:
Environmental Health: September 3, 2024
Medical/Mental Health: October 16, 2024
Nutritional Health: September 4, 2024
☒ ☐ ☐
2025:
Environmental Health: June 26, 2025
Medical/Mental Health: June 11, 2025
Nutritional Health: June 11, 2025
(d) county superintendent of schools on the adequacy of
educational services and facilities as required in Section July 15, 2024
1370; ☒ ☐ ☐ June 16, 2025
1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15
regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this
worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations,
Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of
regulations.
2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(e) juvenile court as required by Section 209 of the
Welfare and Institutions Code; and, September 6, 2024
☒ ☐ ☐ August 1, 2025
(f) the Juvenile Justice Commission as required by
Section 229 of the Welfare and Institutions Code or February 4, 2024
Probation Commission as required by Section 240 of the ☒ ☐ ☐ February 5, 2025
Welfare and Institutions Code.
1320 APPOINTMENT AND QUALIFICATIONS
Section III, Number 1, Procedure I-A
Note: Compliance with this section is determined by
receipt of the Chief Probation Officer’s certification letter
The elements of this regulation are addressed
confirming that all elements of regulation are met.
in a memorandum completed on September
11, 2025, by Chief Probation Officer Dan
(a) Appointment
☒ ☐ ☐ Hawks.
In each juvenile facility there shall be a superintendent,
director or facility manager in charge of its program and
employees. Such superintendent, director, facility
manager and other employees of the facility shall be
appointed by the facility administrator pursuant to
applicable provisions of law.
(b) Employee Qualifications
Each facility shall: Section III, Number 1, Procedure II
(1) recruit and hire employees who possess Section III, Number 1, Procedure II-1
knowledge, skills and abilities appropriate to their job ☒ ☐ ☐
classification and duties in accordance with applicable
civil service or merit system rules;
(2) require a medical evaluation and physical
examination including tuberculosis screening test and Section III, Number 1, Procedure II-2
evaluation for immunity to contagious illnesses of
☒ ☐ ☐
childhood (i.e., diphtheria, rubeola, rubella, and
mumps);
(3) adhere to the minimum standards for the selection
and training requirements adopted by the Board Section III, Number 1, Procedure II-3
☒ ☐ ☐
pursuant to Section 6035 of the Penal Code; and
(4) conduct a criminal records review, on each new
employee, and psychological examination in Section III, Number 1, Procedure II-4
accordance with Section 1031 of the Government ☒ ☐ ☐
Code.
(c) Contract personnel, volunteers, and other non-
employees of the facility, who may be present at the Section III, Number 1, Procedure II-5
facility, shall have such clearance and qualifications as
may be required by law, and their presence at the facility ☒ ☐ ☐
shall be subject to the approval and control of the facility
manager.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
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 has self-capped their population at
programming, to provide for safety and security of youth
20 youth. On the day of the inspection, there
and staff, and meet established standards and
were 18 youth in custody, including 11
regulations;
Tuolumne County youth as well as four
Calaveras County, one Mariposa County, one
Amador County, and one Inyo County youth in
the Regional Facility.
☒ ☐ ☐
The facility currently has two Supervising
Juvenile Corrections Officers (JCO). There are
five Senior JCO’s and nine JCO I/II’s with three
of those positions vacant. There are 13 relief
JCO positions utilized when necessary that
are Probation Officers that have been Core
Trained. 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
☒ ☐ ☐
(f) have sufficient food service personnel relative to the
number and security of living units, including staff qualified Section III, Number 2, Procedure I-E
and available to: plan menus meeting nutritional
requirements of youth; provide kitchen supervision; direct Meals are provided by Summit Foods through
food preparation and servings; conduct related training ☒ ☐ ☐ the Tuolumne County Jail and served by
programs for culinary staff; and maintain necessary serve-safe certified JCO staff and/or youth.
records; or, a facility may serve food that meets nutritional
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 youth supervision staff.
diverted from supervising youth; and,
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(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 a
minimum youth-staff ratio for the following facility types: 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.
(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- This facility is not a Special Purpose Juvenile
awake youth supervision staff member on duty for ☐ ☐ ☒ Hall.
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.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(3) Camps
(A) during the hours that youth are awake, one This facility is not a Camp.
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.
1322 YOUTH SUPERVISION STAFF ORIENTATION
AND TRAINING Section III, Number 4, Procedure I-A
Section III, Number 4, Procedure I-B
(a) Prior to assuming any responsibilities each youth
Section III, Number 4, Procedure I-B, 1
supervision staff member shall be properly oriented to
Section III, Number 4, Procedure I-C
their duties, including:
Section III, Number 4, Procedure I-D
(1) youth supervision duties;
The agency spends three weeks to train to
specific facility responsibilities and to ensure
they are ready for all youth supervision duties.
A Training Checklist Sign-Off is completed by
the staff and trainer. The facility administration
☒ ☐ ☐
has implemented a curriculum ensuring staff
and ancillary personnel working with and/or
supervising youth are aware of their role and
responsibilities.
We reviewed the training checklists for the
eight newly hired JCO’s and JCO Cored
Probation Officers in 2025. The training
curriculum is inclusive of all elements for the
40 hours required in regulation.
(2) scope of decisions they shall make; Section III, Number 4, Procedure I-B, 2
☒ ☐ ☐
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(3) the identity of their supervisor; Section III, Number 4, Procedure I-B, 3
☒ ☐ ☐
(4) the identity of persons who are responsible to
them; Section III, Number 4, Procedure I-B, 4
☒ ☐ ☐
(5) persons to contact for decisions that are beyond
their responsibility; and Section III, Number 4, Procedure I-B, 5
☒ ☐ ☐
(6) ethical responsibilities.
Section III, Number 4, Procedure I-B, 6
☒ ☐ ☐
(b) Prior to assuming any responsibility for the supervision
of youth, each youth supervision staff member shall Section III, Number 4, Procedure I-A
receive a minimum of 40 hours of facility-specific Section III, Number 4, Procedure I-C, 2
orientation, including:
(1) individual and group supervision techniques; The facility has a detailed staff orientation
which includes internal training by a ‘Field
☒ ☐ ☐ Training Officer’ mentoring and training new
staff in facility operations. The trainer and staff
initial a checklist after each component,
including many areas which exceed T15
requirements.
(2) regulations and policies relating to discipline and
rights of youth pursuant to law and the provisions of Section III, Number 4, Procedure I-C, 3
☒ ☐ ☐
this chapter;
(3) basic health, sanitation and safety measures; Section III, Number 4, Procedure I-C, 8
☒ ☐ ☐
(4) suicide prevention and response to suicide
Section III, Number 4, Procedure I-C, 9
attempts ☒ ☐ ☐
(5) policies regarding use of force, de-escalation
techniques, chemical agents, mechanical and Section III, Number 4, Procedure I-C, 4
☒ ☐ ☐
physical restraints;
(6) review of policies and procedures referencing
Section III, Number 4, Procedure I-C, 5
trauma and trauma-informed approaches; ☒ ☐ ☐
Section III, Number 4, Procedure I-C, 6
(7) procedures to follow in the event of emergencies;
☒ ☐ ☐ Section III, Number 4, Procedure I-C, 7
(8) routine security measures, including facility
Section III, Number 4, Procedure I-C, 13
perimeter and grounds; ☒ ☐ ☐
Section III, Number 4, Procedure I-C, 9
Section III, Number 4, Procedure I-C, 10
(9) crisis intervention and mental health referrals to
There is a TCBH Case Manager assigned to
mental health services; ☒ ☐ ☐
the facility who designates county BH
Clinicians to complete group and individual
counseling for in-custody youth.
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(10) documentation; and Section III, Number 4, Procedure I-C, 11
☒ ☐ ☐
(11) fire/life safety training Section III, Number 4, Procedure I-C, 12
☒ ☐ ☐
(c) Prior to assuming sole supervision of youth, each
youth supervision staff member shall successfully Section III, Number 4, Procedure I-B
complete the requirements of the Juvenile Corrections
Officer Core Course pursuant to Penal Code Section Of the current Senior JCO’s and JCO I/II staff
6035. responsible for youth supervision, all are core
☒ ☐ ☐ trained. There are three vacancies in the JCO
I/II series. The agency utilizes JCO Core
Trained Probation Officers to assist when
coverage is needed.
(d) Prior to exercising the powers of a peace officer youth
supervision staff shall successfully complete training Section III, Number 4, Procedure I-C
pursuant to Section 830 et seq. of the Penal Code.
All 11 Senior and JCO I/II staff are core-trained
☒ ☐ ☐
youth supervision staff and have completed
PC 830.
1323 FIRE AND LIFE SAFETY
Section III, Number 22, Procedure I-A
Whenever there is a youth in a juvenile facility, there shall
be at least one wide awake person on duty at all times
All cored youth supervision staff and
who meets the training standards established by the ☒ ☐ ☐
Supervisors received Fire and Life Safety
Board for general fire and life safety which relate
training in JCO Core.
specifically to the facility.
1324 POLICY AND PROCEDURES MANUAL
Section III, Number 23, Procedure I
All facility administrators shall develop, publish, and
implement a manual of written policies and procedures
Facility Superintendent and Assistant Chief
that address, at a minimum, all regulations that are
Probation Officer Mike Arndt completed a
applicable to the facility. Such a manual shall be made
memo, dated August 13, 2025, that the facility
available to all employees, reviewed by all employees,
Policy and Procedure Manual has been
and shall be administratively reviewed at a minimum
☒ ☐ ☐ reviewed and is current. Facility staff are
every two years, and updated, as necessary. Those
required to read the manual each year, signing
records relating to the standards and requirements set
a document kept in their personnel file to verify
forth in these regulations shall be accessible to the Board
compliance for this policy requirement. We
on request.
reviewed these sign-offs for facility staff thus
The manual shall include:
far for the year 2025.
(a) table of organization, including channels of
communications and a description of job classifications; Section III, Number 23, Procedure II-B, 1
☒ ☐ ☐
(b) responsibility of the probation department, purpose of
programs, relationship to the juvenile court, the Juvenile Section III, Number 23, Procedure II-B, 2
Justice/Delinquency Prevention Commission or
Probation Committee, probation staff, school personnel ☒ ☐ ☐
and other agencies that are involved in juvenile facility
programs;
(c) responsibilities of all employees;
Section III, Number 23, Procedure II-B, 3
☒ ☐ ☐
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(d) initial orientation and training program for employees;
Section III, Number 23, Procedure II-B, 4
☒ ☐ ☐
(e) initial orientation, including safety and security issues
and anti-discrimination policies, for support staff, contract Section III, Number 23, Procedure II-B, 5
employees, school, mental/behavioral health and medical ☒ ☐ ☐
staff, program providers and volunteers;
(f) maintenance of record-keeping, statistics and
communication system to ensure: Section III, Number 23, Procedure II-B, 6
(1) efficient operation of the juvenile facility; Section III, Number 23, Procedure II-B, 6-a
☒ ☐ ☐
(2) legal and proper care of youth; Section III, Number 23, Procedure II-B, 6-b
☒ ☐ ☐
(3) maintenance of individual youth's records; Section III, Number 23, Procedure II-B, 6-c
☒ ☐ ☐
(4) supply of information to the juvenile court and
Section III, Number 23, Procedure II-B, 6-d
those authorized by the court or by the law; and, ☒ ☐ ☐
(5) release of information regarding youth. Section III, Number 23, Procedure II-B, 6-e
☒ ☐ ☐
(g) ethical responsibilities; Section III, Number 23, Procedure II-B, 6-f
☒ ☐ ☐
(h) trauma-informed approaches; Section III, Number 23, Procedure II-B, 7
☒ ☐ ☐
(i) culturally responsive approaches; Section III, Number 23, Procedure II-B, 8
☒ ☐ ☐
(j) gender responsive approaches; Section III, Number 23, Procedure II-B, 9
☒ ☐ ☐
(k) a non-discrimination provision that provides that all
youth within the facility shall have fair and equal access to Section III, Number 23, Procedure II-B, 10
all available services, placement, care, treatment, and
benefits, and provides that no person shall be subject to The Non-Discrimination Policy is in the Youth
discrimination or harassment on the basis of actual or Handbook and in the procedures of admission,
perceived race, ethnic group identification, ancestry, classification, and due process. It is also
☒ ☐ ☐
national origin, immigration status, color, religion, gender, posted in the living unit.
sexual orientation, gender identity, gender expression,
mental or physical disability, or HIV status, including
restrictive housing or classification decisions based solely
on any of the above mentioned categories;
(l) storage and maintenance requirements for any
chemical agents related security devices, and weapons Section III, Number 23, Procedure II-B, 11
and ammunition, where applicable; ☒ ☐ ☐ Section III, Number 22, Procedure IV-A, 8
(m) establishment of procedures for collection of Medi-
Cal eligibility information and enrollment of eligible youth; Section III, Number 23, Procedure II-B, 12
☒ ☐ ☐
and,
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(n) establishment of a policy that prohibits all forms of
sexual abuse, sexual assault and sexual harassment. Section III, Number 23, Procedure II-B, 13
The policy shall include an approach to preventing,
detecting and responding to such conduct and any The facility has a comprehensive PREA policy,
retaliation for reporting such conduct, as well as a including staffing the facility at 1:8 during
provision for reporting such conduct by youth, staff or a waking hours and 1:16 for sleeping hours. The
third party. ☒ ☐ ☐ staffing pattern is based on a self-imposed cap
of population. There are sufficient staff to cover
in the event the self-cap needs to be
increased, up to 24 youth during waking hours
and 32 youth during sleeping hours.
1325 FIRE SAFETY PLAN
Section III, Chapter 22
The facility administrator shall consult with the local fire
Section III, Number 22, Procedure IV-A, 1
department having jurisdiction over the facility, or with the
State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐
which shall include, but not be limited to:
(a) a fire prevention plan to be included as part of the
manual of policy and procedures;
(b) monthly fire and life safety inspections by facility staff
with two-year retention of the inspection record; Section III, Number 22, Procedure IV-A, 2
The facility has an assigned safety officer that
conducts these inspections monthly. We
reviewed all the monthly inspections from
☒ ☐ ☐ January 2025 to the date of the inspection.
The form and inspection process for recording
deficiencies or need for repair are well
documented and addressed by maintenance if
necessary.
(c) fire prevention inspections as required by Health and
Safety Code Section 13146.1(a) and (b); Section III, Number 22, Procedure IV-A, 3
☒ ☐ ☐
(d) an evacuation plan;
Section III, Number 22, Procedure IV-A, 4
☒ ☐ ☐
(e) documented fire drills not less than quarterly;
Section III, Number 22, Procedure IV-A, 5
We reviewed fire drills from January 2025 to
☒ ☐ ☐ the date of the inspection. The agency
completes drills more frequently than required
in regulation.
(f) a written plan for the emergency housing of youth in
the case of fire; and, Section III, Number 22, Procedure IV-A, 6
Section III, Number 22, Procedure IX-C, 1-c
The facility has an active Mutual Aid MOU with
☒ ☐ ☐
the Central Valley counties to accept their
youth in the event of an emergency
evacuation.
(g) development of a fire suppression pre-plan in
cooperation with the local fire department. Section III, Number 22, Procedure IV-A, 7
☒ ☐ ☐
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1326 SECURITY REVIEW
Section III, Number 24
Each facility administrator shall develop policies and
Section III, Number 33 Security Procedures
procedures to annually review, evaluate, and document
Section III, Number 34 Key Control
security of the facility. The review and evaluation shall
Section III, Number 22, Procedure III-E Annual
include internal and external security, including, but not
Review
limited to, key control, equipment, and staff training.
A Security Review memo was completed by
Supervisor William Neilsen on August 8, 2025,
outlining the security practices and needs for
the facility.
The memo identified the most current issues,
including the following. The installation of a
Roof Barrier was completed in March 2025. A
shower door to better address ADA and
LGBTQI issues of possible victimization was
installed in March 2025. An additional camera
☒ ☐ ☐
was installed in the kitchen (non-youth space).
Upgraded 360 cameras replaced existing
cameras in the living unit due to the visual
obstruction from the stairwell, as well as in the
outdoor Visitation Yard and Meditation
Garden, in July 2025. The replacement of the
rolling Sally Port door was completed in
January 2025. The agency purchased a Tek-
84 Body Scanner which became operational
after training and policy implementation in
March 2025. A Suicide Prevention Barrier,
determined to be necessary in 2024, was
installed on the top tier of the living unit in
August 2025. Lastly, a glass barrier was
installed for the JCO Workstation due to
damage of computer screens during incidents.
1327 EMERGENCY PROCEDURES
Section III, Number 22
The facility administrator shall develop facility-specific
Section III, Number 25 Hostages
policies and procedures for emergencies that shall
Section III, Number 26 Escapes
include, but not be limited to:
Section III, Number 32 Firearms in the Facility
(a) escape, disturbances, and the taking of hostages;
☒ ☐ ☐
An emergency procedure memo was
completed by Supervising Probation Officer
William Neilsen on September 2, 2025.
Section III, Number 22, X Civil Disturbance,
Active Shooter, Terrorist Attack
(b) civil disturbance, active shooter and terrorist attack;
☒ ☐ ☐ Section III, Number 28 Bomb Threat
Section III, Number 30 Riot Control
Section III, Number 22
Section III, Number 27 Hazard Mat Response
(c) fire and natural disasters; Section III, Number 22, Procedure VIII
☒ ☐ ☐
Earthquake
Section III, Number 22, Procedure IX Flood
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(d) periodic testing of emergency equipment; Section III, Number 29 Power Failure
☒ ☐ ☐
Section III, Number 22, Procedure IV-A, 4
(e) emergency evacuation of the facility; and Section III, Number 22, Procedure XI
☒ ☐ ☐
Evacuation
Section III, Number 22, Procedure IV-C Initial
Orientation
(f) a program to provide all youth supervision staff with
an annual review of emergency procedures. ☒ ☐ ☐ Facility staff are required to read the facility
policy manual each year, which outlines all
Emergency Procedures in all situations.
1328 SAFETY CHECKS
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 daily audits to ensure
at random or varied intervals during hours when youth
variance of the checks and that they are timely.
are asleep or when youth are in their rooms, confined in
Late checks are reviewed via video.
holding cells or confined to their bed in a dormitory.
Supervision is not replaced, but may be supplemented
The system allows for deactivation when youth
by, an audio/visual electronic surveillance system
are “all out” and no check is needed. If there is
designed to detect overt, aggressive or assaultive
a late check, facility administration is notified,
behavior and to summon aid in emergencies. All safety
and staff are required to make an entry in the
checks shall be documented with the actual time the
unit log with the reason for the late check.
check is completed.
We reviewed safety check audits for the
months of January, April, and August 2025.
We found minimal late checks, with the audit
revealing less than .03 late checks during this
☒ ☐ ☐
period, some seconds late. The audit process
in place is effective and any consistent
patterns are handled administratively, per
policy.
We suggested the agency ensure the variance
component of random and varied is better
monitored. While on site, the agency has
requested the Guard 1 System include that
factor in the report for easier auditing.
We also suggested a better pattern for checks
as youth go down for the evening in ensuring
the in/out record is recorded during showers,
med pass, and clean up, which occur post
bedtime for some youth.
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1329 SUICIDE PREVENTION PLAN
Section III, Number 36
The facility administrator, in collaboration with the
healthcare and behavioral/mental health administrators,
The Suicide Prevention Plan and policy are a
shall plan and implement written policies and
collaboration with WellPath Medical and
procedures which delineate a Suicide Prevention Plan.
Tuolumne County Behavioral Health, which
The plan shall consider the needs of youth experiencing
includes very specific roles and responsibilities
past or current trauma. Suicide prevention responses
for medical, behavior health, and probation
shall be respectful and in the least invasive manner
facility staff.
consistent with the level of suicide risk. The plan shall
include the following elements:
The facility policy and annual training in
suicide prevention is comprehensive and
inclusive of all elements in regulation. The
agency has an on-site Behavior Health Case
Manager and multiple Clinicians with the
agency to address and see youth as
necessary. We found the Wellpath Medical
Manual is the Global Policy which includes an
immediate decision for a safety smock for any
suicidal behaviors as well as a step down from
Suicide Watch to Safety Watch to full
integration. During our interview with Wellpath,
we advised that this section needed to be site-
specific and in line with the facility model and
approach to the least restrictive response to a
suicide-related incident.
There have been two youth placed on
Precautionary Status in 2025 due to suicidal
statements. One youth made statements to
☒ ☐ ☐ the arresting officer and while at the hospital
for clearance was placed on this status at
admission. The second youth exhibited
behaviors necessitating a watch pending a BH
Assessment. We reviewed the two incidents
and found the agency responded per policy,
regulation, and within guidelines established
by Behavior Health.
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(a) Suicide prevention training as required in Section
1322, Youth Supervision Staff Orientation, and Training Section III, Number 36, Procedure I-B
and the Juvenile Corrections Officer Core Course.
☒ ☐ ☐
(b) Screening, Identification Assessment and
Precautionary Protocols Section III, Number 36, Procedure I-C
(1) All youth shall be screened for risk of suicide at Section III, Number 36, Procedure I-D
intake and as needed during detention.
The facility uses the MAYSI prior to housing
youth at intake, which assesses the youth’s
likeliness to have suicidal behaviors or
ideations while in detention. The tool provides
a caution or warning status which places a
youth, per policy, on a special watch pending
review and being seen by Behavior Health.
The agency also has adapted the SAFE-T
Assessment to identify certain suicide
behaviors, which is implemented by Behavior
Health.
☒ ☐ ☐ Behavior Health has a Case Manager and
assigned clinicians to see youth on site.
WellPath Medical is on site 5 hours a day/4
days a week and services are then provided
by the on-call WellPath staff. If a youth is
identified with Suicidal behaviors, the WellPath
Manual states immediate placement in a
safety smock pending assessment. We
pointed out this is contradictory to facility policy
and regulation which includes the least
restrictive language. We provided information
to the assigned RN while on site and the
Superintendent that this needed to be updated
from the Wellpath Global Policy to a site-
specific policy.
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(2) All youth supervision staff who perform intake
processes shall be trained in screening youth for risk Section III, Number 36, Procedure I-B
of suicide.
The agency provides eight hours of initial
☒ ☐ ☐
training and an annual 2-hour refresher
training for all youth supervision staff.
(3) All youth who have been identified during the
intake screening process to be at risk of suicide shall Section III, Number 36, Procedure I-D
be referred to behavioral/mental health staff for a ☒ ☐ ☐
suicide risk assessment.
(4) Precautionary protocols shall be developed to
ensure the youth’s safety pending the Section III, Number 36, Procedure II
behavioral/mental health assessment.
☒ ☐ ☐ Youth are placed on a Safety Watch pending
review or being seen by a BH or MH person.
(c) Referral process to behavioral/mental health staff for
assessment and/or services. Section III, Number 36, Procedure II-A
☒ ☐ ☐ Section III, Number 36, Procedure II-B
(d) Procedures for monitoring of youth identified at risk
for suicide. Section III, Number 36, Procedure II
The facility proactively provides direct visual
☒ ☐ ☐ supervision of all youth who are identified as a
risk of actively attempting or verbally
discussing suicide.
(e) Safety Interventions
(1) Procedures to address intervention protocols for Section III, Number 36, Procedure II-C
youth identified at risk for suicide which may Section III, Number 36, Procedure II-C, 1-3
include, but are not limited to:
(A) Housing consideration ☒ ☐ ☐ The facility has a comprehensive suicide
risk/needs assessment as well as the MAYSI
Screening tool utilized for each intake.
(B) Treatment strategies including trauma-
informed approaches Section III, Number 36, Procedure III-G
The facility provides treatment strategies
based on a training curriculum and policy,
☒ ☐ ☐
which references how staff address and
supervise youth at risk, defined by the
assessment.
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(2) Procedures to instruct youth supervision staff how
to respond to youth who exhibit suicidal behaviors. Section III, Number 36, Procedure II-D
The two incidents we reviewed revealed
compliance with regulation and policy, as well
as a vested interest in helping the youth. The
☒ ☐ ☐ forms, process, and administrative
involvement/review is used as a training tool
for staff. Facility staff are very aware of the risk
and responses of suicidal behavior based on
extensive training.
(f) Communication
(1) The intake process shall include communication Section III, Number 36, Procedure I-C
with the arresting officer and family guardians Section III, Number 36, Procedure I-E
regarding the youth’s past or present suicidal
ideations, behaviors or attempts. ☒ ☐ ☐ The admission forms include several
referenced areas that include communication
with the officer and family.
(2) Procedures for clear and current information
sharing about youth at risk for suicide with youth Section III, Number 36, Procedure I-E
supervision, healthcare, and behavioral/mental ☒ ☐ ☐
health staff.
(g) Debriefing of Critical Incidents Related to Suicides or
Attempts Section III, Number 26, Procedure III-H
(1) Process for administrative review of the
☒ ☐ ☐
circumstances and responses proceeding, during
and after the critical incident.
(2) Process for a debriefing event with affected staff. Section III, Number 36, Procedure III-G
☒ ☐ ☐
(3) Process for a debriefing event with affected youth.
Section III, Number 36, Procedure III-G
☒ ☐ ☐
(h) Documentation
(1) Documentation processes shall be developed to Section III, Number 36, Procedure III-F
☒ ☐ ☐
ensure compliance with this regulation
Youth identified at risk for suicide shall not be denied the
opportunity to participate in facility programs, services Section III, Number 36, Procedure II-G
and activities which are available to other non-suicidal Section III, Number 36, Procedure II-I
youth, unless deemed necessary for the safety of the
youth or security of the facility. Any deprivation of The facility staff work within policy to identify
☒ ☐ ☐
programs, services or activities for youth at risk of the youth’s specific housing needs,
suicide shall be documented and approved by the facility programming elements, and engagement with
manager. other youth.
1340 REPORTING OF LEGAL ACTIONS
Section IV, Number 1
Each facility shall submit to the Board a letter of
notification on each legal action, pertaining to conditions
There are no pending legal actions against the
of confinement, filed against persons or legal entities ☒ ☐ ☐
Tuolumne County Motherlode Regional
responsible for juvenile facility operation.
Juvenile Detention Facility.
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1341 DEATH AND SERIOUS ILLNESS OR INJURY
OF A YOUTH WHILE DETAINED Section IV, Number 3, I-F
Section IV, Number 3, I-A
(1) Death of a Youth.
(a) The facility administrator, in cooperation with the
health administrator and the behavioral/mental
health director, shall develop written policies and ☒ ☐ ☐
procedures in the event of the death of a youth while
detained, which include notifications to necessary
parties, which may include the Juvenile Court, the
parent, guardian or person standing in loco parentis
and the youth’s attorney of record.
(b) The health administrator, in cooperation with the
facility administrator, shall develop written policies Section IV, Number 3, I-B
and procedures to assure there is a medical and Section IV, Number 3, I-C
operational review of every in-custody death of a
youth. The review team shall include the facility
☒ ☐ ☐
administrator and/or facility manager, the health
administrator, the responsible physician and other
health care and supervision staff who are relevant to
the incident.
(c) The administrator of the facility shall provide to
the Board a copy of the report submitted to the Section IV, Number 3, I-D
Attorney General under Government Code Section
☒ ☐ ☐
12525. A copy of the report shall be submitted to the
Board within 10 calendar days after the death.
(d) Upon receipt of a report of the death of a youth
from the administrator, the Board may within 30 Section IV, Number 3, I-E
calendar days inspect and evaluate the juvenile
facility, jail, lockup or court holding facility pursuant to
☒ ☐ ☐
the provisions of this subchapter. Any inquiry made
by the Board shall be limited to the standards and
requirements set forth in these regulations.
(2) Serious Illness or Injury of Youth.
(a) The facility administrator, in cooperation with the Section IV, Number 3, I-H
health administrator, shall develop written policies
and procedures for the notification to necessary
parties, which may include the Juvenile Court, the ☒ ☐ ☐
parent, guardian or person standing in loco parentis
and the youth’s attorney of record in the case of a
serious illness or injury of a youth.
1342 POPULATION ACCOUNTING
Section IV, Number 4
Each juvenile facility shall submit required population
and profile survey reports to the Board within 10 working ☒ ☐ ☐
days after the end of each reporting period, in a format
to be provided by the Board.
1343 JUVENILE FACILITY CAPACITY (EXCERPT)
Section IV, Number 5
When the number of youth detained in a living unit of a
juvenile facility exceeds its rated capacity for more than
☒ ☐ ☐
fifteen (15) calendar days in a month, the facility
administrator shall provide a crowding report to the
Board in a format provided by the Board.
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1350 ADMITTANCE PROCEDURES
Section V, Number 1 Purpose
The facility administrator shall develop and implement
Section V, Number 1-C
written policies and procedures for admittance of youth
that emphasize respectful and humane engagement
The agency has a comprehensive intake
with youth, and reflect that the admission process may
process for youth and includes an “Intake
be traumatic to youth who may have already
Checklist” to ensure all procedural elements
experienced trauma. Policies shall be trauma-informed,
are met. The facility only accepts youth
culturally relevant, and responsive to the language and
identified with risks to community safety or
literacy needs of youth. In addition to the requirements
themselves, as screened from the Detention
of Sections 1324 and 1430 of these regulations:
Risk Assessment Instrument (DRAI), the
MAYSI, and an internal risk/needs screening
tool.
We reviewed over 30 comprehensive intake
☒ ☐ ☐
packets facility-wide that included the
Checklist; the Intake Health Screening;
Property Inventory; the Youth Strengthening
Admissions Assessment (Trauma, emotional,
risks, and needs); PREA Acknowledgement;
Language and Gender Preference Forms;
Admission Report; Consent for Medical
Treatment; Dental Permission Slip; and
MAYSI/DRAI Assessments.
The process is inclusive of information to
assist staff and agency partners for youth care
while in custody.
(a) the admittance process shall include:
(1) Access to two free phone calls within one hour of Section V, Number 1, Procedure I-S
admittance in accordance with the provisions of ☒ ☐ ☐
Welfare and Institution Code Section 627;
(2) Offer of a shower; Section V, Number 1, Procedure I-M
☒ ☐ ☐
(3) Documented secure storage of personal Section V, Number 1, Procedure I-L
belongings; ☒ ☐ ☐ Section V, Number IV
(4) Offer of food upon arrival; Section V, Number 1, Procedure I-M
☒ ☐ ☐
(5) Screening for physical and behavioral health and
safety issues, intellectual or developmental Section V, Number 1, Procedure I-F
☒ ☐ ☐
disabilities;
(6) Screening for physical and developmental
disabilities in accordance with Sections 1329, 1413, Section V, Number1, Procedure I-C
☒ ☐ ☐
and 1430 of these regulations;
(7) Contact with Regional Center for the
Developmentally Disabled for youth that are Section V, Number 1, Procedure I-D
suspected of or identified as having a
☒ ☐ ☐
developmental disability, pursuant to Section 1413;
and,
(8) Procedures consistent with Section 1352.5. Section V, Number 6
☒ ☐ ☐
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(b) juvenile hall administrators shall establish written
criteria for detention that considers the least restrictive Section V, Number 1, Procedure I-III
environment.
The facility has specific criteria for detention,
which allows for an override if justified.
Because this is a Regional Facility, SJCO’s
screen out-of-county youth for the program. If
☒ ☐ ☐
necessary, the Facility Superintendent will
review. Expectations for meeting with youth,
completing case plans, and meeting program
guidelines are reviewed with the County of
jurisdiction.
(c) juvenile camps and post-dispositional programs in
juvenile halls shall develop policies and procedures that Section V, Number I-N
advise the youth of the estimated length of stay, inform
them of program guidelines and provide written ☒ ☐ ☐
screening criteria for inclusion and exclusion from the
program.
(d) juvenile halls shall develop policies and procedures
that advise any committed youth of the estimated length Section V, Number I-N
☒ ☐ ☐
of his/her stay.
1350.5 SCREENING FOR THE RISK OF SEXUAL
ABUSE Section V, Number 6
Section V, Number 6, Procedure I-B
The facility administrator shall develop and implement
written policies and procedures to reduce the risk of
The facility developed a tool, the Youth
sexual abuse by or upon youth. The policy shall require
☒ ☐ ☐ Strengthening Admissions Assessment, within
facility staff to assess each youth within 72 hours of
their classification screening instrument to
admission based on the following information:
address youth who are potential perpetrators
(a) Prior sexual victimization or abusiveness;
or victims of sexual assault or abuse.
(b) Gender nonconforming appearance or manner; or
identification as lesbian, gay or bisexual, transgender, Section V, Number 6, Procedure I-B
queer or intersex, and whether the youth may, therefore, ☒ ☐ ☐
be vulnerable to sexual abuse;
(c) Current charges and offense history; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(d) Age; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(e) Level of emotional and cognitive development; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(f) Physical size and stature; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(g) Mental illness or mental disabilities; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(h) Intellectual or developmental disabilities; Section V, Number 6, Procedure I-B
☒ ☐ ☐
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(i) Physical disabilities; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(j) The youth’s perception of vulnerability; and, Section V, Number 6, Procedure I-B
☒ ☐ ☐
(k) Any other specific information about the individual
youth that may indicate heightened needs for The Classification/Youth Housing Screening
supervision, additional safety precautions, or separation tool and the Youth Strengthening Admissions
from certain other youth. Assessment were developed in coordination
☒ ☐ ☐ with BH to establish and identify information
which could or would assist in all safety
elements.
Staff shall ascertain this information through
conversations with the youth during the admittance Section V, Number 6, Procedure I-A
process, medical and behavioral health screenings;
during classification assessments; and by reviewing ☒ ☐ ☐ The admission risk/needs assessment is used
court records, case files, facility behavioral records, and to assist in classification of all admitted youth.
other relevant documentation from the youth’s files.
The facility administrator shall implement appropriate
controls on the dissemination of information within the Section V, Number 6, Policy I-B
facility relative to responses received pursuant to this
assessment in order to ensure that sensitive information ☒ ☐ ☐
is not exploited to the youth’s detriment by staff or other
youth.
1351 RELEASE PROCEDURES
Section V, Number 7
The facility administrator shall develop and implement
written policies and procedures for release of youth from
The agency conducts weekly Multi-
custody which provide for:
Disciplinary Team meetings with the Behavior
Health Case Manager, Wellpath Medical staff,
TCOE personnel (including clinicians,
teachers, and the psychologist), and the
agency staff prior to release and during the
youth’s stay. Transition planning and ongoing
☒ ☐ ☐ services in the community are addressed. The
meetings continue to occur weekly for
detention and commitment youth. Regional
youth are included and case notes are
forwarded to the County of jurisdiction.
We reviewed numerous release documents
indicating compliance of all elements related to
the release process.
(a) verification of identity/release papers; Section V, Number 7, Procedure I-A
☒ ☐ ☐
(b) return of personal clothing and valuables; Section V, Number 7, Procedure I-F
☒ ☐ ☐
(c) notification to the youth's parents or guardian; Section V, Number 7, Procedure I-D
☒ ☐ ☐
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(d) notification to the facility health care provider in
accordance with Sections 1408 and 1437 of these Section V, Number 7, Procedure I-C
☒ ☐ ☐
regulations, for coordination with outside agencies; and,
(e) notification of school staff; Section V, Number 7, Procedure I-H
☒ ☐ ☐
(f) notification of facility mental health personnel. Section V, Number 7, Procedure I-G
☒ ☐ ☐
The facility administrator shall develop and implement
policies and procedures for post-disposition youth to Section V, Number 7, Procedure I-A
coordinate the provision of transitional and reentry
services including, but not limited to, medical and ☒ ☐ ☐
behavioral health, education, probation supervision and
community-based services.
The facility administrator shall develop and implement
written policies and procedures for the furlough of youth The facility has re-started furlough
from custody. opportunities for youth committed to Steps 2
☒ ☐ ☐
Success.
1352 CLASSIFICATION
Section V, Number 9
The facility administrator shall develop and implement
written policies and procedures on classification of youth
☒ ☐ ☐
for the purpose of determining housing placement in the
facility.
Such procedures shall:
(a) provide for the safety of the youth, other youth, facility
staff, and the public by placing youth in the appropriate, Section V, Number 9, Procedure I-A
least restrictive housing and program settings. Housing
☒ ☐ ☐
assignments shall consider the need for single, double
or dormitory assignment or location within the dormitory;
(b) consider facility populations and physical design of
the facility; Section V, Number 9, Procedure I-A
☒ ☐ ☐
(c) provide that a youth shall be classified upon
admittance to the facility; classification factors shall Section V, Number 9, Procedure I-B
include, but not be limited to: age, maturity, Section V, Number 9, Procedure C-1 to 12
sophistication, emotional stability, program needs, legal
status, public safety considerations, medical/mental The Classification/Youth Housing Screening
health considerations, gender and gender identity of the Tool and the Youth Strengthening Admissions
youth; Assessment continue to be used to evaluate a
youth’s classification needs. The facility has
☒ ☐ ☐ one unit with 30 beds, so determining
appropriate housing is important to ensure
staff contact and observation needs can be
easily met. The screening tools were
developed in coordination with BH to establish
and identify all safety elements to address
youth needs and behaviors.
(d) provide for periodic classification reviews, including
provisions that consider the level of supervision and the Section V, Number 9, Procedure I-E
youth's behavior while in custody; and,
☒ ☐ ☐
The reviews occur weekly.
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(e) provide that facility staff shall not separate youth from
the general population or assign youth to a single Section V, Number 9, Procedure I-F
occupancy room based solely on the youth's actual or
perceived race, ethnic group identification, ancestry, Staff have the ability to override or determine
national origin, color, religion, gender, sexual orientation, particular housing needs based on the overall
gender identity, gender expression, mental or physical ☒ ☐ ☐ circumstances from the numerous admission
disability, or HIV status. This section does not prohibit and classification screening tools, as well as
staff from placing youth in a single occupancy room at day-to-day youth behavior.
the youth's specific request or in accordance with Title
15 regulations regarding separation.
(f) facility staff shall not consider lesbian, gay, bisexual,
transgender, questioning or intersex identification or Section V, Number 9, Procedure I-G
status as an indicator of likelihood of being sexually ☒ ☐ ☐
abusive.
1352.5 TRANSGENDER AND INTERSEX YOUTH.
Section V, Number 10
The facility administrator shall develop written policies
and procedures ensuring respectful and equitable
The facility developed a gender preference
treatment of transgender and intersex youth.
form which includes staff having a
The policies shall provide that:
conversation with youth at admission and a
signature from the youth after the gender
☒ ☐ ☐
preferences are identified to ensure
responsiveness to their requested preferences
as it relates to search, housing, and clothing.
This is also communicated to ancillary staff to
have consistent gender references.
(a) Facility staff shall respect every youth’s gender
identity and shall refer to the youth by the youth’s Section V, Number 10, Procedure I-A
preferred name and gender pronoun, regardless of the
youth’s legal name. Facilities may prohibit the use of
gang or slang names or names that otherwise ☒ ☐ ☐
compromise facility operations as determined by the
facility manager or designee, and shall document any
decision made on this basis.
(b) Facility staff shall permit youth to dress and present
themselves in a manner consistent with their gender Section V, Number 10, Procedure I-B
identity and shall provide youth with the institution’s
☒ ☐ ☐
clothing and undergarments consistent with their gender
identity.
(c) Facility staff shall house youth in the unit or room that
best meets their individual needs and promotes their Section V, Number 10, Procedure I-C
safety and well-being. Staff may not automatically house
youth according to their external anatomy and shall
document the reasons for any decision to house youth
☒ ☐ ☐
in a unit that does not match their gender identity. In
making a housing decision, staff shall consider the
youth’s preferences, as well as any recommendations
from the youth’s health or behavioral health provider.
(d) Facility administrators shall ensure that transgender
and intersex youth have access to medical and Section V, Number 10, Procedure I-D
behavioral health providers qualified to provide care and ☒ ☐ ☐
treatment to transgender and intersex youth.
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(e) Consistent with the facility’s reasonable and
necessary security considerations and physical plant, Section V, Number 10, Procedure I-E
facility staff shall make every effort to ensure the safety
and privacy of transgender and intersex youth when the ☒ ☐ ☐
youth are using the bathroom or shower, or dressing or
undressing.
Facility staff shall not conduct physical searches of any
youth for the purpose of determining the youth’s Section V, Number 10, Procedure I-F
anatomical sex. Whenever feasible, the facility shall Section V, Number 10, Procedure I-G
☒ ☐ ☐
respect the youth’s preference regarding the gender of
the staff member who conducts any search of the youth.
1353 ORIENTATION
Section V, Number 11, I-a, D and E
The facility administrator shall develop and implement
Section V, Number 10, Procedure I-D, 1 and 2
written policies and procedures to orient a youth prior to
placement in a living area. Both written and verbal
Youth are provided with a Handbook at
information shall be provided and supplemented with
admission containing all elements of this
video orientation if feasible. Provision shall be made to
regulation as well as a PREA Pamphlet.
provide accessible orientation information to all detained
youth including those with disabilities, limited literacy, or
We reviewed the handbook and found the
English language learners.
explanation of all elements were easy for
Orientation shall include information that addresses:
youth to understand. We noted a new
handbook was recently rolled out that included
youth participation in its content. It provides an
☒ operational understanding for youth
☐ ☐
expectations, rights, and how to address any
identified needs that may arise during their
stay. We also reviewed the Orientation Sign
Off document youth sign when admitted and
oriented to the facility, acknowledging their
understanding of the facility guidelines,
expectations, and processes.
We interviewed eight of the 18 youth in
custody and they acknowledged they
understood the handbook and their ability to
ask staff questions regarding their stay.
(a) facility rules including contraband and searches and
disciplinary procedures; Section V, Number 10, Procedure I-B, 1
☒ ☐ ☐
(b) facility’s system of positive behavior interventions
and supports, including behavior expectations, Section V, Number 10, Procedure I-B, 2
incentives that youth will receive for complying with
☒ ☐ ☐
facility rules, and consequences that may result when
youth violate the rules of the facility;
(c) age appropriate information that explains the facility’s
policy prohibiting sexual abuse and sexual harassment Section V, Number 10, Procedure I-B, 3
and how to report incidents or suspicions of sexual ☒ ☐ ☐
abuse or sexual harassment;
(d) identification of key staff and their roles;
Section V, Number 10, Procedure I-B, 4
☒ ☐ ☐
(e) the existence of the grievance procedure, the steps
that must be taken to use it, the youth’s right to be free Section V, Number 10, Procedure I-B, 5
of retaliation for reporting a grievance, and the name of ☒ ☐ ☐
the person or position designated to resolve the issue;
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(f) access to legal services and information on the court
Section V, Number 10, Procedure I-B, 6
process; ☒ ☐ ☐
(g) access to routine and emergency health and mental
Section V, Number 10, Procedure I-B, 7
health care; ☒ ☐ ☐
(h) access to education, religious services, and
Section V, Number 10, Procedure I-B, 8
recreational activities; ☒ ☐ ☐
(i) housing assignments; Section V, Number 10, Procedure I-B, 9
☒ ☐ ☐
(j) opportunity for personal hygiene and daily showers
including the availability of personal care items Section V, Number 10, Procedure I-B, 10
☒ ☐ ☐
(k) rules and access to correspondence, visits and
telephone use; Section V, Number 10, Procedure I-B, 11
☒ ☐ ☐
(l) availability of reading materials, programming, and
other activities; Section V, Number 10, Procedure I-B, 12
☒ ☐ ☐
(m) facility policies on the use of force, use of restraints,
chemical agents and room confinement; Section V, Number 10, Procedure I-B, 13
☒ ☐ ☐
(n) immigration legal services; Section V, Number 10, Procedure I-B, 14
☒ ☐ ☐
(o) emergencies including evacuation procedures; Section V, Number 10, Procedure I-B, 15
☒ ☐ ☐
(p) non-discrimination policy and the right to be free from
physical, verbal or sexual abuse and harassment by Section V, Number 10, Procedure I-B, 21
☒ ☐ ☐
other youth and staff;
(q) availability of services and programs in a language
other than English if appropriate; Section V, Number 10, Procedure I-B, 16
☒ ☐ ☐
(r) the process for requesting different housing,
education, programming and work assignments; Section V, Number 10, Procedure I-B, 18
☒ ☐ ☐
(s) a process for which parents/guardians receive
information regarding the youth’s stay in the facility that Section V, Number 10, Procedure I-B, 17
at a minimum includes answers to frequently asked
☒ ☐ ☐
questions and provides contact information for the
facility, medical, school and mental health; and,
(t) a process by which youth may request access to Title
15 Minimum Standards for Juvenile Facilities. Section V, Number 10, Procedure I-B, 19
☒ ☐ ☐
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1354 SEPARATION
Section V, Number 13
The facility administrator shall develop and implement
written policies and procedures that address:
There were 64 incidents of Separation from
January 2025 to the date of the inspection, 41
of which were Voluntary Separation. There
were 43 incidents in detention of which 28
were Voluntary Separations. The agency
documents behavior separation in an Activity
Report or Incident Report, prompting staff to
document the reason for and efforts to return
the youth to programming. Youth go to the
library (second classroom not in use and in the
unit), to reflect on the behavior resulting in the
separation. We found some youth request to
go to their room for the separation, prompting
staff to complete a Reflection Separation
☒ ☐ ☐
Form, documenting that the separation in their
room was at the youth’s request.
The agency uses the CICO (Check In, Check
Out) Daily Point Sheet to document incidents
that result in behavior separation. The form
allows for points (0-2) based on the Positive
Behavior and Supports (PBIS) model for
respectful, responsible, and safe behaviors.
This form is completed for each youth daily
and allows for the recording of incidents that
do not represent the PBIS model. This is
tracked to have the information recorded for
case planning and counseling services while
the youth is in custody.
(a) separation of youth for reasons that include, but are
not be limited to, medical and mental health conditions, Section V, Number 13, I-A, 1-6
assaultive behavior, disciplinary consequences and ☒ ☐ ☐
protective custody.
(b) consideration of positive youth development and
trauma-informed care. Section V, Number 13, I-C
☒ ☐ ☐
(c) separated youth shall not be denied normal privileges
available at the facility, except when necessary to Section V, Number 13, I-B and E
☒ ☐ ☐
accomplish the objective of separation.
(d) when the objective of the separation is discipline,
Title 15 Section 1390 shall apply. Section V, Number 13, I Disciplinary
Separation
The facility makes good use of the space in the
single unit facility for separation, using the not-
occupied classroom, which allows a full visual
of the youth while in the separated location.
☒ ☐ ☐
This space allows youth a cool down period to
reflect on the behaviors that necessitated a
separation but not to the level of room
confinement. The process is working and
accomplishing the goal in regulation, despite
their physical plant.
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(e) when separation results in room confinement, the
separation shall occur in accordance with Welfare and Section V, Number 13, Procedure I-E
Institutions Code Section 208.3 and Section 1354.5 of ☒ ☐ ☐
these regulations.
(f) policies and procedures shall ensure a daily review of
separated youth to determine if separation remains The facility only separates youth for short
necessary. periods of time to re-focus behavior. Our
review of all incidents revealed most were poor
decisions that are not aligned with the PBIS
Model of behavior with others.
The agency only uses this tool when they have
exhausted every verbal counseling attempt.
The youth are evaluated regularly and
returned to normal programming in most
cases, less than an hour after separation
☒ ☐ ☐
began.
We note the agency completes a
Reintegration Plan in each incident to allow for
conversations about the behavior leading to
the separation and discussion of how the
youth’s actions could be different. The agency
also allows for Due Process when a youth is
separated for discipline, including minor rule
violations.
1354.5 ROOM CONFINEMENT
Section V, Number 14
(a) The facility administrator shall develop and
implement written policies and procedures addressing
The facility has had 24 incidents of RC from
the confinement of youth in their room that are consistent
January 2025 to the date of the inspection.
with Welfare and Institutions Code Section 208.3. The
placement of a youth in room confinement shall be
The agency has a process to ensure staff
accomplished in accordance with the following
document all efforts to reintegrate and follow
guidelines:
the RC form prompts. Incident report
documentation for the reason of room
confinement was clear in each incident we
☒ ☐ ☐ reviewed.
Times of RC were as follows: more than 3
hours (1), 2-3 hours (4), 1-2 hours (13), and 6
youth under 30 minutes. All youth 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
procedures for the behavior leading to the RC.
(1) Room confinement shall not be used before other,
less restrictive, options have been attempted and Section V, Number 14, I-A
exhausted, unless attempting those options poses a ☒ ☐ ☐ Section V, Number 14, Procedure II-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.
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(3) Room confinement shall not be used to the extent
that it compromises the mental and physical health of Section V, Number 14, I-C
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
(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 policy and
and when he or she is eventually released from documentation review, including the elements
room confinement. 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.
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(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.
1355 INSTITUTIONAL ASSESSMENT AND PLAN
Section V, Number 16
The facility administrator shall develop and implement
☒ ☐ ☐
written policies and procedures for assessment and
case planning.
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(a) Assessment:
The assessment is based on information collected Section V, Number 16, Policy I-A
during the admission process with periodic review, which
includes the youth's risk factors, needs and strengths We reviewed a sampling of IAP’s for youth
including, but not limited to, identification of substance including an initial, updated, 3-month, 6-
abuse history, educational, vocational, counseling, month, Change in Treatment, and Transition
behavioral health, consideration of known history of Plans, each focusing on the identified needs
trauma, and family strengths and needs. and service approach while in or transitioning
out of custody.
The plans focus on a Youth Strength and
Needs Assessment, which incorporates
information from the following areas:
Emotional/Behavioral Health; Cognitive
Development and Functioning; Social
Development and Functioning; Physical
Health/Disabilities; Education; Trauma/
Resiliency; Family Relationships; Alcohol/
Drugs; Prior/Current Offense; Adult
Relationships; and, any other information
which impacts a youth’s strengths or needs. A
Treatment Plan is developed based on
☒ ☐ ☐
responses to the Assessment, which is
scored, to identify the top three needs and
strengths.
We found each assessment to be detailed and
informative, as well as individualized to each
youth. The process is inclusive of required
elements and documentation of timelines,
which are more than required in policy and
regulation. Staff work within the plan to provide
reachable and attainable goals, both for in-
custody treatment and upon release into the
community.
The weekly MDT Meetings provide updates for
the IAP, which incorporated a new form this
cycle to be an ‘update’ and a more fluid
document. One SJCO, Christine Schulze,
created the new form and completes all IAP’s
for youth at the facility.
(b) Institutional Case Plan:
(1) A case plan shall be developed for each youth Section V, Number 16, Policy I-B
held for at least 30 days or more and created within
40 days of admission. IAP’s are completed at 14 days or sooner, with
☒ ☐ ☐ follow-up assessments at the 3-month, 6-
month, 9-month, 12-month, and transition
planning timelines.
(2) The institutional plan shall include, but not be
limited to, written documentation that provides: Section V, Number 16, Procedure II-A
(A) objectives and time frame for the resolution of ☒ ☐ ☐
problems identified in the assessment;
(B) a plan for meeting the objectives that includes
a description of program resources needed and Section V, Number 16, Procedure II-B, 1-3
individuals responsible for assuring that the plan ☒ ☐ ☐
is implemented;
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(3) periodic evaluation of progress towards meeting
the objectives, including periodic review and Section V, Number 16, Procedure II-C
☒ ☐ ☐
discussion of the plan with the youth;
(4) a transition plan, the contents of which shall be
subject to existing resources, shall be developed for Section V, Number 16, Procedure II-D
post dispositional youth in accordance with Section ☒ ☐ ☐
1351; and,
(5) in as much as possible and if appropriate, the
plan, including the transition plan, shall be developed Section V, Number 16, Procedure II-E
with input from the family, supportive adults, youth,
☒ ☐ ☐
and Regional Center for the Developmentally
Disabled.
1356 COUNSELING AND CASEWORK SERVICES
Section V, Number 16, Procedure V-A
The facility administrator shall develop and implement
Section V, Number 16, Procedure V-A, 1
written policies and procedures ensuring the availability
of appropriate counseling and casework services for all
Facility staff document behavior, both positive
youth. Policies and procedures shall ensure:
and negative, in the youth’s ‘Check in, Check
(a) youth will receive assistance with needs or concerns
out’ (CICO) Daily Point sheets. This identifies
that may arise;
their behavior each shift, as well as their
participation in all T15 requirements. We
reviewed daily/weekly summaries and phone
☒ ☐ ☐ call status for each youth in custody recorded
on the CICO sheets. This daily documentation
reveals the positive and negative activities as
it relates to all areas of a youth’s program.
We also find the weekly MDT Meetings with all
agency partners, including a discussion on
each youth in custody, provides a generous
insight into youth needs and progress.
(b) youth will receive assistance in requesting contact
with parents, other supportive adults, attorney, clergy, Section V, Number 16, Procedure V-A, 2
☒ ☐ ☐
probation officer, or other public official; and,
(c) youth will be provided access to available resources
to meet the youth’s needs. Section V, Number 16, Procedure V-A, 3
☒ ☐ ☐
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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 eight of the eight incidents
which may include chemical agents. Force shall never
involving the use of force from January 2025
be applied as punishment, discipline, retaliation or
to the date of the inspection. The reports
treatment.
provided clear and relevant information based
(a) At a minimum, each facility shall develop policies and
on the narrative in the report and are
procedures which:
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 from youth.
Two of the incidents involved the use of OC
Spray, four youth were restrained following the
UF incident for movement to their room, and
one youth was placed in the WRAP following
the incident.
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
necessary 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
☒ ☐ ☐
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(7) define the role, notification, and follow-up
procedures required after use of force incidents for Section V, Number 17, Procedure VI-A, B and
medical, mental health staff and parents or legal ☒ ☐ ☐ 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
have been two chemical spray incidents since
January 2025.
(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 the agency
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
☒ ☐ ☐
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(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
☒ ☐ ☐
1358 USE OF PHYSICAL RESTRAINTS
Section V, Number 19 and 20
The facility administrator, in cooperation with the
responsible physician and mental health director, shall
The facility has the WRAP as a restraint with
develop and implement written policies and procedures
very specific limitations on its use.
for the use of restraint devices. Restraint devices include
any devices which immobilize a youth's extremities
There has been one use of the WRAP in 2025,
and/or prevent the youth from being ambulatory.
the first since July 2022. We reviewed the sole
☒ ☐ ☐
incident and found the agency utilized all
efforts to avoid WRAP use by de-escalation
and other verbal options. The circumstances
were well documented and the follow-up was
an intensive process of review with the youth.
The youth was in the WRAP for 23 minutes.
Physical restraints may be used only for those youth who
present an immediate danger to themselves or others, Section V, Number 19, Policy I-B
who exhibit behavior which results in the destruction of
property, or reveals the intent to cause self-inflicted
☒ ☐ ☐
physical harm. Physical restraints should be utilized only
when it appears less restrictive alternatives would be
ineffective in controlling the youth’s behavior.
In no case shall restraints be used as punishment or
discipline, or as a substitute for treatment. The use of Section V, Number 19, Policy I-F
restraint devices that attach a youth to a wall, floor or other Section V, Number 19, Policy I-Q
fixture, including a restraint chair, or through affixing of Section V, Number 19, Policy I-R
hands and feet together behind the back (hogtying) is ☒ ☐ ☐ Section V, Number 19, Policy I-S
prohibited. The use of restraints on pregnant youth is
limited in accordance with Penal Code Section 6030(f)
and Welfare and Institutions Code Section 222.
The provisions of this section do not apply to the use of
handcuffs, shackles or other restraint devices when used Section V, Number 19, Policy I-C
to restrain youth for movement or transportation within the
facility. Movement within the facility shall be governed by ☒ ☐ ☐
Section 1358.5, Use of Restraint Devices for Movement
Within the Facility.
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Youth shall be placed in restraints only with the approval
of the facility manager or designee. The facility manager Section V, Number 19, Policy I-B
may delegate authority to place a youth in restraints to a Section V, Number 19, Policy I-V
physician. Reasons for continued retention in restraints Section V, Number 19, Policy I-W
shall be reviewed and documented at a minimum of every
hour. ☒ ☐ ☐ Senior JCO’s are designated to approve
placement of restraints in the absence of the
facility Superintendent. The WRAP must have
Superintendent approval.
A medical opinion on the safety of placement and
retention shall be secured as soon as possible, but no Section V, Number 19, Policy I-J
later than two hours from the time of placement. The
☒ ☐ ☐
youth shall be medically cleared for continued retention at
least every three hours thereafter.
A mental health consultation shall be secured as soon as
possible, but in no case longer than four hours from the Section V, Number 19, Policy I-K
time of placement, to assess the need for mental health ☒ ☐ ☐
treatment.
Continuous direct visual supervision shall be conducted
to ensure that the restraints are properly employed, and Section V, Number 19, Policy I-N
to ensure the safety and well-being of the youth. Section V, Number 19, Procedure I-B
Observations of the youth's behavior and any staff ☒ ☐ ☐ Section V, Number 19, Procedure I-J
interventions shall be documented at least every 15
minutes, with actual time of the documentation recorded.
In addition to the requirements above, policies and
procedures shall address: Section V, Number 19, Procedure I-M
(a) documentation of the circumstances leading to an ☒ ☐ ☐
application of restraints.
(b) known medical conditions that would contraindicate
certain restraint devices and/or techniques. Section V, Number 19, Policy I-M
☒ ☐ ☐
(c) acceptable restraint devices.
Section V, Number 19, Policy I-B
☒ ☐ ☐
(d) signs or symptoms which should result in immediate
medical/mental health referral. Section V, Number 19, Procedure I-J
☒ ☐ ☐
(e) availability of cardiopulmonary resuscitation
equipment. Section V, Number 19, Procedure I-D
☒ ☐ ☐
(f) protective housing of restrained youth. While in
restraint devices, all youth shall be housed alone or in a Section V, Number 19, Policy I-H
specified housing area for restrained youth which makes ☒ ☐ ☐
provision to protect the youth from abuse.
(g) provision for hydration and sanitation needs. Section V, Number 19, Policy I-H
☒ ☐ ☐
(h) exercising of extremities. Section V, Number 19, Policy I-H
☒ ☐ ☐
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1358.5 USE OF RESTRAINT DEVICES FOR
MOVEMENT AND TRANSPORTATION WITHIN Section V, Number 21
THE FACILITY. Section V, Number 19, Policy I-B
The Facility Administrator, in cooperation with the
Staff are trained annually by certified STC
responsible physician and behavioral/mental health
Instructor. Training includes the determination
director, shall develop and implement written policies
of the use of control holds at escort and that
and procedures for the use of restraint devices when the ☒ ☐ ☐
staff must get authorization to use other force
purpose is for movement or transportation within the
for movement. There were four incidents
facility that shall include the following:
involving the use of restraints for movement of
(a) identification of acceptable restraint devices, staff
a youth to their room. All were less than three
approved to utilize restraint devices and the required
minutes.
training.
(b) the circumstances leading to the application of
restraints must be documented. Section V, Number 21, Procedure A
☒ ☐ ☐
(c) an individual assessment of the need to apply
restraints for movement or transportation that includes Section V, Number 21, Procedure B
consideration of less restrictive alternatives,
consideration of a youth’s known medical or mental
☒ ☐ ☐
health conditions, trauma informed approaches, and a
process for documentation and supervisor review and
approval.
(d) consideration of safety and security of the facility,
with a clearly defined expectation that restraint devices Section V, Number 21 Procedure C
shall not be used for the purposes of discipline or ☒ ☐ ☐
retaliation.
(e) the use of restraints on pregnant youth is limited in
accordance with Penal Code Section 6030(f) and Section V, Number 21 Procedure D
☒ ☐ ☐
Welfare and Institutions Code Section 222.
1359 SAFETY ROOM PROCEDURES
The facility does not have a Safety Room.
(a) The facility administrator, and where applicable, in
cooperation with the responsible physician, shall
develop and implement written policies and procedures
governing the use of safety rooms, as described in Title
24, Part 2, Section 1230.1.13. The room shall be used
to hold only those youth who present an immediate ☐ ☐ ☒
danger to themselves or others, who exhibit behavior
which results in the destruction of property, or reveals
the intent to cause self-inflicted physical harm. A safety
room shall not be used for punishment or discipline, or
as a substitute for treatment.
Policies and procedures shall:
(1) include provisions for administration of necessary
nutrition and fluids, access to a toilet, and suitable
☐ ☐ ☒
clothing to provide for privacy;
(2) provide for approval of the facility manager, or
designee, before a youth is placed into a safety room; ☐ ☐ ☒
(3) provide for continuous direct visual supervision
and documentation of the youth's behavior and any
staff interventions every 15 minutes, with actual time ☐ ☐ ☒
recorded;
(4) provide that the youth shall be evaluated by the
facility manager, or designee, every four hours; ☐ ☐ ☒
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(5) provide for immediate medical assessment,
where appropriate, or an assessment at the next
☐ ☐ ☒
daily sick call; and,
(6) provide a process for documenting the reason for
placement, including attempts to use less restrictive
means of control, and decisions to continue and end ☐ ☐ ☒
placement.
(b) The placement of a youth in the safety room shall be
accomplished in accordance with the following:
(1) safety room shall not be used before other less
restrictive options have been attempted and ☐ ☐ ☒
exhausted, unless attempting those options poses a
threat to the safety or security of any youth or staff.
(2) safety room shall not be used for the purposes of
punishment, coercion, convenience, or retaliation by
☐ ☐ ☒
staff.
(3) safety room shall not be used to the extent that it
compromises the mental and physical health of the
☐ ☐ ☒
youth.
(c) A youth may be held up to four hours in the safety
room. After the youth has been held in the safety room
for a period of four hours, staff shall do one or more of ☐ ☐ ☒
the following:
(1) return the youth to general population.
☐ ☐ ☒
(2) consult with mental health or medical staff,
☐ ☐ ☒
(3) develop an individualized plan that includes the
goals and objectives to be met in order to reintegrate
☐ ☐ ☒
the youth to general population.
(d) If confinement in the safety room must be extended
beyond four hours, staff shall develop an individualized
plan that includes the requirements of Section 1354.5
☐ ☐ ☒
and the goals and objectives to be met in order to
integrate the youth to general population.
1360 SEARCHES ,
Section V, Number 23
The facility administrator shall develop and implement
Section V, Number 23, Procedure IX Room
written policies and procedures governing the search of
☒ ☐ ☐ Section V, Number 23, Procedure X Facility
youth, the facility, and visitors.
Section V, Number 23, Procedure XI Visitor
Policies and procedures shall provide that:
(a) Searches shall be conducted to ensure the safety
and security of the facility, public, visitors, youth, and Section V, Number 23, Policy I-A and B
☒ ☐ ☐
staff.
(b) Searches shall be conducted in a manner that
preserves the privacy and dignity of the person being Section V, Number 23, Policy I-C
searched and shall not be conducted for harassment or ☒ ☐ ☐
as a form of discipline or punishment.
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(c) Strip searches and visual or physical body cavity
searches shall comply with Penal Code Section 4030. Section V, Number 23, Policy I-D
There have been no strip searches since the
three conducted when the facility first opened
in 2017.
☒ ☐ ☐
We note the agency purchased a Tec 84
Scanner which assists in deterring a strip
search.
(d) Physical body cavity searches shall only be
conducted by a medical professional. ☒ Section V, Number 23, Policy I-E
☐ ☐
(e) Any youth held after a detention hearing shall only be
strip searched with prior approval of a supervisor when Section V, Number 23, Procedure II, III, IV
there is reasonable suspicion based on specific and
articulable facts to believe that youth is concealing ☒ ☐ ☐
contraband. The reasonable suspicion shall be
documented.
(f) Searches of transgender and intersex youth shall
comply with Section 1352.5. ☒ Section V, Number 23, Procedure V-D
☐ ☐
(g) Cross-gender pat-down searches and strip searches
are prohibited except in exigent circumstances or when Section V, Number 23, Policy I-J and K
conducted by a medical professional. Such searches ☒ ☐ ☐
must be justified and documented in writing.
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 50 grievances filed from
appeal and have resolved grievances relating to any
January 2025 to the date of the inspection,
condition of confinement, including but not limited to
most of which were resolved by staff with 10
health care services, classification decisions, program
being appealed to the Superintendent. One
participation, telephone, mail or visiting procedures,
youth filed 14 grievances. 38 of the grievances
food, clothing, bedding, mistreatment, harassment or
☒ ☐ ☐ were related to Point loss. All grievances were
violations of the nondiscrimination policy. There shall be
resolved within three days, most in two days.
no time limit on filing grievances. Policies and
The forms are step-by-step based and
procedures shall include provisions whereby the facility
compliant with policy and regulation.
manager ensures:
Of the youth we interviewed, each understood
the process and felt the resolution was fair.
(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
☒ ☐ ☐
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(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
☒ ☐ ☐
(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 grievance; Section V, Number 30, Procedure I-G
(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.
1362 REPORTING OF INCIDENTS
Section V, Number 32
A written report of all incidents which result in physical
harm, use of force, serious threat of physical harm, or
We reviewed numerous incident reports
death of an employee, youth or other person(s) shall be
☒ ☐ ☐ involving UF, UR, RC, and Separation.
maintained. Such written record shall be prepared by the
staff and submitted to the facility manager by the end of
the shift, unless additional time is necessary and
authorized by the facility manager or designee.
1363 USE OF REASONABLE FORCE TO COLLECT
DNA SPECIMENS, SAMPLES, IMPRESSIONS Section V, Number 33, Procedure III-A
Section V, Number 33, Procedure III-B
(a) Pursuant to Penal Code Section 298.1 authorized
law enforcement, custodial, or corrections personnel
The facility has not had to use force to collect
including peace officers, may employ reasonable force
DNA since 2017.
to collect blood specimens, saliva samples, and thumb
or palm print impressions from individuals who are
required to provide such samples, specimens or
☒ ☐ ☐
impressions pursuant to Penal Code Section 296 and
who refuse following written or oral request.
(1) For the purpose of this section, the “use of
reasonable force” shall be defined as the force that
an objective, trained and competent correctional
employee, faced with similar facts and
circumstances, would consider necessary and
reasonable to gain compliance with this section.
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(2) The use of reasonable force shall be preceded by
efforts to secure voluntary compliance. Efforts to Section V, Number 33, Procedure III-B
secure voluntary compliance shall be documented
and include an advisement of the legal obligation to ☒ ☐ ☐
provide the requisite specimen, sample or impression
and the consequences of refusal.
(b) The force shall not be used without the prior written
authorization of the supervising officer on duty. The Section V, Number 33, Procedure III-C
authorization shall include information that reflects the
fact that the offender was asked to provide the requisite ☒ ☐ ☐ The use of force for this regulation requires
specimen, sample, or impression and refused. authorization from the Facility Superintendent.
(1) If the use of reasonable force includes a cell
extraction, the extraction shall be videotaped. Video Section V, Number 33, Procedure IV-A
shall be directed at the cell extraction event. The Section V, Number 33, Procedure IV-B
videotape shall be retained by the agency for the
length of time required by statute. Notwithstanding ☒ ☐ ☐
the use of the video as evidence in a court
proceeding, the tape shall be retained
administratively.
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1370 EDUCATION PROGRAM
Section VI, Number 1, Policy II-A
(a) School Programs
The County Board of Education shall provide for the
The Tuolumne County Superintendent of
administration and operation of juvenile court schools in
Schools provides educational and vocational
conjunction with the Chief Probation Officer, or designee
opportunities via the Golden Ridge
pursuant to applicable State laws. The school and facility
Educational Center (GREC) onsite, online
administrators shall develop and implement written policy
college through Columbia Community
and procedures to ensure communication and
College, and vocational opportunities through
coordination between educators and probation staff.
the Motherlode Job Training for Tuolumne
Culturally responsive and trauma-informed approaches
County. A TCSOS Transition Specialist assists
should be applied when providing instruction. Education
with youth exiting the facility and returning to
staff should collaborate with the facility administrator to
schools in the community as well as with
use technology to facilitate learning and ensure safe
enrollment and curriculum oversight in
technology practices. The facility administrator shall
Columbia College, a community college
request an annual review of each required element of the
nearby.
program by the Superintendent of Schools, and a report
or review checklist on compliance, deficiencies, and
A GREC Clinician, Pam Orebaugh, is on site
corrective action needed to achieve compliance with this
each day to provide Social Skills groups, an
section. Such a review, when conducted, cannot be
Overcoming Obstacles Curriculum, Individual
delegated to the principal or any other staff of any juvenile
and Group Counseling, Family Counseling,
court school site. The Superintendent of Schools shall
and Post-Release Services. Kayla Rolfe
conduct this review in conjunction with a qualified outside
provides Dual Enrollment Services and
agency or individual. Upon receipt of the review, the
promotes PBIS, Mother Lode Job Training,
facility administrator or designee shall review each item
Columbia College Enrollment Services, and
with the Superintendent of Schools and shall take
also tracks youth upon release for 8-12 weeks.
whatever corrective action is necessary to address each
On the day of the inspection, there were six
deficiency and to fully protect the educational interests of
graduates, five enrolled at Columbia College,
all youth in the facility.
and one youth that is not interested in college.
PBIS was trained to all new staff initially but
☒ ☐ ☐ most have moved on since 2017. The TCSOS
has revitalized PBIS as a mechanism to
promote positive behaviors with rewards and
incentives in the classroom and carried over to
the living unit. We have seen the successes of
PBIS as a collaboration with school and
probation staff.
Rising Scholars is bringing in a Professor from
Columbia to work with the enrolled youth
weekly.
The TCSOS offers a complete and
comprehensive curriculum, including culinary
food handler’s certification, DMV licenses for
eligible youth, gardening, and personal
reading goals via the Book Club. Additionally,
for those youth with an active IEP, youth
receive services via a counselor in addition to
specialized instruction. TCSOS continues to
provide a Psychologist one time per week to
work with this population.
The on-site teacher, Ashley Chambeaux,
continues to be engaged in the classroom and
works individually with youth to grow their
education opportunities. The program is 270
minutes each day, except for every
Wednesday has a late start to allow Ms.
Chambeaux to participate in MDT meetings.
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Lastly, the agency has a Dental collaboration
with GREC/TCSOS to provide dental
education and screenings, with referral to a
dentist if necessary. The program is called
Smile Keepers and is facilitated by Ocean
Arellano, an RDHAP Provider.
(b) Required Elements
The facility school program shall comply with the State Section VI, Number 1, Policy III-A
Education Code and County Board of Education policies, Section VI, Number 1, Policy III-B
all applicable federal education statutes and regulations Section VI, Number 1, Policy III-C
and provide for an annual evaluation of the educational Section VI, Number 1, Policy III-D
program offerings. As stated in the 2009 California Section VI, Number 1, Policy III-E
Standards for the Teaching Profession, teachers shall
☒ ☐ ☐
establish and maintain learning environments that are
physically, emotionally, and intellectually safe. Youth shall
be provided a rigorous, quality educational program that
responds to the different learning styles and abilities of
students and prepares them for high school graduation,
career entry, and post-secondary education.
All youth shall be treated equally, and the education
program shall be free from discriminatory action. Staff Section VI, Number 1, Policy III-F
shall refer to transgender, intersex and gender- ☒ ☐ ☐
nonconforming youth by their preferred name and gender.
(1) The course of study shall comply with the State
Education Code and include, but not be limited to, Section VI, Number 1, Policy III-A
☒ ☐ ☐
courses required for high school graduation.
(2) Information and preparation for the High School
Equivalency Test as approved by the California Section VI, Number 1, Policy III-I
Department of Education shall be made available to ☒ ☐ ☐
eligible youth.
(3) Youth shall be informed of post-secondary
education and vocational opportunities. Section VI, Number 1, Policy III-J
☒ ☐ ☐
(4) Administration of the High School Equivalency
Tests as approved by the California Department of Section VI, Number 1, Policy III-K
☒ ☐ ☐
Education, shall be made available when possible.
(5) Supplemental instruction shall be afforded to youth
who do not demonstrate sufficient progress towards Section VI, Number 1, Policy III-L
☒ ☐ ☐
grade level standards.
(6) The minimum school day shall be consistent with
State Education Code Requirements for juvenile court Section VI, Number 1, Policy III-G
schools. The facility administrator, in conjunction with
education staff, must ensure that operational
procedures do not interfere with the time afforded for ☒ ☐ ☐
the minimum instructional day. Absences, time out of
class or educational instruction, both excused and
unexcused, shall be documented.
(7) Education shall be provided to all youth regardless
of classification, housing, security status, disciplinary Section VI, Number 1, Policy III-O
or separation status, including room confinement,
except when providing education poses an immediate
threat to the safety of self or others. Education ☒ ☐ ☐
includes, but is not limited to, related services as
provided in a youth’s Section 504 Plan or
Individualized Education Program (IEP).
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(c) School Discipline
(1) Positive behavior management will be Section VI, Number 1, Policy IV-A
implemented to reduce the need for disciplinary action
in the school setting and be integrated into the facility's ☒ ☐ ☐
overall behavioral management plan and security
system.
(2) School staff shall be advised of administrative
decisions made by probation staff that may affect the Section VI, Number 1, Policy IV-B
☒ ☐ ☐
educational programming of students.
(3) Except as otherwise provided by the State
Education Code, expulsion/suspension from school Section VI, Number 1, Policy IV-C
shall be imposed only when other means of correction
fails to bring about proper conduct. School staff shall
follow the appropriate due process safeguards as set
forth in the State Education Code including the rights ☒ ☐ ☐
of students with special needs. School staff shall
document the other means of correction used prior to
imposing expulsion/ suspension if an
expulsion/suspension is ultimately imposed.
(4) The facility administrator, in conjunction with
education staff will develop policies and procedures Section VI, Number 1, Policy IV-D
that address the rights of any student who has ☒ ☐ ☐
continuing difficulty completing a school day.
(d) Provisions for Special Populations
(1) State and federal laws and regulations shall be Section VI, Number 1, Policy V-A
observed for all individuals with disabilities or
suspected disabilities. This includes but is not limited
to child find, assessment, continuum of alternative ☒ ☐ ☐
placements, manifestation determination reviews, and
implementation of Section 504 Plans and
Individualized Education Programs.
(2) Youth identified as English Learners (EL) shall be
afforded an educational program that addresses their Section VI, Number 1, Policy V-B
language needs pursuant to all applicable state and
☒ ☐ ☐
federal laws and regulations governing programs for
EL students.
(e) Educational Screening and Admission
(1) Youth shall be interviewed after admittance and a Section VI, Number 1, Policy VI-A
☒
record maintained that documents a youth's ☐ ☐
educational history, including but not limited to:
(A) School progress/school history;
Section VI, Number 1, Policy VI-A, 1
☒ ☐ ☐
(B) Home Language Survey and the results of the
State Test used for English language proficiency; Section VI, Number 1, Policy VI-A, 2
☒ ☐ ☐
(C) Needs and services of special populations as
defined by the State Education Code, including but Section VI, Number 1, Policy VI-A, 3
☒ ☐ ☐
not limited to, students with special needs.
(D) Discipline problems.
Section VI, Number 1, Policy VI-A, 4
☒ ☐ ☐
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(2) Youth will be immediately enrolled in school.
Educational staff shall conduct an assessment to Section VI, Number 1, Policy VI-B
determine the youth's general academic functioning
levels to enable placement in core curriculum courses. The TCSOS has a regimented practice to
provide a Credit Reduction for almost all
students regardless of the SB 167 Legislation
for meeting criteria. The TCSOS Board relies
on Education Code Section 2, 48645.5 (d),
which they indicate includes the agency shall
graduate a youth specific to Section 51225.3.
‘AB 167/SB 522 allows California foster youth
and Juvenile Court School youth to graduate
by meeting the state's minimum high school
requirements instead of their local district's
potentially more extensive ones. These
requirements include three years of English,
two of math, two of science, three of social
studies, one of arts or foreign language, and
☐ two of physical education. This option is
☒ ☐
available if the student transferred schools
after their second year of high school and it is
deemed in their best interest by their
education rights holder.’
By entering most youth on the credit
reduction track, Tuolumne County
Superintendent of Schools does not offer in-
custody youth the full curriculum
requirements available if a youth chooses to
achieve a full credit diploma while in custody.
This is not allowing a youth wanting a
traditional high school experience and go
directly into a four-year college experience.
The information regarding legislation in
quotes above was directly obtained from
summary legislative notes.
(3) After admission to the facility, a preliminary
education plan shall be developed for each youth Section VI, Number 1, Policy VI-C
☒ ☐ ☐
within five school days.
(4) Upon enrollment, education staff shall comply with
the State Education Code and request the youth's Section VI, Number 1, Policy VI-D
records from his/her prior school(s), including, but not
limited to, transcripts, Individual Education Program
(IEP), 504 Plan, state language assessment scores,
immunization records, exit grades, and partial credits. ☒ ☐ ☐
Upon receipt of the transcripts, the youth's educational
plan shall be reviewed with the youth and modified as
needed. Youth should be informed of the credits they
need to graduate.
(f) Educational Reporting
(1) The complete facility educational record of the Section VI, Number 1, Policy VII-A
youth shall be forwarded to the next educational
☒ ☐ ☐
placement in accordance with the State Education
Code.
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(2) The County Superintendent of Schools shall
provide appropriate credit (full or partial) for course Section VI, Number 1, Policy VII-B
work completed while in juvenile court school in ☒ ☐ ☐
accordance with the State Education Code.
(g) Transition and Re-Entry Planning
(1) The Superintendent of Schools and the Chief Section VI, Number 1, Policy VIII-A
Probation Officer or designee, shall develop policies
and procedures to meet the transition needs of youth,
including the development of an education transition ☒ ☐ ☐
plan, in accordance with the State Education Code
and in alignment with Title 15, Minimum Standards for
Juvenile Facilities, Section 1355.
(h) Post-Secondary Education Opportunities
(1) The school and facility administrator should, Section VI, Number 1, Policy IX-A
whenever possible, collaborate with local post-
secondary education providers to facilitate access to
☒ ☐ ☐
educational and vocational opportunities for youth that
considers the use of technology to implement these
programs.
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1371 PROGRAMS, RECREATION, AND EXERCISE.
Section VI, Number 3, Policy I-A
The facility administrator shall develop and implement
written policies and procedures for programs, recreation,
The facility has many programming options for
and exercise for all youth. The intent is to minimize the
youth, including:
amount of time youth are in their rooms or their bed area.
Aggression Replacement Training (ART);
Interactive Journaling; Moral Recognition
Therapy (MRT); Anger management; Ready
Now Recovery; Culinary Classes; Drum
Circle; Music 12; Parenting Education;
Independent Living Skills; 4H-Master
Gardner’s; Harvest of the Month (Health and
Nutrition); Art Therapy; Mindfulness and
Meditation; Book Club; Religious Services and
Bible Study; Mentoring; Drug and Alcohol
Prevention Groups; AA and NA; Ready Now
Recovery; Tai Chi; and Drum Circle. The
Meditation Pond and Hydroponic Garden was
completed through a grant through 4H.
Facility staff work on “Check In, Check Out”
(CICO) with youth to document positive and
negative behaviors which teach the elements
of PBIS. This tool provides incentive-based
opportunities for youth. TCBH provides
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.
GEO SERVICES is new to this cycle and
provides a Case Manager that facilitates
Anger Management, Substance Abuse
Education, Parenting, MRT, ICBI Training, and
Skill Building programs to the youth.
GREC Clinician Kayla Rolfe provides Dual
Enrollment Services and is responsive to
youth education needs. She coordinates job
assessments via the Motherlode Job Training
Center, assists with enrollment in Columbia
Community College, and is working to bring
elective curriculums into the facility through the
Motherlode Education Program (MEOC).
Providers include TCBH, TCSOS, facility staff,
4-H, Master Gardner’s, Hidden Treasures,
GEO Services, Cal Poly Pomona, Teen
Works. Rising Scholars, Smile Keepers, UC
Davis Cooperative Extension, and local
volunteers.
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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 ☒ ☐ ☐
one hour shall be an outdoor activity, weather permitting.
A youth’s participation in programs, recreation, and
exercise may be suspended only upon a written finding Section 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.
(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 Programming Supervisor, Christine
social interventions and activities designed to reduce Schulze, validated the above program
recidivism. These programs should be based on the opportunities, memorialized in a memo dated
youth’s individual needs as required by Sections 1355 August 8, 2025.
and 1356. Such programs may be provided under the
direction of the Chief Probation Officer or the County
Office of Education and can be administered by county
partners such as mental health agencies, community
based organizations, faith-based organizations or
Probation staff.
Programs may include but are not limited to:
(1) Cognitive Behavior Interventions;
(2) Management of Stress and Trauma;
☒ ☐ ☐
(3) Anger Management;
(4) Conflict Resolution;
(5) Juvenile Justice System;
(6) Trauma-related interventions;
(7) Victim Awareness;
(8) Self-Improvement;
(9) Parenting Skills and support;
(10) Tolerance and Diversity;
(11) Healing Informed Approaches;
(12) Interventions by Credible Messengers;
(13) Gender Specific Programming;
(14) Art, creative writing, or self-expression;
(15) CPR and First Aid training;
(16) Restorative Justice or Civic Engagement;
(17) Career and leadership opportunities; and,
(18) Other topics suitable to the youth population.
(b) Recreation. All youth shall be provided the opportunity
for at least one hour of daily access to unscheduled Section 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.
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(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 programs. Section VI, Number 3, Policy I-J
The administrator/manager shall document the reasons ☒ ☐ ☐
why suspension of recreation and programs occurs.
1372 RELIGIOUS PROGRAM
Section VI, Number 7, Policy I-C
The facility administrator shall provide access to religious
Section VI, Number 7, Policy I-D
services and/or religious counseling at least once each
week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐
allowed to participate in an activity outside of their room if
he/she elects not to participate in religious programs.
Religious programs shall provide for:
Section VI, Number 7, Policy I-A
(a) opportunity for religious services and practices;
☒ ☐ ☐ Section VI, Number 7, Policy I-B
(b) availability of clergy; and, Section VI, Number 7, Policy I-B
☒ ☐ ☐
(c) availability of religious diets. Section VI, Number 7, Policy I-B
☒ ☐ ☐
1373 WORK PROGRAM
Section VI, Number 8
The facility administrator shall develop policies and
procedures regarding the fair and consistent assignment
A memo outlining work services for all youth in
of youth to work programs. Work assigned to a youth shall
custody was completed on September 2,
be meaningful, constructive and related to vocational
2025, by William Neilsen.
training or increasing a youth's sense of responsibility.
Work programs shall not be imposed as a disciplinary
The agency allows youth that meet specific
measure
criteria to work outside the secure perimeter.
Youth in detention are responsible for daily
chores of cleaning their room and the unit.
Yard maintenance and classroom cleaning is
completed by more senior youth who have
reached a certain level in the facility with good
☒ ☐ ☐ behavior.
Youth over 16 can receive their food handler’s
certificate and they are responsible for serving
the meals which come over from the jail.
Lastly, youth committed to Steps to Success
can work outside the facility perimeter to
maintain the cleanliness of the building and
grounds.
Several Camp youths have been employed
outside the facility, however, there were no
youth doing this at the time of the Inspection.
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1374 VISITING
Section VI, Number 9, Policy I-A
The facility administrator shall develop and implement
Section VI, Number 9, Policy I-B
written policies and procedures for visiting, that include
provisions for special visits. Youth shall be allowed to
The facility continues to accommodate all
receive visits by parents, guardians or persons standing
visits, allowing any person the opportunity to
in loco parentis, and children of youth. Other family
visit a youth that offers a positive impact on
members, such as grandparents and siblings, and
behavior or influence for good transition. This
supportive adults, may be allowed to visit with the
includes any family member or supportive
approval of the facility administrator or designee, and in
adult, generally working within the visitor’s
conjunction with the youth’s case plan or in the best ☒ ☐ ☐
schedule if outside normal visiting hours.
interest of the youth.
The visiting schedule is robust with specific
providers, clinicians, and community persons
visiting youth regularly, not to mention, while
on site, there were seven youth from
Mariposa, Inyo, and Calaveras Counties in
custody.
All visits shall occur at reasonable times, subject only to
the limitations necessary to maintain order and security. Section VI, Number 9, Policy I-A
Visitation shall not be denied solely based on the visitor’s Section VI, Number 9, Policy I-R
criminal history. The staff shall determine in each case,
whether the visitor’s criminal history represents a risk to
☒ ☐ ☐
the safety of youth or staff in the facility. Any denial of
visitation or limitation on visitations shall be
communicated to the youth, person denied and facility
administrator.
Opportunity for visitation shall be a minimum of two hours
per week. Visits may be supervised, but conversations Section VI, Number 9, Policy I-E
shall not be monitored unless there is a security or safety ☒ ☐ ☐ Section VI, Number 9, Policy I-G
need.
Provisions for special visits, in addition to the two-hour
minimum and/or outside of the regular visiting hours, shall Section VI, Number 9, Policy I-H
be accommodated as necessary and within the discretion Section VI, Number 9, Policy I-I
of the facility administrator or designee. Family therapy
and professional visits shall be accommodated outside ☒ ☐ ☐
the provisions of this regulation. Facilities may provide
visitation opportunities outside of normal visiting hours to
accommodate special visits.
The facility may provide access to technology as an
alternative, but not as a replacement, to in-person visiting. Section VI, Number 9, Policy I-S
☒ ☐ ☐
1375 CORRESPONDENCE
Section VI, Number 10
The facility administrator shall develop and implement
Section VI, Number 10, Policy I-A
written policies and procedures for correspondence which
☒ ☐ ☐
provide that:
(a) there is no limitation on the volume of mail that youth
may send or receive;
(b) youth may send two letters per week postage free;
Section VI, Number 10, Policy I-B
☒ ☐ ☐
All youth mail is sent postage-free.
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(c) youth may correspond confidentially with state and
federal courts, any member of the State Bar or holder of Section VI, Number 10, Policy I-C
public office, and the Board; however, authorized facility
☒ ☐ ☐
staff may open and inspect such mail only to search for
contraband and in the presence of the youth; and,
(d) incoming and outgoing mail, other than that described
in (c), may be read by staff only when there is reasonable Section VI, Number 10, Policy I-F
cause to believe facility safety and security, public safety, ☒ ☐ ☐
or youth safety is jeopardized.
1376 TELEPHONE ACCESS
Section VI, Number 11
The administrator of each juvenile facility shall develop
☒ ☐ ☐
and implement written policies and procedures to provide
youth with access to telephone communications.
1377 ACCESS TO LEGAL SERVICES
Section VI, Number 12
The facility administrator shall develop written procedures
Section VI, Number 12, Policy I-A
to ensure the right of youth to have access to the courts
☒ ☐ ☐
and legal services. Such access shall include:
(a) access, upon request by the youth, to licensed
attorneys and their authorized representatives;
(b) provision for confidential consultation with attorneys;
and, Section VI, Number 12, Policy I-B
☒ ☐ ☐
(c) unlimited postage free, legal correspondence and
cost-free telephone access as appropriate. Section VI, Number 12, Policy I-C
☒ ☐ ☐
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1390 DISCIPLINE
Section VII, Number 1, Policy I-A
The facility administrator shall develop and implement
Section VII, Number 1, Policy I-B
written policies and procedures for the discipline of youth
that shall promote acceptable behavior; including the use
The facility’s rules and sanctions are clearly
of positive behavior interventions and supports. Discipline
identified in many forms for all youth. The
shall be imposed at the least restrictive level which
sanction matrix is rarely used, only for high-
promotes the desired behavior and shall not include
risk behaviors and incidents which are rare.
corporal punishment, group punishment, physical or
The PBIS model of respect, responsible, and
psychological degradation.
safe is visually and verbally present
Deprivation of the following is not permitted:
throughout the facility. Youth are more
interested in earning points for commissary,
which works to promote the tenets of PBIS.
We observed youth in unit activities and the
classroom, noting the staff efforts to have
conversations with youth routinely as part of
their overall philosophy to promote PBIS. The
point sheets are tallied daily so youth know
where they stand in terms of bedtime,
participation in late activities, and incentive
☒ ☐ ☐
options. These pro-social activities and efforts
are on full display, evidenced by the low
number of high-risk incidents and behaviors.
We interviewed eight youth while on site, in
each of the programs, and found they seem to
trust staff and feel like they are treated well.
Staff continue to promote positive decision
choices, offering options and compromise,
which allow a youth to see the benefits of good
behavior. Accountability and teaching
moments are principles used in the daily
operations facility-wide.
The agency rule and sanction system only
includes minor and major rule violations. We
noted Due Process is completed on every rule
violation as they use the tool to enhance
conversation and promote positive choices.
(a) bed and bedding; Section VII, Number 1, Policy I-C,1
☒ ☐ ☐
(b) daily shower, access to drinking fountain, toilet and
Section VII, Number 1, Policy I-C, 2
personal hygiene items, and clean clothing; ☒ ☐ ☐
(c) full nutrition; Section VII, Number 1, Policy I-C, 3
☒ ☐ ☐
(d) contact with parent or attorney; Section VII, Number 1, Policy I-C, 4
☒ ☐ ☐
(e) exercise; Section VII, Number 1, Policy I-C, 5
☒ ☐ ☐
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(f) medical services and counseling; Section VII, Number 1, Policy I-C, 6
☒ ☐ ☐
(g) religious services; Section VII, Number 1, Policy I-C, 7
☒ ☐ ☐
(h) clean and sanitary living conditions; Section VII, Number 1, Policy I-C, 8
☒ ☐ ☐
(i) the right to send and receive mail; Section VII, Number 1, Policy I-C, 9
☒ ☐ ☐
(j) education; and, Section VII, Number 1, Policy I-C, 10
☒ ☐ ☐
(k) rehabilitative programming. Section VII, Number 1, Policy I-C, 11
☒ ☐ ☐
The facility administrator shall establish rules of conduct
and disciplinary penalties to guide the conduct of youth. Section VII, Number 1, Policy I-E
Such rules and penalties shall include both major Section VII, Number 1, Policy I-F
violations and minor violations, be stated simply and
affirmatively, and be made available to all youth. Provision ☒ ☐ ☐
shall be made to provide accessible information to youth
with disabilities, limited English proficiency, or limited
literacy.
1391 DISCIPLINE PROCESS
Section VII, Number 2
The facility administrator shall develop and implement
Section VII, Number 2, Procedure I-A
written policies and procedures for the administration of
discipline which shall include, but not be limited to:
We reviewed all 23 major DP incidents from
(a) designation of personnel authorized to impose
January 2025 to the date of the inspection. Of
discipline for violation of rules;
those, 22 were accepted without hearing and
one was appealed. The process and outcome
were appropriate for the behavior and the
documentation was clear.
The facility continues to over-use DP for minor
rule violations and separation incidents. We
☒ ☐ ☐ again provided technical assistance to
suggest the daily point sheet be the document
to address minor rule violations and
separation. However, the intent is to allow for
more conversations with youth regarding the
behavior resulting in any rule violation which,
due to their low population, affords youth and
staff to build on relationships promoting
positive behavior and supports (PBIS). This
assists in building and fostering good
relationships with staff and exceeds
regulation.
(b) prohibiting discipline to be delegated to any youth;
Section VII, Number 2, Policy I-F
☒ ☐ ☐
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(c) definition of major and minor rule violations and their
consequences, and due process requirements; Section VII, Number 1, Procedure IV-A
Section VII, Number 1, Procedure IV-B
☒ ☐ ☐
Section VII, Number 1, Procedure IV-C
(d) trauma-informed approaches and positive behavior
interventions; Section VII, Number 2, Policy I-D
☒ ☐ ☐
(e) minor rule violations may be handled informally by
counseling, advising the youth of expected conduct Section VII, Number 1, Procedure IV-A
imposing a minor consequence. Discipline shall be
☒ ☐ ☐
accompanied by written documentation and a policy of
review and appeal to a supervisor; and,
(f) major rule violations and the discipline process shall
be documented and require the following: Section VII, Number 2, Procedure I-B
☒ ☐ ☐
(1) written notice of violation prior to a hearing;
(2) accommodations provided to youth with
disabilities, limited literacy, and English language Section VII, Number 2, Policy I-B
☒ ☐ ☐
learners;
(3) hearing by a person who is not a party to the
Section VII, Number 2, Procedure I-D
incident; ☒ ☐ ☐
(4) opportunity for the youth to be heard, present
Section VII, Number 2, Procedure I-F
evidence and testimony; ☒ ☐ ☐
(5) provision for youth to be assisted by staff in the
Section VII, Number 2, Procedure I-F
hearing process; ☒ ☐ ☐
(6) provision for administrative review. Section VII, Number 2, Procedure I-H
☒ ☐ ☐
(g) violations that result in a removal from camp or
commitment program, but not a return to court, will follow Section VII, Number 2, Procedure II-G
☒ ☐ ☐
the due process provisions in subsection (e) above.
1410 MANAGEMENT OF COMMUNICABLE
DISEASES. Tuolumne County MLRJDF Section VIII,
Number 1: Management of Communicable
The health administrator/responsible physician, in
Diseases
cooperation with the facility administrator and the local
health officer, shall develop written policies and ☒ ☐ ☐
This is a comprehensive policy outlining the
procedures to address the identification, treatment,
agency response to communicable disease.
control and follow-up management of communicable
diseases. The policies and procedures shall address,
but not be limited to:
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Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 1 Intake Health
screening procedures.
MLRJDF COVID-19 Screening Form
(a) Intake health screening procedures;
☒ ☐ ☐ Wellpath Coronavirus Supplemental
Screening Form
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - Booking and Intake
Procedures
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 2: Identification of
Relevant Symptoms.
MLRJDF COVID-19 Screening Form
MLRJDF Daily COVID-19 Screening Form
(b) Identification of relevant symptoms; Wellpath Coronavirus Supplemental
☒ ☐ ☐
Screening Form
Wellpath Patient Monitoring for Positive or
Suspected COVID-19 Form
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - Booking and Intake Procedure
#2
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 3: Referral for
Medical Evaluation
Wellpath MLRJDF COVID-19 Outbreak
(c) Referral for medical evaluation;
☒ ☐ ☐ Control Plan - Booking and Intake Procedure
#5
Wellpath Nursing Triage for Complaints
related to COVID-19
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 4: Treatment
Responsibilities during Detention
Tuolumne County MLRJDF Section VIII,
(d) Treatment responsibilities during detention;
☒ ☐ ☐ Number 1; Procedure I-C
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - General Quarantine
Procedures
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Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 5: Coordination
with Public and Private Community Based
resources for follow-up treatment.
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-G
(e) Coordination with public and private community-
based resources for follow-up treatment; ☒ ☐ ☐ Tuolumne County Public Health Referral
Form
Wellpath COVID-19 Discharge Instructions
Wellpath COVID-19 Patient Education
Wellpath COVID-19 Supplemental Discharge
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 6: Applicable
Reporting Requirements
(f) Applicable reporting requirements; and, Tuolumne County MLRJDF Section VIII,
☒ ☐ ☐
Number 1; Procedure I-G
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - Communication #3
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 7: Strategies for
Handling Disease Outbreaks
(g) Strategies for handling disease outbreaks. Tuolumne County MLRJDF Section VIII,
☒ ☐ ☐
Number 1; Procedure I-E and H
Wellpath MLRJDF COVID-19 Outbreak
Control Plan
The policies and procedures shall be updated as
necessary to reflect communicable disease priorities The agency works closely with Wellpath staff
identified by the local health officer and currently and the local public health agency to ensure
recommended public health interventions. ☒ ☐ ☐ proper protocols and processes are in place
to address all COVID-19 youth.
1433 REQUESTS FOR HEALTH CARE SERVICES
Section VIII, Number 12, Procedure I-C
The health administrator, in cooperation with the facility
administrator, shall develop policy and procedures to
☒ ☐ ☐
establish a daily routine for youth to convey requests for
emergency and non-emergency medical, dental and
behavioral/mental health care services.
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1480 STANDARD FACILTY CLOTHING ISSUE
Section X, Number 1
The youth’s personal clothing, undergarments and
footwear may be substituted for the institutional clothing
☒ ☐ ☐
and footwear specified in this regulation. The facility has
the primary responsibility to provide clothing and
footwear. Clothing provisions shall ensure that:
(a) Clothing is clean, reasonably fitted, durable, easily
laundered, in good repair, and free of holes and tears. Section X, Number 1, Procedure I-B
☒ ☐ ☐
(b) The standard issue of climatically suitable clothing
for youth shall consist of but not be limited to: Section X, Number 1, Procedure I-C, 1
☒ ☐ ☐
(1) Socks and serviceable footwear;
(2) Outer garments; Section X, Number 1, Procedure I-C, 2 and 3
☒ ☐ ☐
(3) New non-disposable underwear which shall
remain with the youth throughout their stay, and; Section X, Number 1, Procedure I-C, 4
☒ ☐ ☐
(4) Undergarments, that are freshly laundered and
free of stains, including tee shirts and bras. Section X, Number 1, Procedure I-C, 5
☒ ☐ ☐
(c) Clothing is laundered at the temperature required by
local ordinances for the commercial laundries and dried Section X, Number 1, Procedure 1-D
completely in a mechanical dryer or other laundry ☒ ☐ ☐
method approved by the local health officer.
(d) Suitable clothing is issued to pregnant youth.
Section X, Number 1, Procedure I-C, 9
☒ ☐ ☐
1482 CLOTHING EXCHANGE
Section X, Number 1, Procedure I
The facility administrator shall develop and implement
written policies and site-specific procedures for the
cleaning and scheduled exchange of clothing. Unless
work, climatic conditions, or illness necessitates more ☒ ☐ ☐
frequent exchange, outer garments, except for footwear,
shall be exchanged at least once each week. Tee shirts,
bras, and underwear shall be exchanged daily; youth
shall receive their own underwear back at exchange.
1484 CONTROL OF VERMIN IN YOUTH’S
PERSONAL CLOTHING Section X, Number 2
There shall be written policies and site-specific
procedures developed and implemented by the facility
administrator to control the contamination and/or spread ☒ ☐ ☐
of vermin and ecto-parasites in all youth’s personal
clothing. Infested clothing shall be cleaned or stored in a
closed container so as to eradicate or stop the spread of
the vermin.
1485 ISSUE OF PERSONAL CARE ITEMS
Section X, Number 3, Procedure I-A
There shall be written policies and site-specific
procedures developed and implemented by the facility
administrator for the availability of personal hygiene
☒ ☐ ☐
items. Each female youth shall be provided with sanitary
napkins, panty liners and tampons as requested.
Each youth to be held over 24 hours shall be provided
with the following personal care items;
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(a) Toothbrush; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(b) Toothpaste; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(c) Soap; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(d) Comb; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(e) Shaving implements; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(f) Deodorant; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(g) Lotion; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(h) Shampoo; and, Section X, Number 3, Procedure I-A
☒ ☐ ☐
(i) Post-shower conditioning hair products. Section X, Number 3, Procedure I-A
☒ ☐ ☐
Youth shall not be required to share any personal care
items listed in items (a) through (d). Liquid soap provided Section X, Number 3, Procedure I-A
through a common dispenser is permitted. Youth shall Section X, Number 3, Procedure I-E
not share disposable razors. Double edged safety Section X, Number 3, Procedure I-G
razors, electric razors, and other shaving instruments
capable of breaking the skin, when shared among youth, ☒ ☐ ☐
shall be disinfected between individual uses by the
method prescribed by the State Board of Barbering and
Cosmetology in Sections 979 and 980, Chapter 9, Title
16, California Code of Regulations.
1486 PERSONAL HYGIENE
Section X, Number 3, Procedure I-B
There shall be written policies and site specific
Section X, Number 3, Procedure I-C
procedures developed and implemented by the facility
administrator for showering/bathing and brushing of ☒
☐ ☐
teeth. Youth shall be permitted to shower/bathe up on
assignment to a housing unit and on a daily basis
thereafter and given an opportunity to brush their teeth
after each meal.
1487 SHAVING
Section X, Number 3, Procedure IV
Youth shall have access to a razor daily, unless their
appearance must be maintained for reasons of
identification in Court. All youth shall have equal
☒ ☐ ☐
opportunity to shave face and body hair. The facility
administrator may suspend this requirement in relation
to youth who are considered to be a danger to
themselves or others.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
1488 HAIR CARE SERVICES
Section X, Number 3, Procedure V
Hair care services shall be available in all juvenile
facilities. Youth shall receive hair care services monthly.
☒ ☐ ☐
Equipment shall be cleaned and disinfected after each
haircut or procedure, by a method approved by the State
Board of Barbering and Cosmetology.
1500 STANDARD BEDDING AND LINEN ISSUE
Section XI, Number 1
Clean laundered, suitable bedding and linens, in good
repair, shall be provided for each youth entering a living ☒ ☐ ☐
area who is expected to remain overnight, shall include,
but not be limited to:
(a) One mattress or mattress-pillow combination which
meets the requirements of Section 1502 of these Section XI, Number 1, Procedure I-B, 1
☒ ☐ ☐
regulations;
(b) One pillow and a pillow case unless provided for in
(a) above; Section XI, Number 1, Procedure I-B, 1
☒ ☐ ☐
(c) One mattress cover and a sheet or two sheets; Section XI, Number 1, Procedure I-B, 2
☒ ☐ ☐
(d) One towel; and, Section XI, Number 1, Procedure I-B, 4
☒ ☐ ☐
(e) One blanket or more, up on request Section XI, Number 1, Procedure I-B, 3
☒ ☐ ☐
1501 BEDDING LINEN EXCHANGE
Section XI, Number 1, Procedure I
The facility administrator shall develop and implement
site specific written policies and procedures for the
scheduled exchange of laundered bedding and linen
☒ ☐ ☐
issued to each youth housed. Washable items such as
sheets, mattress covers, pillow cases and towels shall
be exchanged for clean replacement at least once each
week.
The covering blanket shall be cleaned or laundered once
a month. Section XI, Number 1, Procedure I-E
☒ ☐ ☐
1510 FACILITY SANITATION, SAFETY AND
MAINTENANCE Section XII, Number 1
The facility administrator shall develop and implement
written policies and site-specific procedures for the
maintenance of an acceptable level of cleanliness,
repair and safety throughout the facility. The plan shall
provide for a regular schedule of housekeeping tasks,
☒ ☐ ☐
equipment, including restraint devices, and physical
plant maintenance and inspections to identify and
correct unsanitary or unsafe conditions or work practices
in a timely manner. The use of chemicals shall be done
in accordance to the product label and Safety Data
Sheet which may include the use of Personal Protection
Equipment (PPE).
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REVIEW OF NON-REGULATORY REQUIREMENTS
GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS
JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only)
The programs/services identified on the JPCF Camp
Eligibility Form are being provided at the facility. (Refer
☐ ☐ ☒
to the JPCF Camp Eligibility Form)
208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY
The facility houses Juvenile Court Wards 19 years of
age and older. ☒ ☐ ☐
The facility has been approved to hold persons under
the juvenile court who are ages 19 through 21. ☒ ☐ ☐
The facility continues to comply with the requirements
of 208.5 WIC (programming, capacity and security of
☒ ☐ ☐
the facility) as outlined in the county’s application.
7116 Tuolumne PROB TCMLRJDF JH CI PRO 25-26 Page 57 of 57 A453 JUV PRO eff. 01.01.25
JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7717
FACILITY NAME: FACILITY TYPE:
Tuolumne County Motherlode Regional Juvenile Detention Facility SYTF
Summit Program (SYTF)
PERSON(S) INTERVIEWED: Dan Hawks, Chief Probation Officer; Mike Arndt, Assistant Chief Probation Officer; Will Neilson,
Supervising Probation Officer (SPO); Christine Schulze, SPO; Pam Orebaugh, Clinician GREC; Jason Sevier, Psychologist -
Tuolumne County Superintendent Of Schools (TCSOS); Ashley Chambeaux, Teacher – TCSOS; Janelle Wend, RN – Wellpath
Medical Services; Kayla Rolfe, Dual Enrollment Specialist, TCSOS; Steve Roos, Supervisor -Tuolumne County Behavior Health;
Melissa High, Case Manager – GEO; Ocean Arrelano, Smile Keepers Dental Services; Youth: There were no Summit youth in
custody at the time of the inspection. Russell, age 20 (prior SYTF), is currently in Detention on another matter.
FIELD REPRESENTATIVE: Elizabeth Gong DATE: September 16-18, 2025
TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
1313 COUNTY INSPECTION AND EVALUATION OF
BUILDING AND GROUNDS September 3, 2024*
July 22, 2025
On an annual basis, or as otherwise required by law, each
juvenile facility administrator shall obtain a documented ☒ ☐ ☐
*Corrections made on September 20, 2024
inspection and evaluation from the following:
(a) county building inspector or person designated by the
Board of Supervisors to approve building safety;
(b) fire authority having jurisdiction, including a fire
clearance as required by Health and Safety Code Section September 25, 2024
13146.1(a) and (b); ☒ ☐ ☐ June 26, 2025
(c) local health officer, inspection in accordance with
Health and Safety Code Section 101045; 2024:
Environmental Health: September 3, 2024
Medical/Mental Health: October 16, 2024
Nutritional Health: September 4, 2024
☒ ☐ ☐
2025:
Environmental Health: June 26, 2025
Medical/Mental Health: June 11, 2025
Nutritional Health: June 11, 2025
(d) county superintendent of schools on the adequacy of
educational services and facilities as required in Section July 15, 2024
1370; ☒ ☐ ☐ June 16, 2025
1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15
regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this
worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations,
Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of
regulations.
2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text.
7117 Tuolumne PROB TCMLRJDF Summit Program SYTF CI PRO 25-26 Page 1 of 58 A453 JUV PRO eff. 01.01.25
TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(e) juvenile court as required by Section 209 of the
Welfare and Institutions Code; and, September 6, 2024
☒ ☐ ☐ August 1, 2025
(f) the Juvenile Justice Commission as required by
Section 229 of the Welfare and Institutions Code or February 4, 2024
Probation Commission as required by Section 240 of the ☒ ☐ ☐ February 5, 2025
Welfare and Institutions Code.
1320 APPOINTMENT AND QUALIFICATIONS
Section III, Number 1, Procedure I-A
Note: Compliance with this section is determined by
receipt of the Chief Probation Officer’s certification letter
The elements of this regulation are addressed
confirming that all elements of regulation are met.
in a memorandum completed on September
11, 2025, by Chief Probation Officer Dan
(a) Appointment
☒ ☐ ☐ Hawks.
In each juvenile facility there shall be a superintendent,
director or facility manager in charge of its program and
employees. Such superintendent, director, facility
manager and other employees of the facility shall be
appointed by the facility administrator pursuant to
applicable provisions of law.
(b) Employee Qualifications
Each facility shall: Section III, Number 1, Procedure II
(1) recruit and hire employees who possess Section III, Number 1, Procedure II-1
knowledge, skills and abilities appropriate to their job ☒ ☐ ☐
classification and duties in accordance with applicable
civil service or merit system rules;
(2) require a medical evaluation and physical
examination including tuberculosis screening test and Section III, Number 1, Procedure II-2
evaluation for immunity to contagious illnesses of
☒ ☐ ☐
childhood (i.e., diphtheria, rubeola, rubella, and
mumps);
(3) adhere to the minimum standards for the selection
and training requirements adopted by the Board Section III, Number 1, Procedure II-3
☒ ☐ ☐
pursuant to Section 6035 of the Penal Code; and
(4) conduct a criminal records review, on each new
employee, and psychological examination in Section III, Number 1, Procedure II-4
accordance with Section 1031 of the Government ☒ ☐ ☐
Code.
(c) Contract personnel, volunteers, and other non-
employees of the facility, who may be present at the Section III, Number 1, Procedure II-5
facility, shall have such clearance and qualifications as
may be required by law, and their presence at the facility ☒ ☐ ☐
shall be subject to the approval and control of the facility
manager.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
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 has self-capped their population at
programming, to provide for safety and security of youth
20 youth. On the day of the inspection, there
and staff, and meet established standards and
were 18 youth in custody, including 11
regulations;
Tuolumne County youth as well as four
Calaveras County, one Mariposa County, one
Amador County, and one Inyo County youth in
the Regional Facility.
☒ ☐ ☐
The facility currently has two Supervising
Juvenile Corrections Officers (JCO). There are
five Senior JCO’s, and nine JCO I/II’s with
three of those positions vacant. There are 13
relief JCO positions utilized when necessary
that are Probation Officers that have been
Core Trained. 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
☒ ☐ ☐
(f) have sufficient food service personnel relative to the
number and security of living units, including staff qualified Section III, Number 2, Procedure I-E
and available to: plan menus meeting nutritional
requirements of youth; provide kitchen supervision; direct Meals are provided by Summit Foods through
food preparation and servings; conduct related training ☒ ☐ ☐ the Tuolumne County Jail and served by
programs for culinary staff; and maintain necessary serve-safe-certified JCO staff and/or youth.
records; or, a facility may serve food that meets nutritional
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 youth supervision staff.
diverted from supervising youth; and,
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(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 a
minimum youth-staff ratio for the following facility types: 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.
☒ ☐ ☐ Current regulations for staffing have no
designation for SYTF. We note the agency
process would include the same ratio as JH
youth. On the day of the inspection, there were
no SYTF youth in custody.
(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- This facility is not a Special Purpose Juvenile
awake youth supervision staff member on duty for ☐ ☐ ☒ Hall.
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.
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(E) personnel with primary responsibility for other
duties such as administration, supervision of
personnel, academic or trade instruction, clerical,
☐ ☐ ☒
kitchen or maintenance shall not be classified as
youth supervision staff positions.
(3) Camps
(A) during the hours that youth are awake, one This facility is not a Camp.
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.
1322 YOUTH SUPERVISION STAFF ORIENTATION
AND TRAINING Section III, Number 4, Procedure I-A
Section III, Number 4, Procedure I-B
(a) Prior to assuming any responsibilities each youth
Section III, Number 4, Procedure I-B, 1
supervision staff member shall be properly oriented to
Section III, Number 4, Procedure I-C
their duties, including:
Section III, Number 4, Procedure I-D
(1) youth supervision duties;
The agency spends three weeks to train to
specific facility responsibilities and to ensure
they are ready for all youth supervision duties.
A Training Checklist Sign-Off is completed by
the staff and trainer. The facility administration
☒ ☐ ☐
has implemented a curriculum ensuring staff
and ancillary personnel working with and/or
supervising youth are aware of their role and
responsibilities.
We reviewed the training checklists for the
eight newly hired JCO’s and JCO Cored
Probation Officers in 2025. The training
curriculum is inclusive of all elements for the
40 hours required in regulation.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(2) scope of decisions they shall make; Section III, Number 4, Procedure I-B, 2
☒ ☐ ☐
(3) the identity of their supervisor; Section III, Number 4, Procedure I-B, 3
☒ ☐ ☐
(4) the identity of persons who are responsible to
them; Section III, Number 4, Procedure I-B, 4
☒ ☐ ☐
(5) persons to contact for decisions that are beyond
their responsibility; and Section III, Number 4, Procedure I-B, 5
☒ ☐ ☐
(6) ethical responsibilities.
Section III, Number 4, Procedure I-B, 6
☒ ☐ ☐
(b) Prior to assuming any responsibility for the supervision
of youth, each youth supervision staff member shall Section III, Number 4, Procedure I-A
receive a minimum of 40 hours of facility-specific Section III, Number 4, Procedure I-C, 2
orientation, including:
(1) individual and group supervision techniques; The facility has a detailed staff orientation
which includes internal training by a ‘Field
☒ ☐ ☐ Training Officer’ mentoring and training new
staff in facility operations. The trainer and staff
initial a checklist after each component,
including many areas which exceed T15
requirements.
(2) regulations and policies relating to discipline and
rights of youth pursuant to law and the provisions of Section III, Number 4, Procedure I-C, 3
☒ ☐ ☐
this chapter;
(3) basic health, sanitation and safety measures; Section III, Number 4, Procedure I-C, 8
☒ ☐ ☐
(4) suicide prevention and response to suicide
Section III, Number 4, Procedure I-C, 9
attempts ☒ ☐ ☐
(5) policies regarding use of force, de-escalation
techniques, chemical agents, mechanical and Section III, Number 4, Procedure I-C, 4
☒ ☐ ☐
physical restraints;
(6) review of policies and procedures referencing
Section III, Number 4, Procedure I-C, 5
trauma and trauma-informed approaches; ☒ ☐ ☐
Section III, Number 4, Procedure I-C, 6
(7) procedures to follow in the event of emergencies;
☒ ☐ ☐ Section III, Number 4, Procedure I-C, 7
(8) routine security measures, including facility
Section III, Number 4, Procedure I-C, 13
perimeter and grounds; ☒ ☐ ☐
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
Section III, Number 4, Procedure I-C, 9
Section III, Number 4, Procedure I-C, 10
(9) crisis intervention and mental health referrals to
There is a TCBH Case Manager assigned to
mental health services; ☒ ☐ ☐
the facility who designates county BH
Clinicians to complete groups and individual
counseling for in-custody youth.
(10) documentation; and Section III, Number 4, Procedure I-C, 11
☒ ☐ ☐
(11) fire/life safety training Section III, Number 4, Procedure I-C, 12
☒ ☐ ☐
(c) Prior to assuming sole supervision of youth, each
youth supervision staff member shall successfully Section III, Number 4, Procedure I-B
complete the requirements of the Juvenile Corrections
Officer Core Course pursuant to Penal Code Section Of the current Senior JCO’s and JCO I/II staff
6035. responsible for youth supervision, all are core
☒ ☐ ☐ trained. There are three vacancies in the JCO
I/II series. The agency utilizes JCO Core
Trained Probation Officers to assist when
coverage is needed.
(d) Prior to exercising the powers of a peace officer youth
supervision staff shall successfully complete training Section III, Number 4, Procedure I-C
pursuant to Section 830 et seq. of the Penal Code.
All 11 Senior and JCO I/II staff are core trained
☒ ☐ ☐
youth supervision staff and have completed
PC 830.
1323 FIRE AND LIFE SAFETY
Section III, Number 22, Procedure I-A
Whenever there is a youth in a juvenile facility, there shall
be at least one wide awake person on duty at all times
All cored youth supervision staff and
who meets the training standards established by the ☒ ☐ ☐
Supervisors received Fire and Life Safety
Board for general fire and life safety which relate
training in JCO Core.
specifically to the facility.
1324 POLICY AND PROCEDURES MANUAL
Section III, Number 23, Procedure I
All facility administrators shall develop, publish, and
implement a manual of written policies and procedures
Facility Superintendent and Assistant Chief
that address, at a minimum, all regulations that are
Probation Officer, Mike Arndt, completed a
applicable to the facility. Such a manual shall be made
memo, dated August 13, 2025, that the facility
available to all employees, reviewed by all employees,
Policy and Procedure Manual has been
and shall be administratively reviewed at a minimum
☒ ☐ ☐ reviewed and is current. Facility staff are
every two years, and updated, as necessary. Those
required to read the manual each year, signing
records relating to the standards and requirements set
a document kept in their personnel file to verify
forth in these regulations shall be accessible to the Board
compliance for this policy requirement. We
on request.
reviewed these sign-offs for facility staff thus
The manual shall include:
far for the year 2025.
(a) table of organization, including channels of
communications and a description of job classifications; Section III, Number 23, Procedure II-B, 1
☒ ☐ ☐
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(b) responsibility of the probation department, purpose of
programs, relationship to the juvenile court, the Juvenile Section III, Number 23, Procedure II-B, 2
Justice/Delinquency Prevention Commission or
Probation Committee, probation staff, school personnel ☒ ☐ ☐
and other agencies that are involved in juvenile facility
programs;
(c) responsibilities of all employees;
Section III, Number 23, Procedure II-B, 3
☒ ☐ ☐
(d) initial orientation and training program for employees;
Section III, Number 23, Procedure II-B, 4
☒ ☐ ☐
(e) initial orientation, including safety and security issues
and anti-discrimination policies, for support staff, contract Section III, Number 23, Procedure II-B, 5
employees, school, mental/behavioral health and medical ☒ ☐ ☐
staff, program providers and volunteers;
(f) maintenance of record-keeping, statistics and
communication system to ensure: Section III, Number 23, Procedure II-B, 6
(1) efficient operation of the juvenile facility; ☒ ☐ ☐ Section III, Number 23, Procedure II-B, 6-a
(2) legal and proper care of youth; Section III, Number 23, Procedure II-B, 6-b
☒ ☐ ☐
(3) maintenance of individual youth's records; Section III, Number 23, Procedure II-B, 6-c
☒ ☐ ☐
(4) supply of information to the juvenile court and
Section III, Number 23, Procedure II-B, 6-d
those authorized by the court or by the law; and, ☒ ☐ ☐
(5) release of information regarding youth. Section III, Number 23, Procedure II-B, 6-e
☒ ☐ ☐
(g) ethical responsibilities; Section III, Number 23, Procedure II-B, 6-f
☒ ☐ ☐
(h) trauma-informed approaches; Section III, Number 23, Procedure II-B, 7
☒ ☐ ☐
(i) culturally responsive approaches; Section III, Number 23, Procedure II-B, 8
☒ ☐ ☐
(j) gender responsive approaches; Section III, Number 23, Procedure II-B, 9
☒ ☐ ☐
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(k) a non-discrimination provision that provides that all
youth within the facility shall have fair and equal access to Section III, Number 23, Procedure II-B, 10
all available services, placement, care, treatment, and
benefits, and provides that no person shall be subject to The Non-Discrimination Policy is in the Youth
discrimination or harassment on the basis of actual or Handbook and in the procedures of admission,
perceived race, ethnic group identification, ancestry, classification, and due process. It is also
☒ ☐ ☐
national origin, immigration status, color, religion, gender, posted in the living unit.
sexual orientation, gender identity, gender expression,
mental or physical disability, or HIV status, including
restrictive housing or classification decisions based solely
on any of the above mentioned categories;
(l) storage and maintenance requirements for any
chemical agents related security devices, and weapons Section III, Number 23, Procedure II-B, 11
and ammunition, where applicable; ☒ ☐ ☐ Section III, Number 22, Procedure IV-A, 8
(m) establishment of procedures for collection of Medi-
Cal eligibility information and enrollment of eligible youth; Section III, Number 23, Procedure II-B, 12
☒ ☐ ☐
and,
(n) establishment of a policy that prohibits all forms of
sexual abuse, sexual assault and sexual harassment. Section III, Number 23, Procedure II-B, 13
The policy shall include an approach to preventing,
detecting and responding to such conduct and any The facility has a comprehensive PREA policy,
retaliation for reporting such conduct, as well as a including staffing the facility at 1:8 during
provision for reporting such conduct by youth, staff or a waking hours and 1:16 for sleeping hours. The
third party. ☒ ☐ ☐ staffing pattern is based on a self-imposed cap
of population. There are sufficient staff to cover
in the event the self-cap needs to be
increased, up to 24 youth during waking hours
and 32 youth during sleeping hours.
1325 FIRE SAFETY PLAN
Section III, Chapter 22
The facility administrator shall consult with the local fire
Section III, Number 22, Procedure IV-A, 1
department having jurisdiction over the facility, or with the
State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐
which shall include, but not be limited to:
(a) a fire prevention plan to be included as part of the
manual of policy and procedures;
(b) monthly fire and life safety inspections by facility staff
with two-year retention of the inspection record; Section III, Number 22, Procedure IV-A, 2
The facility has an assigned safety officer that
conducts these inspections monthly. We
reviewed all the monthly inspections from
☒ ☐ ☐ January 2025 to the date of the inspection.
The form and inspection process for recording
deficiencies or need for repair are well
documented and addressed by maintenance if
necessary.
(c) fire prevention inspections as required by Health and
Safety Code Section 13146.1(a) and (b); Section III, Number 22, Procedure IV-A, 3
☒ ☐ ☐
(d) an evacuation plan;
Section III, Number 22, Procedure IV-A, 4
☒ ☐ ☐
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(e) documented fire drills not less than quarterly;
Section III, Number 22, Procedure IV-A, 5
We reviewed fire drills from January 2025 to
☒ ☐ ☐ the date of the inspection. The agency
completes drills more frequently than required
in regulation.
(f) a written plan for the emergency housing of youth in
the case of fire; and, Section III, Number 22, Procedure IV-A, 6
Section III, Number 22, Procedure IX-C, 1-c
The facility has an active Mutual Aid MOU with
☒ ☐ ☐
the Central Valley counties to accept their
youth in the event of an emergency
evacuation.
(g) development of a fire suppression pre-plan in
cooperation with the local fire department. Section III, Number 22, Procedure IV-A, 7
☒ ☐ ☐
1326 SECURITY REVIEW
Section III, Number 24
Each facility administrator shall develop policies and
Section III, Number 33 Security Procedures
procedures to annually review, evaluate, and document
Section III, Number 34 Key Control
security of the facility. The review and evaluation shall
Section III, Number 22, Procedure III-E Annual
include internal and external security, including, but not
Review
limited to, key control, equipment, and staff training.
A Security Review memo was completed by
Supervisor William Neilsen on August 8, 2025,
outlining the security practices and needs for
the facility.
The memo identified the most current issues,
including the following. The installation of a
Roof Barrier was completed in March 2025. A
shower door to better address ADA and
LGBTQI issues of possible victimization was
installed in March 2025. An additional camera
☒ ☐ ☐
was installed in the kitchen (non-youth space).
Upgraded 360 cameras replaced existing
cameras in the living unit due to the visual
obstruction from the stairwell, as well as in the
outdoor Visitation Yard and Meditation
Garden, in July 2025. The replacement of the
rolling Sally Port door was completed in
January 2025. The agency purchased a Tek-
84 Body Scanner which became operational
after training and policy implementation in
March 2025. A Suicide Prevention Barrier,
determined to be necessary in 2024, was
installed on the top tier of the living unit in
August 2025. Lastly, a glass barrier was
installed for the JCO Workstation due to
damage of computer screens during incidents.
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1327 EMERGENCY PROCEDURES
Section III, Number 22
The facility administrator shall develop facility-specific
Section III, Number 25 Hostages
policies and procedures for emergencies that shall
Section III, Number 26 Escapes
include, but not be limited to:
Section III, Number 32 Firearms in the Facility
(a) escape, disturbances, and the taking of hostages;
☒ ☐ ☐
An emergency procedure memo was
completed by Supervising Probation Officer
William Neilsen on September 2, 2025.
Section III, Number 22, X Civil Disturbance,
Active Shooter, Terrorist Attack
(b) civil disturbance, active shooter and terrorist attack;
☒ ☐ ☐ Section III, Number 28 Bomb Threat
Section III, Number 30 Riot Control
Section III, Number 22
Section III, Number 27 Hazard Mat Response
(c) fire and natural disasters; Section III, Number 22, Procedure VIII
☒ ☐ ☐
Earthquake
Section III, Number 22, Procedure IX Flood
(d) periodic testing of emergency equipment; Section III, Number 29 Power Failure
☒ ☐ ☐
Section III, Number 22, Procedure IV-A, 4
(e) emergency evacuation of the facility; and Section III, Number 22, Procedure XI
☒ ☐ ☐
Evacuation
Section III, Number 22, Procedure IV-C Initial
Orientation
(f) a program to provide all youth supervision staff with
an annual review of emergency procedures. ☒ ☐ ☐ Facility staff are required to read the facility
policy manual each year, which outlines all
Emergency Procedures in all situations.
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1328 SAFETY CHECKS
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 electronical safety check
observation of youth at a minimum of every 15 minutes,
system and completes daily audits to ensure
at random or varied intervals during hours when youth
variance of the checks and that they are timely.
are asleep or when youth are in their rooms, confined in
Late checks are reviewed via video.
holding cells or confined to their bed in a dormitory.
Supervision is not replaced, but may be supplemented
The system allows for deactivation when youth
by, an audio/visual electronic surveillance system
are “all out” and no check is needed. If there is
designed to detect overt, aggressive or assaultive
a late check, facility administration is notified,
behavior and to summon aid in emergencies. All safety
and staff are required to make an entry in the
checks shall be documented with the actual time the
unit log the reason for the late check.
check is completed.
We reviewed safety check audits for the
months of January, April, and August 2025.
We found minimal late checks, with the audit
revealing less than .03 late checks during this
☒ ☐ ☐
period, some seconds late. The audit process
in place is effective and any consistent
patterns are handled administratively, per
policy.
We suggested the agency ensure the variance
component of random and varied is better
monitored. While on site, the agency has
requested the Guard 1 System include that
factor in the report for easier auditing.
We also suggested a better pattern for checks
as youth go down for the evening in ensuring
the in/out record is recorded during showers,
med pass, and clean up, which occur post
bedtime for some youth.
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1329 SUICIDE PREVENTION PLAN
Section III, Number 36
The facility administrator, in collaboration with the
healthcare and behavioral/mental health administrators,
The Suicide Prevention Plan and policy are a
shall plan and implement written policies and
collaboration with WellPath Medical and
procedures which delineate a Suicide Prevention Plan.
Tuolumne County Behavioral Health, which
The plan shall consider the needs of youth experiencing
includes very specific roles and responsibilities
past or current trauma. Suicide prevention responses
for medical, behavior health, and probation
shall be respectful and in the least invasive manner
facility staff.
consistent with the level of suicide risk. The plan shall
include the following elements:
The facility policy and annual training in
suicide prevention is comprehensive and
inclusive of all elements in regulation. The
agency has an on-site Behavior Health Case
Manager and multiple Clinicians with the
agency to address and see youth as
necessary. We found the Wellpath Medical
Manual is the Global Policy which includes an
immediate decision for a safety smock for any
suicidal behaviors as well as a step down from
☒ ☐ ☐
Suicide Watch to Safety Watch to full
integration. During our interview with Wellpath,
we advised that this section needed to be site-
specific and in line with the facility model and
approach to the least restrictive response to a
suicide-related incident.
There have two youth placed on Precautionary
Status in 2025 due to suicidal statements, both
in detention. One youth made statements to
the arresting officer and, while at the hospital
for clearance, was placed on this status at
admission. The second youth exhibited
behaviors necessitating a watch pending a BH
Assessment. We reviewed the two incidents
and found the agency responded per policy,
regulation, and within guidelines established
by Behavior Health.
(a) Suicide prevention training as required in Section
1322, Youth Supervision Staff Orientation, and Training Section III, Number 36, Procedure I-B
☒ ☐ ☐
and the Juvenile Corrections Officer Core Course.
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(b) Screening, Identification Assessment and
Precautionary Protocols Section III, Number 36, Procedure I-C
(1) All youth shall be screened for risk of suicide at Section III, Number 36, Procedure I-D
intake and as needed during detention.
The facility uses the MAYSI prior to housing
youth at intake, which assesses the youth’s
likeliness to have suicidal behaviors or
ideations while in detention. The tool provides
a caution or warning status which places a
youth, per policy, on a special watch pending
review and being seen by Behavior Health.
The agency also has adapted the SAFE-T
Assessment to identify certain suicide
behaviors, which is implemented by Behavior
Health.
☒ ☐ ☐ Behavior Health has a Case Manager and
assigned clinicians to see youth on site.
WellPath Medical is on site five hours a
day/four days a week and services are then
provided by the on-call WellPath staff. If a
youth is identified with Suicidal behaviors, the
WellPath Manual states immediate placement
in a safety smock pending assessment. We
pointed out this is contradictory to facility policy
and regulation which includes the least
restrictive language. We provided information
to the assigned RN while on site and the
Superintendent that this needed to be updated
from the Wellpath Global Policy to a site-
specific policy.
(2) All youth supervision staff who perform intake
processes shall be trained in screening youth for risk Section III, Number 36, Procedure I-B
of suicide.
The agency provides eight hours of initial
☒ ☐ ☐
training and an annual 2-hour refresher
training for all youth supervision staff.
(3) All youth who have been identified during the
intake screening process to be at risk of suicide shall Section III, Number 36, Procedure I-D
be referred to behavioral/mental health staff for a ☒ ☐ ☐
suicide risk assessment.
(4) Precautionary protocols shall be developed to
ensure the youth’s safety pending the Section III, Number 36, Procedure II
behavioral/mental health assessment.
☒ ☐ ☐ Youth are placed on a Safety Watch pending
review or being seen by a BH or MH person.
(c) Referral process to behavioral/mental health staff for
assessment and/or services. Section III, Number 36, Procedure II-A
☒ ☐ ☐ Section III, Number 36, Procedure II-B
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(d) Procedures for monitoring of youth identified at risk
for suicide. Section III, Number 36, Procedure II
The facility proactively provides direct visual
☒ ☐ ☐ supervision of all youth who are identified as a
risk of actively attempting or verbally
discussing suicide.
(e) Safety Interventions
(1) Procedures to address intervention protocols for Section III, Number 36, Procedure II-C
youth identified at risk for suicide which may Section III, Number 36, Procedure II-C, 1-3
include, but are not limited to:
(A) Housing consideration ☒ ☐ ☐ The facility has a comprehensive suicide
risk/needs assessment as well as the MAYSI
Screening tool utilized for each intake.
(B) Treatment strategies including trauma-
informed approaches Section III, Number 36, Procedure III-G
The facility provides treatment strategies
based on a training curriculum and policy,
☒ ☐ ☐
which references how staff address and
supervise youth at risk, defined by the
assessment.
(2) Procedures to instruct youth supervision staff how
to respond to youth who exhibit suicidal behaviors. Section III, Number 36, Procedure II-D
The two incidents we reviewed revealed
compliance with regulation and policy, as well
as a vested interest in helping the youth. The
☒ ☐ ☐ forms, process, and administrative
involvement/review is used as a training tool
for staff. Facility staff are very aware of the risk
and responses of suicidal behavior based on
extensive training.
(f) Communication
(1) The intake process shall include communication Section III, Number 36, Procedure I-C
with the arresting officer and family guardians Section III, Number 36, Procedure I-E
regarding the youth’s past or present suicidal
ideations, behaviors or attempts. ☒ ☐ ☐ The admission forms include several
referenced areas that include communication
with the officer and family.
(2) Procedures for clear and current information
sharing about youth at risk for suicide with youth Section III, Number 36, Procedure I-E
supervision, healthcare, and behavioral/mental ☒ ☐ ☐
health staff.
(g) Debriefing of Critical Incidents Related to Suicides or
Attempts Section III, Number 26, Procedure III-H
(1) Process for administrative review of the
☒ ☐ ☐
circumstances and responses proceeding, during
and after the critical incident.
(2) Process for a debriefing event with affected staff. Section III, Number 36, Procedure III-G
☒ ☐ ☐
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(3) Process for a debriefing event with affected youth.
Section III, Number 36, Procedure III-G
☒ ☐ ☐
(h) Documentation
(1) Documentation processes shall be developed to Section III, Number 36, Procedure III-F
☒ ☐ ☐
ensure compliance with this regulation
Youth identified at risk for suicide shall not be denied the
opportunity to participate in facility programs, services Section III, Number 36, Procedure II-G
and activities which are available to other non-suicidal Section III, Number 36, Procedure II-I
youth, unless deemed necessary for the safety of the
youth or security of the facility. Any deprivation of The facility staff work within policy to identify
☒ ☐ ☐
programs, services or activities for youth at risk of the youth’s specific housing needs,
suicide shall be documented and approved by the facility programming elements, and engagement with
manager. other youth.
1340 REPORTING OF LEGAL ACTIONS
Section IV, Number 1
Each facility shall submit to the Board a letter of
notification on each legal action, pertaining to conditions
There are no pending legal actions against the
of confinement, filed against persons or legal entities ☒ ☐ ☐
Tuolumne County Motherlode Regional
responsible for juvenile facility operation.
Juvenile Detention Facility.
1341 DEATH AND SERIOUS ILLNESS OR INJURY
OF A YOUTH WHILE DETAINED Section IV, Number 3, I-F
Section IV, Number 3, I-A
(1) Death of a Youth.
(a) The facility administrator, in cooperation with the
health administrator and the behavioral/mental
health director, shall develop written policies and ☒ ☐ ☐
procedures in the event of the death of a youth while
detained, which include notifications to necessary
parties, which may include the Juvenile Court, the
parent, guardian or person standing in loco parentis
and the youth’s attorney of record.
(b) The health administrator, in cooperation with the
facility administrator, shall develop written policies Section IV, Number 3, I-B
and procedures to assure there is a medical and Section IV, Number 3, I-C
operational review of every in-custody death of a
youth. The review team shall include the facility
☒ ☐ ☐
administrator and/or facility manager, the health
administrator, the responsible physician and other
health care and supervision staff who are relevant to
the incident.
(c) The administrator of the facility shall provide to
the Board a copy of the report submitted to the Section IV, Number 3, I-D
Attorney General under Government Code Section
☒ ☐ ☐
12525. A copy of the report shall be submitted to the
Board within 10 calendar days after the death.
(d) Upon receipt of a report of the death of a youth
from the administrator, the Board may within 30 Section IV, Number 3, I-E
calendar days inspect and evaluate the juvenile
facility, jail, lockup or court holding facility pursuant to
☒ ☐ ☐
the provisions of this subchapter. Any inquiry made
by the Board shall be limited to the standards and
requirements set forth in these regulations.
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(2) Serious Illness or Injury of Youth.
(a) The facility administrator, in cooperation with the Section IV, Number 3, I-H
health administrator, shall develop written policies
and procedures for the notification to necessary
parties, which may include the Juvenile Court, the ☒ ☐ ☐
parent, guardian or person standing in loco parentis
and the youth’s attorney of record in the case of a
serious illness or injury of a youth.
1342 POPULATION ACCOUNTING
Section IV, Number 4
Each juvenile facility shall submit required population
and profile survey reports to the Board within 10 working ☒ ☐ ☐
days after the end of each reporting period, in a format
to be provided by the Board.
1343 JUVENILE FACILITY CAPACITY (EXCERPT)
Section IV, Number 5
When the number of youth detained in a living unit of a
juvenile facility exceeds its rated capacity for more than
☒ ☐ ☐
fifteen (15) calendar days in a month, the facility
administrator shall provide a crowding report to the
Board in a format provided by the Board.
1350 ADMITTANCE PROCEDURES
Section V, Number 1 Purpose
The facility administrator shall develop and implement
Section V, Number 1-C
written policies and procedures for admittance of youth
that emphasize respectful and humane engagement
The agency has a comprehensive intake
with youth, and reflect that the admission process may
process for youth and includes an “Intake
be traumatic to youth who may have already
Checklist” to ensure all procedural elements
experienced trauma. Policies shall be trauma-informed,
are met. The facility only accepts youth
culturally relevant, and responsive to the language and
identified with risks to community safety or
literacy needs of youth. In addition to the requirements
themselves, as screened from the Detention
of Sections 1324 and 1430 of these regulations:
Risk Assessment Instrument (DRAI), the
MAYSI, and an internal risk/needs screening
tool.
We reviewed over 30 comprehensive intake
☒ ☐ ☐
packets facility-wide that included the
Checklist; the Intake Health Screening;
Property Inventory; the Youth Strengthening
Admissions Assessment (Trauma, emotional,
risks and needs); PREA Acknowledgement;
Language and Gender Preference Forms;
Admission Report; Consent for Medical
Treatment; Dental Permission Slip; and
MAYSI/DRAI Assessments.
The process is inclusive of information to
assist staff and agency partners for youth care
while in custody.
(a) the admittance process shall include:
(1) Access to two free phone calls within one hour of Section V, Number 1, Procedure I-S
admittance in accordance with the provisions of ☒ ☐ ☐
Welfare and Institution Code Section 627;
(2) Offer of a shower; Section V, Number 1, Procedure I-M
☒ ☐ ☐
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(3) Documented secure storage of personal Section V, Number 1, Procedure I-L
belongings; ☒ ☐ ☐ Section V, Number IV
(4) Offer of food upon arrival; Section V, Number 1, Procedure I-M
☒ ☐ ☐
(5) Screening for physical and behavioral health and
safety issues, intellectual or developmental Section V, Number 1, Procedure I-F
☒ ☐ ☐
disabilities;
(6) Screening for physical and developmental
disabilities in accordance with Sections 1329, 1413, Section V, Number1, Procedure I-C
☒ ☐ ☐
and 1430 of these regulations;
(7) Contact with Regional Center for the
Developmentally Disabled for youth that are Section V, Number 1, Procedure I-D
suspected of or identified as having a
☒ ☐ ☐
developmental disability, pursuant to Section 1413;
and,
(8) Procedures consistent with Section 1352.5. Section V, Number 6
☒ ☐ ☐
(b) juvenile hall administrators shall establish written
criteria for detention that considers the least restrictive Section V, Number 1, Procedure I-III
environment.
The facility has specific criteria for detention,
which allows for an override if justified.
Because this is a Regional Facility, SJCO’s
screen out-of-county youth for the program. If
☒ ☐ ☐
necessary, the Facility Superintendent will
review. Expectations for meeting with youth,
completing case plans, and meeting program
guidelines are reviewed with the County of
jurisdiction.
(c) juvenile camps and post-dispositional programs in
juvenile halls shall develop policies and procedures that Section V, Number I-N
advise the youth of the estimated length of stay, inform
them of program guidelines and provide written ☒ ☐ ☐
screening criteria for inclusion and exclusion from the
program.
(d) juvenile halls shall develop policies and procedures
that advise any committed youth of the estimated length Section V, Number I-N
☒ ☐ ☐
of his/her stay.
1350.5 SCREENING FOR THE RISK OF SEXUAL
ABUSE Section V, Number 6
Section V, Number 6, Procedure I-B
The facility administrator shall develop and implement
written policies and procedures to reduce the risk of
The facility developed a tool, the Youth
sexual abuse by or upon youth. The policy shall require
☒ ☐ ☐ Strengthening Admissions Assessment, within
facility staff to assess each youth within 72 hours of
their classification screening instrument to
admission based on the following information:
address youth who are potential perpetrators
(a) Prior sexual victimization or abusiveness;
or victims of sexual assault or abuse.
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(b) Gender nonconforming appearance or manner; or
identification as lesbian, gay or bisexual, transgender, Section V, Number 6, Procedure I-B
queer or intersex, and whether the youth may, therefore, ☒ ☐ ☐
be vulnerable to sexual abuse;
(c) Current charges and offense history; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(d) Age; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(e) Level of emotional and cognitive development; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(f) Physical size and stature; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(g) Mental illness or mental disabilities; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(h) Intellectual or developmental disabilities; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(i) Physical disabilities; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(j) The youth’s perception of vulnerability; and, Section V, Number 6, Procedure I-B
☒ ☐ ☐
(k) Any other specific information about the individual
youth that may indicate heightened needs for The Classification/Youth Housing Screening
supervision, additional safety precautions, or separation tool and the Youth Strengthening Admissions
from certain other youth. Assessment were developed in coordination
☒ ☐ ☐ with BH to establish and identify information
which could or would assist in all safety
elements.
Staff shall ascertain this information through
conversations with the youth during the admittance Section V, Number 6, Procedure I-A
process, medical and behavioral health screenings;
during classification assessments; and by reviewing ☒ ☐ ☐ The admission risk/needs assessment is used
court records, case files, facility behavioral records, and to assist in classification of all admitted youth.
other relevant documentation from the youth’s files.
The facility administrator shall implement appropriate
controls on the dissemination of information within the Section V, Number 6, Policy I-B
facility relative to responses received pursuant to this
assessment in order to ensure that sensitive information ☒ ☐ ☐
is not exploited to the youth’s detriment by staff or other
youth.
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1351 RELEASE PROCEDURES
Section V, Number 7
The facility administrator shall develop and implement
written policies and procedures for release of youth from
The agency conducts weekly Multi-
custody which provide for:
Disciplinary Team meetings with the Behavior
Health Case Manager, Wellpath Medical staff,
TCOE personnel (including clinicians,
teachers and the psychologist), and the
agency staff prior to release and during the
youth’s stay. Transition planning and ongoing
services in the community are addressed. The
meetings continue to occur weekly for
detention and commitment youth. Regional
youth are included and case notes are
☒ ☐ ☐ forwarded to the County of jurisdiction.
We reviewed numerous release documents
indicating compliance of all elements related to
the release process.
The process for release or step down to a
lesser restrictive program is articulated in the
Individual Service Plan for SYTF. Appropriate
and coordinated services are provided to
Tuolumne youth. Out-of-county youth are
released via their own Court process with
transportation provided by that agency.
(a) verification of identity/release papers; Section V, Number 7, Procedure I-A
☒ ☐ ☐
(b) return of personal clothing and valuables; Section V, Number 7, Procedure I-F
☒ ☐ ☐
(c) notification to the youth's parents or guardian; Section V, Number 7, Procedure I-D
☒ ☐ ☐
(d) notification to the facility health care provider in
accordance with Sections 1408 and 1437 of these Section V, Number 7, Procedure I-C
☒ ☐ ☐
regulations, for coordination with outside agencies; and,
(e) notification of school staff; Section V, Number 7, Procedure I-H
☒ ☐ ☐
(f) notification of facility mental health personnel. Section V, Number 7, Procedure I-G
☒ ☐ ☐
The facility administrator shall develop and implement
policies and procedures for post-disposition youth to Section V, Number 7, Procedure I-A
coordinate the provision of transitional and reentry
services including, but not limited to, medical and ☒ ☐ ☐
behavioral health, education, probation supervision and
community-based services.
The facility administrator shall develop and implement
written policies and procedures for the furlough of youth The facility has re-started furlough
from custody. opportunities for youth committed to Steps 2
☒ ☐ ☐
Success.
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1352 CLASSIFICATION
Section V, Number 9
The facility administrator shall develop and implement
written policies and procedures on classification of youth
☒ ☐ ☐
for the purpose of determining housing placement in the
facility.
Such procedures shall:
(a) provide for the safety of the youth, other youth, facility
staff, and the public by placing youth in the appropriate, Section V, Number 9, Procedure I-A
least restrictive housing and program settings. Housing
☒ ☐ ☐
assignments shall consider the need for single, double
or dormitory assignment or location within the dormitory;
(b) consider facility populations and physical design of
the facility; Section V, Number 9, Procedure I-A
☒ ☐ ☐
(c) provide that a youth shall be classified upon
admittance to the facility; classification factors shall Section V, Number 9, Procedure I-B
include, but not be limited to: age, maturity, Section V, Number 9, Procedure C-1 to 12
sophistication, emotional stability, program needs, legal
status, public safety considerations, medical/mental The Classification/Youth Housing Screening
health considerations, gender and gender identity of the Tool and the Youth Strengthening Admissions
youth; Assessment continue to be used to evaluate a
youth’s classification needs. The facility has
☒ ☐ ☐ one unit with 30 beds, so determining
appropriate housing is important to ensure
staff contact and observation needs can be
easily met. The screening tools were
developed in coordination with BH to establish
and identify all safety elements to address
youth needs and behaviors.
(d) provide for periodic classification reviews, including
provisions that consider the level of supervision and the Section V, Number 9, Procedure I-E
youth's behavior while in custody; and,
☒ ☐ ☐
The reviews occur weekly.
(e) provide that facility staff shall not separate youth from
the general population or assign youth to a single Section V, Number 9, Procedure I-F
occupancy room based solely on the youth's actual or
perceived race, ethnic group identification, ancestry, Staff have the ability to override or determine
national origin, color, religion, gender, sexual orientation, particular housing needs based on the overall
gender identity, gender expression, mental or physical ☒ ☐ ☐ circumstances from the numerous admission
disability, or HIV status. This section does not prohibit and classification screening tools, as well as
staff from placing youth in a single occupancy room at day-to-day youth behavior.
the youth's specific request or in accordance with Title
15 regulations regarding separation.
(f) facility staff shall not consider lesbian, gay, bisexual,
transgender, questioning or intersex identification or Section V, Number 9, Procedure I-G
status as an indicator of likelihood of being sexually ☒ ☐ ☐
abusive.
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1352.5 TRANSGENDER AND INTERSEX YOUTH.
Section V, Number 10
The facility administrator shall develop written policies
and procedures ensuring respectful and equitable
The facility developed a gender preference
treatment of transgender and intersex youth.
form which includes staff having a
The policies shall provide that:
conversation with youth at admission and a
signature from the youth after the gender
☒ ☐ ☐
preferences are identified to ensure
responsiveness to their requested preferences
as it relates to search, housing, and clothing.
This is also communicated to ancillary staff to
have consistent gender references.
(a) Facility staff shall respect every youth’s gender
identity and shall refer to the youth by the youth’s Section V, Number 10, Procedure I-A
preferred name and gender pronoun, regardless of the
youth’s legal name. Facilities may prohibit the use of
gang or slang names or names that otherwise ☒ ☐ ☐
compromise facility operations as determined by the
facility manager or designee, and shall document any
decision made on this basis.
(b) Facility staff shall permit youth to dress and present
themselves in a manner consistent with their gender Section V, Number 10, Procedure I-B
identity and shall provide youth with the institution’s
☒ ☐ ☐
clothing and undergarments consistent with their gender
identity.
(c) Facility staff shall house youth in the unit or room that
best meets their individual needs and promotes their Section V, Number 10, Procedure I-C
safety and well-being. Staff may not automatically house
youth according to their external anatomy and shall
document the reasons for any decision to house youth
☒ ☐ ☐
in a unit that does not match their gender identity. In
making a housing decision, staff shall consider the
youth’s preferences, as well as any recommendations
from the youth’s health or behavioral health provider.
(d) Facility administrators shall ensure that transgender
and intersex youth have access to medical and Section V, Number 10, Procedure I-D
behavioral health providers qualified to provide care and ☒ ☐ ☐
treatment to transgender and intersex youth.
(e) Consistent with the facility’s reasonable and
necessary security considerations and physical plant, Section V, Number 10, Procedure I-E
facility staff shall make every effort to ensure the safety
and privacy of transgender and intersex youth when the ☒ ☐ ☐
youth are using the bathroom or shower, or dressing or
undressing.
Facility staff shall not conduct physical searches of any
youth for the purpose of determining the youth’s Section V, Number 10, Procedure I-F
anatomical sex. Whenever feasible, the facility shall Section V, Number 10, Procedure I-G
☒ ☐ ☐
respect the youth’s preference regarding the gender of
the staff member who conducts any search of the youth.
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1353 ORIENTATION
Section V, Number 11, I-a, D and E
The facility administrator shall develop and implement
Section V, Number 10, Procedure I-D,
written policies and procedures to orient a youth prior to
1 and 2
placement in a living area. Both written and verbal
information shall be provided and supplemented with
Youth are provided with a Handbook at
video orientation if feasible. Provision shall be made to
admission containing all elements of this
provide accessible orientation information to all detained
regulation as well as a PREA Pamphlet. Youth
youth including those with disabilities, limited literacy, or
committed to the Summit Program are
English language learners.
oriented to the components and program
Orientation shall include information that addresses:
elements to understand expectations during
their commitment.
We reviewed the handbook and found the
explanation of all elements were easy for
youth to understand. We noted a new
☒
☐ ☐ handbook was recently rolled out that included
youth participation in its content. It provides an
operational understanding for youth
expectations, rights, and how to address any
identified needs that may arise during their
stay. We also reviewed the Orientation Sign
Off document youth sign when admitted and
oriented to the facility, acknowledging their
understanding of the facility guidelines,
expectations, and processes.
We interviewed eight of the 18 youth in
custody and they acknowledged they
understood the handbook and their ability to
ask staff questions regarding their stay.
(a) facility rules including contraband and searches and
disciplinary procedures; Section V, Number 10, Procedure I-B, 1
☒ ☐ ☐
(b) facility’s system of positive behavior interventions
and supports, including behavior expectations, Section V, Number 10, Procedure I-B, 2
incentives that youth will receive for complying with
☒ ☐ ☐
facility rules, and consequences that may result when
youth violate the rules of the facility;
(c) age appropriate information that explains the facility’s
policy prohibiting sexual abuse and sexual harassment Section V, Number 10, Procedure I-B, 3
and how to report incidents or suspicions of sexual ☒ ☐ ☐
abuse or sexual harassment;
(d) identification of key staff and their roles;
Section V, Number 10, Procedure I-B, 4
☒ ☐ ☐
(e) the existence of the grievance procedure, the steps
that must be taken to use it, the youth’s right to be free Section V, Number 10, Procedure I-B, 5
of retaliation for reporting a grievance, and the name of ☒ ☐ ☐
the person or position designated to resolve the issue;
(f) access to legal services and information on the court
Section V, Number 10, Procedure I-B, 6
process; ☒ ☐ ☐
(g) access to routine and emergency health and mental
Section V, Number 10, Procedure I-B, 7
health care; ☒ ☐ ☐
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(h) access to education, religious services, and
Section V, Number 10, Procedure I-B, 8
recreational activities; ☒ ☐ ☐
(i) housing assignments; Section V, Number 10, Procedure I-B, 9
☒ ☐ ☐
(j) opportunity for personal hygiene and daily showers
including the availability of personal care items Section V, Number 10, Procedure I-B, 10
☒ ☐ ☐
(k) rules and access to correspondence, visits and
telephone use; Section V, Number 10, Procedure I-B, 11
☒ ☐ ☐
(l) availability of reading materials, programming, and
other activities; Section V, Number 10, Procedure I-B, 12
☒ ☐ ☐
(m) facility policies on the use of force, use of restraints,
chemical agents and room confinement; Section V, Number 10, Procedure I-B, 13
☒ ☐ ☐
(n) immigration legal services; Section V, Number 10, Procedure I-B, 14
☒ ☐ ☐
(o) emergencies including evacuation procedures; Section V, Number 10, Procedure I-B, 15
☒ ☐ ☐
(p) non-discrimination policy and the right to be free from
physical, verbal or sexual abuse and harassment by Section V, Number 10, Procedure I-B, 21
☒ ☐ ☐
other youth and staff;
(q) availability of services and programs in a language
other than English if appropriate; Section V, Number 10, Procedure I-B, 16
☒ ☐ ☐
(r) the process for requesting different housing,
education, programming and work assignments; Section V, Number 10, Procedure I-B, 18
☒ ☐ ☐
(s) a process for which parents/guardians receive
information regarding the youth’s stay in the facility that Section V, Number 10, Procedure I-B, 17
at a minimum includes answers to frequently asked
☒ ☐ ☐
questions and provides contact information for the
facility, medical, school and mental health; and,
(t) a process by which youth may request access to Title
15 Minimum Standards for Juvenile Facilities. Section V, Number 10, Procedure I-B, 19
☒ ☐ ☐
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1354 SEPARATION
Section V, Number 13
The facility administrator shall develop and implement
written policies and procedures that address:
There were 64 incidents of Separation from
January 2025 to the date of the inspection, 41
of which were Voluntary Separation. There
was one incident of Voluntary Separation this
year for a Summit youth.
The agency documents behavior separation in
an Activity Report or Incident Report,
prompting staff to document the reason for and
efforts to return the youth to programming.
Youth go to the library (second classroom not
in use and in the unit), to reflect on the
behavior resulting in the separation. We found
some youth request to go to their room for the
separation, prompting staff to complete a
☒ ☐ ☐
Reflection Separation Form, documenting that
the separation in their room was at the youth’s
request.
The agency uses the CICO (Check In, Check
Out) Daily Point Sheet to document incidents
that result in behavior separation. The form
allows for points (0-2) based on the Positive
Behavior and Supports (PBIS) model for
respectful, responsible, and safe behaviors.
This form is completed for each youth daily
and allows for the recording of incidents that
do not represent the PBIS model. This is
tracked to have the information recorded for
case planning and counseling services while
the youth is in custody.
(a) separation of youth for reasons that include, but are
not be limited to, medical and mental health conditions, Section V, Number 13, I-A, 1-6
assaultive behavior, disciplinary consequences and ☒ ☐ ☐
protective custody.
(b) consideration of positive youth development and
trauma-informed care. Section V, Number 13, I-C
☒ ☐ ☐
(c) separated youth shall not be denied normal privileges
available at the facility, except when necessary to Section V, Number 13, I-B and E
☒ ☐ ☐
accomplish the objective of separation.
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(d) when the objective of the separation is discipline,
Title 15 Section 1390 shall apply. Section V, Number 13, I Disciplinary
Separation
The facility makes good use of the space in the
single unit facility for separation, using the not
occupied classroom, which allows a full visual
of the youth while in the separated location.
☒ ☐ ☐
This space allows youth a cool down period to
reflect on the behaviors that necessitated a
separation but not to the level of room
confinement. The process is working and
accomplishing the goal in regulation, despite
their physical plant.
(e) when separation results in room confinement, the
separation shall occur in accordance with Welfare and Section V, Number 13, Procedure I-E
Institutions Code Section 208.3 and Section 1354.5 of ☒ ☐ ☐
these regulations.
(f) policies and procedures shall ensure a daily review of
separated youth to determine if separation remains The facility only separates youth for short
necessary. periods of time to re-focus behavior. Our
review of all incidents revealed most were poor
decisions that are not aligned with the PBIS
Model of behavior with others.
The agency only uses this tool when they have
exhausted every verbal counseling attempt.
The youth are evaluated regularly and
returned to normal programming in most
cases, less than an hour after separation
☒ ☐ ☐
began.
We note the agency completes a
Reintegration Plan in each incident to allow for
conversations about the behavior leading to
the separation and discussion of how the
youth’s actions could be different. The agency
also allows for Due Process when a youth is
separated for discipline, including minor rule
violations.
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1354.5 ROOM CONFINEMENT
Section V, Number 14
(a) The facility administrator shall develop and
implement written policies and procedures addressing
The facility has had 24 incidents of RC from
the confinement of youth in their room that are consistent
January 2025 to the date of the inspection.
with Welfare and Institutions Code Section 208.3. The
placement of a youth in room confinement shall be
The agency has a process to ensure staff
accomplished in accordance with the following
document all efforts to reintegrate and follow
guidelines:
the RC form prompts. Incident report
documentation for the reason of room
confinement was clear in each incident we
☒ ☐ ☐ reviewed.
Times of RC were as follows: more than 3
hours (1), 2-3 hours (4), 1-2 hours (13), and six
youth under 30 minutes. All youth 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
process for the behavior leading to the RC.
(1) Room confinement shall not be used before other,
less restrictive, options have been attempted and Section V, Number 14, I-A
exhausted, unless attempting those options poses a ☒ ☐ ☐ Section V, Number 14, Procedure II-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 of Section V, Number 14, I-C
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
(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.
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(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 policy and
and when he or she is eventually released from documentation review included the elements
room confinement. 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.
1355 INSTITUTIONAL ASSESSMENT AND PLAN
Section V, Number 16
The facility administrator shall develop and implement
☒ ☐ ☐
written policies and procedures for assessment and
case planning.
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(a) Assessment:
The assessment is based on information collected Section V, Number 16, Policy I-A
during the admission process with periodic review, which
includes the youth's risk factors, needs and strengths We reviewed a sampling of IAP’s for youth
including, but not limited to, identification of substance including an initial, updated, 3-month, 6-
abuse history, educational, vocational, counseling, month, Change in Treatment, and Transition
behavioral health, consideration of known history of Plans, each focusing on the identified needs
trauma, and family strengths and needs. and service approach while in or transitioning
out of custody. For Summit youth, the
Individual Service Plan focuses on progress
and plans for reintegration. There were no
Summit youth in custody during the inspection.
The plans focus on a Youth Strength and
Needs Assessment, which incorporates
information from the following areas:
Emotional/Behavioral Health; Cognitive
Development and Functioning; Social
Development and Functioning; Physical
Health/Disabilities; Education; Trauma/
Resiliency; Family Relationships; Alcohol/
Drugs; Prior/Current Offense; Adult
Relationships; and any other information
☒ ☐ ☐ which impacts a youth’s strengths or needs. A
Treatment Plan is developed based on
responses to the Assessment, which is
scored, to identify the top three needs and
strengths.
We found each assessment to be detailed and
informative, as well as individualized to each
youth. The process is inclusive of required
elements and documentation of timelines,
which are more than required in policy and
regulation. Staff work within the plan to provide
reachable and attainable goals, both for in-
custody treatment and upon release into the
community.
The weekly MDT Meetings provide updates for
the IAP, which incorporated a new form this
cycle to be an ‘update’ and a more fluid
document. One SJCO, Christine Schulze,
created the new form and completes all IAP’s
for youth at the facility.
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(b) Institutional Case Plan:
(1) A case plan shall be developed for each youth Section V, Number 16, Policy I-B
held for at least 30 days or more and created within
40 days of admission. IAP’s are completed at 14 days or sooner, with
follow-up assessments at the 3-month, 6-
month, 9-month, 12-month, and transition
planning timelines.
Youth in the Summit Program have an
☒ ☐ ☐
Individualized Service Plan completed every
six months for the Court’s review of their
program. We reviewed four plans and found
the agency does a great job of articulating
behavior, positive and negative, as well as
providing program milestones to prepare the
youth for reintegration to their community.
(2) The institutional plan shall include, but not be
limited to, written documentation that provides: Section V, Number 16, Procedure II-A
(A) objectives and time frame for the resolution of ☒ ☐ ☐
problems identified in the assessment;
(B) a plan for meeting the objectives that includes
a description of program resources needed and Section V, Number 16, Procedure II-B, 1-3
individuals responsible for assuring that the plan ☒ ☐ ☐
is implemented;
(3) periodic evaluation of progress towards meeting
the objectives, including periodic review and Section V, Number 16, Procedure II-C
☒ ☐ ☐
discussion of the plan with the youth;
(4) a transition plan, the contents of which shall be
subject to existing resources, shall be developed for Section V, Number 16, Procedure II-D
post dispositional youth in accordance with Section ☒ ☐ ☐
1351; and,
(5) in as much as possible and if appropriate, the
plan, including the transition plan, shall be developed Section V, Number 16, Procedure II-E
with input from the family, supportive adults, youth,
☒ ☐ ☐
and Regional Center for the Developmentally
Disabled.
1356 COUNSELING AND CASEWORK SERVICES
Section V, Number 16, Procedure V-A
The facility administrator shall develop and implement
Section V, Number 16, Procedure V-A, 1
written policies and procedures ensuring the availability
of appropriate counseling and casework services for all
Facility staff document behavior, both positive
youth. Policies and procedures shall ensure:
and negative, in the youth’s ‘Check in, Check
(a) youth will receive assistance with needs or concerns
out’ (CICO) Daily Point sheets. This identifies
that may arise;
their behavior each shift, as well as their
participation in all T15 requirements. We
reviewed daily/weekly summaries and phone
☒ ☐ ☐ call status for each youth in custody recorded
on the CICO sheets. This daily documentation
reveals the positive and negative activities as
it relates to all areas of a youth’s program.
We also find the weekly MDT Meetings with all
agency partners, including a discussion on
each youth in custody, provide a generous
insight into youth needs and progress.
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(b) youth will receive assistance in requesting contact
with parents, other supportive adults, attorney, clergy, Section V, Number 16, Procedure V-A, 2
☒ ☐ ☐
probation officer, or other public official; and,
(c) youth will be provided access to available resources
to meet the youth’s needs. Section V, Number 16, Procedure V-A, 3
☒ ☐ ☐
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 eight of the eight incidents
which may include chemical agents. Force shall never
involving the use of force from January 2025
be applied as punishment, discipline, retaliation or
to the date of the inspection. The reports
treatment.
provided clear and relevant information based
(a) At a minimum, each facility shall develop policies and
on the narrative in the report and are
procedures which:
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 from youth, none involving
☒ ☐ ☐
a Summit youth.
Two of the incidents involved the use of OC
Spray, four youth were restrained following the
UF incident for movement to their room, and
one youth was placed in the WRAP following
the incident.
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
necessary 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.
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(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
☒ ☐ ☐
(7) define the role, notification, and follow-up
procedures required after use of force incidents for Section V, Number 17, Procedure VI-A, B and
medical, mental health staff and parents or legal ☒ ☐ ☐ 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
have been two chemical spray incidents since
January 2025.
(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.
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(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 the agency
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
☒ ☐ ☐
(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
☒ ☐ ☐
1358 USE OF PHYSICAL RESTRAINTS
Section V, Number 19 and 20
The facility administrator, in cooperation with the
responsible physician and mental health director, shall
The facility has the WRAP as a restraint with
develop and implement written policies and procedures
very specific limitations on its use.
for the use of restraint devices. Restraint devices include
any devices which immobilize a youth's extremities
There has been one use of the WRAP in 2025,
and/or prevent the youth from being ambulatory.
the first since July 2022, for a youth in
☒ ☐ ☐ detention. We reviewed the sole incident and
found the agency utilized all efforts to avoid
WRAP use by de-escalation and other verbal
options. The circumstances were well
documented and the follow-up was an
intensive process of review with the youth.
The youth was in the WRAP for 23 minutes.
Physical restraints may be used only for those youth who
present an immediate danger to themselves or others, Section V, Number 19, Policy I-B
who exhibit behavior which results in the destruction of
property, or reveals the intent to cause self-inflicted
☒ ☐ ☐
physical harm. Physical restraints should be utilized only
when it appears less restrictive alternatives would be
ineffective in controlling the youth’s behavior.
In no case shall restraints be used as punishment or
discipline, or as a substitute for treatment. The use of Section V, Number 19, Policy I-F
restraint devices that attach a youth to a wall, floor or other Section V, Number 19, Policy I-Q
fixture, including a restraint chair, or through affixing of Section V, Number 19, Policy I-R
hands and feet together behind the back (hogtying) is ☒ ☐ ☐ Section V, Number 19, Policy I-S
prohibited. The use of restraints on pregnant youth is
limited in accordance with Penal Code Section 6030(f)
and Welfare and Institutions Code Section 222.
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The provisions of this section do not apply to the use of
handcuffs, shackles or other restraint devices when used Section V, Number 19, Policy I-C
to restrain youth for movement or transportation within the
facility. Movement within the facility shall be governed by ☒ ☐ ☐
Section 1358.5, Use of Restraint Devices for Movement
Within the Facility.
Youth shall be placed in restraints only with the approval
of the facility manager or designee. The facility manager Section V, Number 19, Policy I-B
may delegate authority to place a youth in restraints to a Section V, Number 19, Policy I-V
physician. Reasons for continued retention in restraints Section V, Number 19, Policy I-W
shall be reviewed and documented at a minimum of every
hour. ☒ ☐ ☐ Senior JCO’s are designated to approve
placement of restraints in the absence of the
facility Superintendent. The WRAP must have
Superintendent approval.
A medical opinion on the safety of placement and
retention shall be secured as soon as possible, but no Section V, Number 19, Policy I-J
later than two hours from the time of placement. The
☒ ☐ ☐
youth shall be medically cleared for continued retention at
least every three hours thereafter.
A mental health consultation shall be secured as soon as
possible, but in no case longer than four hours from the Section V, Number 19, Policy I-K
time of placement, to assess the need for mental health ☒ ☐ ☐
treatment.
Continuous direct visual supervision shall be conducted
to ensure that the restraints are properly employed, and Section V, Number 19, Policy I-N
to ensure the safety and well-being of the youth. Section V, Number 19, Procedure I-B
Observations of the youth's behavior and any staff ☒ ☐ ☐ Section V, Number 19, Procedure I-J
interventions shall be documented at least every 15
minutes, with actual time of the documentation recorded.
In addition to the requirements above, policies and
procedures shall address: Section V, Number 19, Procedure I-M
(a) documentation of the circumstances leading to an ☒ ☐ ☐
application of restraints.
(b) known medical conditions that would contraindicate
certain restraint devices and/or techniques. Section V, Number 19, Policy I-M
☒ ☐ ☐
(c) acceptable restraint devices.
Section V, Number 19, Policy I-B
☒ ☐ ☐
(d) signs or symptoms which should result in immediate
medical/mental health referral. Section V, Number 19, Procedure I-J
☒ ☐ ☐
(e) availability of cardiopulmonary resuscitation
equipment. Section V, Number 19, Procedure I-D
☒ ☐ ☐
(f) protective housing of restrained youth. While in
restraint devices, all youth shall be housed alone or in a Section V, Number 19, Policy I-H
specified housing area for restrained youth which makes ☒ ☐ ☐
provision to protect the youth from abuse.
(g) provision for hydration and sanitation needs. Section V, Number 19, Policy I-H
☒ ☐ ☐
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(h) exercising of extremities. Section V, Number 19, Policy I-H
☒ ☐ ☐
1358.5 USE OF RESTRAINT DEVICES FOR
MOVEMENT AND TRANSPORTATION WITHIN Section V, Number 21
THE FACILITY. Section V, Number 19, Policy I-B
The Facility Administrator, in cooperation with the
Staff are trained annually by certified STC
responsible physician and behavioral/mental health
Instructor. Training includes the determination
director, shall develop and implement written policies
of the use of control holds at escort and that
and procedures for the use of restraint devices when the ☒ ☐ ☐
staff must get authorization to use other force
purpose is for movement or transportation within the
for movement. There were four incidents
facility that shall include the following:
involving the use of restraints for movement of
(a) identification of acceptable restraint devices, staff
a youth to their room. All were less than three
approved to utilize restraint devices and the required
minutes.
training.
(b) the circumstances leading to the application of
restraints must be documented. Section V, Number 21, Procedure A
☒ ☐ ☐
(c) an individual assessment of the need to apply
restraints for movement or transportation that includes Section V, Number 21, Procedure B
consideration of less restrictive alternatives,
consideration of a youth’s known medical or mental
☒ ☐ ☐
health conditions, trauma informed approaches, and a
process for documentation and supervisor review and
approval.
(d) consideration of safety and security of the facility,
with a clearly defined expectation that restraint devices Section V, Number 21 Procedure C
shall not be used for the purposes of discipline or ☒ ☐ ☐
retaliation.
(e) the use of restraints on pregnant youth is limited in
accordance with Penal Code Section 6030(f) and Section V, Number 21 Procedure D
☒ ☐ ☐
Welfare and Institutions Code Section 222.
1359 SAFETY ROOM PROCEDURES
The facility does not have a Safety Room.
(a) The facility administrator, and where applicable, in
cooperation with the responsible physician, shall
develop and implement written policies and procedures
governing the use of safety rooms, as described in Title
24, Part 2, Section 1230.1.13. The room shall be used
to hold only those youth who present an immediate ☐ ☐ ☒
danger to themselves or others, who exhibit behavior
which results in the destruction of property, or reveals
the intent to cause self-inflicted physical harm. A safety
room shall not be used for punishment or discipline, or
as a substitute for treatment.
Policies and procedures shall:
(1) include provisions for administration of necessary
nutrition and fluids, access to a toilet, and suitable
☐ ☐ ☒
clothing to provide for privacy;
(2) provide for approval of the facility manager, or
designee, before a youth is placed into a safety room; ☐ ☐ ☒
(3) provide for continuous direct visual supervision
and documentation of the youth's behavior and any
staff interventions every 15 minutes, with actual time ☐ ☐ ☒
recorded;
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(4) provide that the youth shall be evaluated by the
facility manager, or designee, every four hours; ☐ ☐ ☒
(5) provide for immediate medical assessment,
where appropriate, or an assessment at the next
☐ ☐ ☒
daily sick call; and,
(6) provide a process for documenting the reason for
placement, including attempts to use less restrictive
means of control, and decisions to continue and end ☐ ☐ ☒
placement.
(b) The placement of a youth in the safety room shall be
accomplished in accordance with the following:
(1) safety room shall not be used before other less
restrictive options have been attempted and ☐ ☐ ☒
exhausted, unless attempting those options poses a
threat to the safety or security of any youth or staff.
(2) safety room shall not be used for the purposes of
punishment, coercion, convenience, or retaliation by
☐ ☐ ☒
staff.
(3) safety room shall not be used to the extent that it
compromises the mental and physical health of the
☐ ☐ ☒
youth.
(c) A youth may be held up to four hours in the safety
room. After the youth has been held in the safety room
for a period of four hours, staff shall do one or more of ☐ ☐ ☒
the following:
(1) return the youth to general population.
☐ ☐ ☒
(2) consult with mental health or medical staff,
☐ ☐ ☒
(3) develop an individualized plan that includes the
goals and objectives to be met in order to reintegrate
☐ ☐ ☒
the youth to general population.
(d) If confinement in the safety room must be extended
beyond four hours, staff shall develop an individualized
plan that includes the requirements of Section 1354.5
☐ ☐ ☒
and the goals and objectives to be met in order to
integrate the youth to general population.
1360 SEARCHES ,
Section V, Number 23
The facility administrator shall develop and implement
Section V, Number 23, Procedure IX Room
written policies and procedures governing the search of
☒ ☐ ☐ Section V, Number 23, Procedure X Facility
youth, the facility, and visitors.
Section V, Number 23, Procedure XI Visitor
Policies and procedures shall provide that:
(a) Searches shall be conducted to ensure the safety
and security of the facility, public, visitors, youth, and Section V, Number 23, Policy I-A and B
☒ ☐ ☐
staff.
(b) Searches shall be conducted in a manner that
preserves the privacy and dignity of the person being Section V, Number 23, Policy I-C
searched and shall not be conducted for harassment or ☒ ☐ ☐
as a form of discipline or punishment.
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(c) Strip searches and visual or physical body cavity
searches shall comply with Penal Code Section 4030. Section V, Number 23, Policy I-D
There have been no strip searches since the
three conducted when the facility first opened
in 2017.
☒ ☐ ☐
We note the agency purchased a Tec 84
Scanner which assists in deterring a strip
search.
(d) Physical body cavity searches shall only be
conducted by a medical professional. ☒ Section V, Number 23, Policy I-E
☐ ☐
(e) Any youth held after a detention hearing shall only be
strip searched with prior approval of a supervisor when Section V, Number 23, Procedure II, III, IV
there is reasonable suspicion based on specific and
articulable facts to believe that youth is concealing ☒ ☐ ☐
contraband. The reasonable suspicion shall be
documented.
(f) Searches of transgender and intersex youth shall
comply with Section 1352.5. ☒ Section V, Number 23, Procedure V-D
☐ ☐
(g) Cross-gender pat-down searches and strip searches
are prohibited except in exigent circumstances or when Section V, Number 23, Policy I-J and K
conducted by a medical professional. Such searches ☒ ☐ ☐
must be justified and documented in writing.
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 50 grievances filed from
appeal and have resolved grievances relating to any
January 2025 to the date of the inspection,
condition of confinement, including but not limited to
most of which were resolved by staff with 10
health care services, classification decisions, program
being appealed to the Superintendent. One
participation, telephone, mail or visiting procedures,
youth filed 14 grievances. 38 of the grievances
food, clothing, bedding, mistreatment, harassment or
☒ ☐ ☐ were related to Point loss. All grievances were
violations of the nondiscrimination policy. There shall be
resolved within three days, most in two days.
no time limit on filing grievances. Policies and
The forms are step-by-step-based and
procedures shall include provisions whereby the facility
compliant with policy and regulation.
manager ensures:
Of the youth we interviewed, each understood
the process and felt the resolution was fair.
(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
☒ ☐ ☐
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(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
☒ ☐ ☐
(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 grievance; Section V, Number 30, Procedure I-G
(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.
1362 REPORTING OF INCIDENTS
Section V, Number 32
A written report of all incidents which result in physical
harm, use of force, serious threat of physical harm, or
We reviewed numerous incident reports
death of an employee, youth or other person(s) shall be
☒ ☐ ☐ involving UF, UR, RC, and Separation.
maintained. Such written record shall be prepared by the
staff and submitted to the facility manager by the end of
the shift, unless additional time is necessary and
authorized by the facility manager or designee.
1363 USE OF REASONABLE FORCE TO COLLECT
DNA SPECIMENS, SAMPLES, IMPRESSIONS Section V, Number 33, Procedure III-A
Section V, Number 33, Procedure III-B
(a) Pursuant to Penal Code Section 298.1 authorized
law enforcement, custodial, or corrections personnel
The facility has not had to use force to collect
including peace officers, may employ reasonable force
DNA since 2017.
to collect blood specimens, saliva samples, and thumb
or palm print impressions from individuals who are
required to provide such samples, specimens or
☒ ☐ ☐
impressions pursuant to Penal Code Section 296 and
who refuse following written or oral request.
(1) For the purpose of this section, the “use of
reasonable force” shall be defined as the force that
an objective, trained and competent correctional
employee, faced with similar facts and
circumstances, would consider necessary and
reasonable to gain compliance with this section.
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(2) The use of reasonable force shall be preceded by
efforts to secure voluntary compliance. Efforts to Section V, Number 33, Procedure III-B
secure voluntary compliance shall be documented
and include an advisement of the legal obligation to ☒ ☐ ☐
provide the requisite specimen, sample or impression
and the consequences of refusal.
(b) The force shall not be used without the prior written
authorization of the supervising officer on duty. The Section V, Number 33, Procedure III-C
authorization shall include information that reflects the
fact that the offender was asked to provide the requisite ☒ ☐ ☐ The use of force for this regulation requires
specimen, sample, or impression and refused. authorization from the Facility Superintendent.
(1) If the use of reasonable force includes a cell
extraction, the extraction shall be videotaped. Video Section V, Number 33, Procedure IV-A
shall be directed at the cell extraction event. The Section V, Number 33, Procedure IV-B
videotape shall be retained by the agency for the
length of time required by statute. Notwithstanding ☒ ☐ ☐
the use of the video as evidence in a court
proceeding, the tape shall be retained
administratively.
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1370 EDUCATION PROGRAM
Section VI, Number 1, Policy II-A
(a) School Programs
The County Board of Education shall provide for the
The Tuolumne County Superintendent of
administration and operation of juvenile court schools in
Schools provides educational and vocational
conjunction with the Chief Probation Officer, or designee
opportunities via the Golden Ridge
pursuant to applicable State laws. The school and facility
Educational Center (GREC) onsite, online
administrators shall develop and implement written policy
college through Columbia Community
and procedures to ensure communication and
College, and vocational opportunities through
coordination between educators and probation staff.
the Motherlode Job Training for Tuolumne
Culturally responsive and trauma-informed approaches
County. A TCSOS Transition Specialist assists
should be applied when providing instruction. Education
with youth exiting the facility and returning to
staff should collaborate with the facility administrator to
schools in the community as well as with
use technology to facilitate learning and ensure safe
enrollment and curriculum oversight in
technology practices. The facility administrator shall
Columbia College, a community college
request an annual review of each required element of the
nearby.
program by the Superintendent of Schools, and a report
or review checklist on compliance, deficiencies, and
A GREC Clinician, Pam Orebaugh, is on site
corrective action needed to achieve compliance with this
each day to provide Social Skills groups, an
section. Such a review, when conducted, cannot be
Overcoming Obstacles Curriculum, Individual
delegated to the principal or any other staff of any juvenile
and Group Counseling, Family Counseling,
court school site. The Superintendent of Schools shall
and Post-Release Services. Kayla Rolfe
conduct this review in conjunction with a qualified outside
provides Dual Enrollment Services and
agency or individual. Upon receipt of the review, the
promotes PBIS, Mother Lode Job Training,
facility administrator or designee shall review each item
Columbia College Enrollment Services, and
with the Superintendent of Schools and shall take
also tracks youth upon release for 8-12 weeks.
whatever corrective action is necessary to address each
On the day of the inspection, there were six
deficiency and to fully protect the educational interests of
graduates, five enrolled at Columbia College,
all youth in the facility.
and one youth that is not interested in college.
PBIS was trained to all new staff initially but
☒ ☐ ☐ most have moved on since 2017. The TCSOS
has revitalized PBIS as a mechanism to
promote positive behaviors with rewards and
incentives in the classroom and carried over to
the living unit. We have seen the successes of
PBIS as a collaboration with school and
probation staff.
Rising Scholars is bringing in a Professor from
Columbia to work with the enrolled youth
weekly.
The TCSOS offers a complete and
comprehensive curriculum, including culinary
food handler’s certification, DMV licenses for
eligible youth, gardening, and personal
reading goals via the Book Club. Additionally,
for those youth with an active IEP, youth
receive services via a counselor in addition to
specialized instruction. TCSOS continues to
provide a Psychologist one time per week to
work with this population.
The on-site teacher, Ashley Chambeaux,
continues to be engaged in the classroom and
works individually with youth to grow their
education opportunities. The program is 270
minutes each day, except for every
Wednesday has a late start to allow Ms.
Chambeaux to participate in MDT meetings.
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Lastly, the agency has a Dental collaboration
with GREC/TCSOS to provide dental
education and screenings, with referral to a
dentist if necessary. The program is called
Smile Keepers and is facilitated by Ocean
Arellano, an RDHAP Provider.
(b) Required Elements
The facility school program shall comply with the State Section VI, Number 1, Policy III-A
Education Code and County Board of Education policies, Section VI, Number 1, Policy III-B
all applicable federal education statutes and regulations Section VI, Number 1, Policy III-C
and provide for an annual evaluation of the educational Section VI, Number 1, Policy III-D
program offerings. As stated in the 2009 California Section VI, Number 1, Policy III-E
Standards for the Teaching Profession, teachers shall
☒ ☐ ☐
establish and maintain learning environments that are
physically, emotionally, and intellectually safe. Youth shall
be provided a rigorous, quality educational program that
responds to the different learning styles and abilities of
students and prepares them for high school graduation,
career entry, and post-secondary education.
All youth shall be treated equally, and the education
program shall be free from discriminatory action. Staff Section VI, Number 1, Policy III-F
shall refer to transgender, intersex and gender- ☒ ☐ ☐
nonconforming youth by their preferred name and gender.
(1) The course of study shall comply with the State
Education Code and include, but not be limited to, Section VI, Number 1, Policy III-A
☒ ☐ ☐
courses required for high school graduation.
(2) Information and preparation for the High School
Equivalency Test as approved by the California Section VI, Number 1, Policy III-I
Department of Education shall be made available to ☒ ☐ ☐
eligible youth.
(3) Youth shall be informed of post-secondary
education and vocational opportunities. Section VI, Number 1, Policy III-J
☒ ☐ ☐
(4) Administration of the High School Equivalency
Tests as approved by the California Department of Section VI, Number 1, Policy III-K
☒ ☐ ☐
Education, shall be made available when possible.
(5) Supplemental instruction shall be afforded to youth
who do not demonstrate sufficient progress towards Section VI, Number 1, Policy III-L
☒ ☐ ☐
grade level standards.
(6) The minimum school day shall be consistent with
State Education Code Requirements for juvenile court Section VI, Number 1, Policy III-G
schools. The facility administrator, in conjunction with
education staff, must ensure that operational
procedures do not interfere with the time afforded for ☒ ☐ ☐
the minimum instructional day. Absences, time out of
class or educational instruction, both excused and
unexcused, shall be documented.
(7) Education shall be provided to all youth regardless
of classification, housing, security status, disciplinary Section VI, Number 1, Policy III-O
or separation status, including room confinement,
except when providing education poses an immediate
threat to the safety of self or others. Education ☒ ☐ ☐
includes, but is not limited to, related services as
provided in a youth’s Section 504 Plan or
Individualized Education Program (IEP).
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(c) School Discipline
(1) Positive behavior management will be Section VI, Number 1, Policy IV-A
implemented to reduce the need for disciplinary action
in the school setting and be integrated into the facility's ☒ ☐ ☐
overall behavioral management plan and security
system.
(2) School staff shall be advised of administrative
decisions made by probation staff that may affect the Section VI, Number 1, Policy IV-B
☒ ☐ ☐
educational programming of students.
(3) Except as otherwise provided by the State
Education Code, expulsion/suspension from school Section VI, Number 1, Policy IV-C
shall be imposed only when other means of correction
fails to bring about proper conduct. School staff shall
follow the appropriate due process safeguards as set
forth in the State Education Code including the rights ☒ ☐ ☐
of students with special needs. School staff shall
document the other means of correction used prior to
imposing expulsion/ suspension if an
expulsion/suspension is ultimately imposed.
(4) The facility administrator, in conjunction with
education staff will develop policies and procedures Section VI, Number 1, Policy IV-D
that address the rights of any student who has ☒ ☐ ☐
continuing difficulty completing a school day.
(d) Provisions for Special Populations
(1) State and federal laws and regulations shall be Section VI, Number 1, Policy V-A
observed for all individuals with disabilities or
suspected disabilities. This includes but is not limited
to child find, assessment, continuum of alternative ☒ ☐ ☐
placements, manifestation determination reviews, and
implementation of Section 504 Plans and
Individualized Education Programs.
(2) Youth identified as English Learners (EL) shall be
afforded an educational program that addresses their Section VI, Number 1, Policy V-B
language needs pursuant to all applicable state and
☒ ☐ ☐
federal laws and regulations governing programs for
EL students.
(e) Educational Screening and Admission
(1) Youth shall be interviewed after admittance and a Section VI, Number 1, Policy VI-A
☒
record maintained that documents a youth's ☐ ☐
educational history, including but not limited to:
(A) School progress/school history;
Section VI, Number 1, Policy VI-A, 1
☒ ☐ ☐
(B) Home Language Survey and the results of the
State Test used for English language proficiency; Section VI, Number 1, Policy VI-A, 2
☒ ☐ ☐
(C) Needs and services of special populations as
defined by the State Education Code, including but Section VI, Number 1, Policy VI-A, 3
☒ ☐ ☐
not limited to, students with special needs.
(D) Discipline problems.
Section VI, Number 1, Policy VI-A, 4
☒ ☐ ☐
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(2) Youth will be immediately enrolled in school.
Educational staff shall conduct an assessment to Section VI, Number 1, Policy VI-B
determine the youth's general academic functioning
levels to enable placement in core curriculum courses. The TCSOS has a regimented practice to
provide a Credit Reduction for almost all
students regardless of the SB 167 Legislation
for meeting criteria. The TCSOS Board relies
on Education Code Section 2, 48645.5 (d),
which they indicate includes the agency shall
graduate a youth specific to Section 51225.3.
‘AB 167/SB 522 allows California foster youth
and Juvenile Court School youth to graduate
by meeting the state's minimum high school
requirements instead of their local district's
potentially more extensive ones. These
requirements include three years of English,
two of math, two of science, three of social
studies, one of arts or foreign language, and
two of physical education. This option is
☒ ☐ ☐
available if the student transferred schools
after their second year of high school and it is
deemed in their best interest by their
education rights holder.’
By entering most youth on the credit
reduction track, Tuolumne County
Superintendent of Schools does not offer in-
custody youth the full curriculum
requirements available if a youth chooses to
achieve a full credit diploma while in custody.
This is not allowing a youth wanting a
traditional high school experience and go
directly into a four-year college experience.
The information regarding legislation in
quotes above was directly obtained from
summary legislative notes.
(3) After admission to the facility, a preliminary
education plan shall be developed for each youth Section VI, Number 1, Policy VI-C
☒ ☐ ☐
within five school days.
(4) Upon enrollment, education staff shall comply with
the State Education Code and request the youth's Section VI, Number 1, Policy VI-D
records from his/her prior school(s), including, but not
limited to, transcripts, Individual Education Program
(IEP), 504 Plan, state language assessment scores,
immunization records, exit grades, and partial credits. ☒ ☐ ☐
Upon receipt of the transcripts, the youth's educational
plan shall be reviewed with the youth and modified as
needed. Youth should be informed of the credits they
need to graduate.
(f) Educational Reporting
(1) The complete facility educational record of the Section VI, Number 1, Policy VII-A
youth shall be forwarded to the next educational
☒ ☐ ☐
placement in accordance with the State Education
Code.
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(2) The County Superintendent of Schools shall
provide appropriate credit (full or partial) for course Section VI, Number 1, Policy VII-B
work completed while in juvenile court school in ☒ ☐ ☐
accordance with the State Education Code.
(g) Transition and Re-Entry Planning
(1) The Superintendent of Schools and the Chief Section VI, Number 1, Policy VIII-A
Probation Officer or designee, shall develop policies
and procedures to meet the transition needs of youth,
including the development of an education transition ☒ ☐ ☐
plan, in accordance with the State Education Code
and in alignment with Title 15, Minimum Standards for
Juvenile Facilities, Section 1355.
(h) Post-Secondary Education Opportunities
(1) The school and facility administrator should, Section VI, Number 1, Policy IX-A
whenever possible, collaborate with local post-
secondary education providers to facilitate access to
☒ ☐ ☐
educational and vocational opportunities for youth that
considers the use of technology to implement these
programs.
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1371 PROGRAMS, RECREATION, AND EXERCISE.
Section VI, Number 3, Policy I-A
The facility administrator shall develop and implement
written policies and procedures for programs, recreation,
The facility has many programming options for
and exercise for all youth. The intent is to minimize the
youth, including:
amount of time youth are in their rooms or their bed area.
Aggression Replacement Training (ART);
Interactive Journaling; Moral Recognition
Therapy (MRT); Anger management; Ready
Now Recovery; Culinary Classes; Drum
Circle; Music 12; Parenting Education;
Independent Living Skills; 4H-Master
Gardner’s; Harvest of the Month (Health and
Nutrition); Art Therapy; Mindfulness and
Meditation; Book Club; Religious Services and
Bible Study; Mentoring; Drug and Alcohol
Prevention Groups; AA and NA; Ready Now
Recovery; Tai Chi; and Drum Circle. The
Meditation Pond and Hydroponic Garden was
completed through a grant through 4H.
Facility staff work on “Check In, Check Out”
(CICO) with youth to document positive and
negative behaviors which teach the elements
of PBIS. This tool provides incentive-based
opportunities for youth. TCBH provides
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.
GEO SERVICES is new to this cycle and
provides a Case Manager that facilitates
Anger Management, Substance Abuse
Education, Parenting, MRT, ICBI Training, and
Skill Building programs to the youth.
GREC Clinician Kayla Rolfe provides Dual
Enrollment Services and is responsive to
youth education needs. She coordinates job
assessments via the Motherlode Job Training
Center, assists with enrollment in Columbia
Community College, and is working to bring
elective curriculums into the facility through the
Motherlode Education Program (MEOC).
Providers include TCBH, TCSOS, facility staff,
4-H, Master Gardner’s, Hidden Treasures,
GEO Services, Cal Poly Pomona, Teen
Works. Rising Scholars, Smile Keepers, UC
Davis Cooperative Extension, and local
volunteers.
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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 ☒ ☐ ☐
one hour shall be an outdoor activity, weather permitting.
A youth’s participation in programs, recreation, and
exercise may be suspended only upon a written finding Section 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.
(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 Programming Supervisor, Christine
social interventions and activities designed to reduce Schulze, validated the above program
recidivism. These programs should be based on the opportunities, memorialized in a memo dated
youth’s individual needs as required by Sections 1355 August 8, 2025.
and 1356. Such programs may be provided under the
direction of the Chief Probation Officer or the County
Office of Education and can be administered by county
partners such as mental health agencies, community
based organizations, faith-based organizations or
Probation staff.
Programs may include but are not limited to:
(1) Cognitive Behavior Interventions;
(2) Management of Stress and Trauma;
☒ ☐ ☐
(3) Anger Management;
(4) Conflict Resolution;
(5) Juvenile Justice System;
(6) Trauma-related interventions;
(7) Victim Awareness;
(8) Self-Improvement;
(9) Parenting Skills and support;
(10) Tolerance and Diversity;
(11) Healing Informed Approaches;
(12) Interventions by Credible Messengers;
(13) Gender Specific Programming;
(14) Art, creative writing, or self-expression;
(15) CPR and First Aid training;
(16) Restorative Justice or Civic Engagement;
(17) Career and leadership opportunities; and,
(18) Other topics suitable to the youth population.
(b) Recreation. All youth shall be provided the opportunity
for at least one hour of daily access to unscheduled Section 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.
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(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 programs. Section VI, Number 3, Policy I-J
The administrator/manager shall document the reasons ☒ ☐ ☐
why suspension of recreation and programs occurs.
1372 RELIGIOUS PROGRAM
Section VI, Number 7, Policy I-C
The facility administrator shall provide access to religious
Section VI, Number 7, Policy I-D
services and/or religious counseling at least once each
week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐
allowed to participate in an activity outside of their room if
he/she elects not to participate in religious programs.
Religious programs shall provide for:
Section VI, Number 7, Policy I-A
(a) opportunity for religious services and practices;
☒ ☐ ☐ Section VI, Number 7, Policy I-B
(b) availability of clergy; and, Section VI, Number 7, Policy I-B
☒ ☐ ☐
(c) availability of religious diets. Section VI, Number 7, Policy I-B
☒ ☐ ☐
1373 WORK PROGRAM
Section VI, Number 8
The facility administrator shall develop policies and
procedures regarding the fair and consistent assignment
A memo outlining work services for all youth in
of youth to work programs. Work assigned to a youth shall
custody was completed on September 2,
be meaningful, constructive and related to vocational
2025, by William Neilsen.
training or increasing a youth's sense of responsibility.
Work programs shall not be imposed as a disciplinary
The agency allows youth that meet specific
measure
criteria to work outside the secure perimeter.
Youth in detention are responsible for daily
chores of cleaning their room and the unit.
Yard maintenance and classroom cleaning is
completed by more senior youth who have
reached a certain level in the facility with good
☒ ☐ ☐ behavior.
Youth over 16 can receive their food handler’s
certificate and they are responsible for serving
the meals which come over from the jail.
Lastly, youth committed to Steps to Success
can work outside the facility perimeter to
maintain the cleanliness of the building and
grounds.
Several Camp youths have been employed
outside the facility, however, there were no
youth doing this at the time of the inspection.
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1374 VISITING
Section VI, Number 9, Policy I-A
The facility administrator shall develop and implement
Section VI, Number 9, Policy I-B
written policies and procedures for visiting, that include
provisions for special visits. Youth shall be allowed to
The facility continues to accommodate all
receive visits by parents, guardians or persons standing
visits, allowing any person the opportunity to
in loco parentis, and children of youth. Other family
visit a youth that offers a positive impact on
members, such as grandparents and siblings, and
behavior or influence for good transition. This
supportive adults, may be allowed to visit with the
includes any family member or supportive
approval of the facility administrator or designee, and in
☒ ☐ ☐ adult, generally working within the visitor’s
conjunction with the youth’s case plan or in the best
schedule if outside normal visiting hours.
interest of the youth.
The visiting schedule is robust with specific
providers, clinicians, and community persons
visiting youth regularly; not to mention while on
site, there were seven youth from Mariposa,
Inyo, and Calaveras Counties in custody.
All visits shall occur at reasonable times, subject only to
the limitations necessary to maintain order and security. Section VI, Number 9, Policy I-A
Visitation shall not be denied solely based on the visitor’s Section VI, Number 9, Policy I-R
criminal history. The staff shall determine in each case,
whether the visitor’s criminal history represents a risk to
☒ ☐ ☐
the safety of youth or staff in the facility. Any denial of
visitation or limitation on visitations shall be
communicated to the youth, person denied and facility
administrator.
Opportunity for visitation shall be a minimum of two hours
per week. Visits may be supervised, but conversations Section VI, Number 9, Policy I-E
shall not be monitored unless there is a security or safety ☒ ☐ ☐ Section VI, Number 9, Policy I-G
need.
Provisions for special visits, in addition to the two-hour
minimum and/or outside of the regular visiting hours, shall Section VI, Number 9, Policy I-H
be accommodated as necessary and within the discretion Section VI, Number 9, Policy I-I
of the facility administrator or designee. Family therapy
and professional visits shall be accommodated outside ☒ ☐ ☐
the provisions of this regulation. Facilities may provide
visitation opportunities outside of normal visiting hours to
accommodate special visits.
The facility may provide access to technology as an
alternative, but not as a replacement, to in-person visiting. Section VI, Number 9, Policy I-S
☒ ☐ ☐
1375 CORRESPONDENCE
Section VI, Number 10
The facility administrator shall develop and implement
Section VI, Number 10, Policy I-A
written policies and procedures for correspondence which
☒ ☐ ☐
provide that:
(a) there is no limitation on the volume of mail that youth
may send or receive;
(b) youth may send two letters per week postage free;
Section VI, Number 10, Policy I-B
☒ ☐ ☐
All youth mail is sent postage-free.
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(c) youth may correspond confidentially with state and
federal courts, any member of the State Bar or holder of Section VI, Number 10, Policy I-C
public office, and the Board; however, authorized facility
☒ ☐ ☐
staff may open and inspect such mail only to search for
contraband and in the presence of the youth; and,
(d) incoming and outgoing mail, other than that described
in (c), may be read by staff only when there is reasonable Section VI, Number 10, Policy I-F
cause to believe facility safety and security, public safety, ☒ ☐ ☐
or youth safety is jeopardized.
1376 TELEPHONE ACCESS
Section VI, Number 11
The administrator of each juvenile facility shall develop
☒ ☐ ☐
and implement written policies and procedures to provide
youth with access to telephone communications.
1377 ACCESS TO LEGAL SERVICES
Section VI, Number 12
The facility administrator shall develop written procedures
Section VI, Number 12, Policy I-A
to ensure the right of youth to have access to the courts
☒ ☐ ☐
and legal services. Such access shall include:
(a) access, upon request by the youth, to licensed
attorneys and their authorized representatives;
(b) provision for confidential consultation with attorneys;
and, Section VI, Number 12, Policy I-B
☒ ☐ ☐
(c) unlimited postage free, legal correspondence and
cost-free telephone access as appropriate. Section VI, Number 12, Policy I-C
☒ ☐ ☐
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1390 DISCIPLINE
Section VII, Number 1, Policy I-A
The facility administrator shall develop and implement
Section VII, Number 1, Policy I-B
written policies and procedures for the discipline of youth
that shall promote acceptable behavior; including the use
The facility’s rules and sanctions are clearly
of positive behavior interventions and supports. Discipline
identified in many forms for all youth. The
shall be imposed at the least restrictive level which
sanction matrix is rarely used, only for high-
promotes the desired behavior and shall not include
risk behaviors and incidents which are rare.
corporal punishment, group punishment, physical or
The PBIS model of respect, responsible, and
psychological degradation.
safe is visually and verbally present
Deprivation of the following is not permitted:
throughout the facility. Youth are more
interested in earning points for commissary,
which works to promote the tenets of PBIS.
We observed youth in unit activities and the
classroom, noting the staff efforts to have
conversations with youth routinely as part of
their overall philosophy to promote PBIS. The
point sheets are tallied daily so youth know
where they stand in terms of bedtime,
participation in late activities, and incentive
☒ ☐ ☐
options. These pro-social activities and efforts
are on full display evidenced by the low
number of high-risk incidents and behaviors.
We interviewed eight youth while on site, in
each of the programs, and found they seem to
trust staff and feel like they are treated well.
Staff continue to promote positive decision
choices, offering options and compromise,
which allow a youth to see the benefits of good
behavior. Accountability and teaching
moments are principles used in the daily
operations facility-wide.
The agency rule and sanction system only
includes minor and major rule violations. We
noted Due Process is completed on every rule
violation as they use the tool to enhance
conversation and promote positive choices.
(a) bed and bedding; Section VII, Number 1, Policy I-C,1
☒ ☐ ☐
(b) daily shower, access to drinking fountain, toilet and
Section VII, Number 1, Policy I-C, 2
personal hygiene items, and clean clothing; ☒ ☐ ☐
(c) full nutrition; Section VII, Number 1, Policy I-C, 3
☒ ☐ ☐
(d) contact with parent or attorney; Section VII, Number 1, Policy I-C, 4
☒ ☐ ☐
(e) exercise; Section VII, Number 1, Policy I-C, 5
☒ ☐ ☐
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(f) medical services and counseling; Section VII, Number 1, Policy I-C, 6
☒ ☐ ☐
(g) religious services; Section VII, Number 1, Policy I-C, 7
☒ ☐ ☐
(h) clean and sanitary living conditions; Section VII, Number 1, Policy I-C, 8
☒ ☐ ☐
(i) the right to send and receive mail; Section VII, Number 1, Policy I-C, 9
☒ ☐ ☐
(j) education; and, Section VII, Number 1, Policy I-C, 10
☒ ☐ ☐
(k) rehabilitative programming. Section VII, Number 1, Policy I-C, 11
☒ ☐ ☐
The facility administrator shall establish rules of conduct
and disciplinary penalties to guide the conduct of youth. Section VII, Number 1, Policy I-E
Such rules and penalties shall include both major Section VII, Number 1, Policy I-F
violations and minor violations, be stated simply and
affirmatively, and be made available to all youth. Provision ☒ ☐ ☐
shall be made to provide accessible information to youth
with disabilities, limited English proficiency, or limited
literacy.
1391 DISCIPLINE PROCESS
Section VII, Number 2
The facility administrator shall develop and implement
Section VII, Number 2, Procedure I-A
written policies and procedures for the administration of
discipline which shall include, but not be limited to:
We reviewed all 23 major Due Process (DP)
(a) designation of personnel authorized to impose
incidents from January 2025 to the date of the
discipline for violation of rules;
inspection. Of those, 22 were accepted
without hearing and one was appealed. The
process and outcome were appropriate for the
behavior and the documentation was clear.
The facility continues to over-use DP for minor
rule violations and separation incidents. We
☒ ☐ ☐
again suggested the daily point sheet be the
document to address minor rule violations and
separation. However, the intent is to allow for
more conversations with youth regarding the
behavior resulting in any rule violation which,
due to their low population, affords youth and
staff to build on relationships promoting
positive behavior and supports (PBIS). This
assists in building and fostering good
relationships with staff and exceeds
regulation.
(b) prohibiting discipline to be delegated to any youth;
Section VII, Number 2, Policy I-F
☒ ☐ ☐
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(c) definition of major and minor rule violations and their
consequences, and due process requirements; Section VII, Number 1, Procedure IV-A
Section VII, Number 1, Procedure IV-B
☒ ☐ ☐
Section VII, Number 1, Procedure IV-C
(d) trauma-informed approaches and positive behavior
interventions; Section VII, Number 2, Policy I-D
☒ ☐ ☐
(e) minor rule violations may be handled informally by
counseling, advising the youth of expected conduct Section VII, Number 1, Procedure IV-A
imposing a minor consequence. Discipline shall be
☒ ☐ ☐
accompanied by written documentation and a policy of
review and appeal to a supervisor; and,
(f) major rule violations and the discipline process shall
be documented and require the following: Section VII, Number 2, Procedure I-B
☒ ☐ ☐
(1) written notice of violation prior to a hearing;
(2) accommodations provided to youth with
disabilities, limited literacy, and English language Section VII, Number 2, Policy I-B
☒ ☐ ☐
learners;
(3) hearing by a person who is not a party to the
Section VII, Number 2, Procedure I-D
incident; ☒ ☐ ☐
(4) opportunity for the youth to be heard, present
Section VII, Number 2, Procedure I-F
evidence and testimony; ☒ ☐ ☐
(5) provision for youth to be assisted by staff in the
Section VII, Number 2, Procedure I-F
hearing process; ☒ ☐ ☐
(6) provision for administrative review. Section VII, Number 2, Procedure I-H
☒ ☐ ☐
(g) violations that result in a removal from camp or
commitment program, but not a return to court, will follow Section VII, Number 2, Procedure II-G
☒ ☐ ☐
the due process provisions in subsection (e) above.
1410 MANAGEMENT OF COMMUNICABLE
DISEASES. Tuolumne County MLRJDF Section VIII,
Number 1: Management of Communicable
The health administrator/responsible physician, in
Diseases
cooperation with the facility administrator and the local
health officer, shall develop written policies and ☒ ☐ ☐
This is a comprehensive policy outlining the
procedures to address the identification, treatment,
agency response to communicable disease.
control and follow-up management of communicable
diseases. The policies and procedures shall address,
but not be limited to:
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Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 1 Intake Health
screening procedures.
MLRJDF COVID-19 Screening Form
(a) Intake health screening procedures;
☒ ☐ ☐ Wellpath Coronavirus Supplemental
Screening Form
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - Booking and Intake
Procedures
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 2: Identification of
Relevant Symptoms.
MLRJDF COVID-19 Screening Form
MLRJDF Daily COVID-19 Screening Form
(b) Identification of relevant symptoms; Wellpath Coronavirus Supplemental
☒ ☐ ☐
Screening Form
Wellpath Patient Monitoring for Positive or
Suspected COVID-19 Form
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - Booking and Intake Procedure
#2
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 3: Referral for
Medical Evaluation
Wellpath MLRJDF COVID-19 Outbreak
(c) Referral for medical evaluation;
☒ ☐ ☐ Control Plan - Booking and Intake Procedure
#5
Wellpath Nursing Triage for Complaints
related to COVID-19
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 4: Treatment
Responsibilities during Detention
Tuolumne County MLRJDF Section VIII,
(d) Treatment responsibilities during detention;
☒ ☐ ☐ Number 1; Procedure I-C
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - General Quarantine
Procedures
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Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 5: Coordination
with Public and Private Community Based
resources for follow-up treatment.
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-G
(e) Coordination with public and private community-
based resources for follow-up treatment; ☒ ☐ ☐ Tuolumne County Public Health Referral
Form
Wellpath COVID-19 Discharge Instructions
Wellpath COVID-19 Patient Education
Wellpath COVID-19 Supplemental Discharge
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 6: Applicable
Reporting Requirements
(f) Applicable reporting requirements; and, Tuolumne County MLRJDF Section VIII,
☒ ☐ ☐
Number 1; Procedure I-G
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - Communication #3
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 7: Strategies for
Handling Disease Outbreaks
(g) Strategies for handling disease outbreaks. Tuolumne County MLRJDF Section VIII,
☒ ☐ ☐
Number 1; Procedure I-E and H
Wellpath MLRJDF COVID-19 Outbreak
Control Plan
The policies and procedures shall be updated as
necessary to reflect communicable disease priorities The agency works closely with Wellpath staff
identified by the local health officer and currently and the local public health agency to ensure
recommended public health interventions. ☒ ☐ ☐ proper protocols and processes are in place
to address all COVID-19 youth.
1433 REQUESTS FOR HEALTH CARE SERVICES
Section VIII, Number 12, Procedure I-C
The health administrator, in cooperation with the facility
administrator, shall develop policy and procedures to
☒ ☐ ☐
establish a daily routine for youth to convey requests for
emergency and non-emergency medical, dental and
behavioral/mental health care services.
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1480 STANDARD FACILTY CLOTHING ISSUE
Section X, Number 1
The youth’s personal clothing, undergarments and
footwear may be substituted for the institutional clothing
☒ ☐ ☐
and footwear specified in this regulation. The facility has
the primary responsibility to provide clothing and
footwear. Clothing provisions shall ensure that:
(a) Clothing is clean, reasonably fitted, durable, easily
laundered, in good repair, and free of holes and tears. Section X, Number 1, Procedure I-B
☒ ☐ ☐
(b) The standard issue of climatically suitable clothing
for youth shall consist of but not be limited to: Section X, Number 1, Procedure I-C, 1
☒ ☐ ☐
(1) Socks and serviceable footwear;
(2) Outer garments; Section X, Number 1, Procedure I-C, 2 and 3
☒ ☐ ☐
(3) New non-disposable underwear which shall
remain with the youth throughout their stay, and; Section X, Number 1, Procedure I-C, 4
☒ ☐ ☐
(4) Undergarments, that are freshly laundered and
free of stains, including tee shirts and bras. Section X, Number 1, Procedure I-C, 5
☒ ☐ ☐
(c) Clothing is laundered at the temperature required by
local ordinances for the commercial laundries and dried Section X, Number 1, Procedure 1-D
completely in a mechanical dryer or other laundry ☒ ☐ ☐
method approved by the local health officer.
(d) Suitable clothing is issued to pregnant youth.
Section X, Number 1, Procedure I-C, 9
☒ ☐ ☐
1482 CLOTHING EXCHANGE
Section X, Number 1, Procedure I
The facility administrator shall develop and implement
written policies and site-specific procedures for the
cleaning and scheduled exchange of clothing. Unless
work, climatic conditions, or illness necessitates more ☒ ☐ ☐
frequent exchange, outer garments, except for footwear,
shall be exchanged at least once each week. Tee shirts,
bras, and underwear shall be exchanged daily; youth
shall receive their own underwear back at exchange.
1484 CONTROL OF VERMIN IN YOUTH’S
PERSONAL CLOTHING Section X, Number 2
There shall be written policies and site-specific
procedures developed and implemented by the facility
administrator to control the contamination and/or spread ☒ ☐ ☐
of vermin and ecto-parasites in all youth’s personal
clothing. Infested clothing shall be cleaned or stored in a
closed container so as to eradicate or stop the spread of
the vermin.
1485 ISSUE OF PERSONAL CARE ITEMS
Section X, Number 3, Procedure I-A
There shall be written policies and site-specific
procedures developed and implemented by the facility
administrator for the availability of personal hygiene
☒ ☐ ☐
items. Each female youth shall be provided with sanitary
napkins, panty liners and tampons as requested.
Each youth to be held over 24 hours shall be provided
with the following personal care items;
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(a) Toothbrush; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(b) Toothpaste; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(c) Soap; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(d) Comb; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(e) Shaving implements; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(f) Deodorant; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(g) Lotion; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(h) Shampoo; and, Section X, Number 3, Procedure I-A
☒ ☐ ☐
(i) Post-shower conditioning hair products. Section X, Number 3, Procedure I-A
☒ ☐ ☐
Youth shall not be required to share any personal care
items listed in items (a) through (d). Liquid soap provided Section X, Number 3, Procedure I-A
through a common dispenser is permitted. Youth shall Section X, Number 3, Procedure I-E
not share disposable razors. Double edged safety Section X, Number 3, Procedure I-G
razors, electric razors, and other shaving instruments
capable of breaking the skin, when shared among youth, ☒ ☐ ☐
shall be disinfected between individual uses by the
method prescribed by the State Board of Barbering and
Cosmetology in Sections 979 and 980, Chapter 9, Title
16, California Code of Regulations.
1486 PERSONAL HYGIENE
Section X, Number 3, Procedure I-B
There shall be written policies and site specific
Section X, Number 3, Procedure I-C
procedures developed and implemented by the facility
administrator for showering/bathing and brushing of ☒ ☐
☐
teeth. Youth shall be permitted to shower/bathe up on
assignment to a housing unit and on a daily basis
thereafter and given an opportunity to brush their teeth
after each meal.
1487 SHAVING
Section X, Number 3, Procedure IV
Youth shall have access to a razor daily, unless their
appearance must be maintained for reasons of
identification in Court. All youth shall have equal
☒ ☐ ☐
opportunity to shave face and body hair. The facility
administrator may suspend this requirement in relation
to youth who are considered to be a danger to
themselves or others.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
1488 HAIR CARE SERVICES
Section X, Number 3, Procedure V
Hair care services shall be available in all juvenile
facilities. Youth shall receive hair care services monthly.
☒ ☐ ☐
Equipment shall be cleaned and disinfected after each
haircut or procedure, by a method approved by the State
Board of Barbering and Cosmetology.
1500 STANDARD BEDDING AND LINEN ISSUE
Section XI, Number 1
Clean laundered, suitable bedding and linens, in good
repair, shall be provided for each youth entering a living ☒ ☐ ☐
area who is expected to remain overnight, shall include,
but not be limited to:
(a) One mattress or mattress-pillow combination which
meets the requirements of Section 1502 of these Section XI, Number 1, Procedure I-B, 1
☒ ☐ ☐
regulations;
(b) One pillow and a pillow case unless provided for in
(a) above; Section XI, Number 1, Procedure I-B, 1
☒ ☐ ☐
(c) One mattress cover and a sheet or two sheets; Section XI, Number 1, Procedure I-B, 2
☒ ☐ ☐
(d) One towel; and, Section XI, Number 1, Procedure I-B, 4
☒ ☐ ☐
(e) One blanket or more, up on request Section XI, Number 1, Procedure I-B, 3
☒ ☐ ☐
1501 BEDDING LINEN EXCHANGE
Section XI, Number 1, Procedure I
The facility administrator shall develop and implement
site specific written policies and procedures for the
scheduled exchange of laundered bedding and linen
☒ ☐ ☐
issued to each youth housed. Washable items such as
sheets, mattress covers, pillow cases and towels shall
be exchanged for clean replacement at least once each
week.
The covering blanket shall be cleaned or laundered once
a month. Section XI, Number 1, Procedure I-E
☒ ☐ ☐
1510 FACILITY SANITATION, SAFETY AND
MAINTENANCE Section XII, Number 1
The facility administrator shall develop and implement
written policies and site-specific procedures for the
maintenance of an acceptable level of cleanliness,
repair and safety throughout the facility. The plan shall
provide for a regular schedule of housekeeping tasks,
☒ ☐ ☐
equipment, including restraint devices, and physical
plant maintenance and inspections to identify and
correct unsanitary or unsafe conditions or work practices
in a timely manner. The use of chemicals shall be done
in accordance to the product label and Safety Data
Sheet which may include the use of Personal Protection
Equipment (PPE).
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REVIEW OF NON-REGULATORY REQUIREMENTS
GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS
JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only)
The programs/services identified on the JPCF Camp
Eligibility Form are being provided at the facility. (Refer
☐ ☐ ☒
to the JPCF Camp Eligibility Form)
208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY
The facility houses Juvenile Court Wards 19 years of
age and older. ☒ ☐ ☐
The facility has been approved to hold persons under
the juvenile court who are ages 19 through 21. ☒ ☐ ☐
The facility continues to comply with the requirements
of 208.5 WIC (programming, capacity and security of
☒ ☐ ☐
the facility) as outlined in the county’s application.
7117 Tuolumne PROB TCMLRJDF Summit Program SYTF CI PRO 25-26 Page 58 of 58 A453 JUV PRO eff. 01.01.25
JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7718
FACILITY NAME: FACILITY TYPE: Camp
Tuolumne County Motherlode Regional Juvenile Detention Facility:
Steps to Success (S2S)
PERSON(S) INTERVIEWED: Dan Hawks, Chief Probation Officer; Mike Arndt, Assistant Chief Probation Officer; Will Neilson,
Supervising Probation Officer (SPO); Christine Schulze, SPO; Pam Orebaugh, Clinician GREC; Jason Sevier, Psychologist -
Tuolumne County Superintendent Of Schools (TCSOS); Ashley Chambeaux, Teacher – TCSOS; Janelle Wend, RN – Wellpath
Medical Services; Kayla Rolfe, Dual Enrollment Specialist, TCSOS; Steve Roos, Supervisor -Tuolumne County Behavior Health;
Melissa High, Case Manager – GEO; Ocean Arrelano, Smile Keepers Dental Services; Youth: Tiffany, age 17; Noah, age 17; and,
Clayton, age 17.
FIELD REPRESENTATIVE: Elizabeth Gong DATE: September 16-18, 2025
TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
1313 COUNTY INSPECTION AND EVALUATION OF
BUILDING AND GROUNDS September 3, 2024*
July 22, 2025
On an annual basis, or as otherwise required by law, each
juvenile facility administrator shall obtain a documented ☒ ☐ ☐
*Corrections made on September 20, 2024
inspection and evaluation from the following:
(a) county building inspector or person designated by the
Board of Supervisors to approve building safety;
(b) fire authority having jurisdiction, including a fire
clearance as required by Health and Safety Code Section September 25, 2024
13146.1(a) and (b); ☒ ☐ ☐ June 26, 2025
(c) local health officer, inspection in accordance with
Health and Safety Code Section 101045; 2024:
Environmental Health: September 3, 2024
Medical/Mental Health: October 16, 2024
Nutritional Health: September 4, 2024
☒ ☐ ☐
2025:
Environmental Health: June 26, 2025
Medical/Mental Health: June 11, 2025
Nutritional Health: June 11, 2025
1 This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15
regulation that is required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this
worksheet may not contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations,
Title 15, Minimum Standards for Juvenile Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of
regulations.
2 Excerpts from facility policies, procedures, or other reference documents are indicated in italicized text.
7118 Tuolumne PROB TCMLRJDF Steps to Success Camp CI PRO 25-26 Page 1 of 58 A453 JUV PRO eff. 01.01.25
TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(d) county superintendent of schools on the adequacy of
educational services and facilities as required in Section July 15, 2024
1370; ☒ ☐ ☐ June 16, 2025
(e) juvenile court as required by Section 209 of the
Welfare and Institutions Code; and, September 6, 2024
☒ ☐ ☐ August 1, 2025
(f) the Juvenile Justice Commission as required by
Section 229 of the Welfare and Institutions Code or February 4, 2024
Probation Commission as required by Section 240 of the ☒ ☐ ☐ February 5, 2025
Welfare and Institutions Code.
1320 APPOINTMENT AND QUALIFICATIONS
Section III, Number 1, Procedure I-A
Note: Compliance with this section is determined by
receipt of the Chief Probation Officer’s certification letter
The elements of this regulation are addressed
confirming that all elements of regulation are met.
in a memorandum completed on September
11, 2025, by Chief Probation Officer Dan
(a) Appointment
☒ ☐ ☐ Hawks.
In each juvenile facility there shall be a superintendent,
director or facility manager in charge of its program and
employees. Such superintendent, director, facility
manager and other employees of the facility shall be
appointed by the facility administrator pursuant to
applicable provisions of law.
(b) Employee Qualifications
Each facility shall: Section III, Number 1, Procedure II
(1) recruit and hire employees who possess Section III, Number 1, Procedure II-1
knowledge, skills and abilities appropriate to their job ☒ ☐ ☐
classification and duties in accordance with applicable
civil service or merit system rules;
(2) require a medical evaluation and physical
examination including tuberculosis screening test and Section III, Number 1, Procedure II-2
evaluation for immunity to contagious illnesses of
☒ ☐ ☐
childhood (i.e., diphtheria, rubeola, rubella, and
mumps);
(3) adhere to the minimum standards for the selection
and training requirements adopted by the Board Section III, Number 1, Procedure II-3
☒ ☐ ☐
pursuant to Section 6035 of the Penal Code; and
(4) conduct a criminal records review, on each new
employee, and psychological examination in Section III, Number 1, Procedure II-4
accordance with Section 1031 of the Government ☒ ☐ ☐
Code.
(c) Contract personnel, volunteers, and other non-
employees of the facility, who may be present at the Section III, Number 1, Procedure II-5
facility, shall have such clearance and qualifications as
may be required by law, and their presence at the facility ☒ ☐ ☐
shall be subject to the approval and control of the facility
manager.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
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 has self-capped their population at
programming, to provide for safety and security of youth
20 youth. On the day of the inspection, there
and staff, and meet established standards and
were 18 youth in custody, including 11
regulations;
Tuolumne County youth as well as four
Calaveras County, one Mariposa County, one
Amador County, and one Inyo County youth in
the Regional Facility.
☒ ☐ ☐
The facility currently has two Supervising
Juvenile Corrections Officers (JCO). There are
five Senior JCO’s, and nine JCO I/II’s with
three of those positions vacant. There are 13
relief JCO positions utilized when necessary
that are Probation Officers that have been
Core Trained. 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
☒ ☐ ☐
(f) have sufficient food service personnel relative to the
number and security of living units, including staff qualified Section III, Number 2, Procedure I-E
and available to: plan menus meeting nutritional
requirements of youth; provide kitchen supervision; direct Meals are provided by Summit Foods through
food preparation and servings; conduct related training ☒ ☐ ☐ the Tuolumne County Jail and served by
programs for culinary staff; and maintain necessary serve-safe certified JCO staff and/or youth.
records; or, a facility may serve food that meets nutritional
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 youth supervision staff.
diverted from supervising youth; and,
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(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 a
minimum youth-staff ratio for the following facility types: 1:8 ratio.
(1) Juvenile Halls
(A) during the hours that youth are awake, one Steps to Success is not a Juvenile Hall.
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- This facility is not a Special Purpose Juvenile
awake youth supervision staff member on duty for ☐ ☐ ☒ Hall.
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.
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(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.
(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 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, 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 within
☒ ☐ ☐
function of the camp in determining the level of the more restrictive staffing ratios established
supervision necessary to maintain the safety and 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.
1322 YOUTH SUPERVISION STAFF ORIENTATION
AND TRAINING Section III, Number 4, Procedure I-A
Section III, Number 4, Procedure I-B
(a) Prior to assuming any responsibilities each youth
Section III, Number 4, Procedure I-B, 1
supervision staff member shall be properly oriented to
Section III, Number 4, Procedure I-C
their duties, including:
Section III, Number 4, Procedure I-D
(1) youth supervision duties;
The agency spends three weeks to train to
specific facility responsibilities and to ensure
they are ready for all youth supervision duties.
A Training Checklist Sign-Off is completed by
the staff and trainer. The facility administration
☒ ☐ ☐
has implemented a curriculum ensuring staff
and ancillary personnel working with and/or
supervising youth are aware of their role and
responsibilities.
We reviewed the training checklists for the
eight newly hired JCO’s and JCO Cored
Probation Officers in 2025. The training
curriculum is inclusive of all elements for the
40 hours required in regulation.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(2) scope of decisions they shall make; Section III, Number 4, Procedure I-B, 2
☒ ☐ ☐
(3) the identity of their supervisor; Section III, Number 4, Procedure I-B, 3
☒ ☐ ☐
(4) the identity of persons who are responsible to
them; Section III, Number 4, Procedure I-B, 4
☒ ☐ ☐
(5) persons to contact for decisions that are beyond
their responsibility; and Section III, Number 4, Procedure I-B, 5
☒ ☐ ☐
(6) ethical responsibilities.
Section III, Number 4, Procedure I-B, 6
☒ ☐ ☐
(b) Prior to assuming any responsibility for the supervision
of youth, each youth supervision staff member shall Section III, Number 4, Procedure I-A
receive a minimum of 40 hours of facility-specific Section III, Number 4, Procedure I-C, 2
orientation, including:
(1) individual and group supervision techniques; The facility has a detailed staff orientation
which includes internal training by a ‘Field
☒ ☐ ☐ Training Officer’ mentoring and training new
staff in facility operations. The trainer and staff
initial a checklist after each component,
including many areas which exceed T15
requirements.
(2) regulations and policies relating to discipline and
rights of youth pursuant to law and the provisions of Section III, Number 4, Procedure I-C, 3
☒ ☐ ☐
this chapter;
(3) basic health, sanitation and safety measures; Section III, Number 4, Procedure I-C, 8
☒ ☐ ☐
(4) suicide prevention and response to suicide
Section III, Number 4, Procedure I-C, 9
attempts ☒ ☐ ☐
(5) policies regarding use of force, de-escalation
techniques, chemical agents, mechanical and Section III, Number 4, Procedure I-C, 4
☒ ☐ ☐
physical restraints;
(6) review of policies and procedures referencing
Section III, Number 4, Procedure I-C, 5
trauma and trauma-informed approaches; ☒ ☐ ☐
Section III, Number 4, Procedure I-C, 6
(7) procedures to follow in the event of emergencies;
☒ ☐ ☐ Section III, Number 4, Procedure I-C, 7
(8) routine security measures, including facility
Section III, Number 4, Procedure I-C, 13
perimeter and grounds; ☒ ☐ ☐
7118 Tuolumne PROB TCMLRJDF Steps to Success Camp CI PRO 25-26 Page 6 of 58 A453 JUV PRO eff. 01.01.25
TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
Section III, Number 4, Procedure I-C, 9
Section III, Number 4, Procedure I-C, 10
(9) crisis intervention and mental health referrals to
There is a TCBH Case Manager assigned to
mental health services; ☒ ☐ ☐
the facility who designates county BH
Clinicians to complete groups and individual
counseling for in-custody youth.
(10) documentation; and Section III, Number 4, Procedure I-C, 11
☒ ☐ ☐
(11) fire/life safety training Section III, Number 4, Procedure I-C, 12
☒ ☐ ☐
(c) Prior to assuming sole supervision of youth, each
youth supervision staff member shall successfully Section III, Number 4, Procedure I-B
complete the requirements of the Juvenile Corrections
Officer Core Course pursuant to Penal Code Section Of the current Senior JCO’s and JCO I/II staff
6035. responsible for youth supervision, all are core
☒ ☐ ☐ trained. There are three vacancies in the JCO
I/II series. The agency utilizes JCO Core
Trained Probation Officers to assist when
coverage is needed.
(d) Prior to exercising the powers of a peace officer youth
supervision staff shall successfully complete training Section III, Number 4, Procedure I-C
pursuant to Section 830 et seq. of the Penal Code.
All 11 Senior and JCO I/II staff are core trained
☒ ☐ ☐
youth supervision staff and have completed
PC 830.
1323 FIRE AND LIFE SAFETY
Section III, Number 22, Procedure I-A
Whenever there is a youth in a juvenile facility, there shall
be at least one wide awake person on duty at all times
All cored youth supervision staff and
who meets the training standards established by the ☒ ☐ ☐
Supervisors received Fire and Life Safety
Board for general fire and life safety which relate
training in JCO Core.
specifically to the facility.
1324 POLICY AND PROCEDURES MANUAL
Section III, Number 23, Procedure I
All facility administrators shall develop, publish, and
implement a manual of written policies and procedures
Facility Superintendent and Assistant Chief
that address, at a minimum, all regulations that are
Probation Officer, Mike Arndt, completed a
applicable to the facility. Such a manual shall be made
memo, dated August 13, 2025, that the facility
available to all employees, reviewed by all employees,
Policy and Procedure Manual has been
and shall be administratively reviewed at a minimum
reviewed and is current. The Manual and most
every two years, and updated, as necessary. Those
polices are facility-wide. Steps to Success has
records relating to the standards and requirements set ☒ ☐ ☐
additional procedures, noted in this checklist.
forth in these regulations shall be accessible to the Board
on request.
Facility staff are required to read the manual
The manual shall include:
each year, signing a document kept in their
personnel file to verify compliance for this
policy requirement. We reviewed these sign-
offs for facility staff thus far for the year 2025.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(a) table of organization, including channels of
communications and a description of job classifications; Section III, Number 23, Procedure II-B, 1
☒ ☐ ☐
(b) responsibility of the probation department, purpose of
programs, relationship to the juvenile court, the Juvenile Section III, Number 23, Procedure II-B, 2
Justice/Delinquency Prevention Commission or
Probation Committee, probation staff, school personnel ☒ ☐ ☐
and other agencies that are involved in juvenile facility
programs;
(c) responsibilities of all employees;
Section III, Number 23, Procedure II-B, 3
☒ ☐ ☐
(d) initial orientation and training program for employees;
Section III, Number 23, Procedure II-B, 4
☒ ☐ ☐
(e) initial orientation, including safety and security issues
and anti-discrimination policies, for support staff, contract Section III, Number 23, Procedure II-B, 5
employees, school, mental/behavioral health and medical ☒ ☐ ☐
staff, program providers and volunteers;
(f) maintenance of record-keeping, statistics and
communication system to ensure: Section III, Number 23, Procedure II-B, 6
(1) efficient operation of the juvenile facility; Section III, Number 23, Procedure II-B, 6-a
☒ ☐ ☐
(2) legal and proper care of youth; Section III, Number 23, Procedure II-B, 6-b
☒ ☐ ☐
(3) maintenance of individual youth's records; Section III, Number 23, Procedure II-B, 6-c
☒ ☐ ☐
(4) supply of information to the juvenile court and
Section III, Number 23, Procedure II-B, 6-d
those authorized by the court or by the law; and, ☒ ☐ ☐
(5) release of information regarding youth. Section III, Number 23, Procedure II-B, 6-e
☒ ☐ ☐
(g) ethical responsibilities; Section III, Number 23, Procedure II-B, 6-f
☒ ☐ ☐
(h) trauma-informed approaches; Section III, Number 23, Procedure II-B, 7
☒ ☐ ☐
(i) culturally responsive approaches; Section III, Number 23, Procedure II-B, 8
☒ ☐ ☐
(j) gender responsive approaches; Section III, Number 23, Procedure II-B, 9
☒ ☐ ☐
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(k) a non-discrimination provision that provides that all
youth within the facility shall have fair and equal access to Section III, Number 23, Procedure II-B, 10
all available services, placement, care, treatment, and
benefits, and provides that no person shall be subject to The Non-Discrimination Policy is in the Youth
discrimination or harassment on the basis of actual or Handbook and in the procedures of admission,
perceived race, ethnic group identification, ancestry, classification, and due process. It is also
☒ ☐ ☐
national origin, immigration status, color, religion, gender, posted in the living unit.
sexual orientation, gender identity, gender expression,
mental or physical disability, or HIV status, including
restrictive housing or classification decisions based solely
on any of the above mentioned categories;
(l) storage and maintenance requirements for any
chemical agents related security devices, and weapons Section III, Number 23, Procedure II-B, 11
and ammunition, where applicable; ☒ ☐ ☐ Section III, Number 22, Procedure IV-A, 8
(m) establishment of procedures for collection of Medi-
Cal eligibility information and enrollment of eligible youth; Section III, Number 23, Procedure II-B, 12
☒ ☐ ☐
and,
(n) establishment of a policy that prohibits all forms of
sexual abuse, sexual assault and sexual harassment. Section III, Number 23, Procedure II-B, 13
The policy shall include an approach to preventing,
detecting and responding to such conduct and any The facility has a comprehensive PREA policy,
retaliation for reporting such conduct, as well as a including staffing the facility at 1:8 during
provision for reporting such conduct by youth, staff or a waking hours and 1:16 for sleeping hours. The
third party. ☒ ☐ ☐ staffing pattern is based on a self-imposed cap
of population. There are sufficient staff to cover
in the event the self-cap needs to be
increased, up to 24 youth during waking hours
and 32 youth during sleeping hours.
1325 FIRE SAFETY PLAN
Section III, Chapter 22
The facility administrator shall consult with the local fire
Section III, Number 22, Procedure IV-A, 1
department having jurisdiction over the facility, or with the
State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐
which shall include, but not be limited to:
(a) a fire prevention plan to be included as part of the
manual of policy and procedures;
(b) monthly fire and life safety inspections by facility staff
with two-year retention of the inspection record; Section III, Number 22, Procedure IV-A, 2
The facility has an assigned safety officer that
conducts these inspections monthly. We
reviewed all the monthly inspections from
☒ ☐ ☐ January 2025 to the date of the inspection.
The form and inspection process for recording
deficiencies or need for repair are well
documented and addressed by maintenance if
necessary.
(c) fire prevention inspections as required by Health and
Safety Code Section 13146.1(a) and (b); Section III, Number 22, Procedure IV-A, 3
☒ ☐ ☐
(d) an evacuation plan;
Section III, Number 22, Procedure IV-A, 4
☒ ☐ ☐
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(e) documented fire drills not less than quarterly;
Section III, Number 22, Procedure IV-A, 5
We reviewed fire drills from January 2025 to
☒ ☐ ☐ the date of the inspection. The agency
completes drills more frequently than required
in regulation.
(f) a written plan for the emergency housing of youth in
the case of fire; and, Section III, Number 22, Procedure IV-A, 6
Section III, Number 22, Procedure IX-C, 1-c
The facility has an active Mutual Aid MOU with
☒ ☐ ☐
the Central Valley counties to accept their
youth in the event of an emergency
evacuation.
(g) development of a fire suppression pre-plan in
cooperation with the local fire department. Section III, Number 22, Procedure IV-A, 7
☒ ☐ ☐
1326 SECURITY REVIEW
Section III, Number 24
Each facility administrator shall develop policies and
Section III, Number 33 Security Procedures
procedures to annually review, evaluate, and document
Section III, Number 34 Key Control
security of the facility. The review and evaluation shall
Section III, Number 22, Procedure III-E Annual
include internal and external security, including, but not
Review
limited to, key control, equipment, and staff training.
A Security Review memo was completed by
Supervisor William Neilsen on August 8, 2025,
outlining the security practices and needs for
the facility.
The memo identified the most current issues,
including the following. The installation of a
Roof Barrier was completed in March 2025. A
shower door to better address ADA and
LGBTQI issues of possible victimization was
installed in March 2025. An additional camera
☒ ☐ ☐
was installed in the kitchen (non-youth space).
Upgraded 360 cameras replaced existing
cameras in the living unit due to the visual
obstruction from the stairwell, as well as in the
outdoor Visitation Yard and Meditation
Garden, in July 2025. The replacement of the
rolling Sally Port door was completed in
January 2025. The agency purchased a Tek-
84 Body Scanner which became operational
after training and policy implementation in
March 2025. A Suicide Prevention Barrier,
determined to be necessary in 2024, was
installed on the top tier of the living unit in
August 2025. Lastly, a glass barrier was
installed for the JCO Workstation due to
damage of computer screens during incidents.
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1327 EMERGENCY PROCEDURES
Section III, Number 22
The facility administrator shall develop facility-specific
Section III, Number 25 Hostages
policies and procedures for emergencies that shall
Section III, Number 26 Escapes
include, but not be limited to:
Section III, Number 32 Firearms in the Facility
(a) escape, disturbances, and the taking of hostages;
☒ ☐ ☐
An emergency procedure memo was
completed by Supervising Probation Officer
William Neilsen on September 2, 2025.
Section III, Number 22, X Civil Disturbance,
Active Shooter, Terrorist Attack
(b) civil disturbance, active shooter and terrorist attack;
☒ ☐ ☐ Section III, Number 28 Bomb Threat
Section III, Number 30 Riot Control
Section III, Number 22
Section III, Number 27 Hazard Mat Response
(c) fire and natural disasters; Section III, Number 22, Procedure VIII
☒ ☐ ☐
Earthquake
Section III, Number 22, Procedure IX Flood
(d) periodic testing of emergency equipment; Section III, Number 29 Power Failure
☒ ☐ ☐
Section III, Number 22, Procedure IV-A, 4
(e) emergency evacuation of the facility; and Section III, Number 22, Procedure XI
☒ ☐ ☐
Evacuation
Section III, Number 22, Procedure IV-C Initial
Orientation
(f) a program to provide all youth supervision staff with
an annual review of emergency procedures. ☒ ☐ ☐ Facility staff are required to read the facility
policy manual each year, which outlines all
Emergency Procedures in all situations.
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1328 SAFETY CHECKS
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 electronical safety check
observation of youth at a minimum of every 15 minutes,
system and completes daily audits to ensure
at random or varied intervals during hours when youth
variance of the checks and that they are timely.
are asleep or when youth are in their rooms, confined in
Late checks are reviewed via video.
holding cells or confined to their bed in a dormitory.
Supervision is not replaced, but may be supplemented
The system allows for deactivation when youth
by, an audio/visual electronic surveillance system
are “all out” and no check is needed. If there is
designed to detect overt, aggressive or assaultive
a late check, facility administration is notified,
behavior and to summon aid in emergencies. All safety
and staff are required to make an entry in the
checks shall be documented with the actual time the
unit log the reason for the late check.
check is completed.
We reviewed safety check audits for the
months of January, April, and August 2025.
We found minimal late checks, with the audit
revealing less than .03 late checks during this
☒ ☐ ☐
period, some seconds late. The audit process
in place is effective and any consistent
patterns are handled administratively, per
policy.
We suggested the agency ensure the variance
component of random and varied is better
monitored. While on site, the agency made a
request that the Guard 1 System include that
factor in the report for easier auditing.
We also suggested a better pattern for checks
as youth go down for the evening in ensuring
the in/out record is recorded during showers,
med pass, and clean up, which occur post
bedtime for some youth.
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1329 SUICIDE PREVENTION PLAN
Section III, Number 36
The facility administrator, in collaboration with the
healthcare and behavioral/mental health administrators,
The Suicide Prevention Plan and policy are a
shall plan and implement written policies and
collaboration with WellPath Medical and
procedures which delineate a Suicide Prevention Plan.
Tuolumne County Behavioral Health, which
The plan shall consider the needs of youth experiencing
includes very specific roles and responsibilities
past or current trauma. Suicide prevention responses
for medical, behavior health, and probation
shall be respectful and in the least invasive manner
facility staff.
consistent with the level of suicide risk. The plan shall
include the following elements:
The facility policy and annual training in
suicide prevention is comprehensive and
inclusive of all elements in regulation. The
agency has an on-site Behavior Health Case
Manager and multiple Clinicians with the
agency to address and see youth as
necessary. We found the Wellpath Medical
Manual is the Global Policy which includes an
immediate decision for a safety smock for any
suicidal behaviors as well as a step down from
☒ ☐ ☐
Suicide Watch to Safety Watch to full
integration. During our interview with Wellpath,
we advised that this section needed to be site-
specific and in line with the facility model and
approach to the least restrictive response to a
suicide-related incident.
There have been two youth placed on
Precautionary Status in 2025 due to suicidal
statements, both in detention. One youth
made statements to the arresting officer and,
while at the hospital for clearance, was placed
on this status at admission. The second youth
exhibited behaviors necessitating a watch
pending a BH Assessment. We reviewed the
two incidents and found the agency responded
per policy, regulation, and within guidelines
established by Behavior Health.
(a) Suicide prevention training as required in Section
1322, Youth Supervision Staff Orientation, and Training Section III, Number 36, Procedure I-B
☒ ☐ ☐
and the Juvenile Corrections Officer Core Course.
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(b) Screening, Identification Assessment and
Precautionary Protocols Section III, Number 36, Procedure I-C
(1) All youth shall be screened for risk of suicide at Section III, Number 36, Procedure I-D
intake and as needed during detention.
The facility uses the MAYSI prior to housing
youth at intake, which assesses the youth’s
likeliness to have suicidal behaviors or
ideations while in detention. The tool provides
a caution or warning status which places a
youth, per policy, on a special watch pending
review and being seen by Behavior Health.
The agency also has adapted the SAFE-T
Assessment to identify certain suicide
behaviors, which is implemented by Behavior
Health.
☒ ☐ ☐ Behavior Health has a Case Manager and
assigned clinicians to see youth on site.
WellPath Medical is on site five hours a
day/four day a week and services are then
provided by the on-call WellPath staff. If a
youth is identified with Suicidal behaviors, the
WellPath Manual states immediate placement
in a safety smock pending assessment. We
pointed out this is contradictory to facility policy
and regulation which includes the least
restrictive language. We provided information
to the assigned RN while on site and the
Superintendent that this needed to be updated
from the Wellpath Global Policy to a site-
specific policy.
(2) All youth supervision staff who perform intake
processes shall be trained in screening youth for risk Section III, Number 36, Procedure I-B
of suicide.
The agency provides eight hours of initial
☒ ☐ ☐
training and an annual 2-hour refresher
training for all youth supervision staff.
(3) All youth who have been identified during the
intake screening process to be at risk of suicide shall Section III, Number 36, Procedure I-D
be referred to behavioral/mental health staff for a ☒ ☐ ☐
suicide risk assessment.
(4) Precautionary protocols shall be developed to
ensure the youth’s safety pending the Section III, Number 36, Procedure II
behavioral/mental health assessment.
☒ ☐ ☐ Youth are placed on a Safety Watch pending
review or being seen by a BH or MH person.
(c) Referral process to behavioral/mental health staff for
assessment and/or services. Section III, Number 36, Procedure II-A
☒ ☐ ☐ Section III, Number 36, Procedure II-B
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(d) Procedures for monitoring of youth identified at risk
for suicide. Section III, Number 36, Procedure II
The facility proactively provides direct visual
☒ ☐ ☐ supervision of all youth who are identified as a
risk of actively attempting or verbally
discussing suicide.
(e) Safety Interventions
(1) Procedures to address intervention protocols for Section III, Number 36, Procedure II-C
youth identified at risk for suicide which may Section III, Number 36, Procedure II-C, 1-3
include, but are not limited to:
(A) Housing consideration ☒ ☐ ☐ The facility has a comprehensive suicide
risk/needs assessment as well as the MAYSI
Screening tool utilized for each intake.
(B) Treatment strategies including trauma-
informed approaches Section III, Number 36, Procedure III-G
The facility provides treatment strategies
based on a training curriculum and policy,
☒ ☐ ☐
which references how staff address and
supervise youth at risk, defined by the
assessment.
(2) Procedures to instruct youth supervision staff how
to respond to youth who exhibit suicidal behaviors. Section III, Number 36, Procedure II-D
The two incidents we reviewed revealed
compliance with regulation and policy, as well
as a vested interest in helping the youth. The
☒ ☐ ☐ forms, process, and administrative
involvement/review are used as a training tool
for staff. Facility staff are very aware of the risk
and responses of suicidal behavior based on
extensive training.
(f) Communication
(1) The intake process shall include communication Section III, Number 36, Procedure I-C
with the arresting officer and family guardians Section III, Number 36, Procedure I-E
regarding the youth’s past or present suicidal
ideations, behaviors or attempts. ☒ ☐ ☐ The admission forms include several
referenced areas that include communication
with the officer and family.
(2) Procedures for clear and current information
sharing about youth at risk for suicide with youth Section III, Number 36, Procedure I-E
supervision, healthcare, and behavioral/mental ☒ ☐ ☐
health staff.
(g) Debriefing of Critical Incidents Related to Suicides or
Attempts Section III, Number 26, Procedure III-H
(1) Process for administrative review of the
☒ ☐ ☐
circumstances and responses proceeding, during
and after the critical incident.
(2) Process for a debriefing event with affected staff. Section III, Number 36, Procedure III-G
☒ ☐ ☐
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(3) Process for a debriefing event with affected youth.
Section III, Number 36, Procedure III-G
☒ ☐ ☐
(h) Documentation
(1) Documentation processes shall be developed to Section III, Number 36, Procedure III-F
☒ ☐ ☐
ensure compliance with this regulation
Youth identified at risk for suicide shall not be denied the
opportunity to participate in facility programs, services Section III, Number 36, Procedure II-G
and activities which are available to other non-suicidal Section III, Number 36, Procedure II-I
youth, unless deemed necessary for the safety of the
youth or security of the facility. Any deprivation of The facility staff work within policy to identify
☒ ☐ ☐
programs, services or activities for youth at risk of the youth’s specific housing needs,
suicide shall be documented and approved by the facility programming elements, and engagement with
manager. other youth.
1340 REPORTING OF LEGAL ACTIONS
Section IV, Number 1
Each facility shall submit to the Board a letter of
notification on each legal action, pertaining to conditions
There are no pending legal actions against the
of confinement, filed against persons or legal entities ☒ ☐ ☐
Tuolumne County Motherlode Regional
responsible for juvenile facility operation.
Juvenile Detention Facility.
1341 DEATH AND SERIOUS ILLNESS OR INJURY
OF A YOUTH WHILE DETAINED Section IV, Number 3, I-F
Section IV, Number 3, I-A
(1) Death of a Youth.
(a) The facility administrator, in cooperation with the
health administrator and the behavioral/mental
health director, shall develop written policies and ☒ ☐ ☐
procedures in the event of the death of a youth while
detained, which include notifications to necessary
parties, which may include the Juvenile Court, the
parent, guardian or person standing in loco parentis
and the youth’s attorney of record.
(b) The health administrator, in cooperation with the
facility administrator, shall develop written policies Section IV, Number 3, I-B
and procedures to assure there is a medical and Section IV, Number 3, I-C
operational review of every in-custody death of a
youth. The review team shall include the facility
☒ ☐ ☐
administrator and/or facility manager, the health
administrator, the responsible physician and other
health care and supervision staff who are relevant to
the incident.
(c) The administrator of the facility shall provide to
the Board a copy of the report submitted to the Section IV, Number 3, I-D
Attorney General under Government Code Section
☒ ☐ ☐
12525. A copy of the report shall be submitted to the
Board within 10 calendar days after the death.
(d) Upon receipt of a report of the death of a youth
from the administrator, the Board may within 30 Section IV, Number 3, I-E
calendar days inspect and evaluate the juvenile
facility, jail, lockup or court holding facility pursuant to
☒ ☐ ☐
the provisions of this subchapter. Any inquiry made
by the Board shall be limited to the standards and
requirements set forth in these regulations.
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(2) Serious Illness or Injury of Youth.
(a) The facility administrator, in cooperation with the Section IV, Number 3, I-H
health administrator, shall develop written policies
and procedures for the notification to necessary
parties, which may include the Juvenile Court, the ☒ ☐ ☐
parent, guardian or person standing in loco parentis
and the youth’s attorney of record in the case of a
serious illness or injury of a youth.
1342 POPULATION ACCOUNTING
Section IV, Number 4
Each juvenile facility shall submit required population
and profile survey reports to the Board within 10 working ☒ ☐ ☐
days after the end of each reporting period, in a format
to be provided by the Board.
1343 JUVENILE FACILITY CAPACITY (EXCERPT)
Section IV, Number 5
When the number of youth detained in a living unit of a
juvenile facility exceeds its rated capacity for more than
☒ ☐ ☐
fifteen (15) calendar days in a month, the facility
administrator shall provide a crowding report to the
Board in a format provided by the Board.
1350 ADMITTANCE PROCEDURES
Section V, Number 1 Purpose
The facility administrator shall develop and implement
Section V, Number 1-C
written policies and procedures for admittance of youth
that emphasize respectful and humane engagement
The agency has a comprehensive intake
with youth, and reflect that the admission process may
process for youth and includes an “Intake
be traumatic to youth who may have already
Checklist” to ensure all procedural elements
experienced trauma. Policies shall be trauma-informed,
are met. The facility only accepts youth
culturally relevant, and responsive to the language and
identified with risks to community safety or
literacy needs of youth. In addition to the requirements
themselves, as screened from the Detention
of Sections 1324 and 1430 of these regulations:
Risk Assessment Instrument (DRAI), the
MAYSI, and an internal risk/needs screening
tool.
We reviewed over 30 comprehensive intake
packets facility-wide that included the
Checklist; the Intake Health Screening;
Property Inventory; the Youth Strengthening
Admissions Assessment (Trauma, emotional,
☒ ☐ ☐
risks and needs); PREA Acknowledgement;
Language and Gender Preference Forms;
Admission Report; Consent for Medical
Treatment; Dental Permission Slip; and
MAYSI/DRAI Assessments.
The process is inclusive of information to
assist staff and agency partners for youth care
while in custody. Youth committed to S2S do
not have a separate intake process for
commitment as the facility is a one-unit facility.
However, if a parent is not able to attend Court,
youth are able to call the parent and notify
them of the commitment. Additionally, the
program elements and phases of S2S are
reviewed with youth committed to the
program.
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(a) the admittance process shall include:
(1) Access to two free phone calls within one hour of Section V, Number 1, Procedure I-S
admittance in accordance with the provisions of ☒ ☐ ☐
Welfare and Institution Code Section 627;
(2) Offer of a shower; Section V, Number 1, Procedure I-M
☒ ☐ ☐
(3) Documented secure storage of personal Section V, Number 1, Procedure I-L
belongings; ☒ ☐ ☐ Section V, Number IV
(4) Offer of food upon arrival; Section V, Number 1, Procedure I-M
☒ ☐ ☐
(5) Screening for physical and behavioral health and
safety issues, intellectual or developmental Section V, Number 1, Procedure I-F
☒ ☐ ☐
disabilities;
(6) Screening for physical and developmental
disabilities in accordance with Sections 1329, 1413, Section V, Number1, Procedure I-C
☒ ☐ ☐
and 1430 of these regulations;
(7) Contact with Regional Center for the
Developmentally Disabled for youth that are Section V, Number 1, Procedure I-D
suspected of or identified as having a
☒ ☐ ☐
developmental disability, pursuant to Section 1413;
and,
(8) Procedures consistent with Section 1352.5. Section V, Number 6
☒ ☐ ☐
(b) juvenile hall administrators shall establish written
criteria for detention that considers the least restrictive Section V, Number 1, Procedure I-III
environment.
The facility has specific criteria for detention,
which allows for an override if justified.
Because this is a Regional Facility, SJCO’s
screen out-of-county youth for the program. If
☒ ☐ ☐
necessary, the Facility Superintendent will
review. Expectations for meeting with youth,
completing case plans, and meeting program
guidelines are reviewed with the County of
jurisdiction.
(c) juvenile camps and post-dispositional programs in
juvenile halls shall develop policies and procedures that Section V, Number I-N
advise the youth of the estimated length of stay, inform
them of program guidelines and provide written ☒ ☐ ☐
screening criteria for inclusion and exclusion from the
program.
(d) juvenile halls shall develop policies and procedures
that advise any committed youth of the estimated length Section V, Number I-N
☒ ☐ ☐
of his/her stay.
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1350.5 SCREENING FOR THE RISK OF SEXUAL
ABUSE Section V, Number 6
Section V, Number 6, Procedure I-B
The facility administrator shall develop and implement
written policies and procedures to reduce the risk of
The facility developed a tool, the Youth
sexual abuse by or upon youth. The policy shall require
☒ ☐ ☐ Strengthening Admissions Assessment, within
facility staff to assess each youth within 72 hours of
their classification screening instrument to
admission based on the following information:
address youth who are potential perpetrators
(a) Prior sexual victimization or abusiveness;
or victims of sexual assault or abuse.
(b) Gender nonconforming appearance or manner; or
identification as lesbian, gay or bisexual, transgender, Section V, Number 6, Procedure I-B
queer or intersex, and whether the youth may, therefore, ☒ ☐ ☐
be vulnerable to sexual abuse;
(c) Current charges and offense history; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(d) Age; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(e) Level of emotional and cognitive development; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(f) Physical size and stature; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(g) Mental illness or mental disabilities; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(h) Intellectual or developmental disabilities; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(i) Physical disabilities; Section V, Number 6, Procedure I-B
☒ ☐ ☐
(j) The youth’s perception of vulnerability; and, Section V, Number 6, Procedure I-B
☒ ☐ ☐
(k) Any other specific information about the individual
youth that may indicate heightened needs for The Classification/Youth Housing Screening
supervision, additional safety precautions, or separation tool and the Youth Strengthening Admissions
from certain other youth. Assessment were developed in coordination
☒ ☐ ☐ with BH to establish and identify information
which could or would assist in all safety
elements.
Staff shall ascertain this information through
conversations with the youth during the admittance Section V, Number 6, Procedure I-A
process, medical and behavioral health screenings;
during classification assessments; and by reviewing ☒ ☐ ☐ The admission risk/needs assessment is used
court records, case files, facility behavioral records, and to assist in classification of all admitted youth.
other relevant documentation from the youth’s files.
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The facility administrator shall implement appropriate
controls on the dissemination of information within the Section V, Number 6, Policy I-B
facility relative to responses received pursuant to this
assessment in order to ensure that sensitive information ☒ ☐ ☐
is not exploited to the youth’s detriment by staff or other
youth.
1351 RELEASE PROCEDURES
Section V, Number 7
The facility administrator shall develop and implement
written policies and procedures for release of youth from
The agency conducts weekly Multi-
custody which provide for:
Disciplinary Team meetings with the Behavior
Health Case Manager, Wellpath Medical staff,
TCOE personnel (including clinicians,
teachers and the psychologist), and agency
staff prior to release and during the youth’s
stay. Transition planning and ongoing services
☒ ☐ ☐ in the community are addressed. The
meetings continue to occur weekly for
detention and commitment youth. Regional
youth are included, and case notes are
forwarded to the County of jurisdiction.
We reviewed numerous release documents
indicating compliance of all elements related to
the release process.
(a) verification of identity/release papers; Section V, Number 7, Procedure I-A
☒ ☐ ☐
(b) return of personal clothing and valuables; Section V, Number 7, Procedure I-F
☒ ☐ ☐
(c) notification to the youth's parents or guardian; Section V, Number 7, Procedure I-D
☒ ☐ ☐
(d) notification to the facility health care provider in
accordance with Sections 1408 and 1437 of these Section V, Number 7, Procedure I-C
☒ ☐ ☐
regulations, for coordination with outside agencies; and,
(e) notification of school staff; Section V, Number 7, Procedure I-H
☒ ☐ ☐
(f) notification of facility mental health personnel. Section V, Number 7, Procedure I-G
☒ ☐ ☐
The facility administrator shall develop and implement
policies and procedures for post-disposition youth to Section V, Number 7, Procedure I-A
coordinate the provision of transitional and reentry
services including, but not limited to, medical and ☒ ☐ ☐
behavioral health, education, probation supervision and
community-based services.
The facility administrator shall develop and implement
written policies and procedures for the furlough of youth The facility has restarted furlough
from custody. opportunities for youth committed to Steps 2
☒ ☐ ☐
Success.
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1352 CLASSIFICATION
Section V, Number 9
The facility administrator shall develop and implement
written policies and procedures on classification of youth
☒ ☐ ☐
for the purpose of determining housing placement in the
facility.
Such procedures shall:
(a) provide for the safety of the youth, other youth, facility
staff, and the public by placing youth in the appropriate, Section V, Number 9, Procedure I-A
least restrictive housing and program settings. Housing
☒ ☐ ☐
assignments shall consider the need for single, double
or dormitory assignment or location within the dormitory;
(b) consider facility populations and physical design of
the facility; Section V, Number 9, Procedure I-A
☒ ☐ ☐
(c) provide that a youth shall be classified upon
admittance to the facility; classification factors shall Section V, Number 9, Procedure I-B
include, but not be limited to: age, maturity, Section V, Number 9, Procedure C-1 to 12
sophistication, emotional stability, program needs, legal
status, public safety considerations, medical/mental The Classification/Youth Housing Screening
health considerations, gender and gender identity of the Tool and the Youth Strengthening Admissions
youth; Assessment continue to be used to evaluate a
youth’s classification needs. The facility has
one unit with 30 beds, so determining
☒ ☐ ☐
appropriate housing is important to ensure
staff contact and observation needs can be
easily met. The screening tools were
developed in coordination with BH to establish
and identify all safety elements to address
youth needs and behaviors related to youth
placement in the unit.
(d) provide for periodic classification reviews, including
provisions that consider the level of supervision and the Section V, Number 9, Procedure I-E
youth's behavior while in custody; and,
☒ ☐ ☐
The reviews occur weekly.
(e) provide that facility staff shall not separate youth from
the general population or assign youth to a single Section V, Number 9, Procedure I-F
occupancy room based solely on the youth's actual or
perceived race, ethnic group identification, ancestry, Staff have the ability to override or determine
national origin, color, religion, gender, sexual orientation, particular housing needs based on the overall
gender identity, gender expression, mental or physical ☒ ☐ ☐ circumstances from the numerous admission
disability, or HIV status. This section does not prohibit and classification screening tools, as well as
staff from placing youth in a single occupancy room at day-to-day youth behavior.
the youth's specific request or in accordance with Title
15 regulations regarding separation.
(f) facility staff shall not consider lesbian, gay, bisexual,
transgender, questioning or intersex identification or Section V, Number 9, Procedure I-G
status as an indicator of likelihood of being sexually ☒ ☐ ☐
abusive.
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1352.5 TRANSGENDER AND INTERSEX YOUTH.
Section V, Number 10
The facility administrator shall develop written policies
and procedures ensuring respectful and equitable
The facility developed a gender preference
treatment of transgender and intersex youth.
form which includes staff having a
The policies shall provide that:
conversation with youth at admission and a
signature from the youth after the gender
☒ ☐ ☐
preferences are identified to ensure
responsiveness to their requested preferences
as it relates to search, housing, and clothing.
This is also communicated to ancillary staff to
have consistent gender references.
(a) Facility staff shall respect every youth’s gender
identity and shall refer to the youth by the youth’s Section V, Number 10, Procedure I-A
preferred name and gender pronoun, regardless of the
youth’s legal name. Facilities may prohibit the use of
gang or slang names or names that otherwise ☒ ☐ ☐
compromise facility operations as determined by the
facility manager or designee, and shall document any
decision made on this basis.
(b) Facility staff shall permit youth to dress and present
themselves in a manner consistent with their gender Section V, Number 10, Procedure I-B
identity and shall provide youth with the institution’s
☒ ☐ ☐
clothing and undergarments consistent with their gender
identity.
(c) Facility staff shall house youth in the unit or room that
best meets their individual needs and promotes their Section V, Number 10, Procedure I-C
safety and well-being. Staff may not automatically house
youth according to their external anatomy and shall
document the reasons for any decision to house youth
☒ ☐ ☐
in a unit that does not match their gender identity. In
making a housing decision, staff shall consider the
youth’s preferences, as well as any recommendations
from the youth’s health or behavioral health provider.
(d) Facility administrators shall ensure that transgender
and intersex youth have access to medical and Section V, Number 10, Procedure I-D
behavioral health providers qualified to provide care and ☒ ☐ ☐
treatment to transgender and intersex youth.
(e) Consistent with the facility’s reasonable and
necessary security considerations and physical plant, Section V, Number 10, Procedure I-E
facility staff shall make every effort to ensure the safety
and privacy of transgender and intersex youth when the ☒ ☐ ☐
youth are using the bathroom or shower, or dressing or
undressing.
Facility staff shall not conduct physical searches of any
youth for the purpose of determining the youth’s Section V, Number 10, Procedure I-F
anatomical sex. Whenever feasible, the facility shall Section V, Number 10, Procedure I-G
☒ ☐ ☐
respect the youth’s preference regarding the gender of
the staff member who conducts any search of the youth.
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1353 ORIENTATION
Section V, Number 11, I-a, D and E
The facility administrator shall develop and implement
Section V, Number 10, Procedure I-D,
written policies and procedures to orient a youth prior to
1 and 2
placement in a living area. Both written and verbal
information shall be provided and supplemented with
Youth are provided with a Handbook at
video orientation if feasible. Provision shall be made to
admission containing all elements of this
provide accessible orientation information to all detained
regulation as well as a PREA Pamphlet.
youth including those with disabilities, limited literacy, or
Committed youth are provided with a S2S
English language learners.
Handbook to orient to all program elements
Orientation shall include information that addresses:
that exceed detention orientation of the facility.
We reviewed the handbook and found the
explanation of all elements were easy for
youth to understand. We noted a new
☒ handbook was recently rolled out that included
☐ ☐
youth participation in its content. It provides an
operational understanding for youth
expectations, rights, and how to address any
identified needs that may arise during their
stay. We also reviewed the Orientation Sign
Off document youth sign when admitted and
oriented to the facility, acknowledging their
understanding of the facility guidelines,
expectations, and processes.
We interviewed three S2S youth in custody
and they acknowledged they understood the
handbook, S2S Program, and their ability to
ask staff questions regarding their stay.
(a) facility rules including contraband and searches and
disciplinary procedures; Section V, Number 10, Procedure I-B, 1
☒ ☐ ☐
(b) facility’s system of positive behavior interventions
and supports, including behavior expectations, Section V, Number 10, Procedure I-B, 2
incentives that youth will receive for complying with
☒ ☐ ☐
facility rules, and consequences that may result when
youth violate the rules of the facility;
(c) age appropriate information that explains the facility’s
policy prohibiting sexual abuse and sexual harassment Section V, Number 10, Procedure I-B, 3
and how to report incidents or suspicions of sexual ☒ ☐ ☐
abuse or sexual harassment;
(d) identification of key staff and their roles;
Section V, Number 10, Procedure I-B, 4
☒ ☐ ☐
(e) the existence of the grievance procedure, the steps
that must be taken to use it, the youth’s right to be free Section V, Number 10, Procedure I-B, 5
of retaliation for reporting a grievance, and the name of ☒ ☐ ☐
the person or position designated to resolve the issue;
(f) access to legal services and information on the court
Section V, Number 10, Procedure I-B, 6
process; ☒ ☐ ☐
(g) access to routine and emergency health and mental
Section V, Number 10, Procedure I-B, 7
health care; ☒ ☐ ☐
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(h) access to education, religious services, and
Section V, Number 10, Procedure I-B, 8
recreational activities; ☒ ☐ ☐
(i) housing assignments; Section V, Number 10, Procedure I-B, 9
☒ ☐ ☐
(j) opportunity for personal hygiene and daily showers
including the availability of personal care items Section V, Number 10, Procedure I-B, 10
☒ ☐ ☐
(k) rules and access to correspondence, visits and
telephone use; Section V, Number 10, Procedure I-B, 11
☒ ☐ ☐
(l) availability of reading materials, programming, and
other activities; Section V, Number 10, Procedure I-B, 12
☒ ☐ ☐
(m) facility policies on the use of force, use of restraints,
chemical agents and room confinement; Section V, Number 10, Procedure I-B, 13
☒ ☐ ☐
(n) immigration legal services; Section V, Number 10, Procedure I-B, 14
☒ ☐ ☐
(o) emergencies including evacuation procedures; Section V, Number 10, Procedure I-B, 15
☒ ☐ ☐
(p) non-discrimination policy and the right to be free from
physical, verbal or sexual abuse and harassment by Section V, Number 10, Procedure I-B, 21
☒ ☐ ☐
other youth and staff;
(q) availability of services and programs in a language
other than English if appropriate; Section V, Number 10, Procedure I-B, 16
☒ ☐ ☐
(r) the process for requesting different housing,
education, programming and work assignments; Section V, Number 10, Procedure I-B, 18
☒ ☐ ☐
(s) a process for which parents/guardians receive
information regarding the youth’s stay in the facility that Section V, Number 10, Procedure I-B, 17
at a minimum includes answers to frequently asked
☒ ☐ ☐
questions and provides contact information for the
facility, medical, school and mental health; and,
(t) a process by which youth may request access to Title
15 Minimum Standards for Juvenile Facilities. Section V, Number 10, Procedure I-B, 19
☒ ☐ ☐
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1354 SEPARATION
Section V, Number 13
The facility administrator shall develop and implement
written policies and procedures that address:
There were 64 incidents of Separation from
January 2025 to the date of the inspection, 41
of which were Voluntary Separation. There
were 21 incidents in S2S of which 12 were
Voluntary Separations. The agency
documents behavior separation in an Activity
Report or Incident Report, prompting staff to
document the reason for and efforts to return
the youth to programming. Youth go to the
library (second classroom not in use and in the
unit), to reflect on the behavior resulting in the
separation. We found some youth request to
go to their room for the separation, prompting
staff to complete a Reflection Separation
☒ ☐ ☐
Form, documenting that the separation in their
room was at the youth’s request.
The agency uses the CICO (Check In, Check
Out) Daily Point Sheet to document incidents
that result in behavior separation. The form
allows for points (0-2) based on the Positive
Behavior and Supports (PBIS) model for
respectful, responsible, and safe behaviors.
This form is completed for each youth daily
and allows for the recording of incidents that
do not represent the PBIS model. This is
tracked to have the information recorded for
case planning and counseling services while
the youth is in custody.
(a) separation of youth for reasons that include, but are
not be limited to, medical and mental health conditions, Section V, Number 13, I-A, 1-6
assaultive behavior, disciplinary consequences and ☒ ☐ ☐
protective custody.
(b) consideration of positive youth development and
trauma-informed care. Section V, Number 13, I-C
☒ ☐ ☐
(c) separated youth shall not be denied normal privileges
available at the facility, except when necessary to Section V, Number 13, I-B and E
☒ ☐ ☐
accomplish the objective of separation.
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(d) when the objective of the separation is discipline,
Title 15 Section 1390 shall apply. Section V, Number 13, I Disciplinary
Separation
The facility makes good use of the space in the
single unit facility for separation, using the not
occupied classroom, which allows a full visual
of the youth while in the separated location.
This space allows youth a cool down period to
reflect on the behaviors that necessitated a
☒ ☐ ☐
separation but not to the level of room
confinement. The process is working and
accomplishing the goal in regulation, despite
their physical plant.
We noted youth can ask to be separated in
their room which necessitates a Re-Focus in
room memo to be signed by the youth.
(e) when separation results in room confinement, the
separation shall occur in accordance with Welfare and Section V, Number 13, Procedure I-E
Institutions Code Section 208.3 and Section 1354.5 of ☒ ☐ ☐
these regulations.
(f) policies and procedures shall ensure a daily review of
separated youth to determine if separation remains The facility only separates youth for short
necessary. periods of time to re-focus behavior. Our
review of all incidents revealed most were poor
decisions that are not aligned with the PBIS
Model of behavior with others.
The agency only uses this tool when they have
exhausted every verbal counseling attempt.
The youth are evaluated regularly and
returned to normal programming, in most
cases, less than an hour after separation
☒ ☐ ☐
began.
We note the agency completes a
Reintegration Plan in each incident to allow for
conversations about the behavior leading to
the separation and discussion of how the
youth’s actions could be different. The agency
also allows for Due Process when a youth is
separated for discipline, including minor rule
violations.
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1354.5 ROOM CONFINEMENT
Section V, Number 14
(a) The facility administrator shall develop and
implement written policies and procedures addressing
The facility has had 25 incidents of RC from
the confinement of youth in their room that are consistent
January 2025 to the date of the inspection.
with Welfare and Institutions Code Section 208.3. The
placement of a youth in room confinement shall be
The agency has a process to ensure staff
accomplished in accordance with the following
document all efforts to reintegrate and follow
guidelines:
the RC form prompts. Incident report
documentation for the reason of room
confinement was clear in each incident we
☒ ☐ ☐ reviewed.
Times of RC were as follows: more than 3
hours (1), 2-3 hours (4), 1-2 hours (13), and six
youth under 30 minutes. All youth 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
process for the behavior leading to the RC.
(1) Room confinement shall not be used before other,
less restrictive, options have been attempted and Section V, Number 14, I-A
exhausted, unless attempting those options poses a ☒ ☐ ☐ Section V, Number 14, Procedure II-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 of Section V, Number 14, I-C
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
(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.
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(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 policy and
and when he or she is eventually released from documentation review included the elements
room confinement. 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.
1355 INSTITUTIONAL ASSESSMENT AND PLAN
Section V, Number 16
The facility administrator shall develop and implement
☒ ☐ ☐
written policies and procedures for assessment and
case planning.
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(a) Assessment:
The assessment is based on information collected Section V, Number 16, Policy I-A
during the admission process with periodic review, which
includes the youth's risk factors, needs and strengths We reviewed a sampling of IAP’s for youth
including, but not limited to, identification of substance including an initial, updated, 3-month, 6-
abuse history, educational, vocational, counseling, month, Change in Treatment, and Transition
behavioral health, consideration of known history of Plans, each focusing on the identified needs
trauma, and family strengths and needs. and service approach while in or transitioning
out of custody.
The plans focus on a Youth Strength and
Needs Assessment, which is incorporates
information from the following areas:
Emotional/Behavioral Health; Cognitive
Development and Functioning; Social
Development and Functioning; Physical
Health/Disabilities; Education; Trauma/
Resiliency; Family Relationships; Alcohol/
Drugs; Prior/Current Offense; Adult
Relationships; and any other information
which impacts a youth’s strengths or needs. A
Treatment Plan is developed based on
responses to the Assessment, which is scored
to identify the top three needs and strengths.
☒ ☐ ☐
We found each assessment to be detailed and
informative, as well as individualized to each
youth. The process is inclusive of required
elements and documentation of timelines,
which are more than required in policy and
regulation. Staff work within the plan to provide
reachable and attainable goals, both for in-
custody treatment and upon release into the
community.
The weekly MDT Meetings provide updates for
the IAP, which incorporated a new form this
cycle to be an ‘update’ and a more fluid
document. One SJCO, Christine Schulze,
created the new form and completes all IAP’s
for youth at the facility.
S2S youth must meet program progress to
advance and transition out of the program.
The elements are clearly identified and most
meet the program requirements with little
obstacles for completion.
(b) Institutional Case Plan:
(1) A case plan shall be developed for each youth Section V, Number 16, Policy I-B
held for at least 30 days or more and created within
40 days of admission. IAP’s are completed at 14 days or sooner, with
☒ ☐ ☐ follow-up assessments at the 3-month, 6-
month, 9-month, 12-month, and transition
planning timelines.
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(2) The institutional plan shall include, but not be
limited to, written documentation that provides: Section V, Number 16, Procedure II-A
(A) objectives and time frame for the resolution of ☒ ☐ ☐
problems identified in the assessment;
(B) a plan for meeting the objectives that includes
a description of program resources needed and Section V, Number 16, Procedure II-B, 1-3
individuals responsible for assuring that the plan ☒ ☐ ☐
is implemented;
(3) periodic evaluation of progress towards meeting
the objectives, including periodic review and Section V, Number 16, Procedure II-C
☒ ☐ ☐
discussion of the plan with the youth;
(4) a transition plan, the contents of which shall be
subject to existing resources, shall be developed for Section V, Number 16, Procedure II-D
post dispositional youth in accordance with Section ☒ ☐ ☐
1351; and,
(5) in as much as possible and if appropriate, the
plan, including the transition plan, shall be developed Section V, Number 16, Procedure II-E
with input from the family, supportive adults, youth,
☒ ☐ ☐
and Regional Center for the Developmentally
Disabled.
1356 COUNSELING AND CASEWORK SERVICES
Section V, Number 16, Procedure V-A
The facility administrator shall develop and implement
Section V, Number 16, Procedure V-A, 1
written policies and procedures ensuring the availability
of appropriate counseling and casework services for all
Facility staff document behavior, both positive
youth. Policies and procedures shall ensure:
and negative, in the youth’s ‘Check in, Check
(a) youth will receive assistance with needs or concerns
out’ (CICO) Daily Point sheets. This identifies
that may arise;
their behavior each shift, as well as their
participation in all T15 requirements. We
reviewed daily/weekly summaries and phone
☒ ☐ ☐ call status for each youth in custody recorded
on the CICO sheets. This daily documentation
reveals the positive and negative activities as
it relates to all areas of a youth’s program.
We also find the weekly MDT Meetings with all
agency partners, including a discussion on
each youth in custody, provide a generous
insight into youth needs and progress.
(b) youth will receive assistance in requesting contact
with parents, other supportive adults, attorney, clergy, Section V, Number 16, Procedure V-A, 2
☒ ☐ ☐
probation officer, or other public official; and,
(c) youth will be provided access to available resources
to meet the youth’s needs. Section V, Number 16, Procedure V-A, 3
☒ ☐ ☐
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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 all eight incidents involving the
which may include chemical agents. Force shall never
use of force from January 2025 to the date of
be applied as punishment, discipline, retaliation or
the inspection. The reports provided clear and
treatment.
relevant information based on the narrative in
(a) At a minimum, each facility shall develop policies and
the report 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 from
☒ ☐ ☐ youth.
Two of the incidents involved the use of OC
Spray, four youth were restrained following the
UF incident for movement to their room, and
one youth was placed in the WRAP following
the incident.
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
necessary 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
☒ ☐ ☐
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(7) define the role, notification, and follow-up
procedures required after use of force incidents for Section V, Number 17, Procedure VI-A, B and
medical, mental health staff and parents or legal ☒ ☐ ☐ 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
have been two chemical spray incidents since
January 2025.
(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 the agency
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
☒ ☐ ☐
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(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
☒ ☐ ☐
1358 USE OF PHYSICAL RESTRAINTS
Section V, Number 19 and 20
The facility administrator, in cooperation with the
responsible physician and mental health director, shall
The facility has the WRAP as a restraint with
develop and implement written policies and procedures
very specific limitations on its use.
for the use of restraint devices. Restraint devices include
any devices which immobilize a youth's extremities
There has been one use of the WRAP in 2025,
and/or prevent the youth from being ambulatory.
involving a detention youth, the first since July
☒ ☐ ☐ 2022. We reviewed the sole incident and found
the agency utilized all efforts to avoid WRAP
use by de-escalation and other verbal options.
The circumstances were well documented and
the follow-up was an intensive process of
review with the youth. The youth was in the
WRAP for 23 minutes.
Physical restraints may be used only for those youth who
present an immediate danger to themselves or others, Section V, Number 19, Policy I-B
who exhibit behavior which results in the destruction of
property, or reveals the intent to cause self-inflicted
☒ ☐ ☐
physical harm. Physical restraints should be utilized only
when it appears less restrictive alternatives would be
ineffective in controlling the youth’s behavior.
In no case shall restraints be used as punishment or
discipline, or as a substitute for treatment. The use of Section V, Number 19, Policy I-F
restraint devices that attach a youth to a wall, floor or other Section V, Number 19, Policy I-Q
fixture, including a restraint chair, or through affixing of Section V, Number 19, Policy I-R
hands and feet together behind the back (hogtying) is ☒ ☐ ☐ Section V, Number 19, Policy I-S
prohibited. The use of restraints on pregnant youth is
limited in accordance with Penal Code Section 6030(f)
and Welfare and Institutions Code Section 222.
The provisions of this section do not apply to the use of
handcuffs, shackles or other restraint devices when used Section V, Number 19, Policy I-C
to restrain youth for movement or transportation within the
facility. Movement within the facility shall be governed by ☒ ☐ ☐
Section 1358.5, Use of Restraint Devices for Movement
Within the Facility.
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Youth shall be placed in restraints only with the approval
of the facility manager or designee. The facility manager Section V, Number 19, Policy I-B
may delegate authority to place a youth in restraints to a Section V, Number 19, Policy I-V
physician. Reasons for continued retention in restraints Section V, Number 19, Policy I-W
shall be reviewed and documented at a minimum of every
hour. ☒ ☐ ☐ Senior JCO’s are designated to approve
placement of restraints in the absence of the
facility Superintendent. The WRAP must have
Superintendent approval.
A medical opinion on the safety of placement and
retention shall be secured as soon as possible, but no Section V, Number 19, Policy I-J
later than two hours from the time of placement. The
☒ ☐ ☐
youth shall be medically cleared for continued retention at
least every three hours thereafter.
A mental health consultation shall be secured as soon as
possible, but in no case longer than four hours from the Section V, Number 19, Policy I-K
time of placement, to assess the need for mental health ☒ ☐ ☐
treatment.
Continuous direct visual supervision shall be conducted
to ensure that the restraints are properly employed, and Section V, Number 19, Policy I-N
to ensure the safety and well-being of the youth. Section V, Number 19, Procedure I-B
Observations of the youth's behavior and any staff ☒ ☐ ☐ Section V, Number 19, Procedure I-J
interventions shall be documented at least every 15
minutes, with actual time of the documentation recorded.
In addition to the requirements above, policies and
procedures shall address: Section V, Number 19, Procedure I-M
(a) documentation of the circumstances leading to an ☒ ☐ ☐
application of restraints.
(b) known medical conditions that would contraindicate
certain restraint devices and/or techniques. Section V, Number 19, Policy I-M
☒ ☐ ☐
(c) acceptable restraint devices.
Section V, Number 19, Policy I-B
☒ ☐ ☐
(d) signs or symptoms which should result in immediate
medical/mental health referral. Section V, Number 19, Procedure I-J
☒ ☐ ☐
(e) availability of cardiopulmonary resuscitation
equipment. Section V, Number 19, Procedure I-D
☒ ☐ ☐
(f) protective housing of restrained youth. While in
restraint devices, all youth shall be housed alone or in a Section V, Number 19, Policy I-H
specified housing area for restrained youth which makes ☒ ☐ ☐
provision to protect the youth from abuse.
(g) provision for hydration and sanitation needs. Section V, Number 19, Policy I-H
☒ ☐ ☐
(h) exercising of extremities. Section V, Number 19, Policy I-H
☒ ☐ ☐
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1358.5 USE OF RESTRAINT DEVICES FOR
MOVEMENT AND TRANSPORTATION WITHIN Section V, Number 21
THE FACILITY. Section V, Number 19, Policy I-B
The Facility Administrator, in cooperation with the
Staff are trained annually by a certified STC
responsible physician and behavioral/mental health
Instructor. Training includes the determination
director, shall develop and implement written policies
of the use of control holds at escort and that
and procedures for the use of restraint devices when the ☒ ☐ ☐
staff must get authorization to use other force
purpose is for movement or transportation within the
for movement. There were four incidents
facility that shall include the following:
involving the use of restraints for movement of
(a) identification of acceptable restraint devices, staff
a youth to their room. All were less than three
approved to utilize restraint devices and the required
minutes.
training.
(b) the circumstances leading to the application of
restraints must be documented. Section V, Number 21, Procedure A
☒ ☐ ☐
(c) an individual assessment of the need to apply
restraints for movement or transportation that includes Section V, Number 21, Procedure B
consideration of less restrictive alternatives,
consideration of a youth’s known medical or mental
☒ ☐ ☐
health conditions, trauma informed approaches, and a
process for documentation and supervisor review and
approval.
(d) consideration of safety and security of the facility,
with a clearly defined expectation that restraint devices Section V, Number 21 Procedure C
shall not be used for the purposes of discipline or ☒ ☐ ☐
retaliation.
(e) the use of restraints on pregnant youth is limited in
accordance with Penal Code Section 6030(f) and Section V, Number 21 Procedure D
☒ ☐ ☐
Welfare and Institutions Code Section 222.
1359 SAFETY ROOM PROCEDURES
The facility does not have a Safety Room.
(a) The facility administrator, and where applicable, in
cooperation with the responsible physician, shall
develop and implement written policies and procedures
governing the use of safety rooms, as described in Title
24, Part 2, Section 1230.1.13. The room shall be used
to hold only those youth who present an immediate ☐ ☐ ☒
danger to themselves or others, who exhibit behavior
which results in the destruction of property, or reveals
the intent to cause self-inflicted physical harm. A safety
room shall not be used for punishment or discipline, or
as a substitute for treatment.
Policies and procedures shall:
(1) include provisions for administration of necessary
nutrition and fluids, access to a toilet, and suitable
☐ ☐ ☒
clothing to provide for privacy;
(2) provide for approval of the facility manager, or
designee, before a youth is placed into a safety room; ☐ ☐ ☒
(3) provide for continuous direct visual supervision
and documentation of the youth's behavior and any
staff interventions every 15 minutes, with actual time ☐ ☐ ☒
recorded;
(4) provide that the youth shall be evaluated by the
facility manager, or designee, every four hours; ☐ ☐ ☒
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(5) provide for immediate medical assessment,
where appropriate, or an assessment at the next
☐ ☐ ☒
daily sick call; and,
(6) provide a process for documenting the reason for
placement, including attempts to use less restrictive
means of control, and decisions to continue and end ☐ ☐ ☒
placement.
(b) The placement of a youth in the safety room shall be
accomplished in accordance with the following:
(1) safety room shall not be used before other less
restrictive options have been attempted and ☐ ☐ ☒
exhausted, unless attempting those options poses a
threat to the safety or security of any youth or staff.
(2) safety room shall not be used for the purposes of
punishment, coercion, convenience, or retaliation by
☐ ☐ ☒
staff.
(3) safety room shall not be used to the extent that it
compromises the mental and physical health of the
☐ ☐ ☒
youth.
(c) A youth may be held up to four hours in the safety
room. After the youth has been held in the safety room
for a period of four hours, staff shall do one or more of ☐ ☐ ☒
the following:
(1) return the youth to general population.
☐ ☐ ☒
(2) consult with mental health or medical staff,
☐ ☐ ☒
(3) develop an individualized plan that includes the
goals and objectives to be met in order to reintegrate
☐ ☐ ☒
the youth to general population.
(d) If confinement in the safety room must be extended
beyond four hours, staff shall develop an individualized
plan that includes the requirements of Section 1354.5
☐ ☐ ☒
and the goals and objectives to be met in order to
integrate the youth to general population.
1360 SEARCHES ,
Section V, Number 23
The facility administrator shall develop and implement
Section V, Number 23, Procedure IX Room
written policies and procedures governing the search of
☒ ☐ ☐ Section V, Number 23, Procedure X Facility
youth, the facility, and visitors.
Section V, Number 23, Procedure XI Visitor
Policies and procedures shall provide that:
(a) Searches shall be conducted to ensure the safety
and security of the facility, public, visitors, youth, and Section V, Number 23, Policy I-A and B
☒ ☐ ☐
staff.
(b) Searches shall be conducted in a manner that
preserves the privacy and dignity of the person being Section V, Number 23, Policy I-C
searched and shall not be conducted for harassment or ☒ ☐ ☐
as a form of discipline or punishment.
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(c) Strip searches and visual or physical body cavity
searches shall comply with Penal Code Section 4030. Section V, Number 23, Policy I-D
There have been no strip searches since the
three conducted when the facility first opened
in 2017.
☒ ☐ ☐
We note the agency purchased a Tec 84
Scanner which assists in deterring a strip
search.
(d) Physical body cavity searches shall only be
conducted by a medical professional. ☒ Section V, Number 23, Policy I-E
☐ ☐
(e) Any youth held after a detention hearing shall only be
strip searched with prior approval of a supervisor when Section V, Number 23, Procedure II, III, IV
there is reasonable suspicion based on specific and
articulable facts to believe that youth is concealing ☒ ☐ ☐
contraband. The reasonable suspicion shall be
documented.
(f) Searches of transgender and intersex youth shall
comply with Section 1352.5. ☒ Section V, Number 23, Procedure V-D
☐ ☐
(g) Cross-gender pat-down searches and strip searches
are prohibited except in exigent circumstances or when Section V, Number 23, Policy I-J and K
conducted by a medical professional. Such searches ☒ ☐ ☐
must be justified and documented in writing.
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 50 grievances filed from
appeal and have resolved grievances relating to any
January 2025 to the date of the inspection,
condition of confinement, including but not limited to
most of which were resolved by staff with 10
health care services, classification decisions, program
being appealed to the Superintendent. One
participation, telephone, mail or visiting procedures,
youth filed 14 grievances. 38 of the grievances
food, clothing, bedding, mistreatment, harassment or
☒ ☐ ☐ were related to Point loss. All grievances were
violations of the nondiscrimination policy. There shall be
resolved within three days, most in two days.
no time limit on filing grievances. Policies and
The forms are step-by-step-based and
procedures shall include provisions whereby the facility
compliant with policy and regulation.
manager ensures:
Of the youth we interviewed, each understood
the process and felt the resolution was fair.
(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
☒ ☐ ☐
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(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
☒ ☐ ☐
(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 grievance; Section V, Number 30, Procedure I-G
(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.
1362 REPORTING OF INCIDENTS
Section V, Number 32
A written report of all incidents which result in physical
harm, use of force, serious threat of physical harm, or
We reviewed numerous incident reports
death of an employee, youth or other person(s) shall be
☒ ☐ ☐ involving UF, UR, RC, and Separation.
maintained. Such written record shall be prepared by the
staff and submitted to the facility manager by the end of
the shift, unless additional time is necessary and
authorized by the facility manager or designee.
1363 USE OF REASONABLE FORCE TO COLLECT
DNA SPECIMENS, SAMPLES, IMPRESSIONS Section V, Number 33, Procedure III-A
Section V, Number 33, Procedure III-B
(a) Pursuant to Penal Code Section 298.1 authorized
law enforcement, custodial, or corrections personnel
The facility has not had to use force to collect
including peace officers, may employ reasonable force
DNA since 2017.
to collect blood specimens, saliva samples, and thumb
or palm print impressions from individuals who are
required to provide such samples, specimens or
☒ ☐ ☐
impressions pursuant to Penal Code Section 296 and
who refuse following written or oral request.
(1) For the purpose of this section, the “use of
reasonable force” shall be defined as the force that
an objective, trained and competent correctional
employee, faced with similar facts and
circumstances, would consider necessary and
reasonable to gain compliance with this section.
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(2) The use of reasonable force shall be preceded by
efforts to secure voluntary compliance. Efforts to Section V, Number 33, Procedure III-B
secure voluntary compliance shall be documented
and include an advisement of the legal obligation to ☒ ☐ ☐
provide the requisite specimen, sample or impression
and the consequences of refusal.
(b) The force shall not be used without the prior written
authorization of the supervising officer on duty. The Section V, Number 33, Procedure III-C
authorization shall include information that reflects the
fact that the offender was asked to provide the requisite ☒ ☐ ☐ The use of force for this regulation requires
specimen, sample, or impression and refused. authorization from the Facility Superintendent.
(1) If the use of reasonable force includes a cell
extraction, the extraction shall be videotaped. Video Section V, Number 33, Procedure IV-A
shall be directed at the cell extraction event. The Section V, Number 33, Procedure IV-B
videotape shall be retained by the agency for the
length of time required by statute. Notwithstanding ☒ ☐ ☐
the use of the video as evidence in a court
proceeding, the tape shall be retained
administratively.
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1370 EDUCATION PROGRAM
Section VI, Number 1, Policy II-A
(a) School Programs
The County Board of Education shall provide for the
The Tuolumne County Superintendent of
administration and operation of juvenile court schools in
Schools provides educational and vocational
conjunction with the Chief Probation Officer, or designee
opportunities via the Golden Ridge
pursuant to applicable State laws. The school and facility
Educational Center (GREC) onsite, online
administrators shall develop and implement written policy
college through Columbia Community
and procedures to ensure communication and
College, and vocational opportunities through
coordination between educators and probation staff.
the Motherlode Job Training for Tuolumne
Culturally responsive and trauma-informed approaches
County. A TCSOS Transition Specialist assists
should be applied when providing instruction. Education
with youth exiting the facility and returning to
staff should collaborate with the facility administrator to
schools in the community as well as with
use technology to facilitate learning and ensure safe
enrollment and curriculum oversight in
technology practices. The facility administrator shall
Columbia College, a community college
request an annual review of each required element of the
nearby.
program by the Superintendent of Schools, and a report
or review checklist on compliance, deficiencies, and
A GREC Clinician, Pam Orebaugh, is on site
corrective action needed to achieve compliance with this
each day to provide Social Skills groups, an
section. Such a review, when conducted, cannot be
Overcoming Obstacles Curriculum, Individual
delegated to the principal or any other staff of any juvenile
and Group Counseling, Family Counseling,
court school site. The Superintendent of Schools shall
and Post-Release Services. Kayla Rolfe
conduct this review in conjunction with a qualified outside
provides Dual Enrollment Services and
agency or individual. Upon receipt of the review, the
promotes PBIS, Mother Lode Job Training,
facility administrator or designee shall review each item
Columbia College Enrollment Services, and
with the Superintendent of Schools and shall take
also tracks youth upon release for 8-12 weeks.
whatever corrective action is necessary to address each
On the day of the inspection, there were six
deficiency and to fully protect the educational interests of
graduates, five enrolled at Columbia College,
all youth in the facility.
and one youth that is not interested in college.
PBIS was trained to all new staff initially but
☒ ☐ ☐ most have moved on since 2017. The TCSOS
has revitalized PBIS as a mechanism to
promote positive behaviors with rewards and
incentives in the classroom and carried over to
the living unit. We have seen the successes of
PBIS as a collaboration with school and
probation staff.
Rising Scholars is bringing in a Professor from
Columbia to work with the enrolled youth
weekly.
The TCSOS offers a complete and
comprehensive curriculum, including culinary
food handler’s certification, DMV licenses for
eligible youth, gardening, and personal
reading goals via the Book Club. Additionally,
for those youth with an active IEP, youth
receive services via a counselor in addition to
specialized instruction. TCSOS continues to
provide a Psychologist one time per week to
work with this population.
The on-site teacher, Ashley Chambeaux,
continues to be engaged in the classroom and
works individually with youth to grow their
education opportunities. The program is 270
minutes each day, except for every
Wednesday has a late start to allow Ms.
Chambeaux to participate in MDT meetings.
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Lastly, the agency has a Dental collaboration
with GREC/TCSOS to provide dental
education and screenings, with referral to a
dentist if necessary. The program is called
Smile Keepers and is facilitated by Ocean
Arellano, an RDHAP Provider.
(b) Required Elements
The facility school program shall comply with the State Section VI, Number 1, Policy III-A
Education Code and County Board of Education policies, Section VI, Number 1, Policy III-B
all applicable federal education statutes and regulations Section VI, Number 1, Policy III-C
and provide for an annual evaluation of the educational Section VI, Number 1, Policy III-D
program offerings. As stated in the 2009 California Section VI, Number 1, Policy III-E
Standards for the Teaching Profession, teachers shall
☒ ☐ ☐
establish and maintain learning environments that are
physically, emotionally, and intellectually safe. Youth shall
be provided a rigorous, quality educational program that
responds to the different learning styles and abilities of
students and prepares them for high school graduation,
career entry, and post-secondary education.
All youth shall be treated equally, and the education
program shall be free from discriminatory action. Staff Section VI, Number 1, Policy III-F
shall refer to transgender, intersex and gender- ☒ ☐ ☐
nonconforming youth by their preferred name and gender.
(1) The course of study shall comply with the State
Education Code and include, but not be limited to, Section VI, Number 1, Policy III-A
☒ ☐ ☐
courses required for high school graduation.
(2) Information and preparation for the High School
Equivalency Test as approved by the California Section VI, Number 1, Policy III-I
Department of Education shall be made available to ☒ ☐ ☐
eligible youth.
(3) Youth shall be informed of post-secondary
education and vocational opportunities. Section VI, Number 1, Policy III-J
☒ ☐ ☐
(4) Administration of the High School Equivalency
Tests as approved by the California Department of Section VI, Number 1, Policy III-K
☒ ☐ ☐
Education, shall be made available when possible.
(5) Supplemental instruction shall be afforded to youth
who do not demonstrate sufficient progress towards Section VI, Number 1, Policy III-L
☒ ☐ ☐
grade level standards.
(6) The minimum school day shall be consistent with
State Education Code Requirements for juvenile court Section VI, Number 1, Policy III-G
schools. The facility administrator, in conjunction with
education staff, must ensure that operational
procedures do not interfere with the time afforded for ☒ ☐ ☐
the minimum instructional day. Absences, time out of
class or educational instruction, both excused and
unexcused, shall be documented.
(7) Education shall be provided to all youth regardless
of classification, housing, security status, disciplinary Section VI, Number 1, Policy III-O
or separation status, including room confinement,
except when providing education poses an immediate
threat to the safety of self or others. Education ☒ ☐ ☐
includes, but is not limited to, related services as
provided in a youth’s Section 504 Plan or
Individualized Education Program (IEP).
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(c) School Discipline
(1) Positive behavior management will be Section VI, Number 1, Policy IV-A
implemented to reduce the need for disciplinary action
in the school setting and be integrated into the facility's ☒ ☐ ☐
overall behavioral management plan and security
system.
(2) School staff shall be advised of administrative
decisions made by probation staff that may affect the Section VI, Number 1, Policy IV-B
☒ ☐ ☐
educational programming of students.
(3) Except as otherwise provided by the State
Education Code, expulsion/suspension from school Section VI, Number 1, Policy IV-C
shall be imposed only when other means of correction
fails to bring about proper conduct. School staff shall
follow the appropriate due process safeguards as set
forth in the State Education Code including the rights ☒ ☐ ☐
of students with special needs. School staff shall
document the other means of correction used prior to
imposing expulsion/ suspension if an
expulsion/suspension is ultimately imposed.
(4) The facility administrator, in conjunction with
education staff will develop policies and procedures Section VI, Number 1, Policy IV-D
that address the rights of any student who has ☒ ☐ ☐
continuing difficulty completing a school day.
(d) Provisions for Special Populations
(1) State and federal laws and regulations shall be Section VI, Number 1, Policy V-A
observed for all individuals with disabilities or
suspected disabilities. This includes but is not limited
to child find, assessment, continuum of alternative ☒ ☐ ☐
placements, manifestation determination reviews, and
implementation of Section 504 Plans and
Individualized Education Programs.
(2) Youth identified as English Learners (EL) shall be
afforded an educational program that addresses their Section VI, Number 1, Policy V-B
language needs pursuant to all applicable state and
☒ ☐ ☐
federal laws and regulations governing programs for
EL students.
(e) Educational Screening and Admission
(1) Youth shall be interviewed after admittance and a Section VI, Number 1, Policy VI-A
☒
record maintained that documents a youth's ☐ ☐
educational history, including but not limited to:
(A) School progress/school history;
Section VI, Number 1, Policy VI-A, 1
☒ ☐ ☐
(B) Home Language Survey and the results of the
State Test used for English language proficiency; Section VI, Number 1, Policy VI-A, 2
☒ ☐ ☐
(C) Needs and services of special populations as
defined by the State Education Code, including but Section VI, Number 1, Policy VI-A, 3
☒ ☐ ☐
not limited to, students with special needs.
(D) Discipline problems.
Section VI, Number 1, Policy VI-A, 4
☒ ☐ ☐
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(2) Youth will be immediately enrolled in school.
Educational staff shall conduct an assessment to Section VI, Number 1, Policy VI-B
determine the youth's general academic functioning
levels to enable placement in core curriculum courses. The TCSOS has a regimented practice to
provide a Credit Reduction for almost all
students regardless of the SB 167 Legislation
for meeting criteria. The TCSOS Board relies
on Education Code Section 2, 48645.5 (d),
which they indicate includes the agency shall
graduate a youth specific to Section 51225.3.
‘AB 167/SB 522 allows California foster youth
and Juvenile Court School youth to graduate
by meeting the state's minimum high school
requirements instead of their local district's
potentially more extensive ones. These
requirements include three years of English,
two of math, two of science, three of social
studies, one of arts or foreign language, and
two of physical education. This option is
☒ ☐ ☐
available if the student transferred schools
after their second year of high school and it is
deemed in their best interest by their
education rights holder.’
By entering most youth on the credit
reduction track, Tuolumne County
Superintendent of Schools does not offer in-
custody youth the full curriculum
requirements available if a youth chooses to
achieve a full credit diploma while in custody.
This is not allowing a youth wanting a
traditional high school experience and go
directly into a four-year college experience.
The information regarding legislation in quotes
above was directly obtained from summary
legislative notes.
(3) After admission to the facility, a preliminary
education plan shall be developed for each youth Section VI, Number 1, Policy VI-C
☒ ☐ ☐
within five school days.
(4) Upon enrollment, education staff shall comply with
the State Education Code and request the youth's Section VI, Number 1, Policy VI-D
records from his/her prior school(s), including, but not
limited to, transcripts, Individual Education Program
(IEP), 504 Plan, state language assessment scores,
immunization records, exit grades, and partial credits. ☒ ☐ ☐
Upon receipt of the transcripts, the youth's educational
plan shall be reviewed with the youth and modified as
needed. Youth should be informed of the credits they
need to graduate.
(f) Educational Reporting
(1) The complete facility educational record of the Section VI, Number 1, Policy VII-A
youth shall be forwarded to the next educational
☒ ☐ ☐
placement in accordance with the State Education
Code.
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(2) The County Superintendent of Schools shall
provide appropriate credit (full or partial) for course Section VI, Number 1, Policy VII-B
work completed while in juvenile court school in ☒ ☐ ☐
accordance with the State Education Code.
(g) Transition and Re-Entry Planning
(1) The Superintendent of Schools and the Chief Section VI, Number 1, Policy VIII-A
Probation Officer or designee, shall develop policies
and procedures to meet the transition needs of youth,
including the development of an education transition ☒ ☐ ☐
plan, in accordance with the State Education Code
and in alignment with Title 15, Minimum Standards for
Juvenile Facilities, Section 1355.
(h) Post-Secondary Education Opportunities
(1) The school and facility administrator should, Section VI, Number 1, Policy IX-A
whenever possible, collaborate with local post-
secondary education providers to facilitate access to
☒ ☐ ☐
educational and vocational opportunities for youth that
considers the use of technology to implement these
programs.
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1371 PROGRAMS, RECREATION, AND EXERCISE.
Section VI, Number 3, Policy I-A
The facility administrator shall develop and implement
written policies and procedures for programs, recreation,
The facility has many programming options for
and exercise for all youth. The intent is to minimize the
youth, including:
amount of time youth are in their rooms or their bed area.
Aggression Replacement Training (ART);
Interactive Journaling; Moral Recognition
Therapy (MRT); Anger management; Ready
Now Recovery; Culinary Classes; Drum
Circle; Music 12; Parenting Education;
Independent Living Skills; 4H-Master
Gardner’s; Harvest of the Month (Health and
Nutrition); Art Therapy; Mindfulness and
Meditation; Book Club; Religious Services and
Bible Study; Mentoring; Drug and Alcohol
Prevention Groups; AA and NA; Ready Now
Recovery; Tai Chi; and Drum Circle. The
Meditation Pond and Hydroponic Garden was
completed through a grant through 4H.
Facility staff work on “Check In, Check Out”
(CICO) with youth to document positive and
negative behaviors which teach the elements
of PBIS. This tool provides incentive-based
opportunities for youth. TCBH provides
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.
GEO SERVICES is new to this cycle and
provides a Case Manager that facilitates
Anger Management, Substance Abuse
Education, Parenting, MRT, ICBI Training, and
Skill Building programs to the youth.
GREC Clinician Kayla Rolfe provides Dual
Enrollment Services and is responsive to
youth education needs. She coordinates job
assessments via the Motherlode Job Training
Center, assists with enrollment in Columbia
Community College, and is working to bring
elective curriculums into the facility through the
Motherlode Education Program (MEOC).
Providers include TCBH, TCSOS, facility staff,
4-H, Master Gardner’s, Hidden Treasures,
GEO Services, Cal Poly Pomona, Teen
Works. Rising Scholars, Smile Keepers, UC
Davis Cooperative Extension, and local
volunteers.
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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 ☒ ☐ ☐
one hour shall be an outdoor activity, weather permitting.
A youth’s participation in programs, recreation, and
exercise may be suspended only upon a written finding Section 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.
(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 Programming Supervisor, Christine
social interventions and activities designed to reduce Schulze, validated the above program
recidivism. These programs should be based on the opportunities, memorialized in a memo dated
youth’s individual needs as required by Sections 1355 August 8, 2025.
and 1356. Such programs may be provided under the
direction of the Chief Probation Officer or the County
Office of Education and can be administered by county
partners such as mental health agencies, community
based organizations, faith-based organizations or
Probation staff.
Programs may include but are not limited to:
(1) Cognitive Behavior Interventions;
(2) Management of Stress and Trauma;
☒ ☐ ☐
(3) Anger Management;
(4) Conflict Resolution;
(5) Juvenile Justice System;
(6) Trauma-related interventions;
(7) Victim Awareness;
(8) Self-Improvement;
(9) Parenting Skills and support;
(10) Tolerance and Diversity;
(11) Healing Informed Approaches;
(12) Interventions by Credible Messengers;
(13) Gender Specific Programming;
(14) Art, creative writing, or self-expression;
(15) CPR and First Aid training;
(16) Restorative Justice or Civic Engagement;
(17) Career and leadership opportunities; and,
(18) Other topics suitable to the youth population.
(b) Recreation. All youth shall be provided the opportunity
for at least one hour of daily access to unscheduled Section 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.
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(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 programs. Section VI, Number 3, Policy I-J
The administrator/manager shall document the reasons ☒ ☐ ☐
why suspension of recreation and programs occurs.
1372 RELIGIOUS PROGRAM
Section VI, Number 7, Policy I-C
The facility administrator shall provide access to religious
Section VI, Number 7, Policy I-D
services and/or religious counseling at least once each
week. Attendance shall be voluntary. A youth shall be ☒ ☐ ☐
allowed to participate in an activity outside of their room if
he/she elects not to participate in religious programs.
Religious programs shall provide for:
Section VI, Number 7, Policy I-A
(a) opportunity for religious services and practices;
☒ ☐ ☐ Section VI, Number 7, Policy I-B
(b) availability of clergy; and, Section VI, Number 7, Policy I-B
☒ ☐ ☐
(c) availability of religious diets. Section VI, Number 7, Policy I-B
☒ ☐ ☐
1373 WORK PROGRAM
Section VI, Number 8
The facility administrator shall develop policies and
procedures regarding the fair and consistent assignment
A memo outlining work services for all youth in
of youth to work programs. Work assigned to a youth shall
custody was completed on September 2,
be meaningful, constructive and related to vocational
2025, by William Neilsen.
training or increasing a youth's sense of responsibility.
Work programs shall not be imposed as a disciplinary
The agency allows youth that meet specific
measure
criteria to work outside the secure perimeter.
Youth in detention are responsible for daily
chores of cleaning their room and the unit.
Yard maintenance and classroom cleaning is
completed by more senior youth who have
reached a certain level in the facility with good
behavior.
☒ ☐ ☐
Youth over 16 can receive their food handler’s
certificate and they are responsible for serving
the meals which come over from the jail.
Lastly, youth committed to Steps to Success
can work outside the facility perimeter to
maintain the cleanliness of the building and
grounds.
Several S2S Camp youth have been
employed outside the facility, however, there
were no youth doing this at the time of the
inspection.
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1374 VISITING
Section VI, Number 9, Policy I-A
The facility administrator shall develop and implement
Section VI, Number 9, Policy I-B
written policies and procedures for visiting, that include
provisions for special visits. Youth shall be allowed to
The facility continues to accommodate all
receive visits by parents, guardians or persons standing
visits, allowing any person the opportunity to
in loco parentis, and children of youth. Other family
visit a youth that offers a positive impact on
members, such as grandparents and siblings, and
behavior or influence for good transition. This
supportive adults, may be allowed to visit with the
includes any family member or supportive
approval of the facility administrator or designee, and in
adult, generally working within the visitor’s
conjunction with the youth’s case plan or in the best ☒ ☐ ☐
schedule if outside normal visiting hours.
interest of the youth.
The visiting schedule is robust with specific
providers, clinicians, and community persons
visiting youth regularly, not to mention, while
on site, there were seven youth from
Mariposa, Inyo, and Calaveras Counties in
custody.
All visits shall occur at reasonable times, subject only to
the limitations necessary to maintain order and security. Section VI, Number 9, Policy I-A
Visitation shall not be denied solely based on the visitor’s Section VI, Number 9, Policy I-R
criminal history. The staff shall determine in each case,
whether the visitor’s criminal history represents a risk to
☒ ☐ ☐
the safety of youth or staff in the facility. Any denial of
visitation or limitation on visitations shall be
communicated to the youth, person denied and facility
administrator.
Opportunity for visitation shall be a minimum of two hours
per week. Visits may be supervised, but conversations Section VI, Number 9, Policy I-E
shall not be monitored unless there is a security or safety ☒ ☐ ☐ Section VI, Number 9, Policy I-G
need.
Provisions for special visits, in addition to the two-hour
minimum and/or outside of the regular visiting hours, shall Section VI, Number 9, Policy I-H
be accommodated as necessary and within the discretion Section VI, Number 9, Policy I-I
of the facility administrator or designee. Family therapy
and professional visits shall be accommodated outside ☒ ☐ ☐
the provisions of this regulation. Facilities may provide
visitation opportunities outside of normal visiting hours to
accommodate special visits.
The facility may provide access to technology as an
alternative, but not as a replacement, to in-person visiting. Section VI, Number 9, Policy I-S
☒ ☐ ☐
1375 CORRESPONDENCE
Section VI, Number 10
The facility administrator shall develop and implement
Section VI, Number 10, Policy I-A
written policies and procedures for correspondence which
☒ ☐ ☐
provide that:
(a) there is no limitation on the volume of mail that youth
may send or receive;
(b) youth may send two letters per week postage free;
Section VI, Number 10, Policy I-B
☒ ☐ ☐
All youth mail is sent postage-free.
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(c) youth may correspond confidentially with state and
federal courts, any member of the State Bar or holder of Section VI, Number 10, Policy I-C
public office, and the Board; however, authorized facility
☒ ☐ ☐
staff may open and inspect such mail only to search for
contraband and in the presence of the youth; and,
(d) incoming and outgoing mail, other than that described
in (c), may be read by staff only when there is reasonable Section VI, Number 10, Policy I-F
cause to believe facility safety and security, public safety, ☒ ☐ ☐
or youth safety is jeopardized.
1376 TELEPHONE ACCESS
Section VI, Number 11
The administrator of each juvenile facility shall develop
☒ ☐ ☐
and implement written policies and procedures to provide
youth with access to telephone communications.
1377 ACCESS TO LEGAL SERVICES
Section VI, Number 12
The facility administrator shall develop written procedures
Section VI, Number 12, Policy I-A
to ensure the right of youth to have access to the courts
☒ ☐ ☐
and legal services. Such access shall include:
(a) access, upon request by the youth, to licensed
attorneys and their authorized representatives;
(b) provision for confidential consultation with attorneys;
and, Section VI, Number 12, Policy I-B
☒ ☐ ☐
(c) unlimited postage free, legal correspondence and
cost-free telephone access as appropriate. Section VI, Number 12, Policy I-C
☒ ☐ ☐
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1390 DISCIPLINE
Section VII, Number 1, Policy I-A
The facility administrator shall develop and implement
Section VII, Number 1, Policy I-B
written policies and procedures for the discipline of youth
that shall promote acceptable behavior; including the use
The facility’s rules and sanctions are clearly
of positive behavior interventions and supports. Discipline
identified in many forms for all youth. The
shall be imposed at the least restrictive level which
sanction matrix is rarely used, only for high-
promotes the desired behavior and shall not include
risk behaviors and incidents which are rare.
corporal punishment, group punishment, physical or
The PBIS model of respect, responsible, and
psychological degradation.
safe is visually and verbally present
Deprivation of the following is not permitted:
throughout the facility. Youth are more
interested in earning points for commissary,
which works to promote the tenets of PBIS.
We observed youth in unit activities and the
classroom, noting the staff efforts to have
conversations with youth routinely as part of
their overall philosophy to promote PBIS. The
point sheets are tallied daily so youth know
where they stand in terms of bedtime,
participation in late activities, and incentive
☒ ☐ ☐
options. These pro-social activities and efforts
are on full display, evidenced by the low
number of high-risk incidents and behaviors.
We interviewed eight youth while on site, in
each of the programs, and found they seem to
trust staff and feel like they are treated well.
Staff continue to promote positive decision
choices, offering options and compromise,
which allow a youth to see the benefits of good
behavior. Accountability and teaching
moments are principles used in the daily
operations facility-wide.
The agency rule and sanction system only
includes minor and major rule violations. We
noted Due Process is completed on every rule
violation as they use the tool to enhance
conversation and promote positive choices.
(a) bed and bedding; Section VII, Number 1, Policy I-C,1
☒ ☐ ☐
(b) daily shower, access to drinking fountain, toilet and
Section VII, Number 1, Policy I-C, 2
personal hygiene items, and clean clothing; ☒ ☐ ☐
(c) full nutrition; Section VII, Number 1, Policy I-C, 3
☒ ☐ ☐
(d) contact with parent or attorney; Section VII, Number 1, Policy I-C, 4
☒ ☐ ☐
(e) exercise; Section VII, Number 1, Policy I-C, 5
☒ ☐ ☐
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(f) medical services and counseling; Section VII, Number 1, Policy I-C, 6
☒ ☐ ☐
(g) religious services; Section VII, Number 1, Policy I-C, 7
☒ ☐ ☐
(h) clean and sanitary living conditions; Section VII, Number 1, Policy I-C, 8
☒ ☐ ☐
(i) the right to send and receive mail; Section VII, Number 1, Policy I-C, 9
☒ ☐ ☐
(j) education; and, Section VII, Number 1, Policy I-C, 10
☒ ☐ ☐
(k) rehabilitative programming. Section VII, Number 1, Policy I-C, 11
☒ ☐ ☐
The facility administrator shall establish rules of conduct
and disciplinary penalties to guide the conduct of youth. Section VII, Number 1, Policy I-E
Such rules and penalties shall include both major Section VII, Number 1, Policy I-F
violations and minor violations, be stated simply and
affirmatively, and be made available to all youth. Provision ☒ ☐ ☐
shall be made to provide accessible information to youth
with disabilities, limited English proficiency, or limited
literacy.
1391 DISCIPLINE PROCESS
Section VII, Number 2
The facility administrator shall develop and implement
Section VII, Number 2, Procedure I-A
written policies and procedures for the administration of
discipline which shall include, but not be limited to:
We reviewed all 23 major DP incidents from
(a) designation of personnel authorized to impose
January 2025 to the date of the inspection. Of
discipline for violation of rules;
those, 22 were accepted without hearing and
one was appealed. The process and outcome
were appropriate for the behavior and the
documentation was clear.
The facility continues to over-use DP for minor
rule violations and separation incidents. We
☒ ☐ ☐ again provided technical assistance to
suggest the daily point sheet be the document
to address minor rule violations and
separation. However, the intent is to allow for
more conversations with youth regarding the
behavior resulting in any rule violation which,
due to their low population, affords youth and
staff to build on relationships promoting
positive behavior and supports (PBIS). This
assists in building and fostering good
relationships with staff and exceeds
regulation.
(b) prohibiting discipline to be delegated to any youth;
Section VII, Number 2, Policy I-F
☒ ☐ ☐
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(c) definition of major and minor rule violations and their
consequences, and due process requirements; Section VII, Number 1, Procedure IV-A
Section VII, Number 1, Procedure IV-B
☒ ☐ ☐
Section VII, Number 1, Procedure IV-C
(d) trauma-informed approaches and positive behavior
interventions; Section VII, Number 2, Policy I-D
☒ ☐ ☐
(e) minor rule violations may be handled informally by
counseling, advising the youth of expected conduct Section VII, Number 1, Procedure IV-A
imposing a minor consequence. Discipline shall be
☒ ☐ ☐
accompanied by written documentation and a policy of
review and appeal to a supervisor; and,
(f) major rule violations and the discipline process shall
be documented and require the following: Section VII, Number 2, Procedure I-B
☒ ☐ ☐
(1) written notice of violation prior to a hearing;
(2) accommodations provided to youth with
disabilities, limited literacy, and English language Section VII, Number 2, Policy I-B
☒ ☐ ☐
learners;
(3) hearing by a person who is not a party to the
Section VII, Number 2, Procedure I-D
incident; ☒ ☐ ☐
(4) opportunity for the youth to be heard, present
Section VII, Number 2, Procedure I-F
evidence and testimony; ☒ ☐ ☐
(5) provision for youth to be assisted by staff in the
Section VII, Number 2, Procedure I-F
hearing process; ☒ ☐ ☐
(6) provision for administrative review. Section VII, Number 2, Procedure I-H
☒ ☐ ☐
(g) violations that result in a removal from camp or
commitment program, but not a return to court, will follow Section VII, Number 2, Procedure II-G
☒ ☐ ☐
the due process provisions in subsection (e) above.
1410 MANAGEMENT OF COMMUNICABLE
DISEASES. Tuolumne County MLRJDF Section VIII,
Number 1: Management of Communicable
The health administrator/responsible physician, in
Diseases
cooperation with the facility administrator and the local
health officer, shall develop written policies and ☒ ☐ ☐
This is a comprehensive policy outlining the
procedures to address the identification, treatment,
agency response to communicable disease.
control and follow-up management of communicable
diseases. The policies and procedures shall address,
but not be limited to:
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Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 1 Intake Health
screening procedures.
MLRJDF COVID-19 Screening Form
(a) Intake health screening procedures;
☒ ☐ ☐ Wellpath Coronavirus Supplemental
Screening Form
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - Booking and Intake
Procedures
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 2: Identification of
Relevant Symptoms.
MLRJDF COVID-19 Screening Form
MLRJDF Daily COVID-19 Screening Form
(b) Identification of relevant symptoms; Wellpath Coronavirus Supplemental
☒ ☐ ☐
Screening Form
Wellpath Patient Monitoring for Positive or
Suspected COVID-19 Form
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - Booking and Intake Procedure
#2
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 3: Referral for
Medical Evaluation
Wellpath MLRJDF COVID-19 Outbreak
(c) Referral for medical evaluation;
☒ ☐ ☐ Control Plan - Booking and Intake Procedure
#5
Wellpath Nursing Triage for Complaints
related to COVID-19
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 4: Treatment
Responsibilities during Detention
Tuolumne County MLRJDF Section VIII,
(d) Treatment responsibilities during detention;
☒ ☐ ☐ Number 1; Procedure I-C
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - General Quarantine
Procedures
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Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 5: Coordination
with Public and Private Community Based
resources for follow-up treatment.
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-G
(e) Coordination with public and private community-
based resources for follow-up treatment; ☒ ☐ ☐ Tuolumne County Public Health Referral
Form
Wellpath COVID-19 Discharge Instructions
Wellpath COVID-19 Patient Education
Wellpath COVID-19 Supplemental Discharge
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 6: Applicable
Reporting Requirements
(f) Applicable reporting requirements; and, Tuolumne County MLRJDF Section VIII,
☒ ☐ ☐
Number 1; Procedure I-G
Wellpath MLRJDF COVID-19 Outbreak
Control Plan - Communication #3
Tuolumne County MLRJDF Section VIII,
Number 1; Procedure I-A, 7: Strategies for
Handling Disease Outbreaks
(g) Strategies for handling disease outbreaks. Tuolumne County MLRJDF Section VIII,
☒ ☐ ☐
Number 1; Procedure I-E and H
Wellpath MLRJDF COVID-19 Outbreak
Control Plan
The policies and procedures shall be updated as
necessary to reflect communicable disease priorities The agency works closely with Wellpath staff
identified by the local health officer and currently and the local public health agency to ensure
recommended public health interventions. ☒ ☐ ☐ proper protocols and processes are in place
to address all COVID-19 youth.
1433 REQUESTS FOR HEALTH CARE SERVICES
Section VIII, Number 12, Procedure I-C
The health administrator, in cooperation with the facility
administrator, shall develop policy and procedures to
☒ ☐ ☐
establish a daily routine for youth to convey requests for
emergency and non-emergency medical, dental and
behavioral/mental health care services.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
1480 STANDARD FACILTY CLOTHING ISSUE
Section X, Number 1
The youth’s personal clothing, undergarments and
footwear may be substituted for the institutional clothing
☒ ☐ ☐
and footwear specified in this regulation. The facility has
the primary responsibility to provide clothing and
footwear. Clothing provisions shall ensure that:
(a) Clothing is clean, reasonably fitted, durable, easily
laundered, in good repair, and free of holes and tears. Section X, Number 1, Procedure I-B
☒ ☐ ☐
(b) The standard issue of climatically suitable clothing
for youth shall consist of but not be limited to: Section X, Number 1, Procedure I-C, 1
☒ ☐ ☐
(1) Socks and serviceable footwear;
(2) Outer garments; Section X, Number 1, Procedure I-C, 2 and 3
☒ ☐ ☐
(3) New non-disposable underwear which shall
remain with the youth throughout their stay, and; Section X, Number 1, Procedure I-C, 4
☒ ☐ ☐
(4) Undergarments, that are freshly laundered and
free of stains, including tee shirts and bras. Section X, Number 1, Procedure I-C, 5
☒ ☐ ☐
(c) Clothing is laundered at the temperature required by
local ordinances for the commercial laundries and dried Section X, Number 1, Procedure 1-D
completely in a mechanical dryer or other laundry ☒ ☐ ☐
method approved by the local health officer.
(d) Suitable clothing is issued to pregnant youth.
Section X, Number 1, Procedure I-C, 9
☒ ☐ ☐
1482 CLOTHING EXCHANGE
Section X, Number 1, Procedure I
The facility administrator shall develop and implement
written policies and site-specific procedures for the
cleaning and scheduled exchange of clothing. Unless
work, climatic conditions, or illness necessitates more ☒ ☐ ☐
frequent exchange, outer garments, except for footwear,
shall be exchanged at least once each week. Tee shirts,
bras, and underwear shall be exchanged daily; youth
shall receive their own underwear back at exchange.
1484 CONTROL OF VERMIN IN YOUTH’S
PERSONAL CLOTHING Section X, Number 2
There shall be written policies and site-specific
procedures developed and implemented by the facility
administrator to control the contamination and/or spread ☒ ☐ ☐
of vermin and ecto-parasites in all youth’s personal
clothing. Infested clothing shall be cleaned or stored in a
closed container so as to eradicate or stop the spread of
the vermin.
1485 ISSUE OF PERSONAL CARE ITEMS
Section X, Number 3, Procedure I-A
There shall be written policies and site-specific
procedures developed and implemented by the facility
administrator for the availability of personal hygiene
☒ ☐ ☐
items. Each female youth shall be provided with sanitary
napkins, panty liners and tampons as requested.
Each youth to be held over 24 hours shall be provided
with the following personal care items;
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
(a) Toothbrush; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(b) Toothpaste; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(c) Soap; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(d) Comb; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(e) Shaving implements; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(f) Deodorant; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(g) Lotion; Section X, Number 3, Procedure I-A
☒ ☐ ☐
(h) Shampoo; and, Section X, Number 3, Procedure I-A
☒ ☐ ☐
(i) Post-shower conditioning hair products. Section X, Number 3, Procedure I-A
☒ ☐ ☐
Youth shall not be required to share any personal care
items listed in items (a) through (d). Liquid soap provided Section X, Number 3, Procedure I-A
through a common dispenser is permitted. Youth shall Section X, Number 3, Procedure I-E
not share disposable razors. Double edged safety Section X, Number 3, Procedure I-G
razors, electric razors, and other shaving instruments
capable of breaking the skin, when shared among youth, ☒ ☐ ☐
shall be disinfected between individual uses by the
method prescribed by the State Board of Barbering and
Cosmetology in Sections 979 and 980, Chapter 9, Title
16, California Code of Regulations.
1486 PERSONAL HYGIENE
Section X, Number 3, Procedure I-B
There shall be written policies and site specific
Section X, Number 3, Procedure I-C
procedures developed and implemented by the facility
administrator for showering/bathing and brushing of ☒
☐ ☐
teeth. Youth shall be permitted to shower/bathe up on
assignment to a housing unit and on a daily basis
thereafter and given an opportunity to brush their teeth
after each meal.
1487 SHAVING
Section X, Number 3, Procedure IV
Youth shall have access to a razor daily, unless their
appearance must be maintained for reasons of
identification in Court. All youth shall have equal
☒ ☐ ☐
opportunity to shave face and body hair. The facility
administrator may suspend this requirement in relation
to youth who are considered to be a danger to
themselves or others.
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TITLE 15 SECTION YES NO N/A P/P REFERENCE – COMMENTS2
1488 HAIR CARE SERVICES
Section X, Number 3, Procedure V
Hair care services shall be available in all juvenile
facilities. Youth shall receive hair care services monthly.
☒ ☐ ☐
Equipment shall be cleaned and disinfected after each
haircut or procedure, by a method approved by the State
Board of Barbering and Cosmetology.
1500 STANDARD BEDDING AND LINEN ISSUE
Section XI, Number 1
Clean laundered, suitable bedding and linens, in good
repair, shall be provided for each youth entering a living ☒ ☐ ☐
area who is expected to remain overnight, shall include,
but not be limited to:
(a) One mattress or mattress-pillow combination which
meets the requirements of Section 1502 of these Section XI, Number 1, Procedure I-B, 1
☒ ☐ ☐
regulations;
(b) One pillow and a pillow case unless provided for in
(a) above; Section XI, Number 1, Procedure I-B, 1
☒ ☐ ☐
(c) One mattress cover and a sheet or two sheets; Section XI, Number 1, Procedure I-B, 2
☒ ☐ ☐
(d) One towel; and, Section XI, Number 1, Procedure I-B, 4
☒ ☐ ☐
(e) One blanket or more, up on request Section XI, Number 1, Procedure I-B, 3
☒ ☐ ☐
1501 BEDDING LINEN EXCHANGE
Section XI, Number 1, Procedure I
The facility administrator shall develop and implement
site specific written policies and procedures for the
scheduled exchange of laundered bedding and linen
☒ ☐ ☐
issued to each youth housed. Washable items such as
sheets, mattress covers, pillow cases and towels shall
be exchanged for clean replacement at least once each
week.
The covering blanket shall be cleaned or laundered once
a month. Section XI, Number 1, Procedure I-E
☒ ☐ ☐
1510 FACILITY SANITATION, SAFETY AND
MAINTENANCE Section XII, Number 1
The facility administrator shall develop and implement
written policies and site-specific procedures for the
maintenance of an acceptable level of cleanliness,
repair and safety throughout the facility. The plan shall
provide for a regular schedule of housekeeping tasks,
☒ ☐ ☐
equipment, including restraint devices, and physical
plant maintenance and inspections to identify and
correct unsanitary or unsafe conditions or work practices
in a timely manner. The use of chemicals shall be done
in accordance to the product label and Safety Data
Sheet which may include the use of Personal Protection
Equipment (PPE).
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REVIEW OF NON-REGULATORY REQUIREMENTS
GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS
JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only)
The programs/services identified on the JPCF Camp
Eligibility Form are being provided at the facility. (Refer
☐ ☐ ☒
to the JPCF Camp Eligibility Form)
208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY
The facility houses Juvenile Court Wards 19 years of
age and older. ☒ ☐ ☐
The facility has been approved to hold persons under
the juvenile court who are ages 19 through 21. ☒ ☐ ☐
The facility continues to comply with the requirements
of 208.5 WIC (programming, capacity and security of
☒ ☐ ☐
the facility) as outlined in the county’s application.
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JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
PHYSICAL PLANT EVALUATION
Board of State and Community Corrections
APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009; 2014; 2018
BSCC Code: 7116 7118 7117
FACILITY NAME: Tuolumne County Regional Mother Lode Juvenile Detention Facility FACILITY TYPE: JH
Steps to Success Camp
Secure Youth Treatment Facility SYTF
4/98: 2001: 2003: 2009: 2014: 2018:
APPLICABLE REGULATIONS (Check All That Apply):
☐ ☐ ☐ ☐ ☒ ☐
FIELD REPRESENTATIVE: Elizabeth Gong DATE: September 18, 2025
TITLE 24 SECTION YES NO N/A COMMENTS
1230.1.1 Reception/intake admission.
In each juvenile hall, space used for the reception of ☒ ☐ ☐
youth pending admission to juvenile hall shall have the
following space and equipment:
1. Weapons lockers as specified in Section 1230.2.9;
☒ ☐ ☐ There are 10-gun lockers in the sally port.
2. A secure room for the confinement of youth pending
admission to juvenile hall as specified in Section There are three holding rooms in the
1230.1.2; intake/booking area, all with a toilet combo
In each juvenile hall, camp and ranch, space used ☒ ☐ ☐ unit.
for the reception of youth pending admission to these
facilities shall have the following space and
equipment:
3. Access to a shower;
There is an Intake shower in booking area,
☒ ☐ ☐ adjacent to the holding rooms and next to
clothing storage and inventory.
4. A secure vault or storage space for youth, valuables; ☒ ☐ ☐
5. Telephone accessible to youth; and ☒ ☐ ☐
6. Access to hot and cold running water for staff use. ☒ ☐ ☐
1230.1.2 Locked holding room.
There are three holding rooms in the
A locked holding room shall: Intake/Booking area.
1. Contain a minimum of 15 square feet of floor area
☒ ☐ ☐
per youth;
2. Provide no less than 45 square feet of floor space
☒ ☐ ☐
and have a clear ceiling height of 8 feet or more;
3. Contain seating to accommodate all youth as
☒ ☐ ☐
specified in Section 1230.2.8;
4. Be equipped with a toilet, wash basin, mirror and
drinking fountain unless as specified in Section
1230.2, unless a procedure is in effect to give the ☒ ☐ ☐
youth access to a toilet, wash basin and drinking
fountain;
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TITLE 24 SECTION YES NO N/A COMMENTS
5. Maximize visual supervision of youth by staff; and ☒ ☐ ☐
6. Have an outward swinging or lateral sliding door. ☒ ☐ ☐
1230.1.3 Natural light.
Outer-facing exterior windows where youth’s privacy is
not at risk shall be provided in locked sleeping rooms,
single occupancy sleeping rooms, double occupancy
☒ ☐ ☐
sleeping rooms, dormitories and dayrooms. Natural
light may be provided by, but is not limited to, skylights
or windows in dayrooms, windows in adjacent exterior
exercise areas, and in sleeping rooms and/or
dormitories.
1230.1.4 Corridors
☒ ☐ ☐
Corridors in living areas shall be at least eight feet
wide.
1230.1.5 Living unit.
A living unit shall be a self-contained unit containing
locked sleeping rooms, single and double occupancy ☒ ☐ ☐
sleeping rooms, or dormitories, dayroom space, toilet,
wash basins, drinking fountains and showers
commensurate to the number of youth housed.
A living unit shall not be divided in a way that hinders
direct access, supervision, immediate intervention or ☒ ☐ ☐ The facility has one living unit that
other action if needed. In juvenile halls, the number of accommodates 30 youth.
youth housed in a living unit shall not exceed 30.
1230.1.6 Locked sleeping rooms.
The individual rooms exceed the required
Locked sleeping rooms shall be equipped with an ☒ ☐ ☐ space.
individual or combination toilet, wash basin, mirror and
drinking fountain.
Uired ☒ ☐ ☐
1230.1.7 Single occupancy sleeping rooms.
The individual rooms exceed the required
Single occupancy sleeping rooms shall provide the ☒ ☐ ☐ space.
following:
1. A minimum of 70 square feet of floor area;
2. A minimum ceiling height of eight feet; and, ☒ ☐ ☐
3. The door into this room shall swing outward or
slide laterally and be provided with a view panel, a
☒ ☐ ☐
minimum of 144 square inches, constructed of security
glazing.
4. Contain a bed as specified in 1230.2.5. ☒ ☐ ☐
1230.1.8 Double occupancy sleeping rooms.
The double occupancy rooms exceed the
Double occupancy sleeping rooms shall provide the ☒ ☐ ☐ required space.
following:
1. A minimum of 100 square feet of floor area;
2. A minimum clear ceiling height of 8 feet and a
☒ ☐ ☐
minimum width of 7 feet; and,
3. The door into this room shall swing outward or
slide laterally and be provided with a view panel, a
☒ ☐ ☐
minimum of 144 square inches, constructed of security
glazing.
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TITLE 24 SECTION YES NO N/A COMMENTS
4. Contain a bed as specified in 1230.2.5. ☒ ☐ ☐
1230.1.9 Dormitories
Dormitories shall provide the following:
1. A minimum of 50 square feet of floor area per
☐ ☐ ☒
youth with the minimum size of a dormitory being
200 square feet of floor area and a minimum 8-
foot clear ceiling height;
2. Designed for no fewer than four youth; ☐ ☐ ☒
3. Dormitories in juvenile halls shall be designed for
☐ ☐ ☒
no more than 30 youth;
4. Camps shall conform to Items 1 and 2. ☐ ☐ ☒
1230.1.10 Dayrooms
The dayroom space exceeds minimum
Dayrooms shall contain 35 square feet of floor area per ☒ ☐ ☐ standards and the design promotes
youth, contain tables and seating to accommodate the comfortable living and recreation space.
maximum numbers of youth allowed access at a given
time.
Access must be provided to toilets, wash basins,
drinking fountains and showers as specified in Section ☒ ☐ ☐
1230.2.
1230.1.11 Physical activity and recreation areas.
Indoor and outdoor space exceeds minimum
Indoor/outdoor physical activity and recreation areas standards for rated space.
shall be designed as follows:
1. Minimum indoor outdoor recreation space for ☒ ☐ ☐
facility capacity: 40 or less is 9,000 square feet;
41-274 is 225 square feet per youth up to 61,650
square feet; 275 or more is 61,650 square feet,
plus 145 square feet for each youth beyond 274
[up to a maximum of 87,120 square feet]
1.1 At least one quarter of the dedicated
indoor/outdoor space shall be a paved or like There is a full basketball court in the recreation
☒ ☐ ☐
surface. space.
1.2 The required recreation area shall contain no
☒ ☐ ☐
single dimension less than 40 feet.
2. A portion of the dedicated space for physical
activity and recreation shall be out-of-doors and be
sufficient size and equipped in such a manner to allow
☒ ☐ ☐
compliance with Title 15, Section 1371, which requires
at least one hour per day of outdoor activity for each
detained youth.
3. Lighting of outdoor recreation areas shall be
provided to allow for evening activities and to provide ☒ ☐ ☐
security.
4. Access must be provided to a toilet, wash basin
and drinking fountain as specified in Section 1230.2. There is a drinking fountain and sink outdoors.
☒ ☐ ☐ Youth needing to use the restroom are taken
inside the facility.
1230.1.12 Academic classrooms.
☒ ☐ ☐
There shall be a dedicated classroom space for every
juvenile in every facility.
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TITLE 24 SECTION YES NO N/A COMMENTS
The primary purpose for the academic classroom shall
☒ ☐ ☐
be for education.
Each academic classroom shall contain a minimum of
160 square feet of floor space for the teacher’s desk Each classroom is 693’ and exceeds minimum
and work area and a minimum of 28 square feet of ☒ ☐ ☐ space requirements. The second classroom
floor space per minor. has been transformed into a library.
A communication system shall be provided in each
classroom to allow for immediate response to ☒ ☐ ☐
emergencies.
The classroom shall be designed for a maximum of 20
☒ ☐ ☐
minors.
There shall be space available in every juvenile facility
that may be used for specialized, one-on-one or small ☒ ☐ ☐
group educational purposes.
1230.1.13 Safety room.
There is no safety room at the facility.
A safety room shall: ☐ ☐ ☒
1. Contain a minimum of 48 square feet of floor area
and a minimum clear ceiling height of 8 feet;
2. Be limited to one youth; ☐ ☐ ☒
3. Be padded as specified in Section 1230.2.7; ☐ ☐ ☒
4. Provide one or more vertical view panels
constructed of security glazing. These view panels
shall be no more than 4 inches wide nor less than 24 ☐ ☐ ☒
inches long, which shall provide a view of the entire
room;
5. Provide an audio monitoring system as specified
☐ ☐ ☒
in Section 1230.1.22;
6. Contain a flushing ring toilet, capable of accepting
solid waste, mounted flush with the floor, the controls ☐ ☐ ☒
for which must be located outside of the room;
7. Be equipped with a variable intensity, security-
type lighting fixture with controls located outside the ☐ ☐ ☒
room;
8. Any wall or ceiling-mounted devices must be
designed to prohibit access to the youth occupant; ☐ ☐ ☒
and,
9. Provide a food pass with lockable shutter, no more
than 4 inches high, and located between 26 inches
☐ ☐ ☒
and 32 inches as measured from the bottom of the
food pass to the floor.
1230.1.14 Medical examination room.
☒ ☐ ☐
There must be a minimum of one suitably equipped
medical examination room in every juvenile facility.
Medical examination rooms shall provide the following:
The exam room is 9’ x 18’.
1. Space for carrying out routine medical ☒ ☐ ☐
examinations and emergency care and used for no
other purpose;
2. Privacy for youth; ☒ ☐ ☐
3. Lockable storage space for medical supplies; ☒ ☐ ☐
4. Not less than 144 square feet of floor space with
☒ ☐ ☐
no single dimension less than 7 feet;
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TITLE 24 SECTION YES NO N/A COMMENTS
5. Hot and cold running water; ☒ ☐ ☐
6. Smooth, nonporous, washable surface; ☒ ☐ ☐
7. A medical exam table; and, ☒ ☐ ☐
8. Adequate lighting. ☒ ☐ ☐
1230.1.15 Pharmaceutical storage.
There are two locked refrigerator/freezers and
Provide lockable storage space for medical supplies ☒ ☐ ☐ numerous locking cabinets in the locked
and pharmaceutical preparations as specified by Title Pharmacy.
15, Section 1438.
1230.1.16 Dining areas.
Youth consume meals in the dayroom space.
Dining areas in juvenile facilities shall contain a ☒ ☐ ☐
minimum of 15 square feet of floor space and sufficient
tables and seating for each person being fed.
Persons being fed include youth, staff and visitors. ☒ ☐ ☐
Dining areas shall not contain toilets or showers in the
☒ ☐ ☐
same room without appropriate visual barrier.
1230.1.17 Visiting space.
Space shall be provided in all juvenile facilities for in- ☒ ☐ ☐
person visiting which shall be unobstructed by barriers
such as, but not limited to, security glazing for mesh.
1230.1.18 Institutional storage.
Youth’s personal property is stored in a sealed
One or more storage rooms shall be provided to ☒ ☐ ☐ bag in the Property Storage room at Intake.
accommodate a minimum of 80 cubic feet of storage
space per minor.
Items to be stored shall be institutional clothing,
☒ ☐ ☐
bedding, supplies and activity equipment.
1230.1.19 Personal storage.
There is sufficient storage for youth property,
Each youth in a juvenile facility shall be provided with ☒ ☐ ☐ with vermin protocols in the same location.
a minimum of 9 cubic feet of secure storage space for
personal clothing and belongings.
1230.1.20 Safety equipment storage.
In all juvenile facilities, a secure area shall be provided
☒ ☐ ☐
for the storage of safety equipment, such as fire
extinguishers, self-contained breathing apparatus,
wire and bar cutters, emergency lights, etc.
1230.1.21 Janitorial closet.
In all juvenile facilities, at least one securely lockable ☒ ☐ ☐
janitorial closet, containing a mop sink and sufficient
area for the storage of cleaning implements, must be
provided within a security area of the facility.
1230.1.22 Audio monitoring system.
In safety rooms, locked holding rooms, locked
sleeping rooms, single and double occupancy rooms ☒ ☐ ☐
and dormitories, there must be an audio monitoring
system capable of actuation by the minor that alerts
personnel.
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1230.1.23 Emergency power.
There shall be a source of emergency power in all
juvenile facilities capable of providing minimal lighting ☒ ☐ ☐
in all living units, activities areas, corridors, stairs and
central control points, and to maintain fire and life
safety, security, communications and alarm systems
(Title 24, Part 2, Chapter 27).
Such an emergency power source shall conform to the
requirements specified in Title, 24, Part 3, Article 700,
☒ ☐ ☐
California Electrical Code, California Code of
Regulations.
1230.1.24 Confidential interview room.
There are three separate interview rooms in
Confidential interview rooms shall contain a minimum ☒ ☐ ☐ the booking area, two of which allow for no-
of 60 square feet of floor area. contact visiting and other interview needs.
In juvenile halls there shall be a minimum of one
☒ ☐ ☐
suitably furnished interview room for each 30 youth.
In camps there shall be a minimum of one suitably
☒ ☐ ☐
furnished interview room for each facility.
This interview room shall provide for confidential
☒ ☐ ☐
consultations with youth.
1230.1.25 Special-purpose juvenile halls.
Special-purpose juvenile halls shall conform to all ☐ ☐ ☒
minimum standards for juvenile facilities contained in
this section with the following exceptions:
1. Physical activity and recreation areas as specified
☐ ☐ ☒
in Section 1230.1.11;
2. Academic classrooms as specified in Section
☐ ☐ ☒
1230.1.12;
3. Medical examination room as specified in Section
☐ ☐ ☒
1230.1.14; and,
4. Dining areas as specified in Section 1230.1.16. ☐ ☐ ☒
1230.1.26 Court holding room for youth.
A court holding room shall: ☐ ☐ ☒
1. Contain a minimum of 10 square feet of floor area
per youth;
2. Be limited to no more than 16 youth; ☐ ☐ ☒
3. Provide no less than 40 square feet of floor area
☐ ☐ ☒
and have a ceiling height of 8 feet or more;
4. Contain seating to accommodate all youth as
☐ ☐ ☒
specified in Section 1230.2.8;
5. Contain a toilet, wash basin and drinking fountain
☐ ☐ ☒
as specified in Section 1230.2;
6. Maximize visual supervision of youth by staff; and, ☐ ☐ ☒
7. A mirror of material appropriate to the level of
security shall be provided as specified in Section ☐ ☐ ☒
1230.2.11.
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1230.1.27 Programs and activity areas.
All juvenile facilities shall include adequate space for ☒ ☐ ☐
specific programs in addition to recreation and
exercise areas.
1230.2.1 Toilets/urinals.
All toilet areas shall provide privacy for the youth and ☒ ☐ ☐
help reduce the risk of voyeurism without mitigating
staff’s ability to supervise.
Toilets must be available in a ratio to youth as follows:
☒ ☐ ☐
1. Juvenile halls 1:6;
2. Camps 1:10; and ☒ ☐ ☐
3. Locked holding rooms 1:8: ☒ ☐ ☐
One toilet and one urinal may be substituted for every
☒ ☐ ☐
15 males.
1230.2.2 Wash basins.
In living units, wash basins must be available in a ratio ☒ ☐ ☐
to youth as follows:
1. Juvenile halls 1:6;
2. Camps 1:10; and ☒ ☐ ☐
3. Locked holding rooms 1:8: ☒ ☐ ☐
Wash basis must be provided with hot and cold or
☒ ☐ ☐
tempered water.
1230.2.3 Drinking fountains.
In living areas and indoor and outdoor recreation ☒ ☐ ☐
areas, drinking fountains must be accessible to youth
and to staff.
1. The drinking fountain bubbler shall be on an angle
which prevents waste water from flowing over the ☒ ☐ ☐
drinking bubbler; and,
2. The water flow shall be actuated by a mechanical
☒ ☐ ☐
means.
1230.2.4 Showers.
Shower areas shall provide privacy for the youth and ☒ ☐ ☐
help reduce the risk of voyeurism without mitigating
staff’s ability to supervise.
Showers shall be available to all youth on a ratio of at
least one shower or bathtub to every six youth. ☒ ☐ ☐
Showers shall be provided with tempered water.
1230.2.5 Beds.
☒ ☐ ☐
Beds shall be at least 30 inches wide and 76 inches
long and be of the solid bottom type.
Beds shall be at least 12 inches off the floor and
☒ ☐ ☐
spaced no less than 36 inches apart
Bunk beds must have no less than 33 inches vertically
☒ ☐ ☐
between the solid bottoms.
In secure facilities, the bunks shall be securely
☒ ☐ ☐
anchored and flushed against the floor and/or wall.
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TITLE 24 SECTION YES NO N/A COMMENTS
1230.2.6 Lighting.
Lighting in locked sleeping rooms, single occupancy ☒ ☐ ☐
rooms, double occupancy rooms, dormitories, day
rooms and activity areas shall provide not less than 20
foot candles of illumination at desk level.
Night lighting is required in these areas to provide for
good visibility for supervision and be conducive to ☒ ☐ ☐
sleep.
1230.2.7 Padding.
Padding in safety rooms, padding shall cover the ☐ ☐ ☒
entire floor, door, walls and everything on walls to a
clear height of eight feet.
Benches or platforms are not to be placed on the floor
☐ ☐ ☒
of this room.
All padded rooms must be equipped with a tamper
resistant fire sprinkler as approved by the State Fire ☐ ☐ ☒
Marshal.
All padding must be:
☐ ☐ ☒
1. Approved for use by the State Fire Marshal;
2. Nonporous to facilitate cleaning; ☐ ☐ ☒
3. At least 112 inch thick; ☐ ☐ ☒
4. Of a unitary or laminated construction to prevent
its destruction by teeth, hand tearing or small metal ☐ ☐ ☒
objects;
5. Firmly bonded to all padded surfaces to prevent
☐ ☐ ☒
tearing or ripping; and,
6. Without any exposed seams susceptible to tearing
☐ ☐ ☒
or ripping.
1230.2.8 Seating.
☒ ☐ ☐
Seating shall be designed for the level of security.
When bench seating is used, 18 inches of bench is
☒ ☐ ☐
seating for one person.
1230.2.9 Weapons lockers.
Weapons lockers are required in all secure juvenile ☒ ☐ ☐
facilities and shall be located outside the secure area
of the facility.
Weapons lockers shall be equipped with individual
☒ ☐ ☐
compartments, each with an individual locking device.
1230.2.10 Security glazing.
Security glazing shall comply with the minimum
requirements of one of the following test standards:
American Society for Testing and Materials, ASTM F ☒ ☐ ☐
1233-98, Class III glass, or; California Department of
Corrections, CDC 860-94d, Class C glass or; H.P.
White Laboratory, Inc., HPW-TP-0500.02, Forced
Entry Level III.
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TITLE 24 SECTION YES NO N/A COMMENTS
1230.2.11 Mirrors.
A mirror of a material appropriate to the level of ☒ ☐ ☐
security must be provided near each wash basin
specified in these regulations.
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JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS, AND CAMPS
LIVING AREA SPACE EVALUATION
Board of State and Community Corrections
BSCC Code: 7716 7718 7717
FACILITY: Tuolumne County Mother Lode Regional Juvenile Detention Facility TYPE: JH RC: 23
Steps to Success Camp 5
Secure Youth Treatment Facility SYTF 2
TOTAL 30
FIELD REPRESENTATIVE: DATE:
Elizabeth Gong September 17, 2025
ROOMS EACH ROOM
Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES*
Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S
Intake/Booking
#C123 Holding 2009 1 7’x10’8”x8’2” 1 1 1
#C124 Holding 2009 1 7’1”x10’8”x8’2” 1 1 1
#C125 Holding 2009 1 11’11”x10’8”x8’2” 1 1 1
Note: There is one contact visiting room in Intake/Booking (C122) that is being used as an office for the facility-assigned
Behavior Health staff/Deputy Probation Officer who responds to new bookings. There are three no-contact visiting spaces in
Intake/Booking (C119-C120), one of which is ADA-compliant (C121).
First Floor Rooms
#101 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1
#102 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1
#103 Double 2009 1 2 2 2 9’9” x 11’4” x 8’2” 1 1 1
#104 Double 2009 1 2 2 2 9’9” x 11’4” x 8’2” 1 1 1
#105 Single 2009 1 1 1 1 6’11” x 11’4” x 8’2” 1 1 1
#106 Single 2009 1 1 1 1 9’6” x 11’4” x 8’2” 1 1 1
#107 Single 2009 1 1 1 1 6’10” x 11’4” x 8’2” 1 1 1
#108 Single 2009 1 1 1 1 9’6” x 11’4” x 8’2” 1 1 1
Note: Room 106 is an ADA cell.
Second Floor Rooms
#201 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1
#202 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1
#203 Double 2009 1 1 1 1 9’6” x 11’4” x 8’2” 1 1 1
*T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated
capacity.
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ROOMS EACH ROOM
Unit Room Applicable # EACH ROOM Total DIMENSIONS FIXTURES*
Designation Type Standards Rooms # Beds RC RC (L x W x H) T U W F S
200 Double 2009 1 1 1 1 9’9” x 11’4” x 8’2” 1 1 1
#205 Double 2009 1 2 2 2 10’5” x 11’4” x 8’2” 1 1 1
#206 Double 2009 1 2 2 2 10’5” x 11’4” x 8’2” 1 1 1
#207 Single 2009 1 2 2 2 6’11” x 11’4” x 8’2” 1 1 1
#208 Single 2009 1 2 2 2 7’3” x 11’4” x 8’2” 1 1 1
#209 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1
#210 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1
Living Area
Dayroom 2009 43’8” x 64’ 4 4 5
Note: The day room is 2794’, less the control station and stairwell. Youth use this space for dining and indoor activities. There
is one ADA shower.
Indoor Rec 2009 22’7” x 40’ 1 1
Note: This space is 903’2” and used for indoor recreation or large muscle in the event of inclement weather.
Classroom 2009 2 22’ x 31’5”
Note: The facility is only using one classroom due to low population, however, has turned the other classroom into a Library.
There is sufficient classroom space, 693 square feet, just off the dayroom. The facility has significant outdoor spaces, both
grass and cement, including basketball court, garden area, and soccer field.
*T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated
capacity.
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