BSCC
Merced County (2020-2022 inspection cycle)
Read the report at Merced County ↗
April 27, 2022
Kalisa Rochester, Chief Probation Officer
Merced County Probation Department
1880 Wardrobe Ave.
Merced, CA 95341
RE: MERCED COUNTY JUVENILE HALL AND BEAR CREEK ACADEMY
BSCC # 7327 AND 7330
2020/2022 BIENNIAL INSPECTION PURSUANT TO WELFARE AND INSTITUTIONS
CODE SECTION 209 AND 885
Dear Chief Rochester:
The 2020/2022 biennial inspection of the Merced County Probation Department’s Iris
Garrett Juvenile Justice Correctional Complex, occupied by the Juvenile Hall and Bear
Creek Academy, has been completed. A pre-inspection briefing was held on February
16, 2022, and the facility was inspected on April 11-14, 2022.
The complete Board of State and Community Corrections (BSCC) inspection report is
enclosed and consists of the following: this transmittal letter; a Title 15 Procedures
checklist, outlining applicable minimum standards for juvenile detention facilities; a
Physical Plant Evaluation, outlining applicable Title 24 minimum standards; and the Living
Area Space Evaluation (LASE), summarizing the physical plant configuration and
outlining the rated capacity of the Juvenile Hall is 60 beds and the Bear Creek Academy
is 60 beds, for a total of 120 at the Juvenile Justice Correctional Complex.
Please refer to the Title 15 Procedures checklist for a summary of all relevant minimum
standards, indication of compliance or noncompliance, and information that was used to
determine compliance.
Mandatory Local Inspections
In addition to the biennial inspection, Title 15, section 1313 and its authorizing statute
also require local inspections conducted by the following local authorities:
• county building inspector or person designated by the Board of Supervisors
• fire authority having jurisdiction
• local health officer
• county Superintendent of Schools
• Juvenile Court
• Juvenile Justice Commission.
Results of those inspections are considered a part of this report. The dates of the local
inspections may be found in the accompanying Procedures Checklist.
Chief Rochester
Page 2
April 27, 2022
Scope of the Inspection
The inspection consisted of a review of the Merced County Policy and Procedure
Manual1, a site visit to review operations, physical plant and relevant documentation,
and interviews with administration, facility staff, youth and collaborative partners. During
the inspection, we evaluated consistency between policy and practices.
Inspection Results
Title 15, CCR Minimum Standards
Upon final review of all documentation, there are no outstanding items of noncompliance
with Title 15 at the Juvenile Hall or Bear Creek Academy. No corrective action is
required at this time.
While on-site, we reviewed substantial written materials including incident reports,
grievances, admission/classification documentation, separation/room confinement
incident reports and disciplinary reports/findings. Our review was to ensure compliance
with Title 15 Regulations and that agency procedures and processes were consistent
with policy. We found the facility practices demonstrated staff’s understanding of
regulation and expected operational practice. We provided technical assistance
related to the administrative separation process to allow youth to return to regular
program in their own unit rather than being separated in an adjacent unit, removed
from other youth. That process is compliant; however, youth were isolated from the
group setting for inconsistent periods of time. By setting a matrix of administrative
separation placement based on behavior reasons for the separation, rather than
automatic removal from their living unit, youth can continue to be engaged in regular
activities during separation.
With regard to programming, youth in the detention and commitment sides of the
facilities are provided significant services facilitated by probation staff and agency
partners. Services are provided and directed by individualized case plans which are
updated, modified and enhanced during the youths stay and based on information
garnered from multi-agency involvement with each youth. All youth participate in
programming that includes social awareness programs with a focus on making positive
behavior changes to address the behaviors leading to their incarceration.
We found the Merced County Office of Education is committed to providing an
enhanced educational environment for youth that includes an ROP Program,
community college enrollment, and new to the facility, technology. The ROP
Program includes culinary education/experience, construction, forklift certification,
automotive training and landscaping/gardening. Graduated youth are able to
continue in the classroom setting and
1 BSCC reviews only those policy and procedures required by, and applicable to, Title 15, CCR. BSCC
staff do not “approve” policies and procedures or assess them for constitutional or legal issues. Agencies
should seek review through their legal advisor, risk manager, and other persons deemed appropriate for
such evaluation.
7327+ Merced JH and Camp 20-22
Chief Rochester
Page 3
April 27, 2022
further their education skills. Mac Books are provided to facilitate Common Core
instruction as well as trade programs to accomplish woodworking and Serve-Safe
certification.
Title 24, CCR Physical Plant
There were no changes made to the physical plant and your rated capacity remains at
120 for both programs. Please see the Physical Plant Evaluation for more information.
There are no outstanding items of noncompliance with Title 24 minimum standards.
Training
According to the most recent Standards and Training for Corrections audit, the Merced
County Probation Department is in compliance with all relevant regulations and mandates
and mitigating circumstances if applicable.
Juvenile Justice and Delinquency Prevention Act (JJDPA) Compliance Monitoring
We reviewed and accessed the detention of youth this cycle and found no violations of
the JJDPA. Please refer to Title 15 Procedures checklist for detailed information.
We are impressed with the operations and programming at the Merced County Juvenile
Hall and Bear Creek Academy Programs. We would again like to thank you and
compliment your staff, specifically Deputy Chief Lisa Maples and Program Manager Joel
Daffron, for their dedication, thoroughness and responsiveness. They worked hard to
meet regulation requirements and were engaged in the process. Overall, your staff are
doing an outstanding job caring for the youth in their care.
This concludes the 2020/2022 biennial inspection report. I am available to assist as
needed and happy to provide technical assistance when requested. I look forward to
continuing to work together. Please do not hesitate to 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, Juvenile Court, Merced County*
Chair, Juvenile Justice Commission, Merced County*
Chair, Board of Supervisors, Merced County*
County Administrator, Merced County*
Lisa Maples, Deputy Chief Probation Officer
Joel Daffron, Program Manager
*Copies of full inspection are available online at www.bscc.ca.gov.
7327+ Merced JH and Camp 20-22
JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7327 7330
FACILITY NAME: Iris Garrett Juvenile Justice Complex: FACILITY TYPE: JH and Camp
Merced County Juvenile Hall
Bear Creek Academy - Camp
PERSON(S) INTERVIEWED: Kalisa Rochester, Chief Probation Officer; Lisa Maples, Deputy Chief Probation Officer;
Joel Daffron, Program Manager; Jennifer Jones, Supervising Juvenile Institution Officer; Mary Straughter, Supervising
Probation Officer; Rachel Potter, Juvenile Institution Officer; Danielle Parga, Program Specialist; Derek Dean, Principal –
Merced County Office of Education; Frank Sanchez, Transition Advisor (Tutor); Stephanie Azevedo, Wellpath RN; Whitney
Cornish, Merced County Behavior Health Clinician I; Laurie Keegan, Merced County Behavior Health Clinician II (LCSW);
BCA Youth: Jesus, age 17: Angel (Jordan), age 17: Daniel, age 17: Tony, age 17; Jesus, age 17. JH Youth: D’antre P, age 20;
Joseph O, age 18.
FIELD REPRESENTATIVE: Elizabeth Gong DATE: April 11-14, 2022
TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS
1313 COUNTY INSPECTION AND
EVALUATION OF BUILDING AND GROUNDS
On an annual basis, or as otherwise required by law, each
juvenile facility administrator shall obtain a documented
inspection and evaluation from the following:
(A) County building inspection by agency designated by
the Board of Supervisors to approve building safety; ☐ 2019: October 1, 2019
☒ ☐
2021: November 22, 2021
(B) Fire authority having jurisdiction, including a fire
clearance as required by Health and Safety Code ☐ ☐ 2020: August 11, 2020
☒
Section 13146.1 (a) and (b); 2021: September 15, 2021
1
This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is
required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not
contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards
for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations.
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(C) Local health officer, inspection in accordance with
Health and Safety Code Section 101045; 2020
Environmental Health: October 26, 2020
Medical/Mental Health: October 26, 2020
Nutritional Health: October 26, 2020
2021
Environmental Health: July 30, 2021
Medical/Mental Health: December 20,
2021/July 30, 2021
☐ ☐ Nutritional Health: December 22, 2021
☒
We noted the Nutritional Health Evaluation
found deficiencies related to insufficient
Omega #3 foods and leafy greens. The
agency has relayed these concerns to Trinity
Foods, the Food Service provider for the
Merced County jail and Juvenile Justice
Complex. We have been advised the menu’s
will be revised in July 2022.
(D) County superintendent of schools on the adequacy
of educational services and facilities as required in ☐ ☐ 2021: February 4, 2021
☒
Section 1370; 2022: February 28, 2022
(E) Juvenile court as required by Section 209 of the
Welfare and Institutions Code ☐ ☐ 2020: October 15, 2020
☒
2021: November 5, 2021
(F) Juvenile Justice Commission as required by Section
229 of the Welfare and Institutions Code or ☐ ☐ 2020: September/October 2020
☒
Probation Commission as required by Section 240 of 2021: August/October 2021
the Welfare and Institutions Code.
1320 APPOINTMENT AND QUALIFICATIONS
BSCC Note: Compliance with this section is The elements of this regulation are addressed
determined by receipt of the Chief Probation Officer’s in a memorandum completed by Chief
Probation Officer Kalisa Rochester dated
certification letter confirming that all elements of
January 31, 2022.
regulation are met.
(a)Appointment D-101, General Policy (GP) I
☐ ☐
☒ The Deputy Chief Probation Officer, Lisa
In each juvenile facility there shall be a superintendent,
Maples, serves as the Facility
director or facility manager in charge of its program and Superintendent.
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:
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(1) recruit and hire employees who possess
knowledge, skills and abilities appropriate to D-101, GP III, D
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 D-101, GP III, C
test and evaluation for immunity to contagious ☒ ☐ ☐
illnesses of childhood (i.e., diphtheria, rubeola,
rubella, and mumps);
(3) adhere to the minimum standards for the
selection and training requirements adopted by D-101, GP III, A
☒ ☐ ☐
the Board pursuant to Section 6035 of the Penal
Code; and
(4) conduct a criminal records review, on each new
employee, and psychological examination in D-101, GP I, B
☒ ☐ ☐
accordance with Section 1031 et seq. of the
Government Code.
(c) Contract personnel, volunteers, and other non-
employees of the facility, who may be present at the D-101, GP III, F
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.
1321 STAFFING
D-102
Each juvenile facility shall:
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a) have an adequate number of personnel sufficient to
carry out the overall facility operation and its
D-102, GP I
programming, to provide for safety and security of
youth and staff, and meet established standards and
regulations;
The facility has 7 Supervising Juvenile
Institution Officers (SJIO), 7 JIO III’s and 25
JIO Youth Supervision staff. All are cored
trained and have completed PC 832. There
are 10 vacancies in the JIO I/II series,
however, the agency does a great job in pre-
scheduling for vacation and training, only
having to backfill for callouts.
☒ ☐ ☐
The facility has a Program Specialist and 5
Peer Specialists (1 Extra-help) to assist youth
supervision staff with the programming
requirements which allows youth supervision
staff to concentrate on the safety and security
operational elements of the day to day
responsibilities. We are seeing this position
more and more in county agencies and we
see it as a relief factor for the JIO staff to
capitalize on other operational
responsibilities in the facility.
b) ensure that no required services shall be denied
because of insufficient numbers of staff on duty
D-102
absent exigent circumstances;
☒ ☐ ☐ The facilities staff roster and schedules were
reviewed, and we found the agency does a
great job in meeting operational needs for the
youth.
c) have a sufficient number of supervisory level staff to
ensure adequate supervision of all staff members;
D-102, GP II
☒ ☐ ☐
The facility has seven Supervising Juvenile
Institution Officers, one of which is on duty
at all times.
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d) have a clearly identified person on duty at all times
who is responsible for operations and activities and
☒ ☐ ☐ D-102, GP III
has completed the Juvenile Corrections Officer Core
Course and PC 832 training;
e) have at least one staff member present on each living
unit whenever there are youth in the living unit;
☒ ☐ ☐ D-102, GP IV
f) have sufficient food service personnel relative to the
number and security of living units, including staff
D-102, GP VIII, F
qualified and available to: plan menus meeting
nutritional requirements of youth; provide kitchen
supervision; direct food preparation and servings;
Food services are provided by Trinity Food
conduct related training programs for culinary staff;
via the Merced County Jail. We found the
and maintain necessary records; or, a facility may ☒ ☐ ☐
Nutritional Evaluation noted the menu did
serve food that meets nutritional standards prepared
not incorporate 2 elements sufficient for the
by an outside source;
evaluator (Omega 3 foods and Leafy
Greens). The agency has relayed food
requests to meet the Nutritional Guidelines.
g) have sufficient administrative, clerical, recreational, D-102, GP VIII
medical, dental, mental health, building
maintenance, transportation, control room, facility
security and other support staff for the efficient ☒ ☐ ☐ Ancillary staff are not included as youth
management of the facility, and to ensure that youth supervision staff.
supervision staff shall not be diverted from
supervising youth; and,
h) assign sufficient youth supervision staff to provide
continuous wide-awake supervision of youth,
D-102, GP V
subject to temporary variations in staff assignments
☒ ☐ ☐
to meet special program needs. Staffing shall be in
compliance with a minimum youth-staff ratio for the
following facility types:
(1) Juvenile Halls (minimum youth-staff ratio)
(A) during the hours that youth are awake, one wide- D-102, GP V, A Juvenile Hall
awake youth supervision staff member on duty for
each 10 youth in detention;
Although the facility has vacancies in the
☒ ☐ ☐
youth supervision staff series, all shifts are
sufficiently covered, and they continue to
exceed regulation based on the
administration of the schedule/scheduler.
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(B) during the hours that youth are confined to their
room for the purpose of sleeping, one wide-awake
☒ ☐ ☐ D-102, GP VI, A
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
D-102, GP VI, B
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 ☒ ☐ ☐
D-102, GP VII
facility.
(E) personnel with primary responsibility for other
duties such as administration, supervision of
D-102, GP VIII
personnel, academic or trade instruction, clerical, ☒ ☐ ☐
kitchen or maintenance shall not be classified as
youth supervision staff positions.
(2) Special Purpose Juvenile Halls (minimum youth-
staff ratio)
☐ ☐ ☒
(A) during hours that youth are awake, one wide-awake
youth supervision staff member is 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.
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(3) Camps (minimum youth -staff ratio)
(A) during the hours that youth are awake, one wide- D-102, GP V, B Bear Creek Academy
awake youth supervision staff member on duty for
each 15 youth in the camp population;
☒ ☐ ☐ Although the facility has vacancies in the
youth supervision staff series, mandatory
overtime is in place to ensure staffing meets
the required ratio.
(B) during the hours that youth are confined to their
room for the purpose of sleeping, one wide-awake
☒ ☐ ☐ D-102, GP VI, A
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
D-102, GP VI, B
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 ☒ ☐ ☐
D-102, GP VII
facility;
(E) in addition to the minimum staff to youth ratio
required in (h)(3)(A)-(B), consideration shall be D-102, GP X
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 D-102, GP VIII
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
D-103, Initial Orientation Procedure II
☒ ☐ ☐
(a) Prior to assuming any responsibilities each youth
supervision staff member shall be properly oriented
to their duties, including:
(1) youth supervision duties;
☒ ☐ ☐ D-103, Initial Orientation Procedure II, A
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(2) scope of decisions they shall make;
☒ ☐ ☐ D-103, Initial Orientation Procedure II, B
(3) the identity of their supervisor;
☒ ☐ ☐ D-103, Initial Orientation Procedure II, C
(4) the identity of persons who are responsible to
them;
☒ ☐ ☐ D-103, Initial Orientation Procedure II, D
(5) persons to contact for decisions that are beyond
their responsibility; and
☒ ☐ ☐ D-103, Initial Orientation Procedure II, E
(6) ethical responsibilities.
☒ ☐ ☐ D-103, Initial Orientation Procedure II, F
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(b) Prior to assuming any responsibility for the
supervision of youth, each youth supervision staff
D-103, Initial Orientation Procedure III
member shall receive a minimum of 40 hours of
facility-specific orientation, including: D-103, Mandated Training
The facility requires 160 hours of facility
specific training, well beyond minimum
standards. The Mandated Training Manual
and documentation is specified in the facility
manual according to classification. The
training is via a Field Training Officer (FTO)
who determines the level of progress with an
☒ ☐ ☐ initialed training sheet and daily observation
report. Once completed to the FTO’s
satisfaction, the documentation is submitted
to the facility manager for certification.
We reviewed the curriculum and the found
the agency has developed a sequence of
standards in a format that allows the new
officer to understand expectations and
responsibilities of the job. We were
impressed with the degree of focus and
intensity driven objectives in the manual.
(1) individual and group supervision techniques;
☒ ☐ ☐ D-103, Initial Orientation Procedure III, A
(2) regulations and policies relating to discipline and
rights of youth pursuant to law and the
D-103, Initial Orientation Procedure III, B
provisions of this chapter; ☒ ☐ ☐
and J
(3) basic health, sanitation and safety measures;
☒ ☐ ☐ D-103, Initial Orientation Procedure III, C
(4) suicide prevention and response to suicide
attempts
☒ ☐ ☐ D-103, Initial Orientation Procedure III, D
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(5) policies regarding use of force, de-escalation
techniques, chemical agents, mechanical and
☒ ☐ ☐ D-103, Initial Orientation Procedure III, E
physical restraints;
(6) review of policies and procedures referencing
trauma and trauma-informed approaches;
☒ ☐ ☐ D-103, Initial Orientation Procedure III, F
(7) procedures to follow in the event of
emergencies;
☒ ☐ ☐ D-103, Initial Orientation Procedure III, G
(8) routine security measures, including facility
perimeter and grounds;
☒ ☐ ☐ D-103, Initial Orientation Procedure III, H
(9) crisis intervention and mental health referrals to
mental health services;
☒ ☐ ☐ D-103, Initial Orientation Procedure III, I
(10) documentation; and
☒ ☐ ☐ D-103, Initial Orientation Procedure III, J
(11) fire/life safety training
☒ ☐ ☐ D-103, Initial Orientation Procedure III, L
(c) Prior to assuming sole supervision of youth, each
youth supervision staff member shall successfully
D-103, GP IV
complete the requirements of the Juvenile
Corrections Officer Core Course pursuant to Penal
Code Section 6035.
☒ ☐ ☐ All 7 Supervising Juvenile Institution
Officers (SJIO), 7 Juvenile Institution
Officer III’s (JIO III) and 25 Juvenile
Institution Officers (JIO) are core trained.
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(d) Prior to exercising the powers of a peace officer
youth supervision staff shall successfully complete
D-103, GP III
training pursuant to Section 830 et seq. of the Penal
Code. ☒ ☐ ☐
All youth supervision staff are core trained.
1323 FIRE AND LIFE SAFETY
Whenever there is a youth in a juvenile facility, there D-102, IX
shall be at least one wide awake person on duty at all
H-107 Fire Safety Plan I, A
times who meets the training standards established by the
Board for general fire and life safety which relate
specifically to the facility.
All cored staff are trained in Fire and Life
☒ ☐ ☐
Safety. Additionally, the facility requires an
annual 2-hour refresher in emergency
procedures, including elements of this
regulation. They also have staff read the
Emergency Procedures in H-118 at their
annual evaluation period.
1324 POLICY AND PROCEDURES MANUAL
D-104 GP, I-IV
All facility administrators shall develop, publish, and
implement a manual of written policies and procedures
The manual is accessible to employees in
that address, at a minimum, all regulations that are
both printed copy and electronic versions.
applicable to the facility. Such a manual shall be made
available to all employees, reviewed by all employees, The policies impacted by the Professional
and shall be administratively reviewed at a minimum Standards staff and due to the Pandemic,
every two years, and updated, as necessary. Those have been updated since last cycle.
records relating to the standards and requirements set ☒ ☐ ☐
forth in these regulations shall be accessible to the Board
on request.
The agency is moving to the Lexipol Manual
for Juvenile Facilities in the coming
The manual shall include:
months/years. We provided technical
assistance related to the procedural
component of Lexipol and to assure the
required operational practices remain intact
with associated policy changes.
(a) table of organization, including channels of
communications and a description of job ☒ ☐ ☐
D-104, Manual Contents I, A
classifications;
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(b) responsibility of the probation department, purpose
of programs, relationship to the juvenile court, the
D-104, Manual Contents I, B
Juvenile 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;
☒ ☐ ☐ D-104, Manual Contents I, C
(d) initial orientation and training program for
employees;
☒ ☐ ☐ D-104, Manual Contents I, D
(e) initial orientation, including safety and security
issues and anti-discrimination policies, for support
D-104, Manual Contents I, E
staff, contract employees, school, mental/behavioral ☒ ☐ ☐
health and medical staff, program providers and
volunteers;
(f) maintenance of record-keeping, statistics and
communication system to ensure:
☒ ☐ ☐ D-104, Manual Contents I, F
(1) efficient operation of the juvenile facility;
☐ ☐ ☐ D-104, Manual Contents I, F-1
(2) legal and proper care of youth;
☐ ☐ ☐ D-104, Manual Contents I, F-2
(3) maintenance of individual youth's records;
☒ ☐ ☐ D-104, Manual Contents I, F-3
(4) supply of information to the juvenile court and
those authorized by the court or by the law; and,
☒ ☐ ☐ D-104, Manual Contents I, F-4
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(5) release of information regarding youth.
☒ ☐ ☐ D-104, Manual Contents I, F-5
(g) ethical responsibilities;
A-102 Code of Ethics
☒ ☐ ☐
D-104, Manual Contents I, G
(h) trauma-informed approaches;
☒ ☐ ☐ D-104, Manual Contents I, H
(i) culturally responsive approaches;
☒ ☐ ☐ D-104, Manual Contents I, I
(j) gender responsive approaches;
☒ ☐ ☐ D-104, Manual Contents I, J
(k) a non-discrimination provision that provides that all
youth within the facility shall have fair and equal
A-107
access to all available services, placement, care,
treatment, and benefits, and provides that no person D-104, Manual Contents I, K
shall be subject to discrimination or harassment on
the basis of actual or perceived race, ethnic group
☒ ☐ ☐
identification, ancestry, national origin, immigration
The facilities non-discrimination policy is
status, color, religion, gender, sexual orientation,
posted in each living unit.
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 ☒ ☐ ☐
D-104, Manual Contents I, L
weapons and ammunition, where applicable;
(m) establishment of procedures for collection of Medi-
Cal eligibility information and enrollment of eligible
D-104, Manual Contents I, M
youth; and,
☒ ☐ ☐
J-112, Medi-Cal Eligibility and Suspension
of Benefits
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(n) establishment of a policy that prohibits all forms of
sexual abuse, sexual assault and sexual harassment.
D-104, Manual Contents I, N
The policy shall include an approach to preventing,
detecting and responding to such conduct and any ☒ ☐ ☐
retaliation for reporting such conduct, as well as a
provision for reporting such conduct by youth, staff
or a third party.
1325 FIRE SAFETY PLAN
H-107 Fire Safety Plan (FSP)
The facility administrator shall consult with the local fire
department having jurisdiction over the facility, or with ☒ ☐ ☐
The facility manual has a comprehensive fire
the State Fire Marshal, in developing a plan for fire safety
safety plan addressing all components of
which shall include, but not be limited to:
regulation.
a) a fire prevention plan to be included as part of the
manual of policy and procedures;
☒ ☐ ☐ H-107 FSP I, A-I
b) monthly fire and life safety inspections by facility
staff with two- year retention of the inspection
E-103, GP I Monthly Inspections
record;
H-107 Fire Inspections I and II
The agency conducts weekly Inspections of
the entire facility, including Court and
☒ ☐ ☐
Intake. The 9-page form outlines the
process; and includes the specific area/room,
the problem, the action step, and finally the
‘fix’ date. Most recently, the supervisor
completing the form backtracks the entries
from the week before and updates the form,
which is distributed to administration.
c) fire prevention inspections as required by Health
and Safety Code Section 13146.1(a) and (b);
☒ ☐ ☐ H-107 Fire Inspections II
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d) an evacuation plan;
H-101 Emergency Procedures for
Evacuation, GP VII
☒ ☐ ☐
H-107 Fire and Evacuation Drills I-IV
e) documented fire drills not less than quarterly;
H-107 Fire and Evacuation Drills I-IV
The fire drills include evacuation of the
☒ ☐ ☐ facility to a safe area depending on the drill
type. Each SJIO is responsible for
completing a drill each quarter. There have
been 27 drills since July 2020 up to the date
of the BSCC inspection.
f) a written plan for the emergency housing of youth in
the case of fire; and,
H-101 Emergency Housing Plan I, A-C
☒ ☐ ☐
Emergency housing will be coordinated with
the Merced County Sheriff’s Department or
outside county juvenile facilities.
g) development of a fire suppression pre-plan in
cooperation with the local fire department.
☒ ☐ ☐ H-117 Fire Suppression Pre-Plan
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1326 SECURITY REVIEW
Each facility administrator shall develop policies and F-101 Key Control
procedures to annually review, evaluate, and document
F-102 Security Issues
security of the facility. The review and evaluation shall
include internal and external security, including, but not
F-103 Security Electronics
limited to, key control, equipment, and staff training.
H-118 Review of Emergency Procedures
☒ ☐ ☐
This section discusses the annual review of
Security measures.
A Security Review memo was completed by
Deputy Chief Probation Officer Lisa Maples
on January 31, 2022, documenting
compliance with this regulation.
1327 EMERGENCY PROCEDURES
The facility administrator shall develop facility-specific H-101 Emergency Procedures for
policies and procedures for emergencies that shall Evacuation
include, but not be limited to:
H-102 Emergency Procedures and
Communication Codes (No Evacuations)
☒ ☐ ☐
An Emergency Procedures Review memo
was completed by Deputy Chief Probation
Officer Lisa Maples on January 31, 2022,
documenting compliance with this
regulation.
(a) escape, disturbances, and the taking of hostages;
H-102 Emergency Procedures and
Communication Codes (No Evacuations)
☒ ☐ ☐
H-102, I, A-I Escape Attempts, Hostages,
Fights, Riots and Other Disturbances
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(b) civil disturbance, active shooter and terrorist attack;
H-102 I-VII Emergency Procedures and
Communication Codes (No Evacuations)
☒ ☐ ☐
Armed person or Terrorist Threat within the
Facility or Grounds
(c) fire and natural disasters;
H-101 I Specific Evacuations Issues, Fire
H-101 II Earthquake
☒ ☐ ☐ H-101 III Flood
H-101 IV Bomb Threat
H-101 V Toxic Spills
(d) periodic testing of emergency equipment;
H-107 Fire Inspections I, A-F
☒ ☐ ☐
H-111 Emergency Equipment Failure
(e) emergency evacuation of the facility; and
H-101 Emergency Procedures for
☒ ☐ ☐
Evacuation
(f) a program to provide all youth supervision staff
with an annual review of emergency procedures.
H-118 Review of Emergency Procedures
All staff are required to review emergency
☒ ☐ ☐
procedures annually. Additionally, staff
receive a 2-hour STC Certified class in Fire
and Life Safety each year. We note it was
not completed in 2021 due to the Pandemic.
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1328 SAFETY CHECKS
The facility administrator shall develop and implement G-118 GP I-III
policy and procedures that provide for direct visual
G-118 Room Check Procedure I-VI
observation of youth at a minimum of every 15 minutes,
at random or varied intervals during hours when youth
are asleep or when youth are in their rooms, confined in
We reviewed safety check log audits for 2
holding cells or confined to their bed in a dormitory.
days each month, at different times and in
Supervision is not replaced, but may be supplemented
each occupied unit of the entire facility from
by, an audio/visual electronic surveillance system
July 2020 to March 2022. The agency noted
designed to detect overt, aggressive or assaultive
late checks, and, in each audit, a time period
behavior and to summon aid in emergencies. All safety
included a camera audit. This comparison
checks shall be documented with the actual time the
was an additional step to assure staff were
check is completed.
completing the check with direct visual
observation of a youth.
☒ ☐ ☐
This process has been painful for
administration as they have had several staff
not meet the expectation which involved the
internal progressive discipline process. Late
checks are rare, and the process of
accountability is swift.
In terms of random and varied checks, we
found the agency has successfully integrated
the intent of the regulation with staff.
1329 SUICIDE PREVENTION PLAN
G-109 Suicide Identification Program
The facility administrator, in collaboration with the
Y-G-05 Wellpath Suicide Prevention
healthcare and behavioral/mental health administrators,
Program
shall plan and implement written policies and
procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐
The plan shall consider the needs of youth experiencing
The agency has had several incidents of
past or current trauma. Suicide prevention responses
suicide behaviors this cycle, only one
shall be respectful and in the least invasive manner
response included Mental Health Separation,
consistent with the level of suicide risk. The plan shall
monitoring by Behavior Health staff daily
include the following elements:
and close supervision.
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(a) Suicide prevention training as required in Section
1322, Youth Supervision Staff Orientation, and
G-109 Admission Procedures V, A-N
Training and the Juvenile Corrections Officer Core
Course.
☒ ☐ ☐
All youth supervision staff complete a block
of Suicide Prevention Training.
(b) Screening, Identification Assessment and
Precautionary Protocols
G-109 Screening Identification Assessment
(1) All youth shall be screened for risk of
suicide at intake and as needed during
☒ ☐ ☐
detention.
The facility uses the MAYSI-2 Instrument to
assess the risk of youth entering the facility.
(2) All youth supervision staff who perform
intake processes shall be trained in ☒ ☐ ☐
G-109 Admission Procedures V, A
screening youth for risk of suicide.
(3) All youth who have been identified during
the intake screening process to be at risk of
G-109 Admission Procedures IV, A
suicide shall be referred to ☒ ☐ ☐
behavioral/mental health staff for a suicide G-109 Screening Identification Assessment
risk assessment. II, A-C
(4) Precautionary protocols shall be developed
to ensure the youth’s safety pending the
G-109 Suicide Intervention Procedures I-
behavioral/mental health assessment. ☒ ☐ ☐
VIII
(c) Referral process to behavioral/mental health staff
for assessment and/or services.
G-109 Admission Procedures IV, A. V, and
K
☒ ☐ ☐
G-109 Screening Identification Assessment
II, B
(d) Procedures for monitoring of youth identified at
risk for suicide.
G-109 Suicide Intervention Procedures I-
☒ ☐ ☐
VIII
(e) Safety Interventions
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(1) Procedures to address intervention G-109 Suicide Intervention Procedures I-
protocols for youth identified at risk for VIII
☒ ☐ ☐
suicide which may include, but are not
limited to:
A. Housing consideration
G-109 II, B Suicide Intervention Procedures
(sleeping room)
☒ ☐ ☐
G-109 II, C (Safety Room)
B. Treatment strategies including
trauma-informed approaches
☒ ☐ ☐ G-109 Suicide Intervention Procedures II
(2) Procedures to instruct youth supervision
staff how to respond to youth who exhibit
G-109 I-VIII Suicide Intervention
suicidal behaviors.
Procedures
☒ ☐ ☐
G-109 I, A-E Suicide Intervention
Procedures
(f) Communication
(1) The intake process shall include
G-109 Admission Procedures I and II
communication with the arresting officer
☒ ☐ ☐
and family guardians regarding the youth’s G-109 Communication I-VII
past or present suicidal ideations, behaviors
or attempts.
(2) Procedures for clear and current
information sharing about youth at risk for
☒ ☐ ☐ G-109 Communication I
suicide with youth supervision, healthcare,
and behavioral/mental health staff.
(g) Debriefing of Critical Incidents Related to Suicides
or Attempts
G-109 Debriefing
(1) Process for administrative review of the ☒ ☐ ☐
circumstances and responses proceeding, G-109 Administrative Review
during and after the critical incident.
(2) Process for a debriefing event with affected
staff.
☒ ☐ ☐ G-109 Debriefing I
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(3) Process for a debriefing event with affected
youth.
☒ ☐ ☐ G-109 Debriefing I
(h) Documentation
(1) Documentation processes shall be
G-109 E Suicide Attempt Procedure
developed to ensure compliance with this
regulation G-109 II, G and H Suicide Intervention
☒ ☐ ☐
Procedures
G-109 IV Admission Procedures
Youth identified at risk for suicide shall not be denied
the opportunity to participate in facility programs,
G-109 GP I
services and activities which are available to other non-
suicidal youth, unless deemed necessary for the safety
☒ ☐ ☐
of the youth or security of the facility. Any deprivation
of programs, services or activities for youth at risk of
suicide shall be documented and approved by the
facility manager.
1340 REPORTING OF LEGAL ACTIONS
Each facility shall submit to the Board a letter of ☒ ☐ ☐ E-102 Reporting of Legal Actions I
notification on each legal action, pertaining to conditions
of confinement, filed against persons or legal entities
responsible for juvenile facility operation.
1341 DEATH AND SERIOUS ILLNESS OR
INJURY OF A YOUTH WHILE
H-108 Death of a Youth
DETAINED
H-108 Death of a Youth GP III
(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.
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(b) The health administrator, in cooperation with the
facility administrator, shall develop written policies
H-108 Death of a Youth Procedure IV, B
and procedures to assure there is a medical and
operational review of every in-custody death of a
youth. The review team shall include the facility ☒ ☐ ☐
administrator and/or facility manager, the health
administrator, the responsible physician and other
health care and supervision staff who are relevant
to the incident.
(c) The administrator of the facility shall provide to the
Board a copy of the report submitted to the Attorney
H-108 Death of a Youth Procedure IV, A
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 calendar
In the case of a death at the facility, BSCC
days inspect and evaluate the juvenile facility, jail,
staff are able to inspect or evaluate the
lockup or court holding facility pursuant to the ☒ ☐ ☐
facility within the parameters of T15.
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 H-103 GP IV Medical Emergencies
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
Each juvenile facility shall submit required population ☒ ☐ ☐ Merced County does report required
and profile survey reports to the Board within 10 population and profile detention statistics to
working days after the end of each reporting period, in BSCC.
a format to be provided by the Board.
1343 JUVENILE FACILITY CAPACITY
When the number of youth detained in a living unit of a E-401 Facility Capacity
juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐
fifteen (15) calendar days in a month, the facility
administrator shall provide a crowding report to the
Board in a format provided by the Board.
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1350 ADMITTANCE PROCEDURES
G-103 GP I
The facility administrator shall develop and implement
written policies and procedures for admittance of youth
The agency implements a wide array of
that emphasize respectful and humane engagement with
assessments and screenings when youth are
youth, and reflect that the admission process may be
admitted, including: the Intake screening
traumatic to youth who may have already experienced
form, which identifies medical and mental
trauma. Policies shall be trauma-informed, culturally
health information; the MAYSI which
relevant, and responsive to the language and literacy
focuses on community risk factors (Drug and
needs of youth. In addition to the requirements of
Alcohol use, anger, depression and medical
Sections 1324 and 1430 of these regulations:
criteria) and suicidal behaviors; the DRAI, a
detention risk assessment; the SOGIE, which
focuses on trauma and sexual victimization
or behaviors;, and the Victim Vulnerability
☒ ☐ ☐ Assessment.
Intake staff are trained to engage with youth
to be responsive to the admission process,
understanding it is traumatic. Additional
tools relate to Classification and PREA;
being sensitive to the process while
completing the booking.
Depending on the response to the screening
and/or assessment, youth are placed on
special watches and referred to Behavior
Health.
(a) the admittance process shall include:
(1) Access to two free phone calls within one hour
☒ ☐ ☐ G-103 GP IV
of admittance in accordance with the provisions
of Welfare and Institution Code Section 627;
(2) Offer of a shower;
☒ ☐ ☐ G-103 GP IX
(3) Documented secure storage of personal
belongings;
☒ ☐ ☐ G-103 GP III
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(4) Offer of food upon arrival;
☒ ☐ ☐ G-115 GP VII
(5) Screening for physical and behavioral health
and safety issues, intellectual or developmental ☒ ☐ ☐
G-103 GP V
disabilities;
(6) Screening for physical and developmental
disabilities in accordance with Sections 1329,
G-103 GP VI
1413, and 1430 of these regulations;
☒ ☐ ☐
The facility medical staff screens youth
within 24 hours.
(7) Contact with Regional Center for the
Developmentally Disabled for youth that are
G-103 GP VI
suspected of or identified as having a
developmental disability, pursuant to Section
1413; and,
☒ ☐ ☐ The Medical staff screens youth within 24
hours and will refer to the Regional Center if
suspected or identified as being
Developmentally Disabled.
(8) Procedures consistent with Section 1352.5.
☒ ☐ ☐ G-103 GP VII
(b) juvenile hall administrators shall establish written
criteria for detention that considers the least
G-101 Youth Eligible for Admission
restrictive environment.
G-102 Youth Ineligible for Admission
G-103 Admission Procedures VI, DRAI
☒ ☐ ☐
The Detention Risk Assessment Instrument
assists staff in evaluating if a youth needs to
remain in secure detention.
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(c) juvenile camps and post-dispositional programs in
juvenile halls shall develop policies and procedures
G-103 GP X (BCA)
that advise the youth of the estimated length of
☒ ☐ ☐
stay, inform them of program guidelines and I-104 Program Structure III, A-D
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
Youth are advised of the court process at
length of his/her stay.
admission, with follow up discussions after
☒ ☐ ☐
each Court hearing regarding their continued
detention.
1350.5. SCREENING FOR THE RISK OF SEXUAL
ABUSE
G-103 VII
G-103 Admission Procedures IX, B-6, A
The facility administrator shall develop and implement (Maysi-2) and B (Victim Vulnerability
written policies and procedures to reduce the risk of Assessment-VVA)
sexual abuse by or upon youth. The policy shall require
facility staff to assess each youth within 72 hours of
admission based on the following information: ☒ ☐ ☐ Both tools administered at Intake assist in
determining prior sexual abuse. A VVA is
completed on each youth entering the facility
to access the youth’s likelihood of
victimization or victimizing behaviors. The
department is also involved in the county
CSEC program to assist youth who have
been sexually exploited.
(a) Prior sexual victimization or abusiveness;
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-1
(b) Gender nonconforming appearance or manner; or
identification as lesbian, gay or bisexual,
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-2
transgender, queer or intersex, and whether the
youth may, therefore, be vulnerable to sexual abuse;
(c) Current charges and offense history;
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-3
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(d) Age;
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-4
(e) Level of emotional and cognitive development;
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-5
(f) Physical size and stature;
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-6
(g) Mental illness or mental disabilities;
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-7
(h) Intellectual or developmental disabilities;
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-8
(i) Physical disabilities;
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-9
(j) The youth’s perception of vulnerability; and,
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-10
(k) Any other specific information about the individual
youth that may indicate heightened needs for
☒ ☐ ☐ G-103 Admission Procedures IX, B-6, B-11
supervision, additional safety precautions, or
separation from certain other youth.
Staff shall ascertain this information through
conversations with the youth during the admittance
G-103 Admission Procedures IX, B-7
process, medical and behavioral health screenings;
☒ ☐ ☐
during classification assessments; and by reviewing
court records, case files, facility behavioral records, and
other relevant documentation from the youth’s files.
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The facility administrator shall implement appropriate
controls on the dissemination of information within the
G-103 Admission Procedures IX, B-7
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
The facility administrator shall develop and implement G-105
written policies and procedures for release of youth
from custody which provide for:
The agency has monthly Multi-Disciplinary
Team (MDT) meetings which include
☒ ☐ ☐
release and re-entry planning. The Child and
Family Team (CFT) meetings for BCA
youth have a process and ongoing transition
planning for re-entry into the community
when released from the program.
(a) verification of identity/release papers;
☒ ☐ ☐ G-105 GP I
(b) return of personal clothing and valuables;
☒ ☐ ☐ G-105 GP II
(c) notification to the youth's parents or guardian;
☒ ☐ ☐ G-105 GP III
(d) notification to the facility health care provider in
accordance with Sections 1408 and 1437 of these
☒ ☐ ☐ G-105 GP IV
regulations, for coordination with outside agencies;
and,
(e) notification of school staff;
☒ ☐ ☐ G-105 GP V
(f) notification of facility mental health personnel.
☒ ☐ ☐ G-105 GP VI
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The facility administrator shall develop and implement
policies and procedures for post-disposition youth to
G-105 Release Procedures II, F-6
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
G-105 Release Procedures III
youth from custody.
This section is for the temporary release of a
☒ ☐ ☐ youth. Since the Pandemic, there have been
no furlough of youth. The administrators are
planning to revise the BCA Point System to
reflect best practice and evidence-based step-
down models moving forward.
1352 CLASSIFICATION
The facility administrator shall develop and implement G-107
written policies and procedures on classification of
☒ ☐ ☐
youth for the purpose of determining housing placement
in the facility.
Such procedures shall:
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(a) provide for the safety of the youth, other youth,
facility staff, and the public by placing youth in the
G-107 GP I and VI
appropriate, least restrictive housing and program
settings. Housing assignments shall consider the
need for single, double or dormitory assignment or
The facility has implemented a Custody
location within the dormitory;
Classification Assessment which is a tool to
determine appropriate placement of youth for
safety or security of the facility. The codes
prompt staff responses and ensure youth are
appropriately supervised based on known
triggers or behaviors. Considerations
include family dynamics, gang involvement,
facility behaviors, education and special
management considerations. The form
☒ ☐ ☐
prompts a supervisor level authorization and
placement.
We reviewed numerous packets of
classification materials including the DRAI
and PREA/Behavior/Unit Classification
documentation. We found the agency
exercises every tool to ensure appropriate
safety, security and placement of youth in the
facility. The Classification summaries are
inclusive of regulation elements and
appropriate placement concerns.
(b) consider facility populations and physical design of
the facility;
☒ ☐ ☐ G-107 GP I
(c) provide that a youth shall be classified upon
admittance to the facility; classification factors
G-107 GP II
shall include, but not be limited to: age, maturity,
sophistication, emotional stability, program needs,
legal status, public safety considerations,
The facility has 4 occupied units, 2 for
medical/mental health considerations, gender and
detention and 1 ½ for BCA youth. They
gender identity of the youth; ☒ ☐ ☐
continue to maintain half a unit for
quarantine youth. Youth are classified based
on a myriad of criteria, each intended to be
the least restrictive while meeting their
needs.
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(d) provide for periodic classification reviews,
including provisions that consider the level of
G-107 GP III
supervision and the youth's behavior while in
custody; and,
☒ ☐ ☐
Classification reviews occur when new
information is received or at the request of
the youth, and at minimum, monthly.
(e) provide that facility staff shall not separate youth
from the general population or assign youth to a
G-107 GP IV
single occupancy room based solely on the youth's
actual or perceived race, ethnic group
identification, ancestry, national origin, color,
religion, gender, sexual orientation, gender identity, ☒ ☐ ☐ The facilities non-discrimination policy is
posted in the living units and in the youth
gender expression, mental or physical disability, or
handbook.
HIV status. This section does not prohibit staff from
placing youth in a single occupancy room at the
youth's specific request or in accordance with Title
15 regulations regarding separation.
(f) facility staff shall not consider lesbian, gay,
bisexual, transgender, questioning or intersex
☒ ☐ ☐ G-107 GP V
identification or status as an indicator of likelihood
of being sexually abusive.
1352.5 TRANSGENDER AND INTERSEX YOUTH.
The facility administrator shall develop written policies G-123 Lesbian, Gay, Transgender, Queer +
and procedures ensuring respectful and equitable Youth
treatment of transgender and intersex youth. The
☒ ☐ ☐
policies shall provide that:
This policy addresses all forms of gender
identity and orientation.
(a) Facility staff shall respect every youth’s gender
identity and shall refer to the youth by the youth’s
G-123 Name and Language II
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 Transgender/Intersex Preference Form
the facility manager or designee, and shall provides for youth to indicate name,
document any decision made on this basis. pronoun, housing and search preferences.
The youth signs the document and is
required to read Policy G-123.
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(b) Facility staff shall permit youth to dress and present
themselves in a manner consistent with their gender
☒ ☐ ☐ G-123 Classification I, F
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
G-107 GP VI, VII, VIII
their safety and well-being. Staff may not
automatically house youth according to their G-123 Classification I
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
☒ ☐ ☐ G-123 Medical and Mental Health Care I
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
G-123 Classification I, H
plant, facility staff shall make every effort to ensure ☒ ☐ ☐
the safety and privacy of transgender and intersex
youth when the youth are using the bathroom or
shower, or dressing or undressing.
Facility staff shall not conduct physical searches of any
youth for the purpose of determining the youth’s
F-106, GP VI
anatomical sex. Whenever feasible, the facility shall
respect the youth’s preference regarding the gender of F-108 Provisions for Transgender/Intersex
☒ ☐ ☐
the staff member who conducts any search of the youth. Searches
G-123 Searches I and II
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1353 ORIENTATION
The facility administrator shall develop and implement G-103 Admission Procedures IX, A
written policies and procedures to orient a youth prior Orientation
to placement in a living area. Both written and verbal
information shall be provided and supplemented with
video orientation if feasible. Provision shall be made to The facility provides a verbal and written
provide accessible orientation information to all orientation while in booking, and the
detained youth including those with disabilities, limited handbook stays with the youth during their
literacy, or English language learners. Orientation shall stay. The handbook includes all elements of
include information that addresses: regulation and there is signage throughout
the facility reminding youth of rules,
sanctions and expectations.
☒ ☐ ☐
We reviewed the Admission Process
Checklist, which includes the above policy
and practice to ensure youth are oriented
prior to unit placement. The youth are
required to sign an acknowledgement of the
process, which emphasizes facility rules and
the PREA policy as it relates to a zero
tolerance for any sexual abuse, assault or
harassment.
(a) facility rules including contraband and searches and
disciplinary procedures;
☒ ☐ ☐ G-103 Admission Procedures IX, B-1 and 2
(b) facility’s system of positive behavior interventions
and supports, including behavior expectations,
G-103 Admission Procedures IX, B-3
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
G-103 Admission Procedures IX, B-18
harassment and how to report incidents or
suspicions of sexual abuse or sexual harassment;
☒ ☐ ☐
All youth are required to watch the
departments PREA video.
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(d) identification of key staff and their roles;
☒ ☐ ☐ G-103 Admission Procedures IX, B-20\
(e) the existence of the grievance procedure, the steps
that must be taken to use it, the youth’s right to be
G-103 Admission Procedures IX, B-4
free 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
process;
☒ ☐ ☐ G-103 Admission Procedures IX, B-5
(g) access to routine and emergency health and mental
health care;
☒ ☐ ☐ G-103 Admission Procedures IX, B-6
(h) access to education, religious services, and
recreational activities;
G-103 Admission Procedures IX, B-15 and
☒ ☐ ☐
21
(i) housing assignments;
☒ ☐ ☐ G-103 Admission Procedures IX, B-8
(j) opportunity for personal hygiene and daily showers
including the availability of personal care items
☒ ☐ ☐ G-103 Admission Procedures IX, B-13
(k) rules and access to correspondence, visits and
telephone use;
G-103 Admission Procedures IX, B-10 and
☒ ☐ ☐
11
(l) availability of reading materials, programming, and
other activities;
G-103 Admission Procedures IX, B-12 and
☒ ☐ ☐
17
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(m) facility policies on the use of force, use of restraints,
chemical agents and room confinement;
G-103 Admission Procedures IX, B-19
☒ ☐ ☐ The youth handbook provides guidelines the
facility has in place which could result in the
use of force or restraint. It is a summary of
policy.
(n) immigration legal services;
☒ ☐ ☐ G-103 Admission Procedures IX, B-16
(o) emergencies including evacuation procedures;
☒ ☐ ☐ G-103 Admission Procedures IX, B-14
(p) non-discrimination policy and the right to be free
from physical, verbal or sexual abuse and
A-107 Non- Discrimination Policy
harassment by other youth and staff;
☒ ☐ ☐
The NDP is articulated in the youth
pamphlet.
(q) availability of services and programs in a language
other than English if appropriate;
☒ ☐ ☐ G-103 Admission Procedures IX, B-23
(r) the process for requesting different housing,
education, programming and work assignments;
☒ ☐ ☐ G-103 Admission Procedures IX, B-21
(s) a process for which parents/guardians receive
information regarding the youth’s stay in the
A copy of the youth pamphlet, detailing
facility that at a minimum includes answers to
☒ ☐ ☐ information on the youths stay, is mailed to
frequently asked questions and provides contact
the parent when a youth is detained.
information for the facility, medical, school and
mental health; and,
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(t) a process by which youth may request access to
Title 15 Minimum Standards for Juvenile Facilities.
☒ ☐ ☐ G-103 Admission Procedures IX, B-22
1354 SEPARATION
G-124 Separation
☒ ☐ ☐
The facility administrator shall develop and implement
written policies and procedures that address:
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(a) separation of youth for reasons that include, but are
not be limited to, medical and mental health
G-124 GP I, A Voluntary Separation (Self
conditions, assaultive behavior, disciplinary
Separation)
consequences and protective custody.
A youth has the ability to self-separate from
his/her assigned unit based on application.
Self-separation is not confinement but rather
a youth’s choice to not participate in
activities. The agency memorialized an
alternative placement in a Separation Unit to
allow these youth to not interfere with
routine programming and found this
population grew.
Post Pre-Inspection, the agency realized self-
separation for long periods is a Special
Program or Behavior Management issue to
include a collaborative approach to
determines a youth’s insistence on isolation.
There have been no requests for self-
separation in March or April 2022.
☒ ☐ ☐
G-124 GP I, B Involuntary Separation
(Medical, Mental Health or Administrative)
Involuntary separation can be for medical
reasons, mental health requests or for
administrative purposes. In terms of
Administrative Separation (discipline or
behavior), the youth must meet certain
milestones of behavior for return to regular
programming. The youth’s behavior is
evaluated each shift by a SJIO and every
effort is made to meet the established goals
of reintegration.
We provided technical assistance to have a
more consistent matrix for determining how
long a youth is on administrative separation
and to allow a youth to be separated in their
own unit.
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(b) consideration of positive youth development and
trauma-informed care.
☒ ☐ ☐ G-124 GP I
(c) separated youth shall not be denied normal
privileges available at the facility, except when ☒ ☐ ☐
G-124 GP I
necessary to accomplish the objective of separation.
(d) when the objective of the separation is discipline,
Title 15 Section 1390 shall apply.
I-101 Discipline Process
☒ ☐ ☐
I 103 Behavior Management System
(e) when separation results in room confinement, the
separation shall occur in accordance with Welfare
☒ ☐ ☐ G-108
and Institutions Code Section 208.3 and
Section1354.5 of these regulations.
(f) policies and procedures shall ensure a daily review
of separated youth to determine if separation
G-124, Procedure II-B
remains necessary.
Youth have the ability to self-separate, for
☒ ☐ ☐ short or long periods of time. A separation
log is initiated and requires administrative
notice, follow up and at minimum, a daily
review. There have been no self-separation
requests since February 2022.
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1354.5 ROOM CONFINEMENT
(a) The facility administrator shall develop and G-108 Room Confinement
implement written policies and procedures
addressing the confinement of youth in their room
that are consistent with Welfare and Institutions We reviewed Room Confinement (RC)
Code Section 208.3. The placement of a youth in processes and accompanying documentation.
room confinement shall be accomplished in There have been 46 incidents of RC in the
accordance with the following guidelines: 20-month period from July 2020 to February
2022, down from the 63 incidents in a 12-
month period including all of 2019.
Our documentation review included packets
with a Room Confinement Checklist,
identifying the staff responsibilities for the
process, the incident report, and safety check
log. Of the incidents we reviewed almost all
were less than an hour, three less than 2
hours and one less than 3 hours. Policy
requires youth to be moved to intake for RC
☒ ☐ ☐
placement, which allows normal
programming in the units to continue.
Staff have adopted the principals and
expectations of RC, utilizing the tool as a last
resort and re-integrating youth as soon as
possible.
We provided technical assistance to remind
staff to keep room confinement out of the
due process procedures and keep the policy
and regulation responsibilities for each
separate. The documentation, incident
reports and youth interviews were responsive
to this point, but some Due Process reviews
mentioned the room confinement placement
on the form.
(1) Room confinement shall not be used before
other, less restrictive, options have been
G-108 GP II
attempted and exhausted, unless attempting ☒ ☐ ☐
those options poses a threat to the safety or
security of any youth or staff.
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(2) Room confinement shall not be used for the
purposes of punishment, coercion, ☒ ☐ ☐
G-108 GP III
convenience, or retaliation by staff.
(3) Room confinement shall not be used to the
extent that it compromises the mental and ☒ ☐ ☐
G-108 GP IV
physical health of the youth.
(b) A youth may be held up to four hours in room
confinement. After the youth has been held in room
☒ ☐ ☐ G-108 GP
confinement for a period of four hours, staff shall
do one or more of the following:
(1) Return the youth to general population.
☒ ☐ ☐ G-108 Continuation of Room Confinement I
(2) Consult with mental health or medical staff.
G-108 Continuation of Room Confinement
☒ ☐ ☐
I, A
(3) Develop an individualized plan that includes
the goals and objectives to be met in order to
G-108 Continuation of Room Confinement
reintegrate the youth to general population.
☒ ☐ ☐
I, B
(4) If room confinement must be extended beyond
four hours, staff shall do each of the following:
☒ ☐ ☐ G-108 Continuation of Room Confinement
(A) Document the reasons for room
confinement and the basis for the
G-108 Continuation of Room Confinement
extension, the date and time the youth was
☒ ☐ ☐
first placed in room confinement, and when I, C
he or she is eventually released from room
confinement.
(B) Develop an individualized plan that
includes the goals and objectives to be met
☒ ☐ ☐ G-108 Continuation of Room Confinement
in order to integrate the youth to general
population. I, B
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(C) Obtain documented authorization by the
facility superintendent or his or her
G-108 Continuation of Room Confinement
designee every four hours thereafter.
☒ ☐ ☐
I, D
(5) This section is not intended to limit the use of
single-person rooms or cells for the housing of
☒ ☐ ☐ G-108 GP I
youth in juvenile facilities and does not apply
to normal sleeping hours.
(6) This section does not apply to youth or wards
☐ ☐ ☒
in court holding facilities or adult facilities.
(7) Nothing in this section shall be construed to
conflict with any law providing greater or ☐ ☐ ☒
additional protections to youth.
(8) This section does not apply during an
extraordinary emergency circumstance that
G-108 Procedures C
requires a significant departure from normal
institutional operations, including a natural
disaster or facility-wide threat that poses an
☒ ☐ ☐
imminent and substantial risk of harm to
multiple staff or youth. This exception shall
apply for the shortest amount of time needed to
address this imminent and substantial risk of
harm.
(9) This section does not apply when a youth is
placed in a locked cell or sleeping room to treat
G-108 Procedures B
and protect against the spread of a
communicable disease for the shortest amount
of time required to reduce the risk of infection,
with the written approval of a licensed
physician or nurse practitioner, when the youth
is not required to be in an infirmary for an ☒ ☐ ☐
illness. Additionally, this section does not
apply when a youth is placed in a locked cell or
sleeping room for required extended care after
medical treatment with the written approval of
a licensed physician or nurse practitioner, when
the youth is not required to be in an infirmary
for illness.
1355 INSTITUTIONAL ASSESSMENT AND
PLAN
J-110 Institutional Assessment and Plan
☒ ☐ ☐
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
J-110 GP I
during the admission process with periodic review,
which includes the youth's risk factors, needs and
strengths including, but not limited to,
The agency uses the Positive Achievement
identification of substance abuse history,
Change Tool (PACT) Assessment for youth
educational, vocational, counseling, behavioral
prior to or upon entering the facility. The
health, consideration of known history of trauma,
assigned Probation Officer completes the
and family strengths and needs.
initial assessment and identifies the youth’s
criminogenic needs. The completed
assessment will be forwarded to the facility
SJIO within 24 hours of admission. If the
assessment has not been completed prior to
entry/admission, the designated staff will
complete one within required timelines.
Once the assessment is provided, the
(ongoing) Institution Case Plan will be
reviewed every 30 days to ensure goals and
objectives are maintained and/or modified.
Within 30 days of a youth’s scheduled
release, a Child and family Team (CFT) Plan
☒ ☐ ☐
is created to establish re-entry and transition
goals.
We reviewed numerous initial, ongoing and
CFT plans, articulating the goals established,
intervention implemented and timelines for
completion. The agency has Peer Support
Specialists and a Program Specialists who
engage regularly with youth to ensure
identified needs are met with comparable
services and programming.
We found the documentation was clear,
targeted and comprehensive. The narratives
were individualized and articulated specific
details to achieve success. The use of the
peer and program specialist positions is
beneficial to the youth and helpful to staff
who are tasked with operational
responsibilities.
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(b) Institutional Case Plan:
(1) A case plan shall be developed for each youth
☒ ☐ ☐ J-110 GP II
held for at least 30 days or more and created
within 40 days of admission.
(2) The institutional plan shall include, but not be
limited to, written documentation that provides:
☒ ☐ ☐ J-110 Institutional Case Plans
(A) objectives and time frame for the resolution
of problems identified in the assessment;
☒ ☐ ☐ J-110 Institutional Case Plans I
(B) a plan for meeting the objectives that
includes a description of program resources
☒ ☐ ☐ J-110 Institutional Case Plans I
needed and individuals responsible for
assuring that the plan is implemented;
(3) periodic evaluation of progress towards meeting
the objectives, including periodic review and
J-110 Institutional Case Plans I
discussion of the plan with the youth;
☒ ☐ ☐
The staff review, modify and update the
Institutional Case Plan every 30 days.
(4) a transition plan, the contents of which shall be
subject to existing resources, shall be developed
J-110 Institutional Case Plans II
for post dispositional youth in accordance with
Section 1351; and,
Within 30 days of release, the CFT (Child
and Family Team) will meet to target
☒ ☐ ☐ transition and re-entry services for a youth
exiting the facility. The team consists of
facility staff, school staff, Behavioral Health
staff, a Supervising Deputy Probation
Officer and family member(s) or supportive
adult(s).
(5) in as much as possible and if appropriate, the
plan, including the transition plan, shall be
J-110 GP III
developed with input from the family, ☒ ☐ ☐
supportive adults, youth, and Regional Center
for the Developmentally Disabled.
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1356 COUNSELING AND CASEWORK
SERVICES
J-109
The facility administrator shall develop and implement
written policies and procedures ensuring the availability
of appropriate counseling and casework services for all The agency case management system from
youth. Policies and procedures shall ensure: Tyler has a Detention Activity Tree
component which allows facility staff, field
DPO’s, and agency partners to document
pertinent information in real time. If a youth
requests assistance in contacting an
☒ ☐ ☐ attorney/parent/supportive adult or when
staff/partners provide counsel with any
issues or facilitate assistance while detained,
the system generates a documented notation
of the contact.
We reviewed numerous documented activity
tree entries and found them responsive to the
youths needs or behaviors.
(a) youth will receive assistance with needs or concerns
that may arise;
☒ ☐ ☐ J-109 GP II, A
(b) youth will receive assistance in requesting contact
with parents, other supportive adults, attorney, ☒ ☐ ☐
J-109 GP II, B
clergy, probation officer, or other public official;
and,
(c) youth will be provided access to available resources
to meet the youth’s needs.
☒ ☐ ☐ J-109 GP II, C
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1357 USE OF FORCE
The facility administrator, in cooperation with the H-112 Use of Force (UF)
responsible physician, shall develop and implement
written policies and procedures for the use of force,
which may include chemical agents. Force shall never The agency provided a multitude of force
be applied as punishment, discipline, retaliation or incidents for review, including youth on
treatment. youth fights, riot behavior, threatening
behavior towards staff, and self-harm
(a) At a minimum, each facility shall develop policies
behavior. Of the total 103 incidents from
and procedures which:
July 2020 to February 2022 (20 months),
there were 223 youth involved. We found
103 uses of OC spray and 131 included
physical force. As demonstrated by the data,
a majority of incidents involved multiple
youth. There were 45 incidents of staff using
restraints post incident, as an escort to the
youth’s room or intake.
The incident reports were timely,
informative and within policy. Staff
responses and actions appeared appropriate
☒ ☐ ☐
based on the comprehensive documentation
submitted.
The facility meets monthly via an ‘Inquiry
Board’ to audit/review all UF incidents. The
findings made post review are that the staff
acted lawfully, appropriately within policy,
immediately in response to the identified
threat, and/or was the force necessary. The
review also identifies if the staff were
appropriately trained to respond, objective
and reasonable in their response, whether the
staff precipitated the incident and that the
staff reacted professionally.
Use of Force incidents are down from the
recorded incidents from January to October
2019 (116 in 10 months) and 2018 (200 in 12
months).
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(1) restricts the use of force to that which is deemed
reasonable and necessary, as defined in Section
☒ ☐ ☐ H-112 Use of Force Defined
1302 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 H-112 Defense Options Defined
options and define when those force options are
appropriate. ☒ ☐ ☐ The facility provides a continuum that
includes: Officer Presence, Counseling,
Verbal Commands, Empty Hand Controls,
Defensive Tactics and OC Spray.
(3) describe force options or techniques that are
expressly prohibited by the facility.
☒ ☐ ☐ H-112 Prohibited Techniques
(4) describe the requirements of staff to report any
inappropriate use of force, and to take ☒ ☐ ☐
H-112 GP I, I
affirmative action to immediately stop it.
(5) define a standardized reporting format that
includes time period and procedure for
H-112 Documentation of Use of Force I
documenting and reporting the use of force,
including reporting requirements of H-112 Incident Reports I, A-I
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.
H-112 Administrative Review of Use of
☒ ☐ ☐
Force I, A-H
(7) define the role, notification, and follow-up
procedures required after use of force incidents
H-112 Medical Referral or Treatment I, A-B
for medical, mental health staff and parents or
legal guardians. ☒ ☐ ☐ H-112 Mental Health Referral or Treatment I
H-112 Notification I
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(8) describe the limitations of use of force on
pregnant youth in accordance with Penal Code
H-112 GP II
Section 6030(f) and Welfare and Institutions
Code Section 222.
This section describes the imitations of using
force for a list of medical conditions.
☒ ☐ ☐
H-116 Procedure III Pregnant Youth
This policy describes pregnant youth may be
OC sprayed in extremely exigent conditions
and not physically restrained.
(b) Facilities that authorize chemical agents as a force
option shall include policies and procedures that:
H-112 Defense Options VI OC Spray
There were 103 incidents of OC use from
☒ ☐ ☐ July 2020 through February 2022. We
reviewed a sampling of UF incidents,
including OC spray, and found the facility
exhausts efforts to de-escalate incidents
before having to use this tool.
(1) identify who is approved to carry and/or utilize
chemical agents in the facility and the type, size ☒ ☐ ☐
H-112 Training Requirements for Physical
and the approved method of deployment for
and OC Spray Force Interventions I and II
those chemical agents.
(2) mandate that chemical agents only be used when
there is an imminent threat to the youth’s safety
☒ ☐ ☐ H-112 Defense Options VI OC Spray
or the 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
H-112 Training Requirements for Physical
agents. This shall include that youth who have
☒ ☐ ☐ and OC Spray Force Interventions VIII
been exposed to chemical agents shall not be left
unattended until that youth is fully
decontaminated or is no longer suffering the
effects of the chemical agent.
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(4) define the role, notification, and follow-up
procedures required after use of force incidents
H-112 Documentation of Use of Force I
involving chemical agents for medical, mental
health staff and parents or legal guardians. H-112 Incident Reports I, A-I
H-112 Administrative Review of Use of
Force I, A-H
☒ ☐ ☐
H-112 Medical Referral or Treatment I, A-B
H-112 Mental Health Referral or Treatment I
H-112 Notification I
(5) provide for the documentation of each incident
of use of chemical agents, including the reasons
H-112 Documentation of Use of Force I
for 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
☒ ☐ ☐ H-112 Training Requirements for Physical
regular training in use of force and chemical agents
and OC Spray Force Interventions VIII
when appropriate that address:
(1) known medical and behavioral health
conditions that would contraindicate certain
☒ ☐ ☐ H-112 GP II
types of force;
(2) acceptable chemical agents and the methods of
application.
H-112 Training Requirements for Physical
☒ ☐ ☐
and OC Spray Force Interventions V, VI, VII
(3) signs or symptoms that should result in
immediate referral to medical or behavioral
H-112 Training Requirements for Physical
health.
and OC Spray Force Interventions VIII
H-112 Medical Referral or Treatment I, A-B
☒ ☐ ☐
H-112 Mental Health Referral or Treatment I
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(4) instruction on the Constitutional Limitations of
Use of Force.
☒ ☐ ☐ H-112 Grievances on the Use of Force
(5) physical training force options that may require
the use of perishable skills.
H-112 Training Requirements for Physical
and OC Spray Force Interventions III
This section addresses the training prior to
carrying OC Spray.
☒ ☐ ☐
H-112 Training Requirements for Physical
and OC Spray Force Interventions IV
This section addresses the annual training
refresher courses.
(6) timelines the facility uses to define regular
training.
The facility requires significant training prior
☒ ☐ ☐ to being authorized to carry OC Spray with a
minimum of 3 updated trainings annually.
1358 USE OF PHYSICAL RESTRAINTS
The facility administrator, in cooperation with the F-107 GP I Use of Restraint Devices within
responsible physician and mental health director, shall the Facility
develop and implement written policies and procedures
for the use of restraint devices. Restraint devices
include any devices which immobilize a youth's There have been 4 incidents involving
extremities and/or prevent the youth from being restraints as defined by this regulation, which
include the use of the WRAP device.
ambulatory. ☒ ☐ ☐
Incident reports revealed staff exhausted
efforts to avoid this level of force pre-
restraint use. The reports were documented
by numerous staff involved and articulated
efforts to avoid the WRAP use.
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Physical restraints may be used only for those youth
who present an immediate danger to themselves or
F-107 GP II
others, who exhibit behavior which results in the
destruction of property, or reveals the intent to cause F-107 WRAP GP I, B
☒ ☐ ☐
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
F-107 GP II
restraint devices that attach a youth to a wall, floor or
other fixture, including a restraint chair, or through F-107 WRAP GP I, F
affixing of hands and feet together behind the back ☒ ☐ ☐
(hogtying) is prohibited. The use of restraints on
pregnant youth is limited in accordance with Penal Code
Section 6030(f) and Welfare and Institutions Code
Section 222.
The provisions of this section do not apply to the use of
handcuffs, shackles or other restraint devices when used
F-104 Movement of Youth within the
to restrain youth for movement or transportation within
Facility
the facility. Movement within the facility shall be
☒ ☐ ☐
governed by Section 1358.5, Use of Restraint Devices F-107 GP I Use of Restraint Devices within
for Movement Within the Facility. the Facility
Youth shall be placed in restraints only with the approval
of the facility manager or designee. The facility manager
F-107 Use of Restraint Devices for
may delegate authority to place a youth in restraints to a
☒ ☐ ☐ Prolonged Periods I, A
physician. Reasons for continued retention in restraints
shall be reviewed and documented at a minimum of F-107 WRAP GP I, C
every hour.
A medical opinion on the safety of placement and
retention shall be secured as soon as possible, but no later
H-107 WRAP Procedure III and IV (no
than two hours from the time of placement. The youth
medical staff on duty)
shall be medically cleared for continued retention at least
every three hours thereafter. ☒ ☐ ☐
Medical must be on site and review every 30
minutes.
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A mental health consultation shall be secured as soon as
possible, but in no case longer than four hours from the
H-107 WRAP Procedure III and V
time of placement, to assess the need for mental health
treatment.
☒ ☐ ☐
This policy details staff responsibilities when
no behavior health staff are on duty.
Continuous direct visual supervision shall be conducted
to ensure that the restraints are properly employed, and
H-107 WRAP Precaution IV
to ensure the safety and well-being of the youth.
Observations of the youth's behavior and any staff H-107 WRAP Procedure VI
interventions shall be documented at least every 15 H-107 WRAP Documentation
minutes, with actual time of the documentation recorded. ☒ ☐ ☐
The facility requires 1:1 Supervision with 5-
minute observations.
In addition to the requirements above, policies and
procedures shall address:
(a) documentation of the circumstances leading to an
application of restraints.
☒ ☐ ☐ H-107 WRAP Documentation I, A
(b) known medical conditions that would
contraindicate certain restraint devices and/or
F-107 Use of Restraint Devices within the
techniques. ☒ ☐ ☐
Facility V, A-G
(c) acceptable restraint devices.
F-107 GP I
☒ ☐ ☐
The facility has identified metal handcuffs,
leg shackles, plastic cuffs, cloth restraints
and the WRAP.
(d) signs or symptoms which should result in
immediate medical/mental health referral.
☒ ☐ ☐ H-107 WRAP Precautions I-VI
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(e) availability of cardiopulmonary resuscitation
equipment.
F-107 GP IV
☒ ☐ ☐
H-107 WRAP for Prolonged Periods III, D
(f) protective housing of restrained youth. While in
restraint devices, all youth shall be housed alone or
F-107 Use of Restraint Devices for
in a specified housing area for restrained youth
Prolonged Periods I, B
which makes provision to protect the youth from
☒ ☐ ☐
abuse. H-107 WRAP for Prolonged Periods III
(g) provision for hydration and sanitation needs.
H-119 Use of WRAP for Prolonged Periods
☒ ☐ ☐
C
(h) exercising of extremities.
H-119 Use of WRAP for Prolonged Periods
☒ ☐ ☐
C
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1358.5 USE OF RESTRAINT DEVICES FOR
MOVEMENT AND TRANSPORTATION WITHIN
F-107 Use of Restraint Devices within the
THE FACILITY.
Facility
The Facility Administrator, in cooperation with the
responsible physician and behavioral/mental health We reviewed 10 incidents specific to the use
director, shall develop and implement written policies of restraints for movement and transportation
and procedures for the use of restraint devices when the within the facility, each involving a youth
purpose is for movement or transportation within the use of force incident. The justification is
facility that shall include the following: documented in a form titled ‘Restraint
☒ ☐ ☐ Device Assessment for Movement and
Transportation Within the Facility.’
Staff are required to check the box that
applies and document the circumstances
leading to the restraint, the less restrictive
measures considered, known medical
conditions and the consideration of trauma
due to the restraint application.
(a) identification of acceptable restraint devices, staff
approved to utilize restraint devices and the ☒ ☐ ☐
F-107 GP I and V
required training.
(b) the circumstances leading to the application of
restraints must be documented.
☒ ☐ ☐ F-107 GP VI
(c) an individual assessment of the need to apply
restraints for movement or transportation that
F-107 Documentation I, a-d
includes consideration of less restrictive
alternatives, consideration of a youth’s known
☒ ☐ ☐
medical or mental health conditions, trauma
The facility reviews all UF and UR incidents
informed approaches, and a process for
monthly, with a team of supervisors and
documentation and supervisor review and approval.
facility administrators.
(d) consideration of safety and security of the facility,
with a clearly defined expectation that restraint
☒ ☐ ☐ F-107 GP II
devices shall not be used for the purposes of
discipline or retaliation.
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(e) the use of restraints on pregnant youth is limited in
accordance with Penal Code Section6030(f) and
F-107, GP III
Welfare and Institutions Code Section 222.
☒ ☐ ☐ H-116 Pregnant Youth GP III
H-116 Procedure IV
1359 SAFETY ROOM PROCEDURES
(a) The facility administrator, and where applicable, in H-105 Use of the Safety Room GP I and II
cooperation with the responsible physician, shall
develop and implement written policies and
procedures governing the use of safety rooms, as There have been 8 safety room placements
described in Title 24, Part 2, Section 1230.1.13. The for 6 youth from July 2020 through February
room shall be used to hold only those youth who 2022. This is down from 13 placements in a
present an immediate danger to themselves or ten-month period last cycle. The youth are
others, who exhibit behavior which results in the on one to one direct visual observation while
destruction of property, or reveals the intent to in the safety room and staff constantly
cause self-inflicted physical harm. A safety room engage youth to remove them as quickly as
shall not be used for punishment or discipline, or as ☒ ☐ ☐ possible. All but two of the incidents
a substitute for treatment. Policies and procedures involved removal in less than one hour, one
shall: lasted for one hour and 11 minutes and the
last for one hour and 37 minutes.
The incident reports are clear and concise as
to the reason for placement and include an
authorization from the SJIO. Medical and
BH staff respond and ensure the youth is
clear for return to the unit.
(1) include provisions for administration of
necessary nutrition and fluids, access to a toilet, ☒ ☐ ☐
H-105 GP VIII, B
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 ☒ ☐ ☐ H-105 GP V
room;
(3) provide for continuous direct visual supervision
and documentation of the youth's behavior and
H-105 GP VIII, A
any staff interventions every 15 minutes, with
actual time recorded;
☒ ☐ ☐
The facility requires staff interventions every
5 minutes.
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(4) provide that the youth shall be evaluated by the
facility manager, or designee, every four hours;
☒ ☐ ☐ H-105 GP V
(5) provide for immediate medical assessment,
where appropriate, or an assessment at the next
H-105 Procedure III, A
daily sick call; and,
The facility will make immediate notification
☒ ☐ ☐
of on duty medical staff. If no staff are on
duty, the staff will contact the jail nurse who
will respond immediately and every 2 hours
thereafter.
(6) provide a process for documenting the reason for
placement, including attempts to use less
☒ ☐ ☐ H-105 GP IX
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
H-105 GP I
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 ☒ ☐ ☐
H-105 GP II
retaliation by staff.
(3) safety room shall not be used to the extent that it
compromises the mental and physical health of ☒ ☐ ☐
H-105 GP IV
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
☒ ☐ ☐ H-105 Procedure VIII
room for a period of four hours, staff shall do one
or more of the following:
(1) return the youth to general population.
☒ ☐ ☐ H-105 Procedure VIII, A
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(2) consult with mental health or medical staff,
☒ ☐ ☐ H-105 Procedure VIII, B
(3) develop an individualized plan that includes the
goals and objectives to be met in order to
☒ ☐ ☐
H-105 Procedure VIII, C
reintegrate the youth to general population.
(d) If confinement in the safety room must be extended
beyond four hours, staff shall develop an
H-105 Procedure VIII, C
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
☒ ☐ ☐ Staff are required to complete an
population.
Individualized Plan for Reintegration into
Programming form if youth are in the safety
room exceeding 4 hours.
1360 SEARCHES
The facility administrator shall develop and implement F-106 Searches
☒ ☐ ☐
written policies and procedures governing the search of
youth, the facility, and visitors. Policies and procedures
shall provide that:
(a) Searches shall be conducted to ensure the safety and
security of the facility, public, visitors, youth, and ☒ ☐ ☐
F-106 GP I
staff.
(b) Searches shall be conducted in a manner that
preserves the privacy and dignity of the person
F-106, GP III
being 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
F-108
4030.
This section includes all searches outlined in
this regulation. There is a strip search form
which articulates the requirements to do the
search, including providing documentation
☒ ☐ ☐ of reasonable cause and having supervisor
authorization to do so.
We provided technical assistance regarding
the form and structuring it to prompt staff
responsibilities and clearly identify the
agency process for conducting strip searches.
(d) Physical body cavity searches shall only be
conducted by a medical professional.
F-108 GP V, A
☒ ☐ ☐ F-108 Body Cavity Searches I
F-108 Physical Body Cavity Searches
(e) Any youth held after a detention hearing shall only
be strip searched with prior approval of a supervisor
F-108 GP I and II
when there is reasonable suspicion based on
specific and articulable facts to believe that youth is
concealing contraband. The reasonable suspicion ☒ ☐ ☐
The facility requires all strip searches to have
shall be documented.
supervisor approval and an articulable,
documented reason to conduct the search.
(f) Searches of transgender and intersex youth shall
comply with Section 1352.5.
F-106 Provisions of Transgender/Intersex
Pat Down Searches
☒ ☐ ☐
F-108 Provisions for Transgender/Intersex
Youth Strip Searches
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(g) Cross-gender pat-down searches and strip searches
are prohibited except in exigent circumstances or
F-106 GP VII
when conducted by a medical professional. Such ☒ ☐ ☐
searches must be justified and documented in F-108 GP V, A
writing.
1361 GRIEVANCE PROCEDURE
The facility administrator shall develop and implement G-122 GP I
written policies and procedures whereby any youth may
appeal and have resolved grievances relating to any
condition of confinement, including but not limited to There were 140 grievances filed over the 20-
health care services, classification decisions, program month period starting in July 2020 through
participation, telephone, mail or visiting procedures, February 2022. This is reduced from the 85
food, clothing, bedding, mistreatment, harassment or grievances filed in a 10-month period in
violations of the nondiscrimination policy. There shall 2019. We noted 19 grievances,
be no time limit on filing grievances. Policies and approximately 14%, were filed by one youth.
procedures shall include provisions whereby the facility
☒ ☐ ☐
manager ensures:
The procedures for staff articulate a step by
step process to move the grievance forward
in a timely and efficient manner.
We reviewed grievance logs and reports.
The staff articulate a response and
communicate findings with youth and
involved staff in a timely manner.
(a) a grievance form and instructions for registering a
grievance, which includes provisions for the youth ☒ ☐ ☐
G-122 GP III
to have free access to the form;
(b) the youth shall have the option to confidentially file
the grievance or to deliver the form to any youth ☒ ☐ ☐
G-122 GP IV
supervision staff working in the facility;
(c) resolution of the grievance at the lowest appropriate
staff level;
☒ ☐ ☐ G-122 GP V
(d) provision for a prompt review and initial response
to grievances within three (3) business days,
☒ ☐ ☐ G-122 GP VI
grievances that relate to health and safety issues
must be addressed immediately;
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(1) The youth may elect to be present to explain
his/her version of the grievance to a person not
☒ ☐ ☐ G-122 GP VII
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.
☒ ☐ ☐ G-122 GP VIII
(e) provision for a written response to the grievance
which includes the reasons for the decisions;
☒ ☐ ☐ G-122 GP IX
(f) a system which provides that any appeal of a
grievance shall be heard by a person not directly
☒ ☐ ☐ G-122 GP X
involved in the circumstances which led to the
grievance;
(g) resolution of the grievance must occur within ten
(10) business days unless circumstances dictate a
☒ ☐ ☐ G-122 GP XI
longer 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 ☒ ☐ ☐
G-122 GP II
harassment.
Whether or not associated with a grievance, concerns of
parents, guardians, staff or other parties shall be
☒ ☐ ☐ G-122 GP XIII
addressed and documented in accordance with written
policies and procedures within a specified timeframe.
1362 REPORTING OF INCIDENTS
A written report of all incidents which result in physical E-108
harm, use of force, serious threat of physical harm, or
death of an employee, youth or other person(s) shall be ☒ ☐ ☐
maintained. Such written record shall be prepared by the
staff and submitted to the facility manager by the end of
the shift, unless additional time is necessary and
authorized by the facility manager or designee.
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1363 USE OF REASONABLE FORCE TO
COLLECT DNA SPECIMENS, SAMPLES,
A01-0309-28 DNA Policy, Procedure C-3
IMPRESSIONS
(a) Pursuant to Penal Code Section 298.1 authorized
law enforcement, custodial, or corrections The facility will not use force to collect
personnel including peace officers, may employ ☐ ☐ ☒ DNA. If a youth refuses, they are returned to
reasonable force to collect blood specimens, saliva Court.
samples, and thumb or palm print impressions from
individuals who are required to provide such
samples, specimens or impressions pursuant to
Penal Code Section 296 and who refuse following
written or oral request.
(1) For the purpose of this section, the “use of
reasonable force” shall be defined as the force
that an objective, trained and competent
correctional employee, faced with similar facts ☐ ☐ ☒
and circumstances, would consider necessary
and reasonable to gain compliance with this
section.
(2) The use of reasonable force shall be preceded by
efforts to secure voluntary compliance. Efforts
to secure voluntary compliance shall be
documented and include an advisement of the ☐ ☐ ☒
legal obligation to provide the requisite
specimen, sample or impression and the
consequences of refusal.
(b) The force shall not be used without the prior written
authorization of the supervising officer on duty.
The authorization shall include information that
☐ ☐ ☒
reflects the fact that the offender was asked to
provide the requisite specimen, sample, or
impression and refused.
(1) If the use of reasonable force includes a cell
extraction, the extraction shall be videotaped.
Video shall be directed at the cell extraction
event. The videotape shall be retained by the
☐ ☐ ☒
agency for the length of time required by
statute. Notwithstanding the use of the video as
evidence in a court proceeding, the tape shall be
retained administratively.
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1370 EDUCATION PROGRAM
(a) School Programs J-104 Education GP I-V
The County Board of Education shall provide for the
administration and operation of juvenile court schools in
The Merced County Office of Education
conjunction with the Chief Probation Officer, or designee
(MCOE) operates the educational program
pursuant to applicable State laws. The school and facility
for the Juvenile Justice Correctional
administrators shall develop and implement written
Complex. There is a principal and 4
policy and procedures to ensure communication and
teachers, a full-time tutor, as well as a
coordination between educators and probation staff.
Special Education Liaison when needed.
Culturally responsive and trauma-informed approaches
The principal, Derrek Dean, is committed to
should be applied when providing instruction. Education
providing an educational environment for
staff should collaborate with the facility administrator to
youth that includes an ROP Program,
use technology to facilitate learning and ensure safe
community college enrollment, and new to
technology practices. The facility administrator shall
the facility, technology. The ROP Program
request an annual review of each required element of the
includes culinary education/experience,
program by the Superintendent of Schools, and a report
construction, forklift certification,
or review checklist on compliance, deficiencies, and
☒ ☐ ☐ automotive training and
corrective action needed to achieve compliance with this
landscaping/gardening.
section. Such a review, when conducted, cannot be
delegated to the principal or any other staff of any
juvenile court school site. The Superintendent of Schools
Graduated youth are able to continue in the
shall conduct this review in conjunction with a qualified
classroom setting and further their education
outside agency or individual. Upon receipt of the review,
skills. Mac Books are provided to facilitate
the facility administrator or designee shall review each
Common Core instruction as well as trade
item with the Superintendent of Schools and shall take
programs to accomplish woodworking and
whatever corrective action is necessary to address each
Serve-Safe certification.
deficiency and to fully protect the educational interests
of all youth in the facility.
Transition services occur for committed
youth as they exit including a team meeting
with the Office of Ed, the Merced High
School District and the parents to come up
with the best school upon release.
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(b) Required Elements
The facility school program shall comply with the State J-104 Required Program Elements I
Education Code and County Board of Education policies,
all applicable federal education statutes and regulations
and provide for an annual evaluation of the educational
program offerings. As stated in the 2009 California
☒ ☐ ☐
Standards for the Teaching Profession, teachers shall
establish and maintain learning environments that are
physically, emotionally, and intellectually safe. Youth
shall be provided a rigorous, quality educational program
that responds to the different learning styles and abilities
of students and prepares them for high school graduation,
career entry, and post-secondary education.
All youth shall be treated equally, and the education
program shall be free from discriminatory action. Staff
J-104 Required Program Elements III
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 ☒ ☐ ☐
J-104 Required Program Elements IV
to, courses required for high school graduation.
(2) Information and preparation for the High School
Equivalency Test as approved by the California
☒ ☐ ☐ J-104 Required Program Elements V
Department of Education shall be made
available to eligible youth.
(3) Youth shall be informed of post-secondary
education and vocational opportunities.
☒ ☐ ☐ J-104 Required Program Elements VI
(4) Administration of the High School Equivalency
Tests as approved by the California Department
☒ ☐ ☐ J-104 Required Program Elements VII
of Education, shall be made available when
possible.
(5) Supplemental instruction shall be afforded to
youth who do not demonstrate sufficient ☒ ☐ ☐
J-104 Required Program Elements VIII
progress towards grade level standards.
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(6) The minimum school day shall be consistent with
State Education Code Requirements for juvenile
J-104 Required Program Elements IX
court 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
J-104 Required Program Elements X
status, disciplinary or separation status,
including room confinement, except when
providing education poses an immediate threat ☒ ☐ ☐
to the safety of self or others. Education
includes, but is not limited to, related services as
provided in a youth’s Section 504 Plan or
Individualized Education Program (IEP).
(c) School Discipline
(1) Positive behavior management will be J-104 School Discipline I
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 ☒ ☐ ☐
J-104 School Discipline II
affect the educational programming of students.
(3) Except as otherwise provided by the State
Education Code, expulsion/suspension from
J-104 School Discipline III
school 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
J-104 School Discipline IV
procedures that address the rights of any student ☒ ☐ ☐
who has continuing difficulty completing a
school day.
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(d) Provisions for Special Populations
J-104 Provisions for Student with Special
(1) State and federal laws and regulations shall be
observed for all individuals with disabilities or Needs I
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
☒ ☐ ☐ J-104 Provisions for Student with Special
addresses their language needs pursuant to all
applicable state and federal laws and regulations Needs II
governing programs for EL students.
(e) Educational Screening and Admission
☒ ☐ ☐ J-104 Educational Screening at Admission
(1) Youth shall be interviewed after admittance and
a record maintained that documents a youth's
educational history, including but not limited to:
(A) School progress/school history;
J-104 Educational Screening at Admission
☒ ☐ ☐
I, A
(B) Home Language Survey and the results of
the State Test used for English language
J-104 Educational Screening at Admission
proficiency;
☒ ☐ ☐
I, B
(C) Needs and services of special populations as
defined by the State Education Code,
☒ ☐ ☐ J-104 Educational Screening at Admission
including but not limited to, students with
special needs.
I, C
(D) Discipline problems.
J-104 Educational Screening at Admission
☒ ☐ ☐
I, D
(2) Youth will be immediately enrolled in school.
Educational staff shall conduct an assessment to
☒ ☐ ☐ J-104 Educational Screening at Admission II
determine the youth's general academic
functioning levels to enable placement in core
curriculum courses.
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(3) After admission to the facility, a preliminary
education plan shall be developed for each youth
J-104 Educational Screening at Admission
within five school days. ☒ ☐ ☐
III
(4) Upon enrollment, education staff shall comply
with the State Education Code and request the
J-104 Educational Screening at Admission
youth's records from his/her prior school(s),
including, but not limited to, transcripts, IV
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
J-104 Educational Reporting I
(1) The complete facility educational record of the ☒ ☐ ☐
youth shall be forwarded to the next educational
placement in accordance with the State
Education Code.
(2) The County Superintendent of Schools shall
provide appropriate credit (full or partial) for
☒ ☐ ☐ J-104 Educational Reporting II
course work completed while in juvenile court
school in accordance with the State Education
Code.
(g) Transition and Re-Entry Planning
J-104 Transition and Re-entry Planning I-III
(1) The Superintendent of Schools and the Chief
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
J-104 Post-Secondary Education
(1) The school and facility administrator should,
whenever possible, collaborate with local post- ☒ ☐ ☐ Opportunities I-III (BCA)
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.
J-106 Recreation GP I
The facility administrator shall develop and implement
written policies and procedures for programs, The facility provides robust programming
recreation, and exercise for all youth. The intent is to and services, facilitated by the Program
minimize the amount of time youth are in their rooms Specialist, 4 Peer Specialists and the
or their bed area. Behavior Management Team.
We spoke with the Program Specialist,
Danielle Parga, who was able to detail the
collaboration with probation and allied
partners for activities and program facility
☒ ☐ ☐
wide. The unit schedules articulate a full day
and each youth participates in the scheduled
event. The Peer Specialist engages youth in
a myriad of opportunities while working on
goals established in the Institutional Case
Plan.
A Program Review Memo was completed by
Deputy Chief Probation Officer Lisa Maples
on January 31, 2022, articulating the robust
and relevant structured opportunities
afforded to all youth.
Juvenile facilities shall provide the opportunity for
programs, recreation, and exercise a minimum of three
J-106 GP II
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
J-106 GP III
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.
☒ ☐ ☐ J-106 GP II
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There will be a written annual review of the programs,
recreation, and exercise by the responsible agency to
☒ ☐ ☐ J-106 GP X
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
J-106 Structured Recreation, I
programming to include, but not be limited to,
trauma focused, cognitive, evidence-based, best
practice interventions that are culturally relevant and
Programs facilitated by BH or the Peer
linguistically appropriate, or pro-social interventions
Specialists include:
and activities designed to reduce recidivism. These
programs should be based on the youth’s individual
Interactive Journaling – topics include What
needs as required by Sections 1355 and 1356. Such
Got Me Here, Individualized Change Plan,
programs may be provided under the direction of the
Responsible Behavior, Re-Entry Planning,
Chief Probation Officer or the County Office of
Handling Difficult Feelings Relationships
Education and can be administered by county
and Communication, Victim Awareness,
partners such as mental health agencies, community-
Substance Abusing Behavior, and, Family;
based organizations, faith-based organizations or
El Joven Noble; Moral Recognition Therapy
Probation staff.
(MRT) – subjects include How to Escape
Your Prison, Coping with Anger, Thinking
Programs may include but are not limited to:
for Good Character Development, Parenting
☒ ☐ ☐
and Family Values, and, Your Life Work;
Social Responsibility; Leadership for Life;
and, Thinking for Change (T4C).
Programs facilitated or provided by the
MCOE include:
Online College with Merced City College,
Love Notes; Career Technical Education;
Regional Occupation Program (ROP) which
includes Culinary Essentials, Logistics and
Warehouse (forklift operation), Rise to
Higher Grounds Café, Work-Landscape-
Agriculture (WLA), Animal Program,
Creative Writing and Book Club.
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(1) Cognitive Behavior Interventions;
(2) Management of Stress and Trauma; J-106 Structured Recreation I
(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
J-106 Unstructured Recreation
unscheduled activities such as leisure reading, letter
☒ ☐ ☐
writing, and entertainment. Activities shall be
supervised and include orientation and may include
coaching of youth.
(c) Exercise. All youth shall be provided with the
opportunity for at least one hour of large muscle ☒ ☐ ☐
J-106 Procedures
activity each day.
The administrator/manager may suspend, for a period not
to exceed 24 hours, access to recreation and programs.
☒ ☐ ☐ J-106 GP IX
The administrator/manager shall document the reasons
why suspension of recreation and programs occurs.
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1372 RELIGIOUS PROGRAM
The facility administrator shall provide access to J-103 Religious Programs
religious services and/or religious counseling at least
once each week. Attendance shall be voluntary. A youth
☒ ☐ ☐
shall be allowed to participate in an activity outside of
their room if he/she elects not to participate in religious
programs.
Religious programs shall provide for:
(a) opportunity for religious services and practices;
J-103 GP I
☒ ☐ ☐
J-103 Religious Practices I, A-D
(b) availability of clergy; and,
J-103 GP III
☒ ☐ ☐
J-103 Access to Clergy I-III
(c) availability of religious diets.
☒ ☐ ☐ J-103 Religious Diets I
1373 WORK PROGRAM
The facility administrator shall develop policies and J-102 Work/Job Programs
procedures regarding the fair and consistent assignment
of youth to work programs. Work assigned to a youth
☒ ☐ ☐
shall be meaningful, constructive and related to Youth apply for certain positions on-site that
vocational training or increasing a youth's sense of include Unit Clean-up, facility tasks and the
responsibility. Work programs shall not be imposed as a landscape/gardening projects.
disciplinary measure
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1374 VISITING
The facility administrator shall develop and implement J-101 Visiting GP I and II
written policies and procedures for visiting, that include
provisions for special visits. Youth shall be allowed to
receive visits by parents, guardians or persons standing The facility has a vast visiting timeline to
in loco parentis, and children of youth. Other family allow multiple times for the youth to receive
members, such as grandparents and siblings, and ☒ ☐ ☐ visits. Also, based on behavior, the facility
supportive adults, may be allowed to visit with the has a family movie night for pre- and post-
approval of the facility administrator or designee, and in disposition youth. The pandemic created a
conjunction with the youth’s case plan or in the best limitation of in-person visiting, however the
interest of the youth. agency facilitated Zoom during this time, as
well increases telephone access.
All visits shall occur at reasonable times, subject only to
the limitations necessary to maintain order and security.
J-101 Visiting GP III, IV, V and VI
Visitation shall not be denied solely based on the visitor’s
criminal history. The staff shall determine in each case,
whether the visitor’s criminal history represents a risk to ☒ ☐ ☐
the safety of youth or staff in the facility. Any denial of
visitation or limitation on visitations shall be
communicated to the youth, person denied and facility
administrator.
Opportunity for visitation shall be a minimum of two
hours per week. Visits may be supervised, but
☒ ☐ ☐ J-101 Visiting GP I and VII
conversations shall not be monitored unless there is a
security or safety need.
Provisions for special visits, in addition to the two-hour
minimum and/or outside of the regular visiting hours,
J-101 Visiting GP VI
shall be accommodated as necessary and within the
discretion of the facility administrator or designee.
☒ ☐ ☐
Family therapy and professional visits shall be
accommodated outside the provisions of this regulation.
Facilities may provide visitation opportunities outside of
normal visiting hours to accommodate special visits.
The facility may provide access to technology as an
alternative, but not as a replacement, to in-person
The facility allows different mechanisms to
visiting.
☒ ☐ ☐ encourage or facilitate visits with their youth
and family.
1375 CORRESPONDENCE
The facility administrator shall develop and implement ☒ ☐ ☐ J-111 Correspondence
written policies and procedures for correspondence
which provide that:
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(a) there is no limitation on the volume of mail that youth
may send or receive;
☒ ☐ ☐ J-111 GP I
(b) youth may send two letters per week postage free;
☒ ☐ ☐ J-111 GP III
(c) youth may correspond confidentially with state and
federal courts, any member of the State Bar or holder
J-111 GP IV
of public office, and the Board; however, authorized
☒ ☐ ☐
facility staff may open and inspect such mail only to
search for contraband and in the presence of the
youth; and,
(d) incoming and outgoing mail, other than that described
in (c), may be read by staff only when there is
☒ ☐ ☐ J-111 GP V
reasonable cause to believe facility safety and
security, public safety, or youth safety is jeopardized.
1376 TELEPHONE ACCESS
J-107 Use of Telephone-Youth
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
J-108 Access to Legal Services
☒ ☐ ☐
The facility administrator shall develop written
procedures to ensure the right of youth to have access to
the courts and legal services. Such access shall include:
(a) access, upon request by the youth, to licensed
attorneys and their authorized representatives;
☒ ☐ ☐ J-108 GP I and II
(b) provision for confidential consultation with
attorneys; and,
☒ ☐ ☐ J-108 GP III
(c) unlimited postage free, legal correspondence and
cost-free telephone access as appropriate.
☒ ☐ ☐ J-108 GP IV
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1390 DISCIPLINE
The facility administrator shall develop and implement I-101 Discipline Process GP I and II
written policies and procedures for the discipline of
youth that shall promote acceptable behavior; including
the use of positive behavior interventions and supports. The Behavior Modification System clearly
Discipline shall be imposed at the least restrictive level identifies expectations and consequences for
which promotes the desired behavior and shall not facility rules. The Due Process procedures
include corporal punishment, group punishment, outline a loss of points or status for negative
physical or psychological degradation. Deprivation of behaviors but provide aggressive incentive-
the following is not permitted: based rewards and acknowledgement for
positive behavior. Youth receive all required
regulation components as it relates to
education, programming and their rights.
☒ ☐ ☐
When youth pose a threat to the safety and
security of the facility, staff continue to
promote reintegration with all programs and
activities as soon as possible. Youth
understand expected behaviors and seek to
promote and advance their opportunities for
incentives throughout the day. Sanctions
remind youth of the rules and we found the
major incidents and process to exercise
discipline rare events.
(a) bed and bedding;
☒ ☐ ☐ I-101 Discipline Process GP II, A
(b) daily shower, access to drinking fountain, toilet and
personal hygiene items, and clean clothing;
☒ ☐ ☐ I-101 Discipline Process GP II, B
(c) full nutrition;
☒ ☐ ☐ I-101 Discipline Process GP II, C
(d) contact with parent or attorney;
☒ ☐ ☐ I-101 Discipline Process GP II, D
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(e) exercise;
☒ ☐ ☐ I-101 Discipline Process GP II, E
(f) medical services and counseling;
☒ ☐ ☐ I-101 Discipline Process GP II, F
(g) religious services;
☒ ☐ ☐ I-101 Discipline Process GP II, G
(h) clean and sanitary living conditions;
☒ ☐ ☐ I-101 Discipline Process GP II, H
(i) the right to send and receive mail;
☒ ☐ ☐ I-101 Discipline Process GP II, I
(j) education; and,
☒ ☐ ☐ I-101 Discipline Process GP II, J
(k) rehabilitative programming.
☒ ☐ ☐ I-101 Discipline Process GP II, K
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The facility administrator shall establish rules of conduct
and disciplinary penalties to guide the conduct of youth.
I-101 Notification of Standards of Behavior
Such rules and penalties shall include both major
III (Impaired, illiterate or limited English
violations and minor violations, be stated simply and
proficiency)
affirmatively, and be made available to all youth.
Provision shall be made to provide accessible I-103 Behavior Management System (BMS),
information to youth with disabilities, limited English Violations and Sanctions for Level 1-4
proficiency, or limited literacy. Violations
The facility has a comprehensive sanction
matrix and Incentive Program for all youth in
☒ ☐ ☐
custody.
I-104 Bear Creek Academy
The BCA has a system of earning levels and
privileges as they go through the program,
including phase progression based on
meeting established goals. However, the
BMS in I-101 is the same.
1391 DISCIPLINE PROCESS
The facility administrator shall develop and implement ☒ ☐ ☐ I-101 Due Process
written policies and procedures for the administration
of discipline which shall include, but not be limited to:
(a) designation of personnel authorized to impose
discipline for violation of rules;
☒ ☐ ☐ I-101 GP I
(b) prohibiting discipline to be delegated to any youth;
☒ ☐ ☐ I-101 GP IV
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(c) definition of major and minor rule violations and
their consequences, and due process requirements;
I-103 Behavior Management System,
Violations and Sanctions for Level 1-4
Violations
☒ ☐ ☐
Level 1 and 2 violations are considered
minor violations. Level 3 and 4 violations
are major violations.
(d) trauma-informed approaches and positive behavior
interventions;
I-101 GP I
☒ ☐ ☐
I-103 BMS
(e) minor rule violations may be handled informally by
counseling, advising the youth of expected conduct
I-103 BMS Level 1 and 2 Violations
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:
I-101 Due Process II
We reviewed a significant number of due
process reports, most attached to UF
incidents or major rule violations. The
reports were detailed, objective and timely.
☒ ☐ ☐
Staff utilize appropriate sanctions and do a
good job of outlining the violation and
providing consequences within the behavior
management grid. The facility is going to
better monitor the form itself to ensure staff
are completing all areas required, as well as
review for consistency, via an audit process.
(1) written notice of violation prior to a hearing;
☒ ☐ ☐ I-101 Due Process II, A
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(2) accommodations provided to youth with
disabilities, limited literacy, and English ☒ ☐ ☐
I-101 Due Process II, B
language learners;
(3) hearing by a person who is not a party to the
incident;
☒ ☐ ☐ I-101 Due Process II, C
(4) opportunity for the youth to be heard, present
evidence and testimony;
☒ ☐ ☐ I-101 Due Process II, D
(5) provision for youth to be assisted by staff in the
hearing process;
☒ ☐ ☐ I-101 Due Process II, E
(6) provision for administrative review.
☒ ☐ ☐ I-101 Due Process II, F
(g) violations that result in a removal from camp or
commitment program, but not a return to court, will
☒ ☐ ☐ I-104 Penalties for Rule Violations I and II
follow the due process provisions in subsection (e)
above.
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1410 MANAGEMENT OF COMMUNICABLE
DISEASES.
Wellpath Global Policy and Procedure
Reference 71488: Communicable Disease-
The health administrator/responsible physician, in
Pandemic Plan A-09
cooperation with the facility administrator and the local
health officer, shall develop written policies and
procedures to address the identification, treatment, This procedure outlines the health care staff
control and follow-up management of communicable to provide services in the event of a
diseases. The policies and procedures shall address, but pandemic outbreak.
not be limited to:
Merced County Probation Department
Juvenile Correctional Complex-COVID 19
☒ ☐ ☐
Protocol (MCPDJCC-COVID 19 Protocol)
This directive, last updated December 17,
2020, outlines the facility expectations as it
relates to communication (signage);
measures to protect staff and youth;
protective factors relating to program,
behavior health, medical and attorney visits;
education; transportation outside the
facility; visitation; and, court.
(a) Intake health screening procedures;
Wellpath Merced County Juvenile Policies
and Procedures Reference 71911: Infection
Prevention and Control 6.1 Surveillance
☒ ☐ ☐
This policy articulates the responsibilities
for medical staff to screen youth at
admission and throughout the youth’s
detention.
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(b) Identification of relevant symptoms;
Wellpath Merced County Juvenile Policies
and Procedures Reference 71911: Infection
Prevention and Control 6..1.2
This articulates the Health Assessment
which determines observable or reported
symptoms by the youth and medical staff.
Wellpath Merced County Juvenile Policies
and Procedures Reference 71911: Infection
Prevention and Control 6.2 Control
This articulates the Control Plan approved
by the Responsible Physician and/or
Medical Director which is constant with the
☒ ☐ ☐ Centers for Disease Control (CDC), the
National Institute for Occupational Safety
and Health (NIOSH), and the Occupational
Health and Safety Administration (OSHA).
Merced County Probation Department
Juvenile Correctional Complex-COVID 19
Protocol (MCPDJCC-COVID 19 Protocol)
This directive, last updated December 17,
2020, outlines the facility expectations as it
relates to communication (signage);
measures to protect staff and youth;
protective factors relating to program,
behavior health, medical and attorney visits;
education; transportation outside the
facility; visitation; and, court.
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(c) Referral for medical evaluation;
Wellpath Merced County Juvenile Policies
and Procedures Reference 71911: Infection
Prevention and Control 6.2 Control
This articulates the Control Plan approved
by the Responsible Physician and/or
Medical Director which is constant with the
Centers for Disease Control (CDC), the
National Institute for Occupational Safety
and Health (NIOSH), and the Occupational
Health and Safety Administration (OSHA).
☒ ☐ ☐
Merced County Probation Department
Juvenile Correctional Complex-COVID 19
Protocol (MCPDJCC-COVID 19 Protocol)
This directive, last updated December 17,
2020, outlines the facility expectations as it
relates to communication (signage);
measures to protect staff and youth;
protective factors relating to program,
behavior health, medical and attorney visits;
education; transportation outside the
facility; visitation; and, court.
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(d) Treatment responsibilities during detention;
Wellpath Merced County Juvenile Policies
and Procedures Reference 71911: Infection
Prevention and Control 6.2 Control
This articulates the Control Plan approved
by the Responsible Physician and/or
Medical Director which is constant with the
Centers for Disease Control (CDC), the
National Institute for Occupational Safety
and Health (NIOSH), and the Occupational
Health and Safety Administration (OSHA).
Wellpath Merced County Juvenile Policies
☒ ☐ ☐
and Procedures Reference 71911: Infection
Prevention and Control 6.2.2 through 6.2.25
These sections articulate the expectation
treatment by qualified health care staff.
Wellpath Merced County Juvenile Policies
and Procedures Reference 71911: Infection
Prevention and Control 6.3 Prevention
This section includes treatment and training
to further prevent the disease.
(e) Coordination with public and private community-
based resources for follow-up treatment;
Wellpath Merced County Juvenile Policies
and Procedures Reference 71911: Infection
Prevention and Control 6.5 Discharge
☒ ☐ ☐
This section requires health care staff
provide community referrals to youth
released with communicable or infectious
disease.
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(f) Applicable reporting requirements; and,
Wellpath Merced County Juvenile Policies
and Procedures Reference 71911: Infection
Prevention and Control 6.4.1 Reporting
☒ ☐ ☐
This policy directs health care staff to report
all communicable diseases to the county
health department in accordance with local,
state and federal laws and regulations.
(g) Strategies for handling disease outbreaks.
Wellpath Global Policy and Procedure
Reference 71488: Communicable Disease-
Pandemic Plan A-09
☒ ☐ ☐
This procedure outlines the health care staff
to provide services in the event of a
pandemic outbreak.
The policies and procedures shall be updated as
necessary to reflect communicable disease priorities
The agency has provided staff, youth and
identified by the local health officer and currently
the public with clear guidelines for the
recommended public health interventions. ☒ ☐ ☐
protection of the community, youth and
staff/agency partners.
1433 REQUESTS FOR HEALTH CARE
SERVICES (EXCERPT)
J-105, GP I
The health administrator, in cooperation with the
facility administrator, shall develop policy and ☒ ☐ ☐
procedures to establish a daily routine for youth to
convey requests for emergency and non-emergency
medical, dental and behavioral/mental health care
services.
1480 STANDARD FACILTY CLOTHING ISSUE
G-120 Clothing Issue and Exchange
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:
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(a) Clothing is clean, reasonably fitted, durable, easily
laundered, in good repair, and free of holes and ☒ ☐ ☐
G-120, GP I
tears.
(b) The standard issue of climatically suitable clothing
for youth shall consist of but not be limited to:
☒ ☐ ☐ G-120 Initial Clothing Distribution
(1) Socks and serviceable footwear;
☒ ☐ ☐ G-120, G20.1, I-C and G
(2) Outer garments;
☒ ☐ ☐ G-120, G20.1, I-I and K
(3) New non-disposable underwear which shall
remain with the youth throughout their stay,
G-120, G20.1, I-L
and;
☒ ☐ ☐
G-120, G20.1, II
(4) Undergarments, that are freshly laundered and
free of stains, including tee shirts and bras.
☒ ☐ ☐ G-120, G20.1, I-E, F and J
(c) Clothing is laundered at the temperature required by
local ordinances for the commercial laundries and
G-121, G21.2, IV
dried completely in a mechanical dryer or other ☒ ☐ ☐
laundry method approved by the local health
officer.
(d) Suitable clothing is issued to pregnant youth.
☐ ☐ ☐ G-120, GP I
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1482 CLOTHING EXCHANGE
G-120, G20.2 Clothing Exchange
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
G-120, G20.3 Infested/Contaminated
Clothing
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
G-116, GP I
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;
(a) Toothbrush;
☒ ☐ ☐ G-116, GP I
(b) Toothpaste;
☒ ☐ ☐ G-116, GP I
(c) Soap;
☒ ☐ ☐ G-116, GP I
(d) Comb;
☒ ☐ ☐ G-116, GP I
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(e) Shaving implements;
☒ ☐ ☐ G-116, GP V
(f) Deodorant;
☒ ☐ ☐ G-116, G-16.2, VI
(g) Lotion;
☒ ☐ ☐ G-116, G-16.2, IV
(h) Shampoo; and,
☒ ☐ ☐ G-116, G-16.2, IV
(i) Post-shower conditioning hair products.
☒ ☐ ☐ G-116, G-16.2, V
Youth shall not be required to share any personal care
items listed in items (a) through (d). Liquid soap
G-116, G-16.2, VIII
provided through a common dispenser is permitted.
Youth shall not share disposable razors. Double edged G-116, G-16.2, Shaving
safety razors, electric razors, and other shaving
☒ ☐ ☐
instruments capable of breaking the skin, when shared
among youth, shall be disinfected between individual
uses by the method prescribed by the State Board of
Barbering and Cosmetology in Sections 979 and 980,
Chapter 9, Title 16, California Code of Regulations.
1486 PERSONAL HYGIENE
G-116, GP III and IV
There shall be written policies and site specific
procedures developed and implemented by the facility
administrator for showering/bathing and brushing of ☒ ☐ ☐
teeth. Youth shall be permitted to shower/bathe up on
assignment to a housing unit and on a daily basis
thereafter and given an opportunity to brush their teeth
after each meal.
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1487 SHAVING
G-116, G-16.2 Shaving
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.
1488 HAIR CARE SERVICES (Excerpt)
G-116, G-16.3 Hair Care Services
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
G-121 Bedding and Linen
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 ☒ ☐ ☐
G-121 Procedure I-A
regulations;
(b) One pillow and a pillow case unless provided for in
(a) above;
☒ ☐ ☐ G-121 Procedure I-A
(c) One mattress cover and a sheet or two sheets;
☒ ☐ ☐ G-121 Procedure I-B
(d) One towel; and,
☒ ☐ ☐ G-116, G-16.2, IV
(e) One blanket or more, up on request
☒ ☐ ☐ G-121 Procedure I-C
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1501 BEDDING LINEN EXCHANGE
G-121 Bedding and Linen Exchange I and
The facility administrator shall develop and implement
III
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.
☒ ☐ ☐ G-121, 21.2, III
1510 FACILITY SANITATION, SAFETY AND
MAINTENANCE
E-103 Building/Safety Inspection Reports
The facility administrator shall develop and implement G-119 Facility Sanitation, Maintenance, and
written policies and site-specific procedures for the Safety
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
Allocation Eligibility Form are being provided at the
☒ ☐ ☐
facility. (Refer to the JPCF Program Agreement,
Attachment B)
208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE
FACILITY
The facility houses Juvenile Court Wards 19 years of
☒ ☐ ☐
age and older.
The facility has been approved to hold persons under
☒ ☐ ☐
the juvenile court who are ages 19 through 21.
The facility continues to comply with the requirements
of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐
the facility) as outlined in the county’s application.
JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA)
WIC 206 SEPARATE FACILITIES FOR WIC
300 MINORS
Dependent or neglected minors who are defined under ☐ ☐ ☒
Section 300 of the Welfare and Institutions Code Violation
(WIC) are held only in non-secure, separate and
segregated facilities.
DETENTION OF STATUS OFFENDERS (WIC
601) AND FEDERAL MINORS In 2020, an Interstate Compact youth was
Status Offenders (WIC 601) are held in the facility. ordered detained in JH pending transport to
☒ ☐ ☐
another state. The facility has a WIC 601
cell in the medical area of the facility.
Status Offenders (WIC 601) are kept separate from
☒ ☐ ☐
Juvenile Delinquents (WIC 602)? (WIC 207[d]).
Violation
Federal Minors (ICE Holds or ORR Contract) are held
☐ ☒ ☐
in the facility.
If yes to the above, the Monthly Report on the
Detention of Status Offenders/Federal Minors is ☒ ☐ ☐
submitted to the BSCC.
WIC 208 SEPARATION OF MINORS AND
ADULT INMATES (JJDPA 42 USC
5633, Sec 223, State Plans (a)[12])
Are adult inmates held in the facility? (When a person ☐ ☒ ☐
in detention is proceeding through the adult court,
AND that person is 18 years of age or older that
person is an adult inmate.)
If adult inmates are held, they are appropriately
☐ ☐ ☒
separated from minors. Violation
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Adult inmates from an adult facility (e.g. inmate
workers or “Scared Straight” programs) are not allowed
☐ ☐ ☒
in the facility in a manner that allows contact with Violation
minors.
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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: 7327 7330
FACILITY NAME: Merced County Juvenile Justice Correctios Complex FACILITY TYPE: JH/Camp
Juvenile Hall and Bear Creek Academy
4/98: 2001: 2003: 2009: 2014: 2018:
APPLICABLE REGULATIONS (Check All That Apply):
X
FIELD REPRESENTATIVE: Elizabeth Gong DATE: April 13, 2022
TITLE 24 SECTION YES NO N/A COMMENTS
1230.1.1 Reception/intake admission.
In each juvenile hall, space used for the reception of youth
pending admission to juvenile hall shall have the following
space and equipment:
1. Weapons lockers as specified in Section 1230.2.9;
There is a secure weapons area in the Sally
X
Port of the JH.
2. A secure room for the confinement of youth pending
admission to juvenile hall as specified in Section 1230.1.2; There is no secure holding room at the Bear
In each juvenile hall, camp and ranch, space used for the X Creek Academy.
reception of youth pending admission to these facilities shall
have the following space and equipment:
3. Access to a shower; X
4. A secure vault or storage space for youth, valuables; X
5. Telephone accessible to youth; and X
6. Access to hot and cold running water for staff use. X
1230.1.2 Locked holding room.
X
A locked holding room shall:
1. Contain a minimum of 15 square feet of floor area per
youth; There are 3 holding rooms at JH, 2 of which
can be used for sleeping rooms as each
contain a combo washbasin and drinking
fountain. There is also one WIC 601 locked
X
holding room which is not to be used unless
a 601 minor is delivered to the facility. A
removable chair and cot are available. This
is a non-rated room.
2. Provide no less than 45 square feet of floor space and have
X
a clear ceiling height of 8 feet or more;
3. Contain seating to accommodate all youth as specified in
X
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
X
procedure is in effect to give the youth access to a toilet,
wash basin and drinking fountain;
5. Maximize visual supervision of youth by staff; and
X
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6. Have an outward swinging or lateral sliding door. X
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 X
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
X
Corridors in living areas shall be at least eight feet wide.
1230.1.5 Living unit.
Each living unit can accommodate 15 youth.
A living unit shall be a self-contained unit containing locked
sleeping rooms, single and double occupancy sleeping X
rooms, or dormitories, dayroom space, toilet, wash basins,
drinking fountains and showers commensurate to the
number of youth housed.
A living unit shall not be divided in a way that hinders direct
access, supervision, immediate intervention or other action
X
if needed. In juvenile halls, the number of youth housed in a
living unit shall not exceed 30.
1230.1.6 Locked sleeping rooms.
Each sleeping room has a combo toilet,
Locked sleeping rooms shall be equipped with an individual X washbasin and drinking fountain.
or combination toilet, wash basin, mirror and drinking
fountain.
Doors to locked sleeping rooms shall swing outward or slide
X
laterally.
1230.1.7 Single occupancy sleeping rooms.
Single occupancy sleeping rooms shall provide the X
following:
1. A minimum of 70 square feet of floor area;
2. A minimum ceiling height of eight feet; and, X
3. The door into this room shall swing outward or slide
laterally and be provided with a view panel, a minimum of X
144 square inches, constructed of security glazing.
4. Contain a bed as specified in 1230.2.5. X
1230.1.8 Double occupancy sleeping rooms.
Double occupancy sleeping rooms shall provide the X
following:
1. A minimum of 100 square feet of floor area;
2. A minimum clear ceiling height of 8 feet and a
X
minimum width of 7 feet; and,
3. The door into this room shall swing outward or slide
laterally and be provided with a view panel, a minimum of X
144 square inches, constructed of security glazing.
4. Contain a bed as specified in 1230.2.5. X
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1230.1.9 Dormitories
Dormitories shall provide the following:
1. A minimum of 50 square feet of floor area per youth X
with the minimum size of a dormitory being 200 square
feet of floor area and a minimum 8-foot clear ceiling
height;
2. Designed for no fewer than four youth; X
3. Dormitories in juvenile halls shall be designed for no
X
more than 30 youth;
4. Camps shall conform to Items 1 and 2. X
1230.1.10 Dayrooms
Dayrooms shall contain 35 square feet of floor area per X
youth, contain tables and seating to accommodate the
maximum numbers of youth allowed access at a given time.
Access must be provided to toilets, wash basins, drinking
fountains and showers as specified in Section 1230.2. The living unit rooms are all wet rooms.
X There are showers and 2 drinking fountains in
each dayroom.
1230.1.11 Physical activity and recreation areas.
Indoor/outdoor physical activity and recreation areas shall
be designed as follows:
1. Minimum indoor outdoor recreation space for facility
X
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
X
space shall be a paved or like surface.
1.2 The required recreation area shall contain no single
X
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 X
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
X
to allow for evening activities and to provide security.
4. Access must be provided to a toilet, wash basin and
X
drinking fountain as specified in Section 1230.2.
1230.1.12 Academic classrooms.
X
There shall be a dedicated classroom space for every
juvenile in every facility.
The primary purpose for the academic classroom shall be
X
for education.
Each academic classroom shall contain a minimum of 160
square feet of floor space for the teacher’s desk and work Each classroom can accommodate at least 15
area and a minimum of 28 square feet of floor space per X youth as the square footage is 775’ per
minor.
classroom. There is a classroom in each unit.
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A communication system shall be provided in each
X
classroom to allow for immediate response to emergencies.
The classroom shall be designed for a maximum of 20
X
minors.
There shall be space available in every juvenile facility that
may be used for specialized, one-on-one or small group X
educational purposes.
1230.1.13 Safety room.
There is one safety room in the intake area
A safety room shall: X and measures 65 square feet.
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; X
3. Be padded as specified in Section 1230.2.7; X
4. Provide one or more vertical view panels constructed of
security glazing. These view panels shall be no more than 4
X
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
X
Section 1230.1.22;
6. Contain a flushing ring toilet, capable of accepting solid
waste, mounted flush with the floor, the controls for which X
must be located outside of the room;
7. Be equipped with a variable intensity, security-type
X
lighting fixture with controls located outside the room;
8. Any wall or ceiling-mounted devices must be designed
X
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 X
as measured from the bottom of the food pass to the floor.
1230.1.14 Medical examination room.
X
There must be a minimum of one suitably equipped medical
examination room in every juvenile facility.
Medical examination rooms shall provide the following:
X
1. Space for carrying out routine medical examinations
and emergency care and used for no other purpose;
2. Privacy for youth; X
3. Lockable storage space for medical supplies; X
4. Not less than 144 square feet of floor space with no
X
single dimension less than 7 feet;
5. Hot and cold running water; X
6. Smooth, nonporous, washable surface; X
7. A medical exam table; and, X
8. Adequate lighting. X
1230.1.15 Pharmaceutical storage.
Provide lockable storage space for medical supplies and X
pharmaceutical preparations as specified by Title 15,
Section 1438.
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TITLE 24 SECTION YES NO N/A COMMENTS
1230.1.16 Dining areas.
Youth dine in the multi-purpose room
Dining areas in juvenile facilities shall contain a minimum X adjacent to each living unit.
of 15 square feet of floor space and sufficient tables and
seating for each person being fed.
Persons being fed include youth, staff and visitors. X
Dining areas shall not contain toilets or showers in the same
X
room without appropriate visual barrier.
1230.1.17 Visiting space.
Visiting occurs in the Court Waiting room of
Space shall be provided in all juvenile facilities for in-person X the facility.
visiting which shall be unobstructed by barriers such as, but
not limited to, security glazing for mesh.
1230.1.18 Institutional storage.
One or more storage rooms shall be provided to X
accommodate a minimum of 80 cubic feet of storage space
per minor.
Items to be stored shall be institutional clothing, bedding,
X
supplies and activity equipment.
1230.1.19 Personal storage.
Each youth in a juvenile facility shall be provided with a X
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
X
the storage of safety equipment, such as fire extinguishers,
self-contained breathing apparatus, wire and bar cutters,
emergency lights, etc.
1230.1.21 Janitorial closet.
In all juvenile facilities, at least one securely lockable
X
janitorial closet, containing a mop sink and sufficient area
for the storage of cleaning implements, must be provided
within a security area of the facility.
1230.1.22 Audio monitoring system.
In safety rooms, locked holding rooms, locked sleeping
X
rooms, single and double occupancy rooms and dormitories,
there must be an audio monitoring system capable of
actuation by the minor that alerts personnel.
1230.1.23 Emergency power.
There shall be a source of emergency power in all juvenile
facilities capable of providing minimal lighting in all living
X
units, activities areas, corridors, stairs and central control
points, and to maintain fire and life safety, security,
communications and alarm systems (Title 24, Part 2,
Chapter 27).
Such an emergency power source shall conform to the
requirements specified in Title, 24, Part 3, Article 700, X
California Electrical Code, California Code of Regulations.
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TITLE 24 SECTION YES NO N/A COMMENTS
1230.1.24 Confidential interview room.
X
Confidential interview rooms shall contain a minimum of 60
square feet of floor area.
In juvenile halls there shall be a minimum of one suitably
X
furnished interview room for each 30 youth.
In camps there shall be a minimum of one suitably furnished
X
interview room for each facility.
This interview room shall provide for confidential
X
consultations with youth.
1230.1.25 Special-purpose juvenile halls.
Special-purpose juvenile halls shall conform to all minimum X
standards for juvenile facilities contained in this section with
the following exceptions:
1. Physical activity and recreation areas as specified in
X
Section 1230.1.11;
2. Academic classrooms as specified in Section
X
1230.1.12;
3. Medical examination room as specified in Section
X
1230.1.14; and,
4. Dining areas as specified in Section 1230.1.16. X
1230.1.26 Court holding room for youth.
A court holding room shall: X
1. Contain a minimum of 10 square feet of floor area per
youth;
2. Be limited to no more than 16 youth; X
3. Provide no less than 40 square feet of floor area and
X
have a ceiling height of 8 feet or more;
4. Contain seating to accommodate all youth as specified
X
in Section 1230.2.8;
5. Contain a toilet, wash basin and drinking fountain as
X
specified in Section 1230.2;
6. Maximize visual supervision of youth by staff; and, X
7. A mirror of material appropriate to the level of security
X
shall be provided as specified in Section 1230.2.11.
1230.1.27 Programs and activity areas.
All juvenile facilities shall include adequate space for X
specific programs in addition to recreation and exercise
areas.
1230.2.1 Toilets/urinals.
All toilet areas shall provide privacy for the youth and help X
reduce the risk of voyeurism without mitigating staff’s
ability to supervise.
Toilets must be available in a ratio to youth as follows:
X
1. Juvenile halls 1:6;
2. Camps 1:10; and X
3. Locked holding rooms 1:8: X
One toilet and one urinal may be substituted for every 15
X
males.
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TITLE 24 SECTION YES NO N/A COMMENTS
1230.2.2 Wash basins.
In living units, wash basins must be available in a ratio to X
youth as follows:
1. Juvenile halls 1:6;
2. Camps 1:10; and X
3. Locked holding rooms 1:8: X
Wash basis must be provided with hot and cold or tempered
X
water.
1230.2.3 Drinking fountains.
X
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 X
bubbler; and,
2. The water flow shall be actuated by a mechanical
X
means.
1230.2.4 Showers.
Shower areas shall provide privacy for the youth and help X
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 X
provided with tempered water.
1230.2.5 Beds.
X
Beds shall be at least 30 inches wide and 76 inches long and
be of the solid bottom type.
Beds shall be at least 12 inches off the floor and spaced no
X
less than 36 inches apart
Bunk beds must have no less than 33 inches vertically
X
between the solid bottoms.
In secure facilities, the bunks shall be securely anchored and
X
flushed against the floor and/or wall.
1230.2.6 Lighting.
Lighting in locked sleeping rooms, single occupancy rooms,
X
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
X
visibility for supervision and be conducive to sleep.
1230.2.7 Padding.
Padding in safety rooms, padding shall cover the entire X
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
X
room.
All padded rooms must be equipped with a tamper resistant
X
fire sprinkler as approved by the State Fire Marshal.
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TITLE 24 SECTION YES NO N/A COMMENTS
All padding must be:
X
1. Approved for use by the State Fire Marshal;
2. Nonporous to facilitate cleaning; X
3. At least 112 inch thick; X
4. Of a unitary or laminated construction to prevent its
X
destruction by teeth, hand tearing or small metal objects;
5. Firmly bonded to all padded surfaces to prevent tearing
X
or ripping; and,
6. Without any exposed seams susceptible to tearing or
X
ripping.
1230.2.8 Seating.
X
Seating shall be designed for the level of security.
When bench seating is used, 18 inches of bench is seating
X
for one person.
1230.2.9 Weapons lockers.
X
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
X
compartments, each with an individual locking device.
1230.2.10 Security glazing.
Security glazing shall comply with the minimum
requirements of one of the following test standards:
X
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.
1230.2.11 Mirrors.
A mirror of a material appropriate to the level of security X
must be provided near each wash basin specified in these
regulations.
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JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS
LIVING AREA SPACE EVALUATION
Board of State and Community Corrections
BSCC Code: 7327
FACILITY: Merced Juvenile Justice Corrections Complex: Juvenile Hall TYPE: JH RC: 60
FIELD REPRESENTATIVE: Elizabeth Gong DATE: April 13, 2022
ROOMS EACH ROOM
Unit Room Applicable # Each Room Total Size (L x W x H) or FIXTURES* COMMENTS
Designation Type Standards Rooms # Beds RC RC Square/Cubic Feet T U W F S
INTAKE/CONTROL
I-8 Holding 1998 1 (5) (5) 110 sq. ft. 1 1 1 Bench space limits seating.
I 2-3 Holding 1998 2 (2) (2) 70 sq. ft. 1 1 1 Bench space limits seating. Can be used as sleeping
rooms at which time cell would be rated for 2.
M-6 Holding 1998 1 84 sq. ft. Not to be used unless a 601 is delivered to facility, at
which time a removable chair and cot are available.
This is not rated space.
I-1 Safety 1998 1 (1) (1) 64 sq. ft. 1 Flush ring toilet.
Medical 1998 1 144 sq. ft.
Notes: There are 3 confidential interview rooms, 3 toilets and 4 showers in the intake area.
Juvenile Hall, Building #1
A S 1998 5 1 1 5 80 sq. ft 1 1 1 Houses separated youth.
A D 1998 5 2 2 10 110 sq. ft. 1 1 1
B S 1998 5 1 1 5 80 Sq. ft. 1 1 1 House female youth.
B D 1998 5 2 2 10 110 sq. ft. 1 1 1
C S 1998 5 1 1 5 80 sq. ft. 1 1 1 Houses general population male youth.
C D 1998 5 2 2 10 110 sq ft. 1 1 1
D S 1998 5 1 1 5 80 sq. ft. 1 1 1 Houses maximum security male youth.
D D 1998 5 2 2 10 110 sq. ft. 1 1 1
Note: Each unit has 3 Showers, 2 sinks with fountains and 840 sq. ft. of dayroom space. There are common dayrooms between A-B and C-D. There is 775 sq. ft. classroom space
off of each dayroom, a recreation area off of each unit and storage/laundry facilities in each unit. There are 2 interview rooms and a Multi-Purpose/Dining area in the middle of
Wings A/B – C/D.
*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.
7327 Merced JH LASE 20-22 - 1 -
JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS
LIVING AREA SPACE EVALUATION
Board of State and Community Corrections Inspection
BSCC Code: 7330
FACILITY: Merced Juvenile Justice Corrections Complex - Bear Creek Academy TYPE: Camp RC: 60
FIELD REPRESENTATIVE: Elizabeth Gong DATE: April 13, 2022
ROOMS EACH ROOM
Unit Room Applicable # Each Room Total Size (L x W x H) or FIXTURES* COMMENTS
Designation Type Standards Rooms # Beds RC RC Square/Cubic Feet T U W F S
Bear Creek Academy, Building #2
E S 1998 5 1 1 5 80 sq. ft, 1 1 1 Not occupied.
E D 1998 5 2 2 10 110 sq, ft, 1 1 1
F S 1998 5 1 1 5 80 sq. ft. 1 1 1 Not occupied.
F D 1998 5 2 2 10 110 sq, ft. 1 1 1
G S 1998 5 1 1 5 80 sq. ft. 1 1 1 *Short term program youth.
G D 1998 5 2 2 10 110 sq. ft. 1 1 1
H S 1998 5 1 1 5 80 sq. ft. 1 1 1 *Long term program youth.
H D 1998 5 2 2 10 110 sq. ft. 1 1 1
Notes: * As the population fluctuates in the BCA, youth will only occupy one unit.
Each unit has 3 Showers, 2 sinks with fountains and 840 sq. ft. dayroom space. There are common dayrooms between E-F and G-H. There is 775 sq. ft. classroom space off of each
dayroom, a recreation area off of each unit and storage/laundry facilities in each unit. There are 2 interview rooms and a Multi-Purpose/Dining Area in the middle of Wings E/F and
G/H. During this cycle, Unit E and F were not occupied.
*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.
7330 Merced Camp LAS 20-22 -1 - J460 LAS JUV-05.dot (8/05)