BSCC
Napa County (2020-2022 inspection cycle)
Read the report at Napa County ↗
April 8, 2022
Amanda Gibbs, Chief Probation Officer
Napa County Probation Department
212 Walnut Street
Napa, California 93230
NAPA COUNTY JUVENILE HALL AND NEW HORIZONS PROGRAM
BSCC # 7357 AND 7360
2020-2022 BIENNIAL INSPECTION PURSUANT TO WIC 209 and 885
Dear Chief Gibbs:
On March 21-23, 2022, pursuant to Welfare and Institutions Code sections 209 and 885,
BSCC staff completed the 2020-2022 Biennial Inspection of the Napa County Juvenile Hall
and New Horizons Program. To prepare for this inspection, a pre‐inspection briefing was held
on September 22, 2021.
This inspection was performed to determine compliance with the Minimum Standards for
Local Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In
addition, BSCC staff conducted compliance monitoring pursuant to Welfare and Institutions
Code Section 209(f) for the federal Juvenile Justice and Delinquency Prevention Act (JJDPA)
for the separation requirements of juveniles from incarcerated adults.
BSCC worked with Superintendent Kent Boltz, Assistant Superintendent Kamati Calvin and
Facility Supervisor Lisa Martindale, as well as their staff and collaborative partners. Your
administrators facilitated a coordinated and organized process to complete all elements of
the inspection process, representing the facility and their respective agencies in an
exemplary manner. We appreciate the time and energy spent preparing for and participating
in the inspection, especially given the amount of documentation requested.
We reviewed your Policy and Procedures Manual1; all Local Inspections; annual reviews of
Security and Emergency practices; and, documents and forms used by the agency. The
documentation specific to your high-risk incidents were assessed to ensure compliance with
regulation and policy. We expected and were provided many reports, completed forms and
audit reviews of incidents and operational practices related to youth care and treatment.
1 BSCC does not review all of your policies and procedures. We do not “approve” your policies and procedures
nor do we review them for constitutional or legal issues. We recommend agencies seek review through their
legal advisor, risk manager and other persons deemed appropriate.
Amanda Gibbs, Chief Probation Officer
April 8, 2022
Page 2
The BSCC inspection report consists of this transmittal letter; the attached Title 15
Procedures checklist, the Title 24 Physical Plant Checklist (PHY) and Living Area Space
Evaluation, documenting the physical space in the facilities. Please refer to the Title 15 and
24 Procedures Checklist for a summary of all relevant minimum standards, indication of
compliance, and information used to determine compliance.
Mandatory Local Inspections
In addition to the biennial inspection, Title 15, Section 1313 and its authorizing statute require
local inspections conducted by the following authorities: County Building Inspection by
agency designated by the Board of Supervisors; Fire Authority having jurisdiction; Local
Health Officer; County Superintendent of Schools; Juvenile Court; and, Juvenile Justice
Commission. Results of these inspections are considered as part of this report. The dates
of the local inspections may be found in the Title 15 Procedures Checklist.
Inspection Results
Title 15, CCR Minimum Standards
Operations
The inspection process includes substantial reviews of incident reports, grievances,
admission and classification reports, case plans and counseling notes, and disciplinary
reports and findings to ensure compliance with Title 15 Regulations and to ensure
procedures and processes are consistent with your policies. We found overall operational
practices remain consistent with regulation expectations and there are no policy related
concerns in either program.
Your administrators have implemented many levels of oversight this cycle, allowing for
reports and documentation to be reviewed with an objective eye for inconsistencies. They
have emphasized the management of high-risk incidents and youth behavior, and this
oversight ensures staff are completing responsibilities as expected by your agency and T15
requirements. This was evident in our review of use of force, use of restraints, discipline due
process and grievances reports. The narrative description of the incident included clear
timelines and factual staff responses verified by camera audit. The stated youth involvement
in the process was fair and inclusive of all required elements. This practice allows for a
comprehensive evaluation of facility operations and revealed youth supervision expectations
are compliant with regulation.
The documentation reviewed and conversations with youth revealed an involved, caring and
genuine approach by staff to work with youth. We found the processes fair and youth
articulated staff helped them realize a middle ground as it related to sanctions and re-
direction.
Amanda Gibbs, Chief Probation Officer
April 8, 2022
Page 3
Education
The Napa County Office of Education operates the Crossroads School for both programs.
We reviewed the Education Evaluation conducted in 2020 and 2021, noting no issues relating
to the requirements in Title 15 or the Education Code. Our review of processes, pre- and
post- COVID 19, demonstrated an integrated approach to educating youth during the
pandemic. School and Probation Administrators provided youth continued opportunities to
receive traditional educational and post-secondary learning environments in the most difficult
situation. You returned to the classroom full time in September 2021, and the on-site teacher,
Anne Marie Carter, has resumed a very engaged environment for youth.
We are excited about the new music program and the continued emphasis to engage all
students in a plethora of curriculums including Get Ready, Camille Creek’s welding and
culinary programs, Achieve (which won a state award), and in class Ted Talks and GED
Prep.
Programming
The Juvenile Hall houses pre- and post- adjudicated youth resulting in short term
incarceration while New Horizons offers long-term programing and opportunities. Although
Covid stopped the long-term program, youth are still able to take advantage of an array of
services to meet the youth’s individual needs, based on their case plans and independent
objectives. The structured programs and unstructured recreation activities are facilitated
mostly by probation staff. It is the hope that outside volunteers will soon return to assist with
the numerous programming options available to youth. Napa County Mental Health has
increased services by the clinician in the facility being on call until 8:00 pm and and addition
of a Saturday and Sunday staff clinician.
Napa has a comprehensive Assessment Plan process which is responsive to youth needs
and completed by the assigned Probation Officer who is on-site in the Probation Offices
adjacent to the facility. The Behavior Summaries completed by facility staff are assessable
to the Probation Officer and the system of communication provides comprehensive and
current information sharing for the institutional case plan process, targeting youth needs
while in custody in preparation for release. We reviewed numerous Case Plans for youth
and found them individualized and coordinated to effect needed change.
Title 15, CCR Minimum Standards
The agency has worked diligently to provide policies and procedures compliant with
regulation. The most important aspect of these changes is the need for complete and
inclusive documentation, revealing a transparent system of oversight of your operations.
The approach to audit and review by supervisors and administrators is not just practical for
ensuring compliance but offers teaching and learning moments for staff and youth.
The attached Procedures Checklist provides a detailed overview of the inspection findings.
Upon final review of all documentation, there are no outstanding items of noncompliance at
the Napa County Juvenile Center and Camp. No corrective action is required.
Amanda Gibbs, Chief Probation Officer
April 8, 2022
Page 4
Title 24, CCR Physical Plant
There have been no changes to the physical plant since our last on-site inspection. We look
forward to the New Horizons Program being operational in its own space once the need for
isolation of youth due to Covid is minimized.
Training
The most recent Standards and Training for Corrections audit reports that the Napa County
Probation Department is compliant with all relevant regulations and mandates.
Juvenile Justice and Delinquency Prevention Act Compliance Monitoring
There have been no violations of JJDPA this inspection cycle and no areas of non-
compliance were noted.
We are pleased with all operational aspects of the Napa County Juvenile Hall and New
Horizons Program, the latter being on hold this cycle. We would again like to thank you and
compliment your staff for their dedication, thoroughness and responsiveness during the
inspection.
This concludes our 2020-2022 inspection report. We are available to assist as needed and
are always happy to provide technical assistance when requested. We 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, Napa County*
Chair, Juvenile Justice Commission, Napa County*
Chair, Board of Supervisors, Napa County*
County Administrator, Napa County*
Kent Boltz, Superintendent
Kamati Calvin, Assistant Superintendent
.
*Complete copies of this inspection re available online at www.bscc.ca.gov
JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7357/7360
FACILITY NAME: Napa County Juvenile Hall FACILITY TYPE: JH/Camp
New Horizons Program (Unoccupied)
PERSON(S) INTERVIEWED: Amanda Gibbs, Chief Probation Officer; Kent Boltz, Superintendent; Kamati Calvin,
Assistant Superintendent; Lisa Martindale, Supervisor; Sergio Castillo, Supervisor; Danielle Cano, Supervisor; Rebecca
Gregory, RN - Wellpath; Adriana Navarro, Supervisor Napa County Mental Health; Kevin Godwin, Napa County Forensic
Licensed Mental Health Clinician; Dominique Ayers, Food Services Coordinator; Anne Marie Carter, Teacher, Napa County
Office of Education; Youth – Jayden, age 16; Jesaleine, age 13.
FIELD REPRESENTATIVE: Elizabeth Gong and Forrest Coleman DATE: March 21-23, 2022
NOTE: All policies and procedures listed are in place for Juvenile Hall and New Horizons.
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; ☐ 2020: November 4, 2020
☒ ☐
2021: December 15, 2021
(B) Fire authority having jurisdiction, including a fire
clearance as required by Health and Safety Code ☐ ☐ 2020: December 15, 2020
☒
Section 13146.1 (a) and (b); 2021: November 12, 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; 2019:
Environmental Health September 18, 2019
Medical/Mental Health December 10, 2019
Nutritional Health December 18, 2019
2020:
Environmental Health November 24, 2020
☐ ☐ Medical/Mental Health Not completed due
☒
to COVID
Nutritional Health April 15, 2021
(Completed late due to COVID)
2021:
Environmental Health October 27, 2021
Medical/Mental Health December 1, 2021
Nutritional Health December 8. 2021
(D) County superintendent of schools on the adequacy
of educational services and facilities as required in ☐ ☐ 2020: December 11, 2020
☒
Section 1370; 2021: December 16, 2021
(E) Juvenile court as required by Section 209 of the
Welfare and Institutions Code ☐ ☐ 2020: December 21, 2020
☒
2021: December 29, 2021
(F) Juvenile Justice Commission as required by Section
229 of the Welfare and Institutions Code or ☐ ☐ 2020: December 18, 2020
☒
Probation Commission as required by Section 240 of 2021: December 29, 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 Amanda Gibbs dated
certification letter confirming that all elements of
March 18, 2022.
regulation are met.
(a) Appointment
☐ ☐
☒
In each juvenile facility there shall be a superintendent,
director or facility manager in charge of its program and
employees. Such superintendent, director, facility
manager and other employees of the facility shall be
appointed by the facility administrator pursuant to
applicable provisions of law.
(b) Employee Qualifications
Each facility shall:
(1) recruit and hire employees who possess
knowledge, skills and abilities appropriate to
CPO Letter Bullet #1
their job classification and duties in accordance ☒ ☐ ☐
with applicable civil service or merit system
rules;
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(2) require a medical evaluation and physical
examination including tuberculosis screening
CPO Letter Bullet #2
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
☒ ☐ ☐ CPO Letter Bullet #4
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 CPO Letter Bullet #3
☒ ☐ ☐
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 Section 1, 1.2.3 Use of Volunteers and
facility, shall have such clearance and qualifications Interns - Policy
☒ ☐ ☐
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
Each juvenile facility shall:
a) have an adequate number of personnel sufficient to
carry out the overall facility operation and its
Section 4, 4.2.9, Policy
programming, to provide for safety and security of
youth and staff, and meet established standards and
regulations;
The facility has a Superintendent, Assistant
Superintendent, 4 Supervising Juvenile Hall
Counselors (SJHC), 6 Senior JHC (3 vacant)
☒ ☐ ☐ and 22 JHC’s (6 vacant). All positions are
full except 2 JHC’s. Current staff are core
trained, however, due to the high number of
vacancies, the agency has 6 extra-help
positions for coverage and uses Probation
Officers when needed at Control for
additional coverage.
b) ensure that no required services shall be denied
because of insufficient numbers of staff on duty ☒ ☐ ☐
Section 4, 4.2.9, I
absent exigent circumstances;
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c) have a sufficient number of supervisory level staff to
ensure adequate supervision of all staff members;
☒ ☐ ☐ Section 4, 4.2.9, II-A
d) have a clearly identified person on duty at all times
who is responsible for operations and activities and
☒ ☐ ☐ Section 4, 4.2.9, II-A
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;
☒ ☐ ☐ Section 4, 4.2.9, IV-A
f) have sufficient food service personnel relative to the
number and security of living units, including staff
Section 4, 4.2.9, III-A
qualified and available to: plan menus meeting
nutritional requirements of youth; provide kitchen
supervision; direct food preparation and servings; ☒ ☐ ☐
There is a Food Services Coordinator, 2
conduct related training programs for culinary staff;
cooks and 2 extra-help part time cooks. All
and maintain necessary records; or, a facility may
meals are prepared on-site.
serve food that meets nutritional standards prepared
by an outside source;
g) have sufficient administrative, clerical, recreational,
medical, dental, mental health, building
Section 4, 4.2.9, III-B
maintenance, transportation, control room, facility
security and other support staff for the efficient
management of the facility, and to ensure that youth
☒ ☐ ☐ The facility has support staff and ancillary
supervision staff shall not be diverted from
partners for medical, behavioral health and
supervising youth; and,
school. Only youth supervision staff (JHC)
are responsible for youth supervision.
h) assign sufficient youth supervision staff to provide
continuous wide-awake supervision of youth,
Section 4, 4.2.9, IV
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 ☒ ☐ ☐
We reviewed the facility schedule and unit
following facility types:
logs to ensure compliance with this
regulation.
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(1) Juvenile Halls (minimum youth-staff ratio)
(A) during the hours that youth are awake, one wide- Section 4, 4.2.9, IV-B
awake youth supervision staff member on duty for
each 10 youth in detention; ☒ ☐ ☐
The facility staff work 12-hour overlapping
shifts to ensure the staffing ratio of 1:10.
(B) during the hours that youth are confined to their
room for the purpose of sleeping, one wide-awake
Section 4, 4.2.9, IV-C
youth supervision staff member on duty for each
30 youth in detention; ☒ ☐ ☐
The facility staffs within regulation of 1:30.
(C) at least two wide-awake youth supervision staff
members on duty at all times, regardless of the
Section 4, 4.2.9, IV-D
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 ☒ ☐ ☐
Section 4, 4.2.9, IV-E
facility.
(E) personnel with primary responsibility for other
duties such as administration, supervision of
Section 4, 4.2.9, IV-F
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)
The facility is not a Special Purpose Juvenile
☐ ☐ ☒
(A) during hours that youth are awake, one wide-awake Hall.
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,
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(D) at least one youth supervision staff member on duty
who is the same gender as youth housed in the ☐ ☐ ☒
facility.
(E) personnel with primary responsibility for other
duties such as administration, supervision of
personnel, academic or trade instruction, clerical, ☐ ☐ ☒
kitchen or maintenance shall not be classified as
youth supervision staff positions.
(3) Camps (minimum youth -staff ratio)
(A) during the hours that youth are awake, one wide- Section 4, 4.2.9, IV-B
awake youth supervision staff member on duty for
each 15 youth in the camp population;
The facility staff are able to work 12-hour
☒ ☐ ☐
overlapping shifts to ensure the staffing ratio
of 1:10. We note the NH program was not
occupied during the on-site inspection due to
Covid.
(B) during the hours that youth are confined to their
room for the purpose of sleeping, one wide-awake
Section 4, 4.2.9, IV-C
youth supervision staff member on duty for each 30
youth present in the facility; ☒ ☐ ☐
The facility staffs within regulation of 1:30.
(C) at least two wide-awake youth supervision staff
members on duty at all times, regardless of the
Section 4, 4.2.9, IV-D
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 ☒ ☐ ☐
Section 4, 4.2.9, IV-E
facility;
(E) in addition to the minimum staff to youth ratio
required in (h)(3)(A)-(B), consideration shall be
When occupied, New Horizons occupies its
given to the size, design, and location of the camp;
own unit.
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;
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(F) personnel with primary responsibility for other
duties such as administration, supervision of Section 4, 4.2.9, IV-F
personnel, academic or trade instruction, clerical, ☐ ☐
☒
farm, forestry, kitchen or maintenance shall not be
classified as youth supervision staff positions.
1322 YOUTH SUPERVISION STAFF
ORIENTATION AND TRAINING
Section 4, 4.2.1
☒ ☐ ☐
(a) Prior to assuming any responsibilities each youth
supervision staff member shall be properly oriented
to their duties, including:
(1) youth supervision duties;
☒ ☐ ☐ Section 4, 4.2.1, I-A, 1
(2) scope of decisions they shall make;
☒ ☐ ☐ Section 4, 4.2.1, I-A, 2
(3) the identity of their supervisor;
☒ ☐ ☐ Section 4, 4.2.1, I-A, 3
(4) the identity of persons who are responsible to
them;
☒ ☐ ☐ Section 4, 4.2.1, I-A, 4
(5) persons to contact for decisions that are beyond
their responsibility; and
☐ ☐ ☐ Section 4, 4.2.1, I-A, 5
(6) ethical responsibilities.
Section 4, 4.2.1, I-A, 6
☒ ☐ ☐
Section 1, 1.1.10, I Department Code of
Conduct
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(b) Prior to assuming any responsibility for the
supervision of youth, each youth supervision staff
Napa County provides 80 hours of facility
member shall receive a minimum of 40 hours of
specific training, including training for
facility-specific orientation, including:
PREA and Culturally Relevant/Gender
☒ ☐ ☐ Responsive approaches. Each year, staff
receive a block of training related to trauma,
defensive tactics, fire/life safety,
motivational interviewing and first aid/CPR.
(1) individual and group supervision techniques;
☒ ☐ ☐ Section 4, 4.2.1, I-A, 7
(2) regulations and policies relating to discipline and
rights of youth pursuant to law and the ☒ ☐ ☐
Section 4, 4.2.1, I-A, 8
provisions of this chapter;
(3) basic health, sanitation and safety measures;
☒ ☐ ☐ Section 4, 4.2.1, I-A, 10
(4) suicide prevention and response to suicide
attempts
☒ ☐ ☐ Section 4, 4.2.1, I-A, 11
(5) policies regarding use of force, de-escalation
techniques, chemical agents, mechanical and ☒ ☐ ☐
Section 4, 4.2.1, I-A, 12
physical restraints;
(6) review of policies and procedures referencing
trauma and trauma-informed approaches;
☒ ☐ ☐ Section 4, 4.2.1, I-A, 13
(7) procedures to follow in the event of
emergencies;
☒ ☐ ☐ Section 4, 45.2.1, I-A, 16
(8) routine security measures, including facility
perimeter and grounds;
☒ ☐ ☐ Section 4, 4.2.1, I-A, 17
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(9) crisis intervention and mental health referrals to
mental health services;
☒ ☐ ☐ Section 4, 4.2.1, I-A, 18
(10) documentation; and
☒ ☐ ☐ Section 4, 4.2.1, I-A, 15
(11) fire/life safety training
☒ ☐ ☐ Section 4, 4.2.1, I-A, 20
(c) Prior to assuming sole supervision of youth, each
youth supervision staff member shall successfully
Section 4, 4.2.1, II-A, 1
complete the requirements of the Juvenile ☒ ☐ ☐
Corrections Officer Core Course pursuant to Penal
Code Section 6035.
(d) Prior to exercising the powers of a peace officer
youth supervision staff shall successfully complete
☒ ☐ ☐ Section 4, 4.2.1, II-A, 2
training pursuant to Section 830 et seq. of the Penal
Code.
1323 FIRE AND LIFE SAFETY
Whenever there is a youth in a juvenile facility, there Section 4, 4.3.1, I-A and B
shall be at least one wide awake person on duty at all
times who meets the training standards established by the
Board for general fire and life safety which relate Fire and Life Safety is included in Core
☒ ☐ ☐
specifically to the facility. Training. We noted the agency provides a
review of emergency procedures as part of
the debrief for fire drills as well as a review
of fire and life safety inspections.
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1324 POLICY AND PROCEDURES MANUAL
The facility Policy and Procedures Manual
was reviewed and updated by Superintendent
All facility administrators shall develop, publish, and
Kent Boltz on August 7, 2021. Additionally,
implement a manual of written policies and procedures
Chief Probation Officer Amanda Gibbs
that address, at a minimum, all regulations that are
completed a memo dated March 18, 2022,
applicable to the facility. Such a manual shall be made
indicating her review and approval of all
☒ ☐ ☐
available to all employees, reviewed by all employees,
policies.
and shall be administratively reviewed at a minimum
every two years, and updated, as necessary. Those
records relating to the standards and requirements set
The manual is available electronically and in
forth in these regulations shall be accessible to the Board
hard copy.
on request.
The manual shall include:
(a) table of organization, including channels of
communications and a description of job
Section 4, 4.1.2 Organizational Chart
classifications;
☒ ☐ ☐ Section 4, 4.1.3 Chain of Command
Section 4, 4.1.4 Job Classifications
(b) responsibility of the probation department, purpose
of programs, relationship to the juvenile court, the
Mission Statement
Juvenile Justice/Delinquency Prevention
Commission or Probation Committee, probation Section 4, 4.4.2 Responsibilities and
staff, school personnel and other agencies that are ☒ ☐ ☒ relationships with other agencies
involved in juvenile facility programs;
Section 4, 1.2.3 Use of Volunteers and
Interns
(c) responsibilities of all employees;
Section 4, 1.1.10, I Ethical Responsibilities
☒ ☐ ☐
and Code of Conduct
(d) initial orientation and training program for
employees;
☒ ☐ ☐ Section 4, 4.2.1, I-A
(e) initial orientation, including safety and security
issues and anti-discrimination policies, for support
Section 4, 1.2.3, I-B, 10 Interns
staff, contract employees, school, mental/behavioral ☒ ☐ ☐
health and medical staff, program providers and Section 4, 1.2.3, II-B, 10 Volunteers
volunteers;
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(f) maintenance of record-keeping, statistics and
communication system to ensure:
The agency support staff report and maintain
☒ ☐ ☐
records required by regulation.
(1) efficient operation of the juvenile facility;
☒ ☐ ☐ Section 4, 4.4.1
(2) legal and proper care of youth;
☒ ☐ ☐ Section 4, 4.4.5
(3) maintenance of individual youth's records;
☒ ☐ ☐ Section 4, 4.4.5
(4) supply of information to the juvenile court and
those authorized by the court or by the law; and,
The facility Superintendent provides
☒ ☐ ☐ requested information to the Juvenile Court
or others as required by regulation.
(5) release of information regarding youth.
☒ ☐ ☐ Section 4, 4.4.5, VII Confidentiality
(g) ethical responsibilities;
Section 4, 1.1.10, I Ethical Responsibilities
☒ ☐ ☐
and Code of Conduct
(h) trauma-informed approaches;
☒ ☐ ☐ Section 4, 4.5.1 Admission; 4.2.1, I-A, 13
(i) culturally responsive approaches;
☒ ☐ ☐ Section 4, 4.5.1 Admission
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(j) gender responsive approaches;
☒ ☐ ☐ Section 4, 4.5.1 Admission
(k) a non-discrimination provision that provides that all
youth within the facility shall have fair and equal
Section 4, 4.2.7 Policy
access to all available services, placement, care,
treatment, and benefits, and provides that no person
shall be subject to discrimination or harassment on
the basis of actual or perceived race, ethnic group
☒ ☐ ☐
identification, ancestry, national origin, immigration
status, color, religion, gender, sexual orientation,
gender identity, gender expression, mental or
physical disability, or HIV status, including
restrictive housing or classification decisions based
solely on any of the above mentioned categories;
(l) storage and maintenance requirements for any
chemical agents related security devices, and
Section 4, 4.3.2, V
weapons and ammunition, where applicable;
Napa County Juvenile Hall does not use
☒ ☐ ☐
chemical agents or other security devices.
Any law enforcement staff are responsible to
store their weapons or equipment in the
sallyport lockers prior to entering the facility.
(m) establishment of procedures for collection of Medi-
Cal eligibility information and enrollment of eligible ☒ ☐ ☐
Section 3, 3.3.1 Policy
youth; and,
(n) establishment of a policy that prohibits all forms of
sexual abuse, sexual assault and sexual harassment.
Section 4, 1.1.4 Child Abuse Reporting
The policy shall include an approach to preventing,
detecting and responding to such conduct and any Section 4, 1.1.17 PREA Policy
retaliation for reporting such conduct, as well as a
Section 4, 4.2.1, I-A, 9
provision for reporting such conduct by youth, staff ☒ ☐ ☐
or a third party.
The above policies are department wide
Administration policies.
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1325 FIRE SAFETY PLAN
Section 4, 4.3.1 Policy
The facility administrator shall consult with the local fire ☒ ☐ ☐
department having jurisdiction over the facility, or with
the State Fire Marshal, in developing a plan for fire safety
which shall include, but not be limited to:
a) a fire prevention plan to be included as part of the
manual of policy and procedures;
☒ ☐ ☐ Section 4, 4.3, II Section 4, 4.3, II,
b) monthly fire and life safety inspections by facility
staff with two- year retention of the inspection
Section 4, 4.3.1, II-I
record;
These are completed monthly by the facility
Safety Officer. We reviewed the inspections
from July 2020 to February 2022 and found
☒ ☐ ☐ them inclusive of all elements for fire and
life safety measures for both youth and staff.
The safety officer checks lights and door
access in all rooms, whether occupied or not,
to ensure they are in working order. The
process is comprehensive and well-
documented.
c) fire prevention inspections as required by Health
and Safety Code Section 13146.1(a) and (b);
Section 4, 4.3.1, II-K
☒ ☐ ☐
These are completed annually. The last
inspection was conducted on November 12,
2021.
d) an evacuation plan;
☒ ☐ ☐ Section 4, 4.3.1, II-J
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e) documented fire drills not less than quarterly;
Section 4, 4.3.1, II-G
Fire drills occur quarterly, however, due to
☒ ☐ ☐ recent extreme fire dangers in the
community, we recommend the facility have
fire drills monthly, on different shifts and
days to ensure staff are better prepared to
respond.
f) a written plan for the emergency housing of youth in
the case of fire; and,
☒ ☐ ☐ Section 4, 4.3.1, IV-C
g) development of a fire suppression pre-plan in
cooperation with the local fire department.
☒ ☐ ☐ Section 4, 4.3.1 Policy and II
1326 SECURITY REVIEW
Each facility administrator shall develop policies and Section 4, 4.3.5, V-A Inspections and D-
procedures to annually review, evaluate, and document Annual Review
security of the facility. The review and evaluation shall
include internal and external security, including, but not
☒ ☐ ☐
limited to, key control, equipment, and staff training.
The last security review was conducted by
Superintendent Kent Boltz on March 21,
2022.
1327 EMERGENCY PROCEDURES
The facility administrator shall develop facility-specific ☒ ☐ ☐ Section 4, 4.3.2
policies and procedures for emergencies that shall
include, but not be limited to:
(a) escape, disturbances, and the taking of hostages;
Section 4, 4.3.2, I-A Escapes
☒ ☐ ☐ Section 4, 4.3.2, II-A Disturbances
Section 4, 4.3.2, III-A Hostages
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(b) civil disturbance, active shooter and terrorist attack;
☒ ☐ ☐ Section 4, 4.3.2, IV-A
(c) fire and natural disasters;
☒ ☐ ☐ Section 4, 4.3.1
(d) periodic testing of emergency equipment;
☒ ☐ ☐ Section 4, 4.3.1, I-C
(e) emergency evacuation of the facility; and
☒ ☐ ☐ Section 4, 4.3.1, II-J
(f) a program to provide all youth supervision staff
with an annual review of emergency procedures.
Section 4, 4.3.1, VI-A Superintendent
Section 4, 4.3.1, VI-B Staff
☒ ☐ ☐ Staff are required to read the emergency
procedures section of policy annually. They
also participate in a 2-hour training in Fire
and Life Safety. The agency provided the
STC rosters for 2020. The training did not
occur in 2021 due to COVID.
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1328 SAFETY CHECKS
The facility administrator shall develop and implement Section 4, 4.3.4 Policy
policy and procedures that provide for direct visual
observation of youth at a minimum of every 15 minutes,
at random or varied intervals during hours when youth It is noted the facility policy directs how the
are asleep or when youth are in their rooms, confined in safety checks are done and what staff are
holding cells or confined to their bed in a dormitory. required to look for. There is a section that
Supervision is not replaced, but may be supplemented provides staff shall be sensitive to the
by, an audio/visual electronic surveillance system privacy and dignity of youth.
designed to detect overt, aggressive or assaultive
behavior and to summon aid in emergencies. All safety
checks shall be documented with the actual time the
The agency does safety checks when youth
check is completed.
are in and/or out of their rooms as to account
☒ ☐ ☐
for all youth all the time. We discussed the
regulation and the need for safety checks
only when youth are confined to their room.
We suggested their use of head counts at
random intervals to ensure the number of
youths on the unit are accounted for.
Review of safety checks reveal compliance
to regulation and policy. The agency
completes checks between 6 and 15 minutes
at random intervals.
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1329 SUICIDE PREVENTION PLAN
Section 4, 4.2.8 Policy
The facility administrator, in collaboration with the
healthcare and behavioral/mental health administrators,
shall plan and implement written policies and The agency Suicide Prevention Plan is a
procedures which delineate a Suicide Prevention Plan. collaboration with Probation, Wellpath and
The plan shall consider the needs of youth experiencing HHSA-Behavioral Health to ensure youth at
past or current trauma. Suicide prevention responses risk or identified as at risk are supervised
shall be respectful and in the least invasive manner appropriately and provided with necessary
consistent with the level of suicide risk. The plan shall services.
include the following elements:
☒ ☐ ☐
Specific criteria in the plan address intake
assessments and screenings, communication
amongst agency partners, response by staff
and notifications to staff, administration,
family and the Court when appropriate.
All youth are included in the communication
with partners at weekly MDT meeting, not
only as a result of critical incidents.
(a) Suicide prevention training as required in Section
1322, Youth Supervision Staff Orientation, and
☒ ☐ ☐ Section 4, 4.2.8, I
Training and the Juvenile Corrections Officer Core
Course.
(b) Screening, Identification Assessment and
Precautionary Protocols
Section 4, 4.2.8, II-B
(1) All youth shall be screened for risk of ☒ ☐ ☐
suicide at intake and as needed during
detention.
(2) All youth supervision staff who perform
intake processes shall be trained in ☒ ☐ ☐
Section 4, 4.2.8, II-C
screening youth for risk of suicide.
(3) All youth who have been identified during
the intake screening process to be at risk of
Section 4, 4.2.8, II-E
suicide shall be referred to ☒ ☐ ☐
behavioral/mental health staff for a suicide
risk assessment.
(4) Precautionary protocols shall be developed
to ensure the youth’s safety pending the ☒ ☐ ☐
Section 4, 4.2.8, II-F
behavioral/mental health assessment.
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(c) Referral process to behavioral/mental health staff
for assessment and/or services.
☒ ☐ ☐ Section 4, 4.2.8, II-E
(d) Procedures for monitoring of youth identified at
risk for suicide.
☒ ☐ ☐ Section 4, 4.2.8, III-G
(e) Safety Interventions
(1) Procedures to address intervention Section 4, 4.2.8, III-H
☒ ☐ ☐
protocols for youth identified at risk for
suicide which may include, but are not
limited to:
A. Housing consideration
☒ ☐ ☐ Section 4, 4.2.8, III-H Suicide Watch
B. Treatment strategies including
trauma-informed approaches
Section 4, 4.2.8, III-I, 4 Trauma Informed
☒ ☐ ☐
Approaches
(2) Procedures to instruct youth supervision
staff how to respond to youth who exhibit
Section 4, 4.2.8, III Monitoring Treatment
suicidal behaviors.
and Safety Interventions.
☒ ☐ ☐
Section 4, 4.2.8, II-C Training
(f) Communication
(1) The intake process shall include
Section 4, 4.2.8, II-A
communication with the arresting officer
☒ ☐ ☐
and family guardians regarding the youth’s
past or present suicidal ideations, behaviors
or attempts.
(2) Procedures for clear and current
information sharing about youth at risk for
The facility has weekly MDT meetings with
suicide with youth supervision, healthcare,
representatives from probation (field/facility
and behavioral/mental health staff. ☒ ☐ ☐
staff and administrators), medical, mental
health and teachers or school administrators.
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(g) Debriefing of Critical Incidents Related to Suicides
or Attempts
Section 4, 4.2.8, III-O
(1) Process for administrative review of the ☒ ☐ ☐
circumstances and responses proceeding,
during and after the critical incident.
(2) Process for a debriefing event with affected
staff.
☒ ☐ ☐ Section 4, 4.2.8, III, M-2
(3) Process for a debriefing event with affected
youth.
☒ ☐ ☐ Section 4, 4.2.8, III-M, 3
(h) Documentation
(1) Documentation processes shall be
☒ ☐ ☐ Section 4, 4.2.8, III-M
developed to ensure compliance with this
regulation
Youth identified at risk for suicide shall not be denied
the opportunity to participate in facility programs,
Section 4, 4.2.8, III-L
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 ☒ ☐ ☐ Section 4, 4.4.1 Policy
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
Section 4, 4.4.2, I Death
DETAINED
(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
Section 4, 4.4.2, I-F
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
Section 4, 4.4.2, I-C
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
Section 4, 4.4.2, I-E
days inspect and evaluate the juvenile facility, jail,
lockup or court holding facility pursuant to the ☒ ☐ ☐
provisions of this subchapter. Any inquiry made by
the Board shall be limited to the standards and
requirements set forth in these regulations.
(2) Serious Illness or Injury of Youth
(a) The facility administrator, in cooperation with the Section 4, 4.4.2, II Policy
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 Napa County Juvenile Hall submits monthly
☒ ☐ ☐
and profile survey reports to the Board within 10 reports to the BSCC.
working days after the end of each reporting period, in
a format to be provided by the Board.
1343 JUVENILE FACILITY CAPACITY
When the number of youth detained in a living unit of a Section 4, 4.4.4, II
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 The rated capacity for the facility is 60,
☒ ☐ ☐
Board in a format provided by the Board. which is matched and documented in their
staffing documents and schedule. They are
currently operating one unit for detention and
a quarantine unit.
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1350 ADMITTANCE PROCEDURES
Section 4, 4.5.1 Policy
The facility administrator shall develop and implement
written policies and procedures for admittance of youth
Youth are screened at admission via the
that emphasize respectful and humane engagement with
Medical Screening form which is completed
youth, and reflect that the admission process may be
by staff and address all facets of regulation
traumatic to youth who may have already experienced
requirements. There are questions specific to
trauma. Policies shall be trauma-informed, culturally
medical (Covid), suicide and sexual abuse.
relevant, and responsive to the language and literacy
Prior to moving to the housing unit, youth
needs of youth. In addition to the requirements of
sign an Orientation form indicating their
Sections 1324 and 1430 of these regulations:
ability to report any sexual abuse or
harassment. Also, the admission process
includes a transgender preference form to
allow youth to articulate their desired
housing, dress and search preferences.
We reviewed admission documentation
related to initial screenings, medical
screenings and information obtained by the
youth at booking as it relates to their
personal and prior probation history.
☒ ☐ ☐
Youth admitted after medical or behavioral
staff leave are seen the following day.
Behavioral Health staff complete the
MAYSI when seen. Based on the admission
form, on-call medical or behavioral health
staff are called to place a youth on a specific
watch, depending on the circumstances.
Facility staff are over cautious in these
situations based on their conversations and
interactions with youth during the process.
It is noted the supervisor and senior staff at
the facility cannot approve or deny
admissions. This is done by DPOs working
in Intake. After hours booking require
facility staff to request approvals or booking
from the on-call judge. We recommend
allowing the on-duty supervisor making the
decision based on the structured criteria for
detention. If further clarification is
necessary, the Superintendent or Assistant
Superintendent could be contacted.
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(a) the admittance process shall include:
(1) Access to two free phone calls within one hour
Section 4, 4.5.1, IV-A, 2
of admittance in accordance with the provisions
of Welfare and Institution Code Section 627; ☒ ☐ ☐
The facility offers 3 phone calls.
(2) Offer of a shower;
☒ ☐ ☐ Section 4, 4.5.1, V-A
(3) Documented secure storage of personal
belongings;
☒ ☐ ☐ Section 4, 4.5.1, V-B
(4) Offer of food upon arrival;
Section 4, 4.5.1, IV-A, 1-g
Section 4, 4.5.1
☒ ☐ ☐
Youth are offered food after completion of
the medical screening form.
(5) Screening for physical and behavioral health
and safety issues, intellectual or developmental
Section 4, 4.5.1, IV-A, 1-a
disabilities;
☒ ☐ ☐ Medical screening is completed upon
admission and their process includes
behavioral health questions when HAS is not
on site.
(6) Screening for physical and developmental
disabilities in accordance with Sections 1329,
Section 4, 4.5.1, IV-A, 1-b
1413, and 1430 of these regulations;
☒ ☐ ☐
Section 4, 4.5.20 Youth with Developmental
Disabilities
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(7) Contact with Regional Center for the
Developmentally Disabled for youth that are
Section 4, 4.5.1, IV-A, 1-c
suspected of or identified as having a ☒ ☐ ☐
developmental disability, pursuant to Section
1413; and,
(8) Procedures consistent with Section 1352.5.
☒ ☐ ☐ Section 4, 4.5.1, IV-A, 1-f
(b) juvenile hall administrators shall establish written
criteria for detention that considers the least ☒ ☐ ☐
Section 4, 4.5.1, III Criteria for Detention
restrictive environment.
(c) juvenile camps and post-dispositional programs in
juvenile halls shall develop policies and procedures
Section 4, 4.5.1, VII
that advise the youth of the estimated length of
stay, inform them of program guidelines and
provide written screening criteria for inclusion and
☒ ☐ ☐ Interviews with administrators revealed
exclusion from the program.
youth are advised of program components at
admission and how their behavior may
impact their stay.
(d) juvenile halls shall develop policies and procedures
that advise any committed youth of the estimated
Section 4, 4.5.1, IV-A, 2-c
length of his/her stay.
☒ ☐ ☐
Juvenile Hall Counselors go over the Court
Minute Order with the youth at intake when
the youth returns to the facility.
1350.5. SCREENING FOR THE RISK OF SEXUAL
ABUSE
Section 4, 4.5.1, IV-1
The facility administrator shall develop and implement
The protections against sexual assault, abuse,
written policies and procedures to reduce the risk of
☒ ☐ ☐ and aggression are part of the Medical
sexual abuse by or upon youth. The policy shall require
Screening form and Orientation process.
facility staff to assess each youth within 72 hours of
The possibility of aggressive behaviors or
admission based on the following information:
victimization are also a part of the
Classification process.
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(a) Prior sexual victimization or abusiveness;
☒ ☐ ☐ Section 4, 4.5.1, IV-1, A
(b) Gender nonconforming appearance or manner; or
identification as lesbian, gay or bisexual,
☒ ☐ ☐ Section 4, 4.5.1, IV-1, B
transgender, queer or intersex, and whether the
youth may, therefore, be vulnerable to sexual abuse;
(c) Current charges and offense history;
☒ ☐ ☐ Section 4, 4.5.1, IV-1, C
(d) Age;
☒ ☐ ☐ Section 4, 4.5.1, IV-1, D
(e) Level of emotional and cognitive development;
☒ ☐ ☐ Section 4, 4.5.1, IV-1, E
(f) Physical size and stature;
☒ ☐ ☐ Section 4, 4.5.1, IV-1, F
(g) Mental illness or mental disabilities;
☒ ☐ ☐ Section 4, 4.5.1, IV-1, G
(h) Intellectual or developmental disabilities;
☒ ☐ ☐ Section 4, 4.5.1, IV-1, H
(i) Physical disabilities;
☒ ☐ ☐ Section 4, 4.5.1, IV-1, I
(j) The youth’s perception of vulnerability; and,
☒ ☐ ☐ Section 4, 4.5.1, IV-1, J
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(k) Any other specific information about the individual
youth that may indicate heightened needs for
☒ ☐ ☐ Section 4, 4.5.1, IV-1, K
supervision, additional safety precautions, or
separation from certain other youth.
Staff shall ascertain this information through
conversations with the youth during the admittance
Section 4, 4.5.1, IV-2
process, medical and behavioral health screenings;
☒ ☐ ☐
during classification assessments; and by reviewing
court records, case files, facility behavioral records, and
other relevant documentation from the youth’s files.
The facility administrator shall implement appropriate
controls on the dissemination of information within the
Section 4, 4.5.1, IV-3
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 Section 4, 4.5.2 Release Procedures
written policies and procedures for release of youth
from custody which provide for:
The policies for release articulate criteria and
☒ ☐ ☐ documentation prior to and after a youth
leaves the unit. We note the agency has
weekly MDT meetings with agency partners
to share information and assist in re-entry
upon release.
(a) verification of identity/release papers;
☒ ☐ ☐ Section 4, 4.5.2, I-D, 2
(b) return of personal clothing and valuables;
☒ ☐ ☐ Section 4, 4.5.2, I-D, 4 and 5
(c) notification to the youth's parents or guardian;
Section 4, 4.5.2, I Final Release
Section 4, 4.5.2, IV In-Custody Transfer
☒ ☐ ☐
Release
Section 4, 4.5.2, V DJJ Release
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(d) notification to the facility health care provider in
accordance with Sections 1408 and 1437 of these
☒ ☐ ☐ Section 4, 4.5.2, I-D, 7
regulations, for coordination with outside agencies;
and,
(e) notification of school staff;
☒ ☐ ☐ Section 4, 4.5.2, I-D, 8
(f) notification of facility mental health personnel.
☒ ☐ ☐ Section 4, 4.5.2, I-D, 9
The facility administrator shall develop and implement
policies and procedures for post-disposition youth to
Section 4, 4.5.2, I-E
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
Section 4, 4.5.2, II-E through H
youth from custody.
☒ ☐ ☐
The facility has not done weekend passes or
temporary release during Covid or since the
last cycle.
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1352 CLASSIFICATION
The facility administrator shall develop and implement Section 4, 4.5.3
written policies and procedures on classification of
youth for the purpose of determining housing placement
in the facility. The facility has a Classification Assessment
form which is used upon admission to the
Such procedures shall:
facility. Room placement is the
classification criteria as detention and
committed youth are currently in one unit.
(Other unit is quarantine unit). The decisions
include close proximity to the staff control
area, upper or lower tier rooms or
single/double occupancy cells.
If an incident or behavior necessitates re-
☒ ☐ ☐ assessment, the facility uses a Behavioral
Summary to address specific behaviors
related to attitude towards staff, relationships
to peers, Group Level status, participation in
programs/recreation/exercise, visitation,
medical/behavioral health issues and weekly
MDT input. The agency places a great deal
of emphasis on classification due to the
living space.
We provided technical assistance to ensure
the original classification form is not just
updated to show a classification change due
to behavior/incident, but to also include
removal from a classification level.
(a) provide for the safety of the youth, other youth,
facility staff, and the public by placing youth in the
Section 4, 4.5.3 Policy
appropriate, least restrictive housing and program
☒ ☐ ☐
settings. Housing assignments shall consider the
need for single, double or dormitory assignment or
location within the dormitory;
(b) consider facility populations and physical design of
the facility;
☒ ☐ ☐ Section 4, 4.5.3 Policy
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(c) provide that a youth shall be classified upon
admittance to the facility; classification factors
Section 4, 4.5.3, I-A
shall include, but not be limited to: age, maturity,
sophistication, emotional stability, program needs, ☒ ☐ ☐
legal status, public safety considerations,
medical/mental health considerations, gender and
gender identity of the youth;
(d) provide for periodic classification reviews,
including provisions that consider the level of
Section 4, 4.5.3, II
supervision and the youth's behavior while in
custody; and,
☒ ☐ ☐ The facility conducts weekly classification
reviews at their MDT meetings with medical
and mental health staff, teachers and
probation staff.
(e) provide that facility staff shall not separate youth
from the general population or assign youth to a
Section 4, 4.5.3, I-B
single occupancy room based solely on the youth's
actual or perceived race, ethnic group Temporary separation in the unit.
identification, ancestry, national origin, color,
religion, gender, sexual orientation, gender identity, ☒ ☐ ☐ Section 4, 4.5.18 Separation
gender expression, mental or physical disability, or
Section 4, 4.5.3, III
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
☒ ☐ ☐ Section 4, 4.5.3, I-C
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 Section 4, 4.5.19 Policy
☒ ☐ ☐
and procedures ensuring respectful and equitable
treatment of transgender and intersex youth. The
policies shall provide that:
(a) Facility staff shall respect every youth’s gender
identity and shall refer to the youth by the youth’s
Section 4, 4.5.19, I-A
preferred name and gender pronoun, regardless of
the youth’s legal name. Facilities may prohibit the ☒ ☐ ☐
use of gang or slang names or names that otherwise
compromise facility operations as determined by
the facility manager or designee, and shall
document any decision made on this basis.
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(b) Facility staff shall permit youth to dress and present
themselves in a manner consistent with their gender
☒ ☐ ☐ Section 4, 4.5.19, I-B and C
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
Section 4, 4.5.19, II-A and B
their safety and well-being. Staff may not
automatically house youth according to their
external anatomy and shall document the reasons ☒ ☐ ☐
for any decision to house youth in a unit that does
not match their gender identity. In making a
housing decision, staff shall consider the youth’s
preferences, as well as any recommendations from
the youth’s health or behavioral health provider.
(d) Facility administrators shall ensure that transgender
and intersex youth have access to medical and
☒ ☐ ☐ Section 4, 4.5.19, I-D
behavioral health providers qualified to provide
care and treatment to transgender and intersex
youth.
(e) Consistent with the facility’s reasonable and
necessary security considerations and physical
Section 4, 4.5.19, II-B
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
Section 4, 4.5.19, III-A Anatomical Search,
anatomical sex. Whenever feasible, the facility shall ☒ ☐ ☐
respect the youth’s preference regarding the gender of III-C Transgender Search
the staff member who conducts any search of the youth.
1353 ORIENTATION
The facility administrator shall develop and implement Section 4, 4.5.4 Policy
written policies and procedures to orient a youth prior
Section 4, 4.5.4, I
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
provide accessible orientation information to all ☒ ☐ ☐ Youth are provided written and verbal
orientation at intake. The handbook provides
detained youth including those with disabilities, limited
a summary of policies, guidance of
literacy, or English language learners. Orientation shall
behaviors, sets expectations and allows for
include information that addresses:
dialogue if a youth is unclear on a specific
topic.
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(a) facility rules including contraband and searches and
disciplinary procedures;
☒ ☐ ☐ Section 4, 4.5.4, II-A
(b) facility’s system of positive behavior interventions
and supports, including behavior expectations,
Section 4, 4.5.4, II-B
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
☒ ☐ ☐ Section 4, 4.5.4, II-C
harassment and how to report incidents or
suspicions of sexual abuse or sexual harassment;
(d) identification of key staff and their roles;
☒ ☐ ☐ Section 4, 4.5.4, II-D
(e) the existence of the grievance procedure, the steps
that must be taken to use it, the youth’s right to be
Section 4, 4.5.4, II-E
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;
☒ ☐ ☐ Section 4, 4.5.4, II_F
(g) access to routine and emergency health and mental
health care;
☒ ☐ ☐ Section 4, 4.5.4, II-G
(h) access to education, religious services, and
recreational activities;
☒ ☐ ☐ Section 4, 4.5.4, II-H
(i) housing assignments;
☒ ☐ ☐ Section 4, 4.5.4, II-I
(j) opportunity for personal hygiene and daily showers
including the availability of personal care items
☒ ☐ ☐ Section 4, 4.5.4, II-J
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(k) rules and access to correspondence, visits and
telephone use;
☒ ☐ ☐ Section 4, 4.5.4, II-K
(l) availability of reading materials, programming, and
other activities;
☒ ☐ ☐ Section 4, 4.5.4, II-L
(m) facility policies on the use of force, use of restraints,
chemical agents and room confinement;
☒ ☐ ☐ Section 4, 4.5.4, II-M
(n) immigration legal services;
☒ ☐ ☐ Section 4, 4.5.4, II-N
(o) emergencies including evacuation procedures;
☒ ☐ ☐ Section 4, 4.5.4, II-O
(p) non-discrimination policy and the right to be free
from physical, verbal or sexual abuse and ☒ ☐ ☐
Section 4, 4.5.4, II-P
harassment by other youth and staff;
(q) availability of services and programs in a language
other than English if appropriate;
☒ ☐ ☐ Section 4, 4.5.4, II-Q
(r) the process for requesting different housing,
education, programming and work assignments;
☒ ☐ ☐ Section 4, 4.5.4, II-R
(s) a process for which parents/guardians receive
information regarding the youth’s stay in the
Section 4, 4.5.4, II-S
facility that at a minimum includes answers to
frequently asked questions and provides contact
information for the facility, medical, school and ☒ ☐ ☐
Policy states parents will be provided an
mental health; and,
orientation form which gives information
required by this regulation.
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(t) a process by which youth may request access to
Title 15 Minimum Standards for Juvenile Facilities.
☒ ☐ ☐ Section 4, 4.5.4, II-T
1354 SEPARATION
Section 4, 4.5.18 Policy
The facility administrator shall develop and implement
written policies and procedures that address:
The agency has created a “Time Out
Tracker” form to document the youth’s
choice to not participate in activities or self-
separate. For discipline separation, the
dayroom, outdoor rec space and classroom
☒ ☐ ☐ allow for the separation of youth from the
group for reflection time.
We reviewed the Time Out Tracker forms
and noted staff described the youth’s reason
for separation. We suggested the youth
should sign the form, accepting
responsibility for the reason for separation.
(a) separation of youth for reasons that include, but are
not be limited to, medical and mental health
☒ ☐ ☐ Section 4, 4.5.18
conditions, assaultive behavior, disciplinary
consequences and protective custody.
(b) consideration of positive youth development and
trauma-informed care.
☒ ☐ ☐ Section 4, 4.5.18 Procedure I-B
(c) separated youth shall not be denied normal
privileges available at the facility, except when ☒ ☐ ☐
Section 4, 4.5.18 Procedure I-A
necessary to accomplish the objective of separation.
(d) when the objective of the separation is discipline,
Title 15 Section 1390 shall apply.
☒ ☐ ☐ Section 4, 4.5.18 Procedure I-C
(e) when separation results in room confinement, the
separation shall occur in accordance with Welfare
☒ ☐ ☐ Section 4, 4.5.18 Procedure I-D
and Institutions Code Section 208.3 and
Section1354.5 of these regulations.
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(f) policies and procedures shall ensure a daily review
of separated youth to determine if separation
Section 4, 4.5.18 Procedure II-A through E
remains necessary.
Each type of separation has an identified
time and type of review. Our review of the
Time Out Tracker forms revealed youth were
☒ ☐ ☐
separated on average one hour before
returning to the group activity. At minimum,
the reviews occur daily but in most cases
every shift. Medical isolation due to Covid
included a daily evaluation by Wellpath
staff.
1354.5 ROOM CONFINEMENT
(a) The facility administrator shall develop and Section 4, 4.7.2 Policy
implement written policies and procedures
addressing the confinement of youth in their room
that are consistent with Welfare and Institutions There were no incidents involving critical
Code Section 208.3. The placement of a youth in behaviors which could have resulted in room
room confinement shall be accomplished in confinement in the unit. There were 3
accordance with the following guidelines: incidents this cycle, two with one youth, that
resulted in placement in the Safety Cell.
Each involved self-harm behavior and
included constant direct supervision. These
room confinement incidents were well
☒ ☐ ☐
documented and administratively reviewed
by the Supervisor on duty, who also
completed an analysis of the incident.
The agency’s use of Separation is promoted
by staff strategies in de-escalation and verbal
commands, which illicit cooperation by the
youth. The facility plant allows for staff to
utilize separation in the unit rather than room
confinement (RC).
(1) Room confinement shall not be used before
other, less restrictive, options have been
Section 4, 4.7.2, I-A, 1
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, ☒ ☐ ☐
Section 4, 4.7.2, I-A, 2
convenience, or retaliation by staff.
(3) Room confinement shall not be used to the
extent that it compromises the mental and ☒ ☐ ☐
Section 4, 4.7.2, I-A, 3
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
☒ ☐ ☐ Section 4, 4.7.2, I-B
confinement for a period of four hours, staff shall
do one or more of the following:
(1) Return the youth to general population.
☒ ☐ ☐ Section 4, 4.7.2, I-B, 1
(2) Consult with mental health or medical staff.
☒ ☐ ☐ Section 4, 4.7.2, I-B, 2
(3) Develop an individualized plan that includes
the goals and objectives to be met in order to ☒ ☐ ☐
Section 4, 4.7.2, I-B, 3
reintegrate the youth to general population.
(4) If room confinement must be extended beyond
four hours, staff shall do each of the following:
☒ ☐ ☐ Section 4, 4.7.2, I-C
(A) Document the reasons for room
confinement and the basis for the
Section 4, 4.7.2, I-C, 1
extension, the date and time the youth was
☒ ☐ ☐
first placed in room confinement, and when
he or she is eventually released from room
confinement.
(B) Develop an individualized plan that
includes the goals and objectives to be met
☒ ☐ ☐ Section 4, 4.7.2, I-C, 2
in order to integrate the youth to general
population.
(C) Obtain documented authorization by the
facility superintendent or his or her ☒ ☐ ☐
Section 4, 4.7.2, I-C, 4
designee every four hours thereafter.
(5) This section is not intended to limit the use of
single-person rooms or cells for the housing of
☒ ☐ ☐ Section 4, 4.7.2, I-D, 1 and 2
youth in juvenile facilities and does not apply
to normal sleeping hours.
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(6) This section does not apply to youth or wards
in court holding facilities or adult facilities.
☒ ☐ ☐ Section 4, 4.7.2, I-D, 3
(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
Section 4, 4.7.2, I-D, 4
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
Section 4, 4.7.2, I-D, 5 and 6
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.
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1355 INSTITUTIONAL ASSESSMENT AND
PLAN
Section 3, 3.3.1 Case Plans
The facility administrator shall develop and implement
written policies and procedures for assessment and case
planning. The facility uses the YLS Case Plan, initiated
by the field Probation Officer, and
supplemented by information from facility
staff and agency partners. Staff use a
Behavior Summary chrono system to
document the youths progress as it relates to
goals and objectives.
Youth supervision staff meet with the youth
within one week of admission, complete an
☒ ☐ ☐ initial behavior summary and use the Carey
Guide to initiate and document progress
towards identified needs and goals. These
guides prompt staff and youth to address
areas including problem solving; pro-social
peers; decision making; thinking traps;
overcoming thinking traps; and overcoming
automatic responses.
Our review of the agency case plan reviews
and updates reveal an individualized and
intensive system of addressing youth needs
and a process for integrating services into the
community upon release.
(a) Assessment:
The assessment is based on information collected
Section 4, 4.5.6 Procedure II
during the admission process with periodic review,
which includes the youth's risk factors, needs and
strengths including, but not limited to, ☒ ☐ ☐
identification of substance abuse history,
educational, vocational, counseling, behavioral
health, consideration of known history of trauma,
and family strengths and needs.
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(b) Institutional Case Plan:
(1) A case plan shall be developed for each youth
Section 4, 4.5.6, Procedure II
held for at least 30 days or more and created
within 40 days of admission.
☒ ☐ ☐
Behavior summaries are forwarded to the
youth’s DPO every 15 days and include
goals and progress to meeting them.
(2) The institutional plan shall include, but not be
☒ ☐ ☐
limited to, written documentation that provides:
(A) objectives and time frame for the resolution
of problems identified in the assessment;
☒ ☐ ☐ Section 4, 4.5.6, Procedure IV
(B) a plan for meeting the objectives that
includes a description of program resources
☒ ☐ ☐ Section 4, 4.5.6, Procedure IV
needed and individuals responsible for
assuring that the plan is implemented;
(3) periodic evaluation of progress towards meeting
the objectives, including periodic review and
Section 4, 4.5.6, Procedure II
discussion of the plan with the youth;
☒ ☐ ☐ The behavior summaries are forwarded to
the youth’s DPO every 15 days and include
daily progress and information obtained at
the weekly MDT meetings.
(4) a transition plan, the contents of which shall be
subject to existing resources, shall be developed
☒ ☐ ☐ Section 4, 4.5.6, Procedure VIII
for post dispositional youth in accordance with
Section 1351; and,
(5) in as much as possible and if appropriate, the
plan, including the transition plan, shall be
Section 4, 4.5.6, Procedure V
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
Section 4, 4.5.6 Policy
The facility administrator shall develop and implement
written policies and procedures ensuring the availability
of appropriate counseling and casework services for all Staff meet formally with each youth weekly
youth. Policies and procedures shall ensure: to identify and update the behavior
summaries.
☒ ☐ ☐
We reviewed numerous informative behavior
summaries/case Chrono’s, which are updated
weekly, sometimes daily. The Chrono’s are
also forwarded to the DPO so transition
planning and services can be continued.
(a) youth will receive assistance with needs or concerns
that may arise;
☒ ☐ ☐ Section 4, 4.5.6, III Daily
(b) youth will receive assistance in requesting contact
with parents, other supportive adults, attorney, ☒ ☐ ☐
Section 4, 4.5.6, V
clergy, probation officer, or other public official;
and,
(c) youth will be provided access to available resources
to meet the youth’s needs.
☒ ☐ ☐ Section 4, 4.5.6, VI
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1357 USE OF FORCE
The facility administrator, in cooperation with the Section 4, 4.5.8 Use of Force Policy
responsible physician, shall develop and implement
written policies and procedures for the use of force,
which may include chemical agents. Force shall never The facility does not use chemical agents.
be applied as punishment, discipline, retaliation or
We reviewed the four incidents involving
treatment.
use of force (UF) from July 2020 to
(a) At a minimum, each facility shall develop policies December 2021. Each were compliant with
and procedures which: ☒ ☐ ☐ policy and regulation.
The trained practice is to use verbal de-
escalation techniques followed by command
presence or physical control holds. It is rare
for the incident to advance to physical or
mechanical force.
(1) restricts the use of force to that which is deemed
reasonable and necessary, as defined in Section
☒ ☐ ☐ Section 4, 4.5.8 Policy
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 Section 4, 4.5.8 Training, 1-6
☒ ☐ ☐
options and define when those force options are Physical and Non-Physical Force Options
appropriate.
(3) describe force options or techniques that are
expressly prohibited by the facility.
Section 4, 4.5.8 Training, Prohibited
☒ ☐ ☐
Techniques
(4) describe the requirements of staff to report any
inappropriate use of force, and to take ☒ ☐ ☐
Section 4, 4.5.8 Procedure II
affirmative action to immediately stop it.
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(5) define a standardized reporting format that
includes time period and procedure for
Section 4, 4.5.8 Procedure VI-A through F
documenting and reporting the use of force,
including reporting requirements of Section 4, 4.5.8 Procedure VI-A Report
management and line staff and procedures for
Section 4, 4.5.8 Procedure VI-F
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 The above policies address documentation,
of training as well as mitigating the effects of review by supervisor, and debrief of youth
trauma that may have been experienced by staff and staff.
and /or the youth involved.
(6) Include an administrative review and a system
for investigating unreasonable use of force.
Section 4, 4.5.8 Procedure VI-G
☒ ☐ ☐
This section addresses the Administrator
Review for all UF incidents.
(7) define the role, notification, and follow-up
procedures required after use of force incidents
☒ ☐ ☐ Section 4, 4.5.8 Procedure VI-B (Medical),
for medical, mental health staff and parents or
C (Parent), D (Mental Health).
legal guardians.
(8) describe the limitations of use of force on
pregnant youth in accordance with Penal Code
☒ ☐ ☐ Section 4, 4.5.8, VII
Section 6030(f) and Welfare and Institutions
Code Section 222.
(b) Facilities that authorize chemical agents as a force
option shall include policies and procedures that:
☐ ☐ ☒ The facility does not use chemical agents.
(1) identify who is approved to carry and/or utilize
chemical agents in the facility and the type, size ☐ ☐ ☒
and the approved method of deployment for
those chemical agents.
(2) mandate that chemical agents only be used when
there is an imminent threat to the youth’s safety
☐ ☐ ☒
or the safety of others and only when de-
escalation efforts have been unsuccessful or are
not reasonably possible.
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(3) outline the facility’s approved methods and
timelines for decontamination from chemical
agents. This shall include that youth who have
☐ ☐ ☒
been exposed to chemical agents shall not be left
unattended until that youth is fully
decontaminated or is no longer suffering the
effects of the chemical agent.
(4) define the role, notification, and follow-up
procedures required after use of force incidents
☐ ☐ ☒
involving chemical agents for medical, mental
health staff and parents or legal guardians.
(5) provide for the documentation of each incident
of use of chemical agents, including the reasons
for which it was used, efforts to de-escalate
prior to use, 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
Section 4, 4.5.8A Training
regular training in use of force and chemical agents
when appropriate that address:
☒ ☐ ☐
This includes Core Training and annual
updates for use of force for all staff.
(1) known medical and behavioral health
conditions that would contraindicate certain
Section 4, 4.5.8A Procedure IV
types of force;
The referenced policy and curriculum for
☒ ☐ ☐ defensive tactics and verbal de-escalation
techniques includes knowing of any pre-
existing medical and/or behavioral health
conditions which would limit or restrict
certain UF techniques.
(2) acceptable chemical agents and the methods of ☐ ☐ ☒
application.
(3) signs or symptoms that should result in
☒ ☐ ☐
immediate referral to medical or behavioral
Section 4, 4.5.8A Procedure VI-B and D
health.
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(4) instruction on the Constitutional Limitations of
Use of Force.
We reviewed the curriculum for staff annual
☒ ☐ ☐ training in defensive tactics and verbal de-
escalation techniques.
(5) physical training force options that may require
the use of perishable skills.
The facility trains staff annually on force
options. We reviewed the curriculum for
☒ ☐ ☐
staff annual training in defensive tactics and
verbal de-escalation techniques.
(6) timelines the facility uses to define regular
training.
The facility participates in a minimum 8-
☒ ☐ ☐
hour course annually.
1358 USE OF PHYSICAL RESTRAINTS
The facility administrator, in cooperation with the Section 4, 4.5.8, B Policy
responsible physician and mental health director, shall
develop and implement written policies and procedures
for the use of restraint devices. Restraint devices There have been three uses of restraint, one
include any devices which immobilize a youth's of which involved the WRAP, since July
extremities and/or prevent the youth from being 2020. We reviewed the incident reports and
☒ ☐ ☐
ambulatory. supervisor review of each incident, 2
involving the same youth. The longest
restraint was less than one hour and 15
minutes. All elements addressed the
appropriate response to regulation and
policy.
Physical restraints may be used only for those youth
who present an immediate danger to themselves or
Section 4, 4.5.8, B Procedure I
others, who exhibit behavior which results in the
destruction of property, or reveals the intent to cause
☒ ☐ ☐
self-inflicted physical harm. Physical restraints should
be utilized only when it appears less restrictive
alternatives would be ineffective in controlling the
youth’s behavior.
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In no case shall restraints be used as punishment or
discipline, or as a substitute for treatment. The use of
Section 4, 4.5.8, B Procedure II
restraint devices that attach a youth to a wall, floor or
other fixture, including a restraint chair, or through
affixing of hands and feet together behind the back ☒ ☐ ☐
(hogtying) is prohibited. The use of restraints on
pregnant youth is limited in accordance with Penal Code
Section 6030(f) and Welfare and Institutions Code
Section 222.
The provisions of this section do not apply to the use of
handcuffs, shackles or other restraint devices when used
Section 4, 4.5.8, B Procedure VIII
to restrain youth for movement or transportation within
☒ ☐ ☐
the facility. Movement within the facility shall be
governed by Section 1358.5, Use of Restraint Devices
for Movement Within the Facility.
Youth shall be placed in restraints only with the approval
of the facility manager or designee. The facility manager
Section 4, 4.5.8, B Procedure V-A
may delegate authority to place a youth in restraints to a
Mechanical Restraints
physician. Reasons for continued retention in restraints
shall be reviewed and documented at a minimum of Section 4, 4.5.8 B Procedure V-B Soft
every hour. Restraints (WRAP)
☒ ☐ ☐
The facility maintains direct visual
observation of the youth and continued
retention is obtained every 30 minutes. A
youth cannot be in restraints, per policy,
beyond 30 minutes after application. If
removed, re-application must include DT
techniques.
A medical opinion on the safety of placement and
retention shall be secured as soon as possible, but no later
Section 4, 4.5.8, B Procedure V-A, 3
than two hours from the time of placement. The youth ☒ ☐ ☐
shall be medically cleared for continued retention at least
every three hours thereafter.
A mental health consultation shall be secured as soon as
possible, but in no case longer than four hours from the
Section 4, 4.5.8, B Procedure V-A, 4
time of placement, to assess the need for mental health
treatment.
☒ ☐ ☐
The facility specifies notification and initial
response within 2 hours and every 3 hours
thereafter.
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Continuous direct visual supervision shall be conducted
to ensure that the restraints are properly employed, and
Section 4, 4.5.8, B Procedure V-A, 2 and
to ensure the safety and well-being of the youth.
☒ ☐ ☐ V-B, 2
Observations of the youth's behavior and any staff
interventions shall be documented at least every 15
minutes, with actual time of the documentation recorded.
In addition to the requirements above, policies and
procedures shall address:
(a) documentation of the circumstances leading to an
application of restraints.
☒ ☐ ☐ Section 4, 4.5.8, B Procedure VII-A
(b) known medical conditions that would
contraindicate certain restraint devices and/or ☒ ☐ ☐
Section 4, 4.5.8, B Procedure IV and VII
techniques.
(c) acceptable restraint devices.
Section 4, 4.5.8, B Procedure V-A
Mechanical Restraints
☒ ☐ ☐
Section 4, 4.5.8, B Procedure V-B Soft
Restraints (WRAP).
(d) signs or symptoms which should result in
immediate medical/mental health referral.
☒ ☐ ☐ Section 4, 4.5.8, B Procedure VII-A, B, C, D
(e) availability of cardiopulmonary resuscitation
equipment.
There are 4 AED’s in the building as well as
☒ ☐ ☐
CPR equipment in each unit and at Medical.
(f) protective housing of restrained youth. While in
restraint devices, all youth shall be housed alone or
Section 4, 4.5.8, B Procedure V-B, 5-g
in a specified housing area for restrained youth ☒ ☐ ☐
which makes provision to protect the youth from
abuse.
(g) provision for hydration and sanitation needs.
☒ ☐ ☐ Section 4, 4.5.8, A Procedure V-A, 6
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(h) exercising of extremities.
☒ ☐ ☐ Section 4, 4.5.8, A Procedure V-A, 6
1358.5 USE OF RESTRAINT DEVICES FOR
MOVEMENT AND TRANSPORTATION WITHIN
Section 4, 4.5.8, B Procedure VIII
THE FACILITY.
The Facility Administrator, in cooperation with the ☒ ☐ ☐ The agency applied restraints as determined
responsible physician and behavioral/mental health by incident reports on 7 occasions since July
director, shall develop and implement written policies 2020. Two included the use of the WRAP.
and procedures for the use of restraint devices when the The other four incidents involved transport
purpose is for movement or transportation within the or movement to the youth’s room and lasted
facility that shall include the following: less than 4 minutes.
(a) identification of acceptable restraint devices, staff
approved to utilize restraint devices and the
Section 4, 4.5.8, B Training and Procedure
required training. ☒ ☐ ☐
VIII-A
(b) the circumstances leading to the application of
restraints must be documented.
☒ ☐ ☐ Section 4, 4.5.8, B Procedure VIII-C
(c) an individual assessment of the need to apply
restraints for movement or transportation that
Section 4, 4.5.8, B Procedure VIII-B
includes consideration of less restrictive
alternatives, consideration of a youth’s known ☒ ☐ ☐
medical or mental health conditions, trauma
informed approaches, and a process for
documentation and supervisor review and approval.
(d) consideration of safety and security of the facility,
with a clearly defined expectation that restraint
☒ ☐ ☐ Section 4, 4.5.8, B Procedure VIII-C and D
devices shall not be used for the purposes of
discipline or retaliation.
(e) the use of restraints on pregnant youth is limited in
accordance with Penal Code Section6030(f) and ☒ ☐ ☐
Section 4, 4.5.-8, B Procedure VIII-E
Welfare and Institutions Code Section 222.
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1359 SAFETY ROOM PROCEDURES
(a) The facility administrator, and where applicable, in Section 4, 4.5.10 Policy
cooperation with the responsible physician, shall
develop and implement written policies and
procedures governing the use of safety rooms, as The facility has a detailed policy regarding
described in Title 24, Part 2, Section 1230.1.13. The the use of the safety room. It has been used
room shall be used to hold only those youth who ☒ ☐ ☐ on two occasions this cycle, both for the
present an immediate danger to themselves or same youth. Each incident involved self-
others, who exhibit behavior which results in the harm behavior. Staff use the observation
destruction of property, or reveals the intent to room in intake for youth needing a special
cause self-inflicted physical harm. A safety room watch or more closely monitored when the
shall not be used for punishment or discipline, or as safety room is not required.
a substitute for treatment. Policies and procedures
shall:
(1) include provisions for administration of
necessary nutrition and fluids, access to a toilet, ☒ ☐ ☐
Section 4, 4.5.10, VIII
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 ☒ ☐ ☐ Section 4, 4.5.10, II Supervisor
room;
(3) provide for continuous direct visual supervision
and documentation of the youth's behavior and
☒ ☐ ☐ Section 4, 4.5.10, VII Special Watch
any staff interventions every 15 minutes, with
actual time recorded;
(4) provide that the youth shall be evaluated by the
facility manager, or designee, every four hours;
☒ ☐ ☐ Section 4, 4.5.10, IX-A
(5) provide for immediate medical assessment,
where appropriate, or an assessment at the next ☒ ☐ ☐
Section 4, 4.5.10, VI Within one hour.
daily sick call; and,
(6) provide a process for documenting the reason for
placement, including attempts to use less
☒ ☐ ☐ Section 4, 4.5.10, 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
Section 4, 4.5.10, III-A
exhausted, unless attempting those options poses ☒ ☐ ☐
a threat to the safety or security of any youth or
staff.
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(2) safety room shall not be used for the purposes of
punishment, coercion, convenience, or ☒ ☐ ☐
Section 4, 4.5.10, III-B
retaliation by staff.
(3) safety room shall not be used to the extent that it
compromises the mental and physical health of ☒ ☐ ☐
Section 4, 4.5.10, III-C
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
☒ ☐ ☐ Section 4, 4.5.10, IX-A
room for a period of four hours, staff shall do one
or more of the following:
(1) return the youth to general population.
☒ ☐ ☐ Section 4, 4.5.10, IX-A, 1
(2) consult with mental health or medical staff,
☒ ☐ ☐ Section 4, 4.5.10, IX-A, 2
(3) develop an individualized plan that includes the
goals and objectives to be met in order to
☒ ☐ ☐
Section 4, 4.5.10, IX-A, 3
reintegrate the youth to general population.
(d) If confinement in the safety room must be extended
beyond four hours, staff shall develop an
Section 4, 4.5.10, IX-B
individualized plan that includes the requirements
☒ ☐ ☐
of Section 1354.5 and the goals and objectives to be
met in order to integrate the youth to general
population.
1360 SEARCHES
The facility administrator shall develop and implement Section 4, 4.5.11 Youth Searches
☒ ☐ ☐
written policies and procedures governing the search of
Section 4, 4.5.12 Facility and Visitor
youth, the facility, and visitors. Policies and procedures
Searches
shall provide that:
(a) Searches shall be conducted to ensure the safety and
security of the facility, public, visitors, youth, and
Section 4, 4.5.11 Background, Youth
staff.
☒ ☐ ☐
Section 4, 4.5.12 Policy, Facility and Visitor
(b) Searches shall be conducted in a manner that
preserves the privacy and dignity of the person
Section 4, 4.5.11 Background
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
Section 4, 4.5.11 Legal Authority
4030.
The agency process for conducting a strip
search is compliant with regulation and best
☒ ☐ ☐
practice. We reviewed the one incident of a
strip search in 2020, involving a youth
ultimately placed in the safety room for
trying to cut herself with a piece of wire and
plastic.
(d) Physical body cavity searches shall only be
conducted by a medical professional.
☒ ☐ ☐ Section 4, 4.5.11, VIII
(e) Any youth held after a detention hearing shall only
be strip searched with prior approval of a supervisor
Section 4, 4.5.11, IV
when there is reasonable suspicion based on
☒ ☐ ☐
specific and articulable facts to believe that youth is
concealing contraband. The reasonable suspicion
shall be documented.
(f) Searches of transgender and intersex youth shall
comply with Section 1352.5.
☒ ☐ ☐ Section 4, 4.5.19 Transgender Policy
(g) Cross-gender pat-down searches and strip searches
are prohibited except in exigent circumstances or
Section 4, 4.5.11, II-B
when conducted by a medical professional. Such ☒ ☐ ☐
searches must be justified and documented in
writing.
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1361 GRIEVANCE PROCEDURE
The facility administrator shall develop and implement Section 4, 4.5.13 Policy and II-A No time
written policies and procedures whereby any youth may limit.
appeal and have resolved grievances relating to any
condition of confinement, including but not limited to
health care services, classification decisions, program There were 28 grievances filed from July
participation, telephone, mail or visiting procedures, 2020 through February 2022. Of those, 22
food, clothing, bedding, mistreatment, harassment or were filed by 3 youth. We read 17
☒ ☐ ☐
violations of the nondiscrimination policy. There shall grievances and found most were received
be no time limit on filing grievances. Policies and and resolved within the same day.
procedures shall include provisions whereby the facility
manager ensures:
The process is responsive to youth concerns,
noted on the form and in interviews with
youth while on-site.
(a) a grievance form and instructions for registering a
grievance, which includes provisions for the youth ☒ ☐ ☐
Section 4, 4.5.13, I
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 ☒ ☐ ☐
Section 4, 4.5.13, II
supervision staff working in the facility;
(c) resolution of the grievance at the lowest appropriate
staff level;
☒ ☐ ☐ Section 4, 4.5.13, III
(d) provision for a prompt review and initial response
to grievances within three (3) business days,
☒ ☐ ☐ Section 4, 4.5.13, III and II-C Health and
grievances that relate to health and safety issues
Safety issues
must be addressed immediately;
(1) The youth may elect to be present to explain
his/her version of the grievance to a person not
☒ ☐ ☐ Section 4, 4.5.13, IV
directly involved in the circumstances which
led to the grievance.
(2) Provision for a staff representative approved by
the facility administrator to assist the youth.
☒ ☐ ☐ Section 4, 4.5.13, II-B
(e) provision for a written response to the grievance
which includes the reasons for the decisions;
☒ ☐ ☐ Section 4, 4.5.13, V
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(f) a system which provides that any appeal of a
grievance shall be heard by a person not directly
☒ ☐ ☐ Section 4, 4.5.13, III
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
☒ ☐ ☐ Section 4, 4.5.13, III
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 ☒ ☐ ☐
Section 4, 4.5.13, VII
harassment.
Whether or not associated with a grievance, concerns of
parents, guardians, staff or other parties shall be
Section 1, 1.1.3
addressed and documented in accordance with written
policies and procedures within a specified timeframe.
☒ ☐ ☐
The referenced policy outlines the citizen
complaint process in Napa County Probation
Administration Manual.
1362 REPORTING OF INCIDENTS
A written report of all incidents which result in physical Section 4, 4.5.14 Policy and I
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 We reviewed numerous incident reports
staff and submitted to the facility manager by the end of during the documentation process for due
the shift, unless additional time is necessary and ☒ ☐ ☐ process, use of force and restraints,
authorized by the facility manager or designee. separation and room confinement. The
conducts internal reviews of reports, noting
staff documentation meets the timeliness and
articulation of the incident required in
regulation and policy.
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1363 USE OF REASONABLE FORCE TO
COLLECT DNA SPECIMENS, SAMPLES,
Section 4, 4.5.9
IMPRESSIONS
(a) Pursuant to Penal Code Section 298.1 authorized
law enforcement, custodial, or corrections The Napa County Juvenile Hall does not use
personnel including peace officers, may employ ☐ ☐ ☒ force to collect DNA, rather, they return a
reasonable force to collect blood specimens, saliva non-compliant youth to Court for failing to
samples, and thumb or palm print impressions from submit voluntarily.
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 Section 4, 4.6.8 Education
The County Board of Education shall provide for the Section 4, 4.6.8, I Annual Review.
administration and operation of juvenile court schools in
conjunction with the Chief Probation Officer, or designee
pursuant to applicable State laws. The school and facility The Napa County Office of Education
administrators shall develop and implement written (NCOE) operates the Crossroads School
policy and procedures to ensure communication and within the facility. Youth receive 265
coordination between educators and probation staff. minutes of education daily with a reduced
Culturally responsive and trauma-informed approaches schedule once per week to allow for teacher
should be applied when providing instruction. Education in-service and a movie one time a week.
staff should collaborate with the facility administrator to
use technology to facilitate learning and ensure safe
technology practices. The facility administrator shall
We spoke with the teacher, Anne Marie
request an annual review of each required element of the
Carter, who has worked with the NCOE for
program by the Superintendent of Schools, and a report
30 years and in the facility with different
or review checklist on compliance, deficiencies, and
responsibilities for many years. She is quick
corrective action needed to achieve compliance with this
to recognize potential of the students in the
section. Such a review, when conducted, cannot be
classroom and makes attempts to establish
delegated to the principal or any other staff of any
post-secondary services and credit recovery.
juvenile court school site. The Superintendent of Schools
☒ ☐ ☐
shall conduct this review in conjunction with a qualified
outside agency or individual. Upon receipt of the review,
Youth in detention are afforded Common
the facility administrator or designee shall review each
Core classroom instruction is provided as
item with the Superintendent of Schools and shall take
well as Renaissance Assessments and
whatever corrective action is necessary to address each
Nimbus Art, an art program two times per
deficiency and to fully protect the educational interests
week. Youth are able to enroll in Napa
of all youth in the facility.
Community College if at the facility for
sufficient time. Graduates are able to stay in
the classroom and have opportunities for
resume preparation and studying for driver’s
license testing.
New Horizons has been unoccupied since
Covid, however, when the agency brings
back the program it is hoped they will return
to allowing youth to attend the Camille
Creek’s Chamberlain Program (all Probation
youth), for continuing adult and vocational
education.
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(b) Required Elements
The facility school program shall comply with the State Section 4, 4.6.8, II-A
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
Section 4, 4.6.8, II-B
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 ☒ ☐ ☐
Section 4, 4.6.8, II-C
to, courses required for high school graduation.
(2) Information and preparation for the High School
Equivalency Test as approved by the California
☒ ☐ ☐ Section 4, 4.6.8, II-D
Department of Education shall be made
available to eligible youth.
(3) Youth shall be informed of post-secondary
education and vocational opportunities.
☒ ☐ ☐ Section 4, 4.6.8, II-E
(4) Administration of the High School Equivalency
Tests as approved by the California Department
☒ ☐ ☐ Section 4, 4.6.8, II-F
of Education, shall be made available when
possible.
(5) Supplemental instruction shall be afforded to
youth who do not demonstrate sufficient ☒ ☐ ☐
Section 4, 4.6.8, II-G
progress towards grade level standards.
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(6) The minimum school day shall be consistent with
State Education Code Requirements for juvenile
Section 4, 4.6.8, II-H
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
Section 4, 4.6.8, II-J
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 Section 4, 4.6.8, III-A
implemented to reduce the need for disciplinary ☒ ☐ ☐
action in the school setting and be integrated into
the facility's overall behavioral management
plan and security system.
(2) School staff shall be advised of administrative
decisions made by probation staff that may ☒ ☐ ☐
Section 4, 4.6.8, III-B
affect the educational programming of students.
(3) Except as otherwise provided by the State
Education Code, expulsion/suspension from
Section 4, 4.6.8, III-C
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
Section 4, 4.6.8, III-D
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
Section 4, 4.6.8, IV-A
(1) State and federal laws and regulations shall be
observed for all individuals with disabilities or
suspected disabilities. This includes but is not ☒ ☐ ☐
limited to child find, assessment, continuum of
alternative placements, manifestation
determination reviews, and implementation of
Section 504 Plans and Individualized Education
Programs.
(2) Youth identified as English Learners (EL) shall
be afforded an educational program that
☒ ☐ ☐ Section 4, 4.6.8, IV-B
addresses their language needs pursuant to all
applicable state and federal laws and regulations
governing programs for EL students.
(e) Educational Screening and Admission
☒ ☐ ☐ Section 4, 4.6.8, V-A
(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;
☒ ☐ ☐ Section 4, 4.6.8, V-A, 1
(B) Home Language Survey and the results of
the State Test used for English language ☒ ☐ ☐
Section 4, 4.6.8, V-A, 2
proficiency;
(C) Needs and services of special populations as
defined by the State Education Code, ☒ ☐ ☐
Section 4, 4.6.8, V-A, 3
including but not limited to, students with
special needs.
(D) Discipline problems.
☒ ☐ ☐ Section 4, 4.6.8, V-A, 4
(2) Youth will be immediately enrolled in school.
Educational staff shall conduct an assessment to
☒ ☐ ☐ Section 4, 4.6.8, V-B
determine the youth's general academic
functioning levels to enable placement in core
curriculum courses.
(3) After admission to the facility, a preliminary
education plan shall be developed for each youth ☒ ☐ ☐
Section 4, 4.6.8, V-C
within five school days.
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(4) Upon enrollment, education staff shall comply
with the State Education Code and request the
Section 4, 4.6.8, V-D
youth's records from his/her prior school(s),
including, but not limited to, transcripts,
Individual Education Program (IEP), 504 Plan,
☒ ☐ ☐
state language assessment scores, immunization
records, exit grades, and partial credits. Upon
receipt of the transcripts, the youth's educational
plan shall be reviewed with the youth and
modified as needed. Youth should be informed
of the credits they need to graduate.
(f) Educational Reporting
Section 4, 4.6.8, VI-A
(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
☒ ☐ ☐ Section 4, 4.6.8, VI-B
course work completed while in juvenile court
school in accordance with the State Education
Code.
(g) Transition and Re-Entry Planning
Section 4, 4.6.8, VII-A
(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
Section 4, 4.6.8, VIII-A
(1) The school and facility administrator should,
whenever possible, collaborate with local post-
☒ ☐ ☐
secondary education providers to facilitate
access to educational and vocational The agency uses Napa Community College
opportunities for youth that considers the use of and Camille Creek for adult and vocational
technology to implement these programs.
services.
1371 PROGRAMS, RECREATION, AND
EXERCISE.
Section 4, 4.6.2 Policy
The facility administrator shall develop and implement ☒ ☐ ☐
written policies and procedures for programs,
recreation, and exercise for all youth. The intent is to
minimize the amount of time youth are in their rooms
or their bed area.
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Juvenile facilities shall provide the opportunity for
programs, recreation, and exercise a minimum of three
Section 4, 4.6.2 Policy
hours a day during the week and five hours a day each
☒ ☐ ☐
Saturday, Sunday or other non-school days, of which Section 4, 4.6.2, I Outside Activities,
one hour shall be an outdoor activity, weather Programs and Recreation
permitting.
A youth’s participation in programs, recreation, and
exercise may be suspended only upon a written finding
Section 4, 4.6.2, IV
by the administrator/manager or designee that a youth ☒ ☐ ☐
represents a threat to the safety and security of the
facility.
Such program, recreation, and exercise schedule shall
be posted in the living units.
☒ ☐ ☐ Section 4, 4.6.2, II
There will be a written annual review of the programs,
recreation, and exercise by the responsible agency to
Section 4, 4.6.2, III
ensure content offered is current, consistent, and
relevant to the population.
☒ ☐ ☐
A memo outlining all current programs was
completed on March 10, 2022, by
Superintendent Kent Boltz.
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(a) Programs. All youth shall be provided with the
opportunity for at least one hour of daily
Section 4, 4.6.2, VII-A
programming to include, but not be limited to,
trauma focused, cognitive, evidence-based, best
practice interventions that are culturally relevant and
Programs are facilitated by staff and
linguistically appropriate, or pro-social interventions
volunteers, including: Aggression
and activities designed to reduce recidivism. These
Replacement Training; Thinking 4 Change;
programs should be based on the youth’s individual
NCTI Curriculum; CBT; Carey Guides;
needs as required by Sections 1355 and 1356. Such
ALDEA – Drug and Alcohol Curriculum;
programs may be provided under the direction of the
Studio 212 – Music Appreciation; Life Skills
Chief Probation Officer or the County Office of
– Budget and Finance; Barber Program;
Education and can be administered by county
Budget and Independent Living Skills: and,
partners such as mental health agencies, community
Gang Awareness. Agency staff provide
based organizations, faith-based organizations or
information in the form of current events and
Probation staff.
documentaries, as well as CPR and First Aid
Programs may include but are not limited to: Training. Church services are provided by
Faith Based Groups from the community.
The facility has a large library youth can use
to seek educational or social learning.
☒ ☐ ☐
The Office of Education provides Nimbus
Arts and Yoga, both on hold for the short
term. Also, they complete California Career
Zone and IExcel, assessments to assist in
determining the youths desire for continuing
education and job preparedness as they reach
adulthood.
Wellpath provides education on sexually
transmitted and reproduction, as well as
hygiene and wellness related to diet.
In 2022, the agency has plans to re-initiate
the culinary program started with New
Horizons youth; bring in Core Correctional
Practices with UCCI; train 6 staff in
Decision Points curriculum; and start a
fitness program.
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(1) Cognitive Behavior Interventions;
(2) Management of Stress and Trauma; Section 4, 4.6.2, VII-A List of Programs
(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
Section 4, 4.6.2, VI
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 ☒ ☐ ☐
Section 4, 4.6.2 Policy
activity each day.
The administrator/manager may suspend, for a period not
to exceed 24 hours, access to recreation and programs.
☒ ☐ ☐ Section 4, 4.6.2, IV and VIII
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 Section 4, 4.6.3 Policy
religious services and/or religious counseling at least
once each week. Attendance shall be voluntary. A youth
☒ ☐ ☐
shall be allowed to participate in an activity outside of
their room if he/she elects not to participate in religious
programs.
Religious programs shall provide for:
(a) opportunity for religious services and practices;
☒ ☐ ☐ Section 4, 4.6.3, I
(b) availability of clergy; and,
☒ ☐ ☐ Section 4, 4.6.3, II
(c) availability of religious diets.
☒ ☐ ☐ Section 4, 4.6.3, III
1373 WORK PROGRAM
The facility administrator shall develop policies and Section 4, 4.6.4 Policy
procedures regarding the fair and consistent assignment
of youth to work programs. Work assigned to a youth ☒ ☐ ☐
shall be meaningful, constructive and related to
vocational training or increasing a youth's sense of
responsibility. Work programs shall not be imposed as a
disciplinary measure
1374 VISITING
The facility administrator shall develop and implement Section 4, 4.6.5 Policy
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
☒ ☐ ☐
in loco parentis, and children of youth. Other family
members, such as grandparents and siblings, and
supportive adults, may be allowed to visit with the
approval of the facility administrator or designee, and in
conjunction with the youth’s case plan or in the best
interest of the youth.
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All visits shall occur at reasonable times, subject only to
the limitations necessary to maintain order and security.
Section 4, 4.6.5 Policy
Visitation shall not be denied solely based on the visitor’s
criminal history. The staff shall determine in each case, Section 4, 4.6.5 I-B Criminal History
whether the visitor’s criminal history represents a risk to ☒ ☐ ☐
Section 4, 4.6.5 I-C, Denials
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
☒ ☐ ☐ Section 4, 4.6.5 Policy
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,
Section 4, 4.6.5, II-A Special Visits
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 ☒ ☐ ☐
Section 4, 4.6.5, III-E
visiting.
1375 CORRESPONDENCE
The facility administrator shall develop and implement ☒ ☐ ☐ Section 4, 4.6.7 Policy
written policies and procedures for correspondence
which provide that:
(a) there is no limitation on the volume of mail that youth
may send or receive;
☒ ☐ ☐ Section 4, 4.6.7 Policy
(b) youth may send two letters per week postage free;
Section 4, 4.6.7, I-F
☒ ☐ ☐
Youth may send an unlimited number of
letters each week.
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(c) youth may correspond confidentially with state and
federal courts, any member of the State Bar or holder
Section 4, 4.6.7, I-A
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
☒ ☐ ☐ Section 4, 4.6.7, I-B
reasonable cause to believe facility safety and
security, public safety, or youth safety is jeopardized.
1376 TELEPHONE ACCESS
Section 4, 4.6.6
The administrator of each juvenile facility shall develop ☒ ☐ ☐
and implement written policies and procedures to
provide youth with access to telephone communications.
1377 ACCESS TO LEGAL SERVICES
Section 4, 4.6.6
☒ ☐ ☐
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;
Section 4, 4.6.6, IV Telephone Call
☒ ☐ ☐
Section 4, 4.6.7, I-O
(b) provision for confidential consultation with
attorneys; and,
Section 4, 4.6.6, IV Telephone Call
☒ ☐ ☐
Section 4, 4.6.7, I-O
(c) unlimited postage free, legal correspondence and
cost-free telephone access as appropriate.
☒ ☐ ☐ Section 4, 4.6.7, I-A
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1390 DISCIPLINE
The facility administrator shall develop and implement Section 4, 4.7.1 Policy and Section 4, 4.7.1, I
written policies and procedures for the discipline of
youth that shall promote acceptable behavior; including
the use of positive behavior interventions and supports. ☒ ☐ ☐
Discipline shall be imposed at the least restrictive level
which promotes the desired behavior and shall not
include corporal punishment, group punishment,
physical or psychological degradation. Deprivation of
the following is not permitted:
(a) bed and bedding;
☐ ☐ ☐ Section 4, 4.7.1, I-A
(b) daily shower, access to drinking fountain, toilet and
personal hygiene items, and clean clothing;
☐ ☐ ☐ Section 4, 4.7.1, I-B
(c) full nutrition;
☒ ☐ ☐ Section 4, 4.7.1, I-C
(d) contact with parent or attorney;
☒ ☐ ☐ Section 4, 4.7.1, I-D
(e) exercise;
☒ ☐ ☐ Section 4, 4.7.1, I-E
(f) medical services and counseling;
☒ ☐ ☐ Section 4, 4.7.1, I-F
(g) religious services;
☒ ☐ ☐ Section 4, 4.7.1, I-G
(h) clean and sanitary living conditions;
☒ ☐ ☐ Section 4, 4.7.1, I-H
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(i) the right to send and receive mail;
☒ ☐ ☐ Section 4, 4.7.1, I-I
(j) education; and,
☒ ☐ ☐ Section 4, 4.7.1, I-J
(k) rehabilitative programming.
☒ ☐ ☐ Section 4, 4.7.1, I-K
The facility administrator shall establish rules of conduct
and disciplinary penalties to guide the conduct of youth.
Section 4, 4.7.1, II
Such rules and penalties shall include both major
violations and minor violations, be stated simply and
☒ ☐ ☐
affirmatively, and be made available to all youth.
Provision shall be made to provide accessible
information to youth with disabilities, limited English
proficiency, or limited literacy.
1391 DISCIPLINE PROCESS
The facility administrator shall develop and implement ☒ ☐ ☐ Section 4, 4.7.1, III Policy and VII
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;
☒ ☐ ☐ Section 4, 4.7.1, III through V
(b) prohibiting discipline to be delegated to any youth;
☒ ☐ ☐ Section 4, 4.7.1, III-A
(c) definition of major and minor rule violations and
their consequences, and due process requirements;
☒ ☐ ☐ Section 4, 4.7.1, II
(d) trauma-informed approaches and positive behavior
interventions;
☒ ☐ ☐ Section 4, 4.7.1, IV Policy
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(e) minor rule violations may be handled informally by
counseling, advising the youth of expected conduct
Section 4, 4.7.1, IV through Behavior
imposing a minor consequence. Discipline shall be
☒ ☐ ☐
accompanied by written documentation and a Management System
policy of review and appeal to a supervisor; and,
Section 4, 4.7.1, V through Incident Report.
(f) major rule violations and the discipline process
shall be documented and require the following:
Section 4, 4.7.1, V Incident Report
We reviewed 12 incidents of Due Process,
11 of which were resolved at the lowest level
with no request for hearing. Of the one that
went through the process, the same sanction
applied.
☒ ☐ ☐
The agency has a sanction grid which allows
for remedies via verbal discussion and youth
reflection. The point-based system is
documented in the unit and known to youth
based on behavior exhibited. The process is
fair and understood by youth.
(1) written notice of violation prior to a hearing;
☒ ☐ ☐ Section 4, 4.7.1, VII-A, 1
(2) accommodations provided to youth with
disabilities, limited literacy, and English ☒ ☐ ☐
Section 4, 4.7.1, VII-A, 2
language learners;
(3) hearing by a person who is not a party to the
incident;
☒ ☐ ☐ Section 4, 4.7.1, VII-A, 3
(4) opportunity for the youth to be heard, present
evidence and testimony;
☒ ☐ ☐ Section 4, 4.7.1, VII-A, 4
(5) provision for youth to be assisted by staff in the
hearing process;
☒ ☐ ☐ Section 4, 4.7.1, VII-A, 5
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(6) provision for administrative review.
☒ ☐ ☐ Section 4, 4.7.1, VII-A, 6
(g) violations that result in a removal from camp or
commitment program, but not a return to court, will
☒ ☐ ☐
follow the due process provisions in subsection (e)
above.
1410 MANAGEMENT OF COMMUNICABLE
DISEASES.
Napa County JH: Protocol and Procedure to
Mitigate the Spread of COVID-19
The health administrator/responsible physician, in
cooperation with the facility administrator and the local
health officer, shall develop written policies and This document outlines operational
procedures to address the identification, treatment, procedures for staff to follow when a youth
control and follow-up management of communicable is detained.
diseases. The policies and procedures shall address, but
not be limited to: Wellpath Napa County Juvenile Hall Policy
☒ ☐ ☐
and Procedures (WNCJH) Reference
71428: Infection Prevention and Control
Program
This policy outlines the comprehensive
institutional program that includes
surveillance, prevention and control of
communicable diseases.
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(a) Intake health screening procedures;
Napa County JH: Protocol and Procedure to
Mitigate the Spread of COVID-19: General
Procedure I-A: Intake Screening
Napa County JH: Protocol and Procedure to
Mitigate the Spread of COVID-19: Section
V - Booking Procedures
WNCJH Reference 71428 Policy 6.1.2
☒ ☐ ☐
This policy includes screening youth at
admission, during health assessment and/or
at sick call.
Wellpath Form: Receiving Screening Form
Wellpath Form: Coronavirus Supplemental
Screening Form
(b) Identification of relevant symptoms;
Napa County JH: Protocol and Procedure to
Mitigate the Spread of COVID-19: General
Procedure I-A, 1: Intake Screening -
Symptomology
☒ ☐ ☐
Wellpath Form: Receiving Screening Form
Wellpath Form: Coronavirus Supplemental
Screening Form
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(c) Referral for medical evaluation;
Napa County JH: Protocol and Procedure to
Mitigate the Spread of COVID-19: Section
V - Booking Procedures
This includes referral for Medical
☒ ☐ ☐ Evaluation.
WNCJH Reference 71428 Policy 6.1.2
Includes Health Assessment
Wellpath Monitoring for Quarantined
Patient Treatment Form
(d) Treatment responsibilities during detention;
Napa County JH: Protocol and Procedure to
Mitigate the Spread of COVID-19: Section
IV - COVID Classification Tiers for Youth
This operational protocol outlines the
treatment responsibilities of medical staff,
☒ ☐ ☐
facility staff and youth.
WNCJH Reference 71428 Policy 6.2.2
Treatment
Wellpath Monitoring for Quarantined
Patient Treatment Form
(e) Coordination with public and private community-
based resources for follow-up treatment;
WNCJH Reference 71428 Policy 6.5
☒ ☐ ☐
Discharge
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(f) Applicable reporting requirements; and,
WNCJH Reference 71428 Policy 6.4
Reporting
☒ ☐ ☐
This includes reporting any communicable
disease to the Napa County Public Health
Department according to federal, state and
local laws and regulations.
(g) Strategies for handling disease outbreaks.
Napa County Juvenile Hall COVID-19
Outbreak Plan
WNCJH Reference 71428 Policy 6.2
Control - Outbreak Plan
☒ ☐ ☐
This policy is in coordination with the
Centers for Disease Control (CDC), the
National Institute of Occupational Safety
and Health (NIOSH), and the Occupational
Health and Safety Administration (OSHA).
The policies and procedures shall be updated as
necessary to reflect communicable disease priorities
The agency has a conservative approach to
identified by the local health officer and currently
Medical Isolation and Quarantine in that
recommended public health interventions.
youth only come out of their room from
☒ ☐ ☐ medical isolation status for required T15
time and hygiene until day 10 or 14 after
booking. The agency is required to follow
medical and public health guidelines.
1433 REQUESTS FOR HEALTH CARE
SERVICES (EXCERPT)
Section 4, 4.5.4 Procedure II-G
The health administrator, in cooperation with the
facility administrator, shall develop policy and ☒ ☐ ☐
This section is what appears in the Youth
procedures to establish a daily routine for youth to
Orientation Handbook, ensuring youth know
convey requests for emergency and non-emergency
they have access to all medical and behavior
medical, dental and behavioral/mental health care
health services.
services.
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1480 STANDARD FACILTY CLOTHING ISSUE
Section 10 Clothing
The youth’s personal clothing, undergarments and
footwear may be substituted for the institutional
☒ ☐ ☐
clothing and footwear specified in this regulation. The
facility has the primary responsibility to provide
clothing and footwear. Clothing provisions shall ensure
that:
(a) Clothing is clean, reasonably fitted, durable, easily
laundered, in good repair, and free of holes and ☒ ☐ ☐
Section 10, 4.10.1 Procedure I-A
tears.
(b) The standard issue of climatically suitable clothing
☒ ☐ ☐
for youth shall consist of but not be limited to:
(1) Socks and serviceable footwear;
☒ ☐ ☐ Section 10, 4.10.1 Procedure I-B
(2) Outer garments;
Section 10, 4.10.1 Policy
☒ ☐ ☐
Section 10, 4.10.1 Procedure I-B
(3) New non-disposable underwear which shall
remain with the youth throughout their stay, ☒ ☐ ☐
Section 10, 4.10.1 Procedure I-B
and;
(4) Undergarments, that are freshly laundered and
free of stains, including tee shirts and bras.
☒ ☐ ☐ Section 10, 4.10.1 Procedure I-B
(c) Clothing is laundered at the temperature required by
local ordinances for the commercial laundries and
Section 10, 4.10.1 Procedure I-H, 4
dried completely in a mechanical dryer or other ☒ ☐ ☐
laundry method approved by the local health
officer.
(d) Suitable clothing is issued to pregnant youth.
Section 10, 4.10.1 Procedure I-B
☒ ☐ ☐
Section 10, 4.10.1 Procedure I-B, 3
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1482 CLOTHING EXCHANGE
Section 10, 4.10.1 Procedure II
The facility administrator shall develop and implement
written policies and site-specific procedures for the Clothing, Bedding and Linen Exchange and
cleaning and scheduled exchange of clothing. Unless Cleaning
☒ ☐ ☐
work, climatic conditions, or illness necessitates more
frequent exchange, outer garments, except for footwear,
shall be exchanged at least once each week. Tee shirts,
The facility assigns youth their own laundry
bras, and underwear shall be exchanged daily; youth
bag to ensure they receive their own clothing
shall receive their own underwear back at exchange.
back after being laundered.
1484 CONTROL OF VERMIN IN YOUTH’S
PERSONAL CLOTHING
Section 10, 4.10.1 Procedure I-A
There shall be written policies and site-specific
procedures developed and implemented by the facility
☒ ☐ ☐
administrator to control the contamination and/or
spread of vermin and ecto-parasites in all youth’s
personal clothing. Infested clothing shall be cleaned or
stored in a closed container so as to eradicate or stop the
spread of the vermin.
1485 ISSUE OF PERSONAL CARE ITEMS
Section 10, 4.10.2, I-A, 1 and 2
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;
☒ ☐ ☐ Section 10, 4.10.2, I-A, 1
(b) Toothpaste;
☒ ☐ ☐ Section 10, 4.10.2, I-A, 1
(c) Soap;
☒ ☐ ☐ Section 10, 4.10.2, I-A, 1
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(d) Comb;
☒ ☐ ☐ Section 10, 4.10.2, I-A, 1
(e) Shaving implements;
☒ ☐ ☐ Section 10, 4.10.2, I-A, 1
(f) Deodorant;
☒ ☐ ☐ Section 10, 4.10.2, I-A, 1
(g) Lotion;
☒ ☐ ☐ Section 10, 4.10.2, I-A, 1
(h) Shampoo; and,
☒ ☐ ☐ Section 10, 4.10.2, I-A, 1
(i) Post-shower conditioning hair products.
☒ ☐ ☐ Section 10, 4.10.2, I-A, 1
Youth shall not be required to share any personal care
items listed in items (a) through (d). Liquid soap
Section 10, 4.10.2, I-B
provided through a common dispenser is permitted.
Youth shall not share disposable razors. Double edged Section 10, 4.10.2, IV-D
safety razors, electric razors, and other shaving
instruments capable of breaking the skin, when shared ☒ ☐ ☐ Section 10, 4.10.2, IV-F
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, The disposable razors are placed in a
Chapter 9, Title 16, California Code of Regulations. Contaminated Hazardous Waste Container
after use.
1486 PERSONAL HYGIENE
Section 10, 4.10.2, II Showers
There shall be written policies and site-specific
procedures developed and implemented by the facility Section 10, 4.10.2, III Dental Care
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
Section 10, 4.10.2, IV 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)
Section 10, 4.10.2, V Hair Care
Hair care services shall be available in all juvenile
facilities. Youth shall receive hair care services ☒ ☐ ☐
monthly. Equipment shall be cleaned and disinfected
after each haircut or procedure, by a method approved
by the State Board of Barbering and Cosmetology.
1500 STANDARD BEDDING AND LINEN ISSUE
Section 10, 4.10.1 Procedure II
Clean laundered, suitable bedding and linens, in good
☒ ☐ ☐
repair, shall be provided for each youth entering a living
area who is expected to remain overnight, shall include,
but not be limited to:
(a) One mattress or mattress-pillow combination which
meets the requirements of Section 1502 of these
☒ ☐ ☐ Section 10, 4.10.1 Procedure I-B, 4
regulations;
(b) One pillow and a pillow case unless provided for in
(a) above;
☒ ☐ ☐ Section 10, 4.10.1 Procedure I-B, 4
(c) One mattress cover and a sheet or two sheets;
☒ ☐ ☐ Section 10, 4.10.1 Procedure I-B
(d) One towel; and,
☒ ☐ ☐ Section 10, 4.10.1 Procedure I-B
(e) One blanket or more, up on request
☒ ☐ ☐ Section 10, 4.10.1 Procedure I-B
7357 7360 Napa JH NH PRO 20-22 - 73 - J453 JUV PRO-Eff. 01-01-2019
TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS
1501 BEDDING LINEN EXCHANGE
Section 10, 4.10.1 Procedure II
The facility administrator shall develop and implement
site specific written policies and procedures for the
scheduled exchange of laundered bedding and linen ☒ ☐ ☐
issued to each youth housed. Washable items such as
sheets, mattress covers, pillow cases and towels shall be
exchanged for clean replacement at least once each
week.
The covering blanket shall be cleaned or laundered once
a month.
☒ ☐ ☐ Section 10, 4.10.1 Procedure II (2)
1510 FACILITY SANITATION, SAFETY AND
MAINTENANCE
Section 3, 4.3.5 Facility Sanitation, Safety
and Maintenance
The facility administrator shall develop and implement
written policies and site-specific procedures for the
maintenance of an acceptable level of cleanliness, repair
and safety throughout the facility. The plan shall
provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐
equipment, including restraint devices, and physical
plant maintenance and inspections to identify and
correct unsanitary or unsafe conditions or work
practices in a timely manner. The use of chemicals shall
be done in accordance to the product label and Safety
Data Sheet which may include the use of Personal
Protection Equipment (PPE).
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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
☐ ☒ ☐
Status Offenders (WIC 601) are held in the facility.
Status Offenders (WIC 601) are kept separate from
☐ ☐ ☒
Juvenile Delinquents (WIC 602)? (WIC 207[d]).
Violation
Federal Minors (ICE Holds or ORR Contract) are held
☐ ☒ ☐
in the facility.
If yes to the above, the Monthly Report on the
Detention of Status Offenders/Federal Minors is ☐ ☐ ☒
submitted to the BSCC.
WIC 208 SEPARATION OF MINORS AND
ADULT INMATES (JJDPA 42 USC
5633, Sec 223, State Plans (a)[12])
Are adult inmates held in the facility? (When a person ☐ ☒ ☐
in detention is proceeding through the adult court,
AND that person is 18 years of age or older that
person is an adult inmate.)
If adult inmates are held, they are appropriately
☐ ☐ ☒
separated from minors. Violation
Adult inmates from an adult facility (e.g. inmate
workers or “Scared Straight” programs) are not allowed
☐ ☐ ☒
in the facility in a manner that allows contact with 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: 7357/7360
FACILITY NAME: Napa County Juvenile Hall and New Horizons Academy FACILITY TYPE: JH/Camp
4/98: 2001: 2003: 2009: 2014: 2018:
APPLICABLE REGULATIONS (Check All That Apply):
X
FIELD REPRESENTATIVE: Elizabeth Gong DATE: March 21, 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;
The weapons locker is located in the facility sally
X
port.
2. A secure room for the confinement of youth pending
admission to juvenile hall as specified in Section 1230.1.2;
In each juvenile hall, camp and ranch, space used for the X
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; X There are five holding rooms in the intake area.
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
6. Have an outward swinging or lateral sliding door. X
7357 7360 Napa JH NH PHY 20-22 - 1 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
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.
There are two living units with a rated capacity of
A living unit shall be a self-contained unit containing locked 30 youth at the facility, one for JH and one for
sleeping rooms, single and double occupancy sleeping X NH. Due to Covid, the NH unit was used as a
rooms, or dormitories, dayroom space, toilet, wash basins, quarantine unit and committed youth have been in
drinking fountains and showers commensurate to the Prosect.
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.
Locked sleeping rooms shall be equipped with an individual X
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
7357 7360 Napa JH NH PHY 20-22 - 2 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
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
There is 2052 square feet of living space in each
Dayrooms shall contain 35 square feet of floor area per X unit.
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
X
fountains and showers as specified in Section 1230.2.
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.
There is 2376 square feet of space in each unit
X
There shall be a dedicated classroom space for every classroom.
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
X
area and a minimum of 28 square feet of floor space per
minor.
A communication system shall be provided in each
X
classroom to allow for immediate response to emergencies.
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TITLE 24 SECTION YES NO N/A COMMENTS
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.
The facility has one safety cell.
A safety room shall: X
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 eat all meals in the dayroom space.
Dining areas in juvenile facilities shall contain a minimum X
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.
Space shall be provided in all juvenile facilities for in-person X
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.
There are two closets in the intake area of the
In all juvenile facilities, at least one securely lockable facility.
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.
Emergency equipment is tested monthly.
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.
7357 7360 Napa JH NH PHY 20-22 - 5 - J456 PHY 98 01 03 09 14 18 dot
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.
The old intake area has been converted to a Court
A court holding room shall: X Holding area.
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,
A staff is assigned to supervise youth in Court
X
Holding.,
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
7357 7360 Napa JH NH PHY 20-22 - 6 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
3. Locked holding rooms 1:8: X
One toilet and one urinal may be substituted for every 15
X
males.
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.
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TITLE 24 SECTION YES NO N/A COMMENTS
All padded rooms must be equipped with a tamper resistant
X
fire sprinkler as approved by the State Fire Marshal.
All padding must be:
X
1. Approved for use by the State Fire Marshal;
2. Nonporous to facilitate cleaning; X
3. At least 112 inch thick; X
4. Of a unitary or laminated construction to prevent its
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 & Community Corrections Inspection
BSCC Code: 7357/7360
FACILITY: Napa County Juvenile Hall and New Horizons Academy TYPE: JH/Camp RC: 60 (50 JH/10 NH)
FIELD REPRESENTATIVE: Elizabeth Gong DATE: March 22, 2022
ROOMS EACH ROOM
Unit Room Applica # Each Room Total Size (L x W x H) or FIXTURES* COMMENTS
Designation Type ble Rooms # RC RC Square/Cubic Feet T U W F S
Standar Beds
ds
9’10” X 7’5”
A Holding 2001 1 (4) 1 1 1 1 There is one 7’5” bench.
75 sq. ft.
10’ X 9’ X
B Holding 2001 1 (6) 1 1 1 There is one 9’ bench and a handicapped combo unit.
90 sq. ft.
10’” X 8’4”
C Holding 2001 1 (6) 1 1 1 There is one 8’10” bench.
88 sq. ft.
Observation 10’ X 7”” There is one 7’ bench.
D 2001 1 (5) 1 1 1
Room 70 sq. ft.
There is one 8’5” bench. The handicapped combo
9’6” X 8’5” unit was replaced to provide greater clearance
E Holding 2001 1 (5) 1 1 1
80 sq. ft. between the bench and toilet. This is used as an
intake holding room.
9’3” X 7’2”
Intake Safety 2001 1 (1)
68 sq. ft.
Note: Each holding room has a bench that can be used as a bunk with a capacity of one youth. There is one shower on the unit. The ceiling height is 8’.
POD A – Prospect Unit, Lower Level Detention Unit
1-6 Single 2001 6 1 1 6 11’ X 6’10” 1 1 1 3
7 Double 2001 1 2 2 2 11’ X 10’ 1 1 1
8 Double 2001 1 2 2 2 11’ X 11’ 1 1 1
9 Double 2001 1 2 2 2 13’ X 11’6’ 1 1 1
10 Single 2001 1 1 1 1 13’ X 8’ 1 1 1 This room is ADA compliant/handicapped accessible.
11 Double 2001 1 2 2 2 13’ X 10’.5” 1 1 1
*T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total BRC" appears in brackets ( ), it is not part of the facility's rated capacity.
7357 7360 Napa JH NH LASE 20-22 - 1 - J460 LAS JUV.dot (03/01)
ROOMS EACH ROOM
Unit Room Applica # Each Room Total Size (L x W x H) or FIXTURES* COMMENTS
Designation Type ble Rooms # RC RC Square/Cubic Feet T U W F S
Standar Beds
ds
POD A – Prospect Unit, Upper Tier
12-17 Single 2001 6 1 1 6 11’ X 6’10” 1 1 1 2
18-19 Double 2001 2 2 2 4 11’ X 10’ 1 1 1
20 Double 2001 1 2 2 2 11’ X 11’5” 1 1 1
21 Single 2001 1 1 1 1 11’ X 8’ 1 1 1
22 Double 2001 1 2 2 2 11’ X 10’ 2” 1 1 1
Notes: There are five showers in the unit, one of which is handicapped accessible. Ceiling height on lower level is 10’9” and 9’11” on upper tier. Prospect Unit dayroom space is
1925 square feet. There is a 1000 square foot classroom adjacent to the dayroom space. There is a 2475 square foot outdoor recreation space off of the unit. Prospect and Merit
Units share a covered recreation space measuring 1210 square feet. There is an interview room on the unit.
POD B – Merit Unit, Lower Level Quarantine Unit
1 Dorm 2001 1 4 4 4 21’7” X 11’4” 1 1 1 3 There is a modesty partition in this space.
2-4 Single 2001 3 1 1 3 11’ X 6’10” 1 1 1
5 Double 2001 1 2 2 2 11’ X 10’2” 1 1 1
6 Double 2001 1 2 2 2 11’ X 10’8” 1 1 1
7 Single 2001 1 1 1 1 11’ X 9’ 1 1 1 This room is ADA compliant/handicap accessible.
8 Single 2001 1 1 1 1 11’ X 7’ 1 1 1
9 Double 2001 1 2 2 2 11’ X 10’8” 1 1 1
POD B – Merit Unit, Upper Tier
10 Dorm 2001 1 4 4 4 11’ X 21’7” 1 1 1 2 There is a modesty partition in this space.
11-13 Single 2001 3 1 1 3 11’ X 6’10” 1 1 1
14 Double 2001 1 2 2 2 11’ X 10’ 1 1 1
15 Double 2001 1 2 2 2 11’ X 10’6” 1 1 1
16 Single 2001 1 1 1 1 11’ X 10’6” 1 1 1
17 Single 2001 1 1 1 1 11’ X 8’ 1 1 1
*T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total BRC" appears in brackets ( ), it is not part of the facility's rated capacity.
7357 7360 Napa JH NH LASE 20-22 - 2 - J460 LAS JUV.dot (03/01)
ROOMS EACH ROOM
Unit Room Applica # Each Room Total Size (L x W x H) or FIXTURES* COMMENTS
Designation Type ble Rooms # RC RC Square/Cubic Feet T U W F S
Standar Beds
ds
18 Double 2001 1 2 2 2 11’ X 11’6” 1 1 1
Notes: Merit was designed for the New Horizons Academy and overflow of detention youth. There are five showers in the unit, one of which is handicapped accessible. Ceiling
height on lower level is 10’9” and 9’11” on upper tier. Merit dayroom space is 1925 square feet with a 1000 square foot classroom adjacent to the dayroom. There is a 2475 square
foot outdoor recreation space off of the unit. Prospect and Merit Units share covered recreation space measuring 1210 square feet. There is an interview room on the unit.
*T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total BRC" appears in brackets ( ), it is not part of the facility's rated capacity.
7357 7360 Napa JH NH LASE 20-22 - 3 - J460 LAS JUV.dot (03/01)