Riverside County (2018-2020 inspection cycle)

September 21, 2020 Riverside County Probation Department Ron Miller, Chief Probation Officer 3960 Orange Street, Suite 600 Riverside, CA. 92501 RE: 2018 - 2020 BIENNIAL INSPECTION OF RIVERSIDE PROBATION DEPARTMENT, WELFARE AND INSTITUTIONS CODE SECTION 209 AND 885; JUVENILE JUSTICE AND DELINQUENCY PREVENTION ACT Dear Chief Miller: Pursuant to the California Welfare and Institutions Code Section 209 and 885, the BSCC shall conduct a biennial inspection of each juvenile facility used for confinement of minors for more than 24 hours. These inspections are performed to determine compliance with the Minimum Standards for Local Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. An onsite, pre inspection briefing was held May 7, 2019 for all facility administrators, supervisors and staff responsible for the inspection process. The inspection was held on January 13-15, 2020 at the Alan M. Crogan YTEC Facility, January 22-24, 2020 at the Southwest Juvenile Hall Facility and on January 27-30 at the Indio Facility. Statewide, regional trainings were held in preparation of new regulatory expectations. These trainings were held in December 2018 to introduce and educate staff on the expectations of the new regulations and to provide technical assistance and direction. The complete BSCC inspection report is enclosed and consists of this transmittal letter, the Title 15 Procedures Checklists for each facility outlining applicable minimum standards; a Physical Plant Evaluation for each facility outlining Title 24 requirements for design; and a Living Area Space Evaluation for each facility summarizing the physical plant configuration and showing the capacity of the facility. Please refer to the Title 15 procedures checklist for indication of facility compliance status and evidence used to determine compliance. 7420+ Riverside JH 18-20 Chief Ron Miller Riverside County Probation Page 2 Local Inspections In addition to the biennial inspection by the BSCC, Title 15, Section 1313 and statute also require an annual local inspection from the following: county building inspector or person designated by the Board of Supervisors, annual local health officer, annual county Superintendent of Schools; Juvenile Court (required for Juvenile Halls, best practice for camps) and the Juvenile Justice Commission. A biennial inspection is required from the fire authority having jurisdiction. Please refer to the Title 15 procedures checklist for dates and specific notes regarding these inspections and consider our report in conjunction with all other reports received for a comprehensive perspective of your facility. There are no outstanding areas of noncompliance in your local inspection reports. Inspection Scope and Results Title 15, CCR Minimum Standards Prior to the on-site inspections, we began with a review of the Riverside County Probation Department Policy and Procedure Manual. Our evaluation consists of reviewing only those policies, procedures specifically related to the Juvenile Hall and the Treatment Facility and applicable regulations included in Title 15, CCR1. We noted there were policies that were missing information or inconsistent with the new requirements of the regulations. These areas were corrected, and all are now current and consistent with regulation requirements. At each onsite inspection, we reviewed facility incident reports and other documents including suicide watch, room confinement, use of force, use of force with the use of OC (JH’s), use of restraints and restraints for movement within the facility. Grievances, programming sheets, admission, release and classification documents, case plans, unit and staff schedules and staffing documentation, due process and safety checks were also requested and provided for our review to ensure compliance with Title 15 regulations. These documents were reviewed to ensure that facility operations and policy and practice are consistent with regulatory expectations. We completed onsite tours of all facilities, interviews with facility partners, limited staff and residents and had planned to return to complete additional staff and resident interviews. We had also planned to return for a formal debrief; however, due to the coronavirus pandemic and the issuance of statewide and local shelter‐in‐place orders, BSCC staff were prohibited from traveling and therefore, unable to do so. We were extremely impressed with the collaborative relationships that were noted between facility administration, facility staff, partner agency staff and the services provided to the residents by Riverside University Health System: Correctional Health Care Services, Riverside County Office of Education, and the Riverside University Health System: Behavioral Health Care Team. 1 BSCC does not review all policies and procedures. We do not “approve” 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. 7420+ Riverside JH 18-20 Chief Ron Miller Riverside County Probation Page 3 We noted outstanding educational resources for all youth, but of particular interest was the resources for post-secondary youth through the developed partnerships with local colleges and vocational schools. There is dedicated educational staff who work with eligible youth on applications and FAFSA documentation. We noted that unit staff also step in and assist as able with youth who have the interest and encourage and work with youth to get their documentation together. We saw the availability of workforce readiness programs for all youth regardless of age or status. Youth have access to credit recovery programs and are graduating out of the facilities; participating in full graduation ceremonies with their families in attendance while in custody. We were particularly impressed with the Daily Huddle process that has enhanced communication for all disciplines and occurs as a result of this process. We found through our conversations with staff that the line level probation staff feel more supported in their efforts to manage a youth in crisis and feel that they have more information and the tools to do so. We were impressed that each facility had a dedicated board in their administration area in plain staff view, focused on key performance indicators. This Visual Engagement Board is a tool for staff to encourage performance improvement, to provide recognition and reward, to ensure daily management, and offer a suggestion system for staff. This process provides an objective, visual tool for all staff to see how they collectively are doing at meeting their operational goals. At the time of inspection, we specifically noted the facilities were tracking safety checks and we noted that safety checks had greatly improved from previous inspection cycles. We noted the facility is using the board to also track and monitor other performance indicators directly related to Title 15 regulations. We provided several technical assistance and best-practice recommendations to your management team to support their efforts in bringing operational procedures into compliance. There were several areas of policy and procedures that required various levels of improvement and corrective action. These areas were addressed and corrected prior to the end of cycle. Compliance was again evaluated and confirmed through a subsequent review of additional documentation requested from the facility and we found most areas to have been corrected. The attached Procedures Checklists provides a detailed overview of the inspection findings. Upon final review of all documentation and upon the conclusion of this report, the following areas are non-compliant and require corrective action for all facilities. 1. 1354.5(a)1: Room Confinement 2. 1354.5(a)2: Room Confinement 3. 1358.5(c): Use of Restraint Devices for Movement and Transportation Within the Facility Please refer to the Procedures Checklists for detailed information. 7420+ Riverside JH 18-20 Chief Ron Miller Riverside County Probation Page 4 Corrective Action Required Please provide a Corrective Action Plan (CAP) within 60 days, informing us how you intend to correct the areas of non-compliance. The CAP shall outline how the agency plans to correct the issues of non-compliance and give a reasonable timeframe for resolution. Title 24, CCR Physical Plant There were no changes made to the physical plant since the last BSCC biennial inspection and the rated capacity for each facility are as follows: Southwest Juvenile Hall: 99 Indio Juvenile Hall: 150 Alan M. Crogan Youth Education Facility: 106 We found no areas of noncompliance related to Title 24. Please refer to the Physical Plant Checklist for detailed information. Training The most recent Standards and Training for Corrections audit reports that the Riverside County Probation Department is in full compliance 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. This concludes the 2018-2020 biennial inspection cycle report of the Riverside County Juvenile Rehabilitation Facilities We would like to express our gratitude to Division Directors Larry Mease, Joe Doty and Elisa Porras, Assistant Directors Daniel Castaneda, Mike Brinkman and Supervisors Veronica Soto, Melissa Lascano, the Juvenile Hall Detention facility supervisors and staff and the facility partners who made the inspection process seamless and represented the facility and their respective agencies in an exemplary manner. We appreciate the time and energy spent preparing for, organizing and participating in the inspection, especially given the amount of documentation requested and the amount of work necessary updating policies, procedures and ensuring daily operations are consistent with regulation. We look forward to working together in the future. 7420+ Riverside JH 18-20 Chief Ron Miller Riverside County Probation Page 5 If you should have any questions, please contact me at (916) 322-1638 or email at lisa.southwell@bscc.ca.gov. Sincerely, Lisa Southwell Field Representative Facilities Standards and Operations Division Enclosures cc: Presiding Judge, Juvenile Court, Riverside County* Chair, Juvenile Justice Commission, Riverside County* Chair, Board of Supervisors, Riverside County* County Administrator, Riverside County* Larry Mease, Division Director - Riverside County Probation Joe Doty, Division Director - Riverside County Probation Elisa Porras, Division Director - Riverside County Probation * Complete copies of this inspection are available upon request and at www.bscc.ca.gov 7420+ Riverside JH 18-20 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7420 FACILITY NAME: Southwest Juvenile Hall FACILITY TYPE: Juvenile Hall PERSON(S) INTERVIEWED: Larry Mease, Division Director; Pete Dominguez; Assistant Director; Veronica Soto; Supervisor; Rebecca Cloyd; Supervisor; Resident, 16 year old male, Resident, 17 year old male; Resident, 17 year old female. FIELD REPRESENTATIVE: Lisa Southwell DATE: January 22-25, 2020 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 2019 the Board of Supervisors to approve building safety; The building inspection was completed by ☒ ☐ ☐ Craig Lobnow on January 8, 2019. There were no areas of concern. (B) Fire authority having jurisdiction, including a fire The fire inspection was completed by clearance as required by Health and Safety Code ☒ ☐ ☐ Riverside County Fire Department on Section 13146.1 (a) and (b); February 28, 2018. Fire Clearance was granted. (C) Local health officer, inspection in accordance with 2018 Health and Safety Code Section 101045; Medical Mental Health: April 19, 2018 Nutrition: April 19, 2018 Environmental Health: April 19, 2018 There were no corrections necessary. ☒ ☐ ☐ 2019 Medical Mental Health: April 18, 2019 Nutrition: April 18, 2019 with corrections needed. Reinspection occurred and all areas corrected. Environmental Health: April 18, 2019 with corrections needed. Reinspection occurred on January 16, 2020 and all areas corrected. 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. 7420 Riverside Southwest JH PRO 18-20 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) County superintendent of schools on the adequacy Education for the Southwest Juvenile Hall of educational services and facilities as required in is provided by Riverside County Office of Section 1370; Education. 2019 On February 7, 2019, the Facility education program was reviewed by Teresa Swickla, Principal of Comeback Kids Charter School found the school program to meet regulatory expectations. The school program was again reviewed on October 7, 2019 by Michael Curtis, Principal, Desert-Mountain Alternative Education San Bernardino County Superintendent of Schools who also found the school program to meet regulatory expectations. Principal Curtis stated “The school program located within the Southwest Juvenile Hall shows a strong collaboration with the Riverside County Probation Department, and all other supporting agencies. During the course of this evaluation, all juvenile court schools in the county were visited, as well as ☒ ☐ ☐ all classrooms within those facilities. It was clearly observed that all required elements of the students' academic needs were met. Upon entry to the school, student records are requested. Those records are then evaluated by teaching staff where a six-period schedule is developed for each student based upon their educational needs. The school collaborates regularly with Probation to provide positive behavior intervention and supports. Students are on a point system where they earn incentives for positive behavior. There has been a documented reduction in discipline issues since the implementation of this system. School and Probation staff also provide socio-emotional programs to students, and collaborate by sharing information pertaining to the students' behavior to ensure the best opportunity for the students to succeed in school. The school has an exceptionally strong transitional program to ensure that students are in the best possible placement upon release from the facility in order to give them a greatly increased chance for future success. 7420 Riverside Southwest JH PRO 18-20 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (E) Juvenile court as required by Section 209 of the 2018 Welfare and Institutions Code The facility was inspected by the Honorable Judge Michael Donner on December 18,2018. Judge Donner found the facility to be ☒ ☐ ☐ suitable to house youth. 2019 The facility was inspected by the Honorable Judge Judith Clark on December 13, 2019. Judge Clark found the facility to be suitable to house youth. (F) Juvenile Justice Commission as required by Section The Juvenile Justice Commission conducts 229 of the Welfare and Institutions Code or annual inspections of the facility. Probation Commission as required by Section 240 of 2018 the Welfare and Institutions Code. The facility was inspected on December 21, 2018 by Commissioners Walter, Robitzer and Curtis. 2019 The facility was inspected on June 12, 2019 ☒ ☐ ☐ by commissioners Hussein, June, Lyons, Robitzer and Walter. Each commissioner focused on different areas of the inspection and their comments in the report are specific to their area of the inspection. Overall, the commissioners were most concerned with the staffing shortages and that shifts are being covered with mandated overtime shifts. Commissioners noted they were otherwise impressed with the management and staff at SWJH and they were doing a great job. 1320 APPOINTMENT AND QUALIFICATIONS Policy 905: Appointment and Qualifications BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s Letter received from Interim Chief Ron Miller dated December 5, 2019 noting all certification letter confirming that all elements of regulatory requirements of section 1320. 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: 7420 Riverside Southwest JH PRO 18-20 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) recruit and hire employees who possess knowledge, Policy 905.4(a): Employee Qualifications skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Policy 905.4(b): Employee Qualifications examination including tuberculosis screening 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 Policy 905.4(c): Employee Qualifications and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Policy 905.4(d): Employee Qualifications employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- Policy 905.4: Employee Qualifications employees of the facility, who may be present at the facility, shall have such clearance and qualifications Policy 908: Initial Orientation for Non- Sworn Staff and Others as may be required by law, and their presence at the facility shall be subject to the approval and control of Per facility administrators, all contract the facility manager. personnel, volunteers and other non- ☒ ☐ ☐ employees participate in background checks as required by the Probation Department. Education staff are currently monitored by the County Office of Education however; the Probation Department is actively working on a solution with the County Office of Education to collaborate in this endeavor. Probation maintains control as to who has access into the facility. 1321 STAFFING Each juvenile facility shall: a) have an adequate number of personnel sufficient to Policy 906.4(a): Staffing Requirements carry out the overall facility operation and its We reviewed the Agency’s Organization programming, to provide for safety and security of Chart, Vacancy Report, Leave Management youth and staff, and meet established standards and Report, the Master Staff Schedule and Daily regulations; Schedules for the week of January 14, 2020 – January 19, 2020 were reviewed. ☒ ☐ ☐ Each unit was staffed appropriately for the number of youth housed. Random dates were selected throughout the cycle and also viewed to ensure adequate personnel were present on site. Minimum staffing ratios were consistently met or exceeded. 7420 Riverside Southwest JH PRO 18-20 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) ensure that no required services shall be denied Policy 906.4(b): Staffing Requirements because of insufficient numbers of staff on duty absent exigent circumstances; At inspection, technical assistance was provided and discussed that staffing was specific to more than just the ratios and that all areas of Title 15 must be met, and the facility must be staffed accordingly. While ☒ ☐ ☐ we did not find a consistent shortage of staff or noncompliance in this area, this was addressed to ensure that facility managers used their staff on site to the best potential. As RJH was pending closure and staff would be realigned, this would result in existing staff being transferred to the existing facilities which will increase staffing overall. c) have a sufficient number of supervisory level staff to Policy 906.4(c): Staffing Requirements ensure adequate supervision of all staff members; The facility has a supervisor or an assigned ☒ ☐ ☐ senior officer who acts with supervisory powers on each shift. d) have a clearly identified person on duty at all times Policy 906.4(e): Staffing Requirements who is responsible for operations and activities and The Duty Officer is responsible for the has completed the Juvenile Corrections Officer Core ☒ ☐ ☐ operations of the facility. Facility staff are Course and PC 832 training; responsible for the unit activities of the youth. e) have at least one staff member present on each living Policy 906.4(f): Staffing Requirements unit whenever there are youth in the living unit; There is always a staff present in the unit or ☒ ☐ ☐ where a youth is present. Youth are not left alone. f) have sufficient food service personnel relative to the Policy 906.4(g): Staffing Requirements number and security of living units, including staff The facility has a central dining room. All qualified and available to: plan menus meeting meals are consumed in the dining room. All nutritional requirements of youth; provide kitchen ☒ ☐ ☐ meals are planned and prepared by facility supervision; direct food preparation and servings; cooks. Cooks do not supervise youth. conduct related training programs for culinary staff; and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7420 Riverside Southwest JH PRO 18-20 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, Policy 906.4(c): Staffing Requirements medical, dental, mental health, building Medical staff are on site 24 hours a day, 7 maintenance, transportation, control room, facility days a week the clinic is staffed with an RN security and other support staff for the efficient and LVN on day shift and an RN on the management of the facility, and to ensure that youth night shift. The DR visits several times a supervision staff shall not be diverted from ☒ ☐ ☐ week and youth have access to the supervising youth; and, optometrist and dental as needed. Behavior Health staff are present in the facility daily between 8am and 8pm. A clinician is always available on call for any after hour emergency. h) assign sufficient youth supervision staff to provide Policy 906.4(e): Staffing Requirements continuous wide-awake supervision of youth, subject to temporary variations in staff assignments ☒ ☐ ☐ to meet special program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls (minimum youth-staff ratio) Policy 906.5(a): Youth-To-Staff Ratio by (A) during the hours that youth are awake, one wide- Facility (Juvenile Detention Facilities) ☒ ☐ ☐ awake youth supervision staff member on duty for Minimum staffing ratios are maintained. each 10 youth in detention; (B) during the hours that youth are confined to their Policy 906.5(b): Youth-To-Staff Ratio by room for the purpose of sleeping, one wide-awake Facility (Juvenile Detention Facilities) youth supervision staff member on duty for each ☒ ☐ ☐ 30 youth in detention; (C) at least two wide-awake youth supervision staff Policy 906.5(c): Youth-To-Staff Ratio by members on duty at all times, regardless of the Facility (Juvenile Detention Facilities) number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to Staff remain awake at all times. emergencies; and, (D) at least one youth supervision staff member on duty Policy 906.5(d): Youth-To-Staff Ratio by who is the same gender as youth housed in the Facility (Juvenile Detention Facilities) facility. ☒ ☐ ☐ There are always male and female staff on duty. (E) personnel with primary responsibility for other Policy 906.5(e): Youth-To-Staff Ratio by duties such as administration, supervision of Facility (Juvenile Detention Facilities) personnel, academic or trade instruction, clerical, ☒ ☐ ☐ kitchen or maintenance shall not be classified as youth supervision staff positions. Only probation institutions staff are assigned as supervision staff. 7420 Riverside Southwest JH PRO 18-20 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Special Purpose Juvenile Halls (minimum youth- The facility is not a special purpose JH. staff ratio) ☐ ☐ ☒ (A) during hours that youth are awake, one wide-awake youth supervision staff member is on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the ☐ ☐ ☒ number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of ☐ ☐ ☒ personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (minimum youth -staff ratio) The facility is not a camp. (A) during the hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the ☐ ☐ ☒ number of youth in residence, unless arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; 7420 Riverside Southwest JH PRO 18-20 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF Policy 907.4(a): Youth Supervision Staff ORIENTATION AND TRAINING Orientation and Training (a) Prior to assuming any responsibilities each youth Training forms were recently updated to ☒ ☐ ☐ supervision staff member shall be properly oriented include all regulatory requirements Each new to their duties, including: staff upon reporting to the facility is assigned to a training officer who assist the new officer in their orientation and training. (1) youth supervision duties; Policy 907.4(a)1: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (2) scope of decisions they shall make; Policy 907.4(a)2: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (3) the identity of their supervisor; Policy 907.4(a)3: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (4) the identity of persons who are responsible to Policy 907.4(a)4: Youth Supervision Staff them; Orientation and Training ☒ ☐ ☐ Day 1: Welcome (5) persons to contact for decisions that are beyond Policy 907.4(a)5: Youth Supervision Staff their responsibility; and Orientation and Training ☒ ☐ ☐ Day 1: Welcome (6) ethical responsibilities. Policy 907.4(a)6: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (b) Prior to assuming any responsibility for the Policy 907.4(b): Youth Supervision Staff supervision of youth, each youth supervision staff Orientation and Training ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility-specific orientation, including: (1) individual and group supervision techniques; Policy 907.4(b)2: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Embedded throughout the 40-hour training (2) regulations and policies relating to discipline and Policy 907.4(b3): Youth Supervision Staff rights of youth pursuant to law and the Orientation and Training ☒ ☐ ☐ provisions of this chapter; Day 5: Living Unit Techniques and Program 7420 Riverside Southwest JH PRO 18-20 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) basic health, sanitation and safety measures; Policy 907.4(b)4: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 3: Behavior Health Services, Day 4: Correctional Health Services and Living Unit Programs (4) suicide prevention and response to suicide Policy 907.4(b)5: Youth Supervision Staff attempts Orientation and Training ☒ ☐ ☐ Day 4: Suicide Prevention (5) policies regarding use of force, de-escalation Policy 907.4(b)6: Youth Supervision Staff techniques, chemical agents, mechanical and ☒ ☐ ☐ Orientation and Training physical restraints; (6) review of policies and procedures referencing Policy 907.4(b)7: Youth Supervision Staff trauma and trauma-informed approaches; ☒ ☐ ☐ Orientation and Training (7) procedures to follow in the event of Policy 907.4(b)8: Youth Supervision Staff emergencies; Orientation and Training ☒ ☐ ☐ Day 2: Emergency Procedures (8) routine security measures, including facility Policy 907.4(b)9: Youth Supervision Staff perimeter and grounds; Orientation and Training ☒ ☐ ☐ Day 1: Issue Equipment/Uniforms (9) crisis intervention and mental health referrals to Policy 907.4(b)10: Youth Supervision Staff mental health services; Orientation and Training ☒ ☐ ☐ Day 3: Behavior Health Services (10) documentation; and Policy 907.4(b)11: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 6: Online Computer Training (11) fire/life safety training Policy 907.4(b)12: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 2: Emergency Procedures (c) Prior to assuming sole supervision of youth, each Policy 907.4(b): Youth Supervision Staff youth supervision staff member shall successfully Orientation and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal All staff complete CORE Training prior to 1 Code Section 6035. year of service and prior to assuming sole supervision of youth. (d) Prior to exercising the powers of a peace officer Policy 907.4(b): Youth Supervision Staff youth supervision staff shall successfully complete Orientation and Training ☒ ☐ ☐ training pursuant to Section 830 et seq. of the Penal Code. 7420 Riverside Southwest JH PRO 18-20 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1323 FIRE AND LIFE SAFETY Policy 909: Fire and Life Safety Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all ☒ ☐ ☐ times who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL Policy 910: Policy and Procedures Manual All facility administrators shall develop, publish, and Riverside County Probation Department implement a manual of written policies and procedures Policy Manual that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made The manual is reviewed and updated every 2 available to all employees, reviewed by all employees, years. Additional updates were last and shall be administratively reviewed at a minimum completed and provided in May 2020 and every two years, and updated, as necessary. Those June 2020. The agency manual is provided to records relating to the standards and requirements set staff electronically for their review and was ☒ ☐ ☐ forth in these regulations shall be accessible to the Board provided for our review. on request. The manual shall include: The BSCC has reviewed the agency Policy and Procedure specific to regulations and has confirmed the required policies and procedure exist specific to required regulations; however, there may be cites noted in the comments that may not match due to updates that were unable to be reverified (a) table of organization, including channels of communications and a description of job ☒ ☐ ☐ classifications; (b) responsibility of the probation department, purpose Policy 962: Recreation, Programs and of programs, relationship to the juvenile court, the Exercise Juvenile Justice/Delinquency Prevention 1044: Operation of Riverside County ☒ ☐ ☐ Commission or Probation Committee, probation Juvenile Facilities staff, school personnel and other agencies that are Policy 1048: Responsibility of Probation involved in juvenile facility programs; Department to Collaborative Partners (c) responsibilities of all employees; Policy 1049: Responsibilities of All Juvenile ☒ ☐ ☐ Facility Staff (d) initial orientation and training program for See Section 1322 and Section e below. ☒ ☐ ☐ employees; (e) initial orientation, including safety and security Policy 908: Initial Orientation for Non- issues and anti-discrimination policies, for support Sworn Staff and Others ☒ ☐ ☐ staff, contract employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and See Sections Below ☒ ☐ ☐ communication system to ensure: (1) efficient operation of the juvenile facility; Policy 1044: Operation of Riverside County ☒ ☐ ☐ Juvenile Facilities (2) legal and proper care of youth; Policy 1044: Operation of Riverside County ☒ ☐ ☐ Juvenile Facilities 7420 Riverside Southwest JH PRO 18-20 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) maintenance of individual youth's records; Policy 957: Reporting of Incidents and Other ☒ ☐ ☐ Information (4) supply of information to the juvenile court and Policy 957: Reporting of Incidents and Other those authorized by the court or by the law; and, Information ☒ ☐ ☐ Policy 958: Confidentiality and Release of Information (5) release of information regarding youth. Policy 958: Confidentiality and Release of ☒ ☐ ☐ Information (g) ethical responsibilities; ☒ ☐ ☐ Policy 300: Ethics (h) trauma-informed approaches; 907: Youth Supervision Staff Orientation and Training Policy 910: Policy and Procedures Manual Policy 932: Suicide Prevention Plan Policy 952: Use of Physical Restraints for Movement and Transportation within the Facility Policy 961: Education Policy 976: Incentives and Discipline Process Policy 1033: General Treatment of Youth ☒ ☐ ☐ Staff were initially trained in Trauma Informed Care and Trauma Approaches in 2014, 2015 and some staff also in 2016 and 2017. Staff and supervisors note that they are also trained in Non-Violent Crisis Intervention Training and receive regular updates. Trauma, trauma informed approaches and other reference to trauma are noted in agency policy. Trauma is defined in definitions in the agency policy. (i) culturally responsive approaches; Policy 1033: General Treatment of Youth ☒ ☐ ☐ Policy 1033.4.1(e): Treatment of Youth (j) gender responsive approaches; Policy 1033: General Treatment of Youth ☒ ☐ ☐ Policy 1033.4.1(f): Treatment of Youth 7420 Riverside Southwest JH PRO 18-20 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) a non-discrimination provision that provides that all Policy 1050: Youth Non-Discrimination youth within the facility shall have fair and equal 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 Policy 916: Safety Equipment Control chemical agents related security devices, and ☒ ☐ ☐ weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy 1051: Medi-Cal Information, Cal eligibility information and enrollment of eligible Eligibility, and Enrollment youth; and, ☒ ☐ ☐ All youth and their families are provided with information regarding DPSS Medi Cal program upon release including information for enrollment. (n) establishment of a policy that prohibits all forms of Policy 1008: Prison Rape Elimination Act sexual abuse, sexual assault and sexual harassment. (PREA) of 2003 The policy shall include an approach to preventing, ☒ ☐ ☐ detecting and responding to such conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy 911: Fire Safety Plan The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with The fire safety plan is part of the facility the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ specific emergency operation plan and is which shall include, but not be limited to: coordinated with the Riverside County Fire Department. This document was last reviewed in September 2019. a) a fire prevention plan to be included as part of the Policy 911: Fire Safety Plan ☒ ☐ ☐ manual of policy and procedures; 7420 Riverside Southwest JH PRO 18-20 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) monthly fire and life safety inspections by facility Policy 911.8: Prevention staff with two- year retention of the inspection record; Monthly fire and life safety inspections are to be completed monthly. Facility has several missing inspections however; facility administration has implemented corrective action to ensure that all drills are completed as required. ☒ ☐ ☐ Technical Assistance provided and discussed. In addition to facility corrective action, a suggestion for ensuring that inspections be completed timely would be to complete them at the beginning of the month to ensure ample time to complete and if missed, enough time to correct the error. c) fire prevention inspections as required by Health Policy 911.8: Prevention and Safety Code Section 13146.1(a) and (b); The fire inspection was completed by ☒ ☐ ☐ Riverside County Fire Department on February 28, 2018. Fire Clearance was granted d) an evacuation plan; Policy 911.5: Fire Safety Plan Policy 930: Southwest Juvenile Hall Evacuation Plan ☒ ☐ ☐ Each facility has a facility specific procedure for evacuation. Evacuation signs are posted throughout the facility. e) documented fire drills not less than quarterly; Policy 911.8: Prevention Fire Drills are to be completed monthly. Facility has some missing drills due to facility incidents however; facility has implemented corrective action to ensure that all drills are completed as required. ☒ ☐ ☐ Technical Assistance provided and discussed ensuring that drills be completed at the beginning of the month to ensure completion. Facility has implemented corrective action to ensure that all drills are completed as required. 7420 Riverside Southwest JH PRO 18-20 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) a written plan for the emergency housing of youth in Policy 911.6: Emergency Housing of Youth the case of fire; and, In the event of a fire that would cause the ☒ ☐ ☐ facility to evacuate, the Facility would evacuate to any other Riverside County Juvenile Facility depending on location of fire. g) development of a fire suppression pre-plan in Policy 911: Fire Safety Plan cooperation with the local fire department. Policy requires that the facility manager consult with the local fire department in ☒ ☐ ☐ developing the fire safety plan. Agency has coordinated their plan with Fire Captain Antonio Rosario with the French Valley Station # 83. 1326 SECURITY REVIEW Policy 912.4: Security Review Each facility administrator shall develop policies and procedures to annually review, evaluate, and document ☒ ☐ ☐ Completed by Facility Director Mease on security of the facility. The review and evaluation shall include internal and external security, including, but not December 28, 2018 and December 27, 2019. limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES Policy 917: Emergency Procedures The facility administrator shall develop facility-specific ☒ ☐ ☐ Each facility has a facility specific procedure policies and procedures for emergencies that shall for all emergencies and evacuation. include, but not be limited to: (a) escape, disturbances, and the taking of hostages; Policy 918: Hostages Policy 919: Riot Control ☒ ☐ ☐ Policy 920: Escapes/AWOL Policy 949: 11:88: Radio Call (b) civil disturbance, active shooter and terrorist attack; Policy 1055: Civil Disturbance, Active ☒ ☐ ☐ Shooter, Terrorist Attack (c) fire and natural disasters; Policy 923: Earthquake Policy 924: Fire ☒ ☐ ☐ Policy 926: Utility Outage Policy 927: Smog Episodes and Excessive Heat (d) periodic testing of emergency equipment; ☒ ☐ ☐ Policy 916: Safety Equipment Control (e) emergency evacuation of the facility; and Policy 930: Southwest Juvenile Hall Evacuation Plan ☒ ☐ ☐ Each facility has a facility specific procedure for evacuation. 7420 Riverside Southwest JH PRO 18-20 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) a program to provide all youth supervision staff Policy 917.5: Annual Review with an annual review of emergency procedures. All staff are provided with a packet of emergency policy and procedures to review ☒ ☐ ☐ and to sign off. Staff review as time permits. Sign off’s occurred in January 2018, January 2019 and again in January 2020. All Facility staff completed the emergency procedure annual review. 1328 SAFETY CHECKS Policy 931.3: Safety Check Policy The facility administrator shall develop and implement Agency utilizes the Guard 1 Plus System to policy and procedures that provide for direct visual document their facility safety checks. On observation of youth at a minimum of every 15 minutes, days where youth are in school or otherwise at random or varied intervals during hours when youth outside of their rooms, there are are asleep or when youth are in their rooms, confined in approximately 4000 safety checks completed holding cells or confined to their bed in a dormitory. in a 24-hour time frame facility wide. Supervision is not replaced, but may be supplemented Supervisors conduct daily quality assurance by, an audio/visual electronic surveillance system to ensure that checks are being completed. If designed to detect overt, aggressive or assaultive discrepancies are noted, staff write an behavior and to summon aid in emergencies. All safety incident report to document what occurred ☒ ☐ ☐ checks shall be documented with the actual time the and the details of the incident. When check is completed. implemented, supervisors provided on the spot corrective action initially which seemed to assist staff in minimizing many of the procedural issues that came up. Supervisors also developed a “Peek and Beep” system which is a fun reminder for staff to look first log second. We reviewed 2 full months of checks, September and November 2019 and found very minimal discrepancies. 1329 SUICIDE PREVENTION PLAN Policy 932: Suicide Prevention Plan The facility administrator, in collaboration with the Policy 932.3 Policy healthcare and behavioral/mental health administrators, The Suicide Prevention Plan was developed shall plan and implement written policies and in collaboration with Riverside University procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ Health System Behavioral Health and The plan shall consider the needs of youth experiencing Correctional Health Services past or current trauma. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: 7420 Riverside Southwest JH PRO 18-20 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Suicide prevention training as required in Policy 932.6: Staff Training Section 1322, Youth Supervision Staff All staff complete a Suicide Prevention Orientation, and Training and the Juvenile Corrections Officer Core Course. Training module of Initial Orientation ☒ ☐ ☐ training. Staff are also trained in Suicide Prevention in the CORE Academy. All staff also complete a refresher training annually thereafter. (b) Screening, Identification Assessment and Policy 932.7: Screening and Referral Precautionary Protocols MAYSI (1) All youth shall be screened for risk of suicide at intake and as needed during Reviewed multiple intake files for youth detention. detained at Southwest JH. All were screened immediately upon entry and the results were ☒ ☐ ☐ documented in the case management system. We didn’t find any additional screenings in the documentation reviewed for post detention MAYSI but youth may be screened at any time. (2) All youth supervision staff who perform Policy 932.7: Screening and Referral intake processes shall be trained in All staff who complete the training are screening youth for risk of suicide. trained by Mental Health staff or by Senior ☒ ☐ ☐ Officers who were trained by Mental Health staff to complete the screening. STC training records were provided for our review. (3) All youth who have been identified during Policy 932.8: Assessment the intake screening process to be at risk of None of the youth we viewed rose to the suicide shall be referred to behavioral/mental health staff for a suicide level of being at risk for suicide, however, risk assessment. the process for referral is the same for any youth at risk for suicide risk. Youth who score as either a “caution” or as a “warning” on the MAYSI are referred to Behavior Health. Staff will place the youth on the appropriate safety watch level consistent ☒ ☐ ☐ with the safety need pending a behavioral health assessment. Any youth who is placed on a safety watch, a safety watch notification form is completed by staff. The form is then submitted to the duty officer who makes all notifications including to behavioral health. The form acts as a referral and contains all pertinent information. 7420 Riverside Southwest JH PRO 18-20 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Precautionary protocols shall be developed 932.8: Assessment to ensure the youth’s safety pending the SWDVS and SW5: Increased watches while behavioral/mental health assessment. assessment is pending. Mental Health ☒ ☐ ☐ assessment should occur as soon as possible but within 24 hours of referral. DCO contacts all facility partners to notify of the youth’s status. (c) Referral process to behavioral/mental health Policy 932.8: Assessment staff for assessment and/or services. Policy 932.10: Juvenile Facility Staff Responsibilities When Placing Youth on Safety Watch Policy 932.11: Duty Officer (DO/Supervising Probation Officer (SPO) Responsibilities ☒ ☐ ☐ Youth are immediately referred to behavioral health for assessment. It is the Duty Officers responsibility to contact the on-call BHS if there are no BHS on site. Both staff and the Duty officer will make contact with BHS if they are on site. (d) Procedures for monitoring of youth identified 932.9: Increased Monitoring at risk for suicide. Safety Watch Direct Visual Supervision: (SWDVS) Continuous monitoring of youth by staff until assessment ☒ ☐ ☐ Safety Watch 5: (SW5) 5-minute safety checks of youth by staff until assessment (e) Safety Interventions (1) Procedures to address intervention protocols for youth identified at risk for ☒ ☐ ☐ suicide which may include, but are not limited to: A. Housing consideration Policy 932.13: Safe Housing Youth may be housed in the dorm if ☒ ☐ ☐ appropriate. Policy 932.13.1: Placement of Youth on Suicide Watch in a Room. B. Treatment strategies including Policy 932.15: Treatment ☒ ☐ ☐ trauma-informed approaches 7420 Riverside Southwest JH PRO 18-20 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Procedures to instruct youth supervision Policy 932.14: Responding to an Active staff how to respond to youth who exhibit Suicide suicidal behaviors. Behavior Health provides an “Attachment B” for every youth at intake within 72 hours that provides information regarding Danger to Self, Danger to Others and provides a place for description. Additionally, the safety watch forms provide a place for BHS to ☒ ☐ ☐ document and to provide additional information to staff. The 3rd page of the triplicate form goes to the youth’s unit and provides a means to communicate with all staff regarding the necessary areas. Staff note the form is kept in a binder on the unit so that staff may more easily flip through the information to keep apprised of the information. (f) Communication Policy 932.7: Screening and Referral (1) The intake process shall include communication with the arresting officer The intake officer completes the Arresting ☒ ☐ ☐ and family guardians regarding the youth’s Officer Questionnaire and the Telephone past or present suicidal ideations, behaviors Interview with Parent form. or attempts. (2) Procedures for clear and current Policy 932.12: Downgrading or Removing information sharing about youth at risk for Youth from Intensive Monitoring suicide with youth supervision, healthcare, and behavioral/mental health staff. Policy 932.16: Communication ☒ ☐ ☐ Facility staff document pertinent information in facility logs and communicate with each other regarding youth to transfer information from shift to shift. (g) Debriefing of Critical Incidents Related to Policy 932.17: Debriefing Suicides or Attempts Policy 932.18: Review of Suicide and (1) Process for administrative review of the Serious Self Injuries Behavior circumstances and responses proceeding, during and after the critical incident. ☒ ☐ ☐ Suggestion provided for the provision of a training for supervisors that addresses regulatory requirements in (g)1-3 so that in the event of a high stress emergency, supervisors are prepared and ready to act. (2) Process for a debriefing event with affected Policy 932.17(a): Debriefing ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Policy 932.17(a): Debriefing ☒ ☐ ☐ youth. 7420 Riverside Southwest JH PRO 18-20 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Documentation Policy 932.9.1: Documentation (1) Documentation processes shall be Policy 957: Reporting of Incident and Other developed to ensure compliance with this Information regulation Policy requires that all incidences of suicide or serious self-injury shall be documented in an incident report as required in JAMS pursuant to section 957 and requires specific information to be included. ☒ ☐ ☐ Suicide packets reviewed contained an incident report, a behavioral health referral, a behavioral health response, suicide watch safety checks and removal from suicide watch documentation. Additional documentation noted was the MAYSI assessment, the Arresting Officer Questionnaire and the telephone Interview with the parent. Youth identified at risk for suicide shall not be denied Policy 932.13: Safe Housing the opportunity to participate in facility programs, Facility policy requires that staff document services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety daily activities for youth on SW on the SW of the youth or security of the facility. Any deprivation ☒ ☐ ☐ form. We reviewed multiple suicide watch of programs, services or activities for youth at risk of packets and found most were documented as suicide shall be documented and approved by the required and staff complete the Safety Watch facility manager. Daily Shift Log on youth who are placed on suicide watch. 1340 REPORTING OF LEGAL ACTIONS Policy 933: Reporting of Legal Actions Policy 933.4 Notification Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions There are no legal actions pending for the of confinement, filed against persons or legal entities facility. responsible for juvenile facility operation. 7420 Riverside Southwest JH PRO 18-20 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR Policy 934: Death and Serious Illness or INJURY OF A YOUTH WHILE Injury of a Youth While Detained DETAINED Policy 934.3: Policy Policy 934.5.3: Chief Probation Officer or (1) Death of a Youth. Designee Responsibilities (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental This policy was developed by the facility health director, shall develop written policies and administrator, in cooperation with the procedures in the event of the death of a youth while health administrator (Riverside University detained, which include notifications to necessary Health Systems - Correctional Health parties, which may include the Juvenile Court, the ☒ ☐ ☐ Services – RUHS-CHS) and the parent, guardian or person standing in loco parentis behavioral/mental health director (Riverside and the youth’s attorney of record. University Health Systems - Behavioral Health Services - RUHS-BH). In the event of a death, the Chief Probation Officer or his or her designee would contact the Juvenile and Superior Court Presiding Judge. The youth’s parent would be notified by the coroner and a designated representative of the department. (b) The health administrator, in cooperation with the Policy 934: Death and Serious Illness or facility administrator, shall develop written policies Injury of a Youth While Detained and procedures to assure there is a medical and Policy 934.7: Medical and Operational operational review of every in-custody death of a Review ☒ ☐ ☐ 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 Policy 934.5: Required Written Reports Board a copy of the report submitted to the Attorney General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy 934.5: Required Written Reports the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth Policy 934.5.2: Facility Manager(s) (a) The facility administrator, in cooperation with the Responsibilities health administrator, shall develop written policies In the event of a serious illness or injury, and procedures for the notification to necessary ☒ ☐ ☐ the parent or guardian is contacted by the parties, which may include the Juvenile Court, the facility manager 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. 7420 Riverside Southwest JH PRO 18-20 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1342 POPULATION ACCOUNTING Policy 935.3: Population Accounting Policy Each juvenile facility shall submit required population All reports have been received timely. ☒ ☐ ☐ and profile survey reports to the Board within 10 working days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY Policy 936.4: BSCC Notification When the number of youth detained in a living unit of a Agency has not exceeded its Board Rated juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ Capacity. fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy 937 Admittance Procedures The facility administrator shall develop and implement Policy 937.3(a-e): Policy written policies and procedures for admittance of youth that emphasize respectful and humane engagement with Admission processes occur in the intake unit. youth and reflect that the admission process may be This area is usually staffed by a Detention traumatic to youth who may have already experienced Control Officer(DCO). There were no youth trauma. Policies shall be trauma-informed, culturally available to observe at the time of inspection; relevant, and responsive to the language and literacy however, we were able to talk with the DCO needs of youth. In addition to the requirements of who provided us with a detailed description Sections 1324 and 1430 of these regulations: of the process. We discussed the changes that have occurred with the updates to regulation that are new this cycle. ☒ ☐ ☐ The DCO stated that while the process is more time consuming, it is a good use of time as it allows for more one on one time with the youth, to work closely to provide information especially for new youth coming in who have never been in detention previously and to address trauma informed care. We viewed the documentation as shown to us that the intake officer reviews with the youth and reviewed several completed intake packets and all were completed consistent with regulation requirements. (a) the admittance process shall include: Policy 937.7: Telephone Calls (1) Access to two free phone calls within one hour of admittance in accordance with the provisions Youths are advised of right to make calls and of Welfare and Institution Code Section 627; are provided with opportunities to call within one hour of admission. If calls are not ☒ ☐ ☐ completed, youth will continue to call in the living units until calls are completed. Phone calls are documented on the Juvenile Admittance Packet- Behavior and Contacts log 7420 Riverside Southwest JH PRO 18-20 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Offer of a shower; 937.9(h): Admittance Requirements Youth are offered a shower and Detention ☒ ☐ ☐ Control Officers document this information on the Juvenile Admittance Packet- Behavior and Contacts log (3) Documented secure storage of personal 938: Personal Property belongings; All property is inventoried, documented and stored in a secure area. Staff and youth sign ☒ ☐ ☐ a property slip to ensure a proper accounting of all property transactions. Property is documented on the Juvenile Admittance Packet- Juvenile Admittance Slip (4) Offer of food upon arrival; Policy 937.8: Provision for Food Policy 1010.4: Frequency of Serving ☒ ☐ ☐ Youth are offered food upon arrival. Detention Control Officers document this information on the Juvenile Admittance Packet- Behavior and Contacts log (5) Screening for physical and behavioral health Policy 937.10(i): Admittance Requirements and safety issues, intellectual or developmental disabilities; All youth are screened by medical for entry ☒ ☐ ☐ into the facility. If Behavior Health is on site at time of entry, they too will clear the youth for detention or if not on site, will clear the youth as soon as possible. Education staff meet with the youth the next school day. (6) Screening for physical and developmental Policy 937.10(i): Admittance Requirements disabilities in accordance with Sections 1329, Policy 997.5: Medical Clearance/Intake 1413, and 1430 of these regulations; Health Screening ☒ ☐ ☐ Screenings by medical are completed and are addressed under the local inspections. (7) Contact with Regional Center for the Policy 946.5: Developmentally Disabled Developmentally Disabled for youth that are Youth suspected of or identified as having a ☒ ☐ ☐ If youth appears to be developmentally developmental disability, pursuant to Section disabled, the Regional Center is contacted by 1418; and, the DCO. (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ See 1352.5 7420 Riverside Southwest JH PRO 18-20 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) juvenile hall administrators shall establish written Policy 937.9: Detain/Release Decision criteria for detention that considers the least restrictive environment. All youth are screened with the Juvenile Detention Risk Intake Assessment which is a weighted screening tool. All youth files had a completed risk assessment. Youth may also be released on home ☒ ☐ ☐ supervision or released to a parent or guardian as an immediate alternative to detention. Youth may also be detained in a relative placement, a temporary resource family home or with a foster family but this would require a court order. (c) juvenile camps and post-dispositional programs in Does not apply juvenile halls shall develop policies and procedures that advise the youth of the estimated length of ☐ ☐ ☒ stay, inform them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures Policy 940.4: Time Ordered that advise any committed youth of the estimated length of his/her stay. Youth at SWJH are routinely ordered to Ricardo M. time (Commitment time to be spent at the Juvenile Hall) Documentation ☒ ☐ ☐ was viewed for these youth and they were advised of estimated length of stay. Custody Commitment Time Notification documents are completed, and unit supervisors also meet with the youth to explain Ricardo M. time calculations with the youth. 1350.5. SCREENING FOR THE RISK OF SEXUAL 1008.5.1: Screening for Risk of Sexual ABUSE Victimization and Abusiveness The facility administrator shall develop and implement written policies and procedures to reduce the risk of Screening for Risk of Sexual Abuse is sexual abuse by or upon youth. The policy shall require conducted during admission and again every facility staff to assess each youth within 72 hours of 180 days thereafter unless an incident or admission based on the following information: information warrants a sooner screening. ☒ ☐ ☐ Admission documents were reviewed to ensure this screening was completed as required. A supervisor is responsible to ensure the future screening is conducted as required. All records reviewed were completed in compliance with regulation expectations and in compliance with agency policy. 7420 Riverside Southwest JH PRO 18-20 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Present in Screening Document (b) Gender nonconforming appearance or manner; Present in Screening Document or identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Present in Screening Document (d) Age; ☒ ☐ ☐ Present in Screening Document (e) Level of emotional and cognitive development; ☒ ☐ ☐ Present in Screening Document (f) Physical size and stature; ☒ ☐ ☐ Present in Screening Document (g) Mental illness or mental disabilities; ☒ ☐ ☐ Present in Screening Document (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Present in Screening Document (i) Physical disabilities; ☒ ☐ ☐ Present in Screening Document (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Present in Screening Document (k) Any other specific information about the Present in Screening Document individual youth that may indicate heightened ☒ ☐ ☐ needs for supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Policy 1008.5.1: Screening for Risk of conversations with the youth during the admittance Sexual Victimization and Abusiveness process, medical and behavioral health screenings; during classification assessments; and by reviewing Staff do not have direct access to medical or court records, case files, facility behavioral records, and behavioral health records due to HIPPA other relevant documentation from the youth’s files. however; any information that is important ☒ ☐ ☐ to know, medical and behavioral health staff will share with probation staff. Staff also have access to JAMS (Juvenile Adult Management System) and review the electronic case file for all past information relevant to the youth’s history. 7420 Riverside Southwest JH PRO 18-20 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall implement appropriate Policy 1008.5.1: Screening for Risk of controls on the dissemination of information within the Sexual Victimization and Abusiveness facility relative to responses received pursuant to this assessment in order to ensure that sensitive information Information regarding youth’s results is is not exploited to the youth’s detriment by staff or other considered sensitive information. A youth. Behavioral Health referral will be submitted by the DCO and the DO for youth who score as being a victim or as a perpetrator of sexual abuse. The unit supervisor is responsible for disseminating the information to the facility ☒ ☐ ☐ partners so that the information is not used to the detriment of the youth. Technical assistance discussed regarding timelines noted in policy for response for behavioral health to follow up and for the evaluation of youth in a detention setting given the average length of stay is generally 21 days. Policy updates made to reflect that an evaluation will occur within 48 hours. 1351 RELEASE PROCEDURES Policy 941: Release Procedures The facility administrator shall develop and implement Facility partners participate in a “daily written policies and procedures for release of youth huddle.” Daily huddles include from custody which provide for: representatives from probation, medical, education and behavioral health. These are scheduled meetings which provide a planned opportunity for facility partners to share information regarding admissions, releases ☒ ☐ ☐ and codes from the day prior, and any suicide issues, watches or Emergency Treatment Service transports that occurred or are planned for the current day. If a release is known for the current day, that too will be discussed. This process is the main information sharing process for the facility beyond emails and it is expected that all partners attend. Minutes are produced. (a) verification of identity/release papers; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (b) return of personal clothing and valuables; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (c) notification to the youth's parents or guardian; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (d) notification to the facility health care provider in Policy 941.6: Detention Control Officer accordance with Sections 1408 and 1437 of these (DCO) Responsibilities ☒ ☐ ☐ regulations, for coordination with outside agencies; and, 7420 Riverside Southwest JH PRO 18-20 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) notification of school staff; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (f) notification of facility mental health personnel. Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities The facility administrator shall develop and implement Policy 946.4: Institutional Assessment and policies and procedures for post-disposition youth to Case Plan. coordinate the provision of transitional and reentry services including, but not limited to, medical and Southwest Juvenile Hall routinely houses behavioral health, education, probation supervision and youth ordered to complete custody time at community-based services. the facility (Ricardo M. Time) and youth that are awaiting placement. Documentation was not initially provided at inspection due to some confusion between this and in Regulation 1355, Institutional Assessment and Plan which requires that a case plan be developed for youth held for at least 30 days and requires a transition plan. ☒ ☐ ☐ We noted that the facility provided all releases with a packet that included local community-based referrals for community- based services, parent resources, a RCOE contact sheet and human trafficking education; however, these did not fully address the specific requirements of this section. After discussion, the facility immediately corrected this issue and they now provide the resource packet and a transition case plan upon release for all youth. Subsequent compliant documentation was provided for our review that met all requirements. The facility administrator shall develop and implement There are no provisions for furloughs in the written policies and procedures for the furlough of ☐ ☐ ☒ Juvenile Hall. youth from custody. 1352 CLASSIFICATION Policy 942.1: Classification- Purpose and Scope The facility administrator shall develop and implement written policies and procedures on classification of Facility has 2 classifications- Group and youth for the purpose of determining housing placement Security which are identified by shirt color. in the facility. Classification documentation is completed upon entry by the Detention Control Officer. Such procedures shall: ☒ ☐ ☐ Female youth are only housed for detention at Southwest Juvenile Hall. If a female is booked into Indio, they are transported to SWJH for detention purposes. Females may also be housed at YTEC for commitment purposes only. 7420 Riverside Southwest JH PRO 18-20 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) provide for the safety of the youth, other youth, Policy 942.4: Classification Assignment facility staff, and the public by placing youth in the 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 Policy 942.3: Policy ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon Policy 942.3: Policy admittance to the facility; classification factors Policy 942.4: Classification Assignment shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ Facility has 2 classifications- Group and legal status, public safety considerations, Security. Males and females are housed at medical/mental health considerations, gender and SWJH. gender identity of the youth; (d) provide for periodic classification reviews, Policy 942.4.2: Review including provisions that consider the level of supervision and the youth's behavior while in All documentation reviewed noted additional custody; and, reviews completed. At the minimum, ☒ ☐ ☐ classification is reviewed every 30 days, but many were reviewed as often as weekly. Many were due to incidents or other events that occurred. (e) provide that facility staff shall not separate youth Policy 1050: Youth Non-Discrimination from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, ☒ ☐ ☐ gender expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, Policy 942.4: Classification Assignment bisexual, transgender, questioning or intersex ☒ ☐ ☐ identification or status as an indicator of likelihood of being sexually abusive. 7420 Riverside Southwest JH PRO 18-20 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy 1054: Transgender and Intersex Youth The facility administrator shall develop written policies ☒ ☐ ☐ and procedures ensuring respectful and equitable Discussion with staff regarding operations treatment of transgender and intersex youth. The and procedures/treatment of transgender policies shall provide that: youth. (a) Facility staff shall respect every youth’s gender Policy 1054.6: Addressing identity and shall refer to the youth by the youth’s Transgender/Intersex Youth preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the ☒ ☐ ☐ use of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy 1054.7: Clothing themselves in a manner consistent with their gender ☒ ☐ ☐ 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 Policy 1054.4 Housing that best meets their individual needs and promotes 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 Policy 1054.8: Medical and Behavioral and intersex youth have access to medical and Health Providers ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Policy 1054.4 Housing necessary security considerations and physical Transgender youth are housed in single plant, facility staff shall make every effort to ensure ☒ ☐ ☐ rooms where they have access to their own the safety and privacy of transgender and intersex restroom. They are showered separately. youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 1054.5: Searches youth for the purpose of determining the youth’s Youth are never be searched to determine anatomical sex. Whenever feasible, the facility shall sex. respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. ☒ ☐ ☐ Prior to being searched, transgender youth may request either a male or female staff member to conduct the search and the facility will attempt to have that gender search. A second staff member is present to observe the staff conducting the search. 7420 Riverside Southwest JH PRO 18-20 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1353 ORIENTATION Policy 944: Orientation The facility administrator shall develop and implement Orientation is completed by the Detention written policies and procedures to orient a youth prior Control Officer upon arrival to the Juvenile to placement in a living area. Both written and verbal Hall as part of the admission process. Youth information shall be provided and supplemented with watch a short movie that covers basic video orientation if feasible. Provision shall be made to information. This is followed up with a provide accessible orientation information to all verbal, one on one conversation regarding detained youth including those with disabilities, limited the topics in the orientation handbook. Youth literacy, or English language learners. Orientation shall are provided with the facility orientation include information that addresses: handbook to keep. Youth are then provided ☒ ☐ ☐ an opportunity to ask questions about the information provided. If a youth doesn’t speak English, there are multiple staff who are bilingual. If a youth speaks a language that is not available, the DCO has access to an interpreter line. If a youth has limited literacy or comprehension, the DCO will make extra effort to be sure the youth understand. All files reviewed had documentation of orientation provided. (a) facility rules including contraband and searches and Policy 944(a): Orientation disciplinary procedures; ☒ ☐ ☐ (b) facility’s system of positive behavior interventions Policy 944(c): Orientation and supports, including behavior expectations, 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 Policy 944(v): Orientation facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy 944(d): Orientation ☒ ☐ ☐ (e) the existence of the grievance procedure, Policy 944(b): Orientation the steps that must be taken to use it, the youth’s right to be free of retaliation for reporting a ☒ ☐ ☐ grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the court Policy 944(e): Orientation ☒ ☐ ☐ process; (g) access to routine and emergency health and Policy 944(f): Orientation ☒ ☐ ☐ mental health care; (h) access to education, religious services, and Policy 944(g): Orientation recreational activities; ☒ ☐ ☐ 7420 Riverside Southwest JH PRO 18-20 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (i) housing assignments; Policy 944(h): Orientation ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy 944(i): Orientation ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, Policy 944(j): Orientation ☒ ☐ ☐ visits and telephone use; (l) availability of reading materials, programming, and Policy 944(k): Orientation ☒ ☐ ☐ other activities; (m) facility policies on the use of force, Policy 944(o): Orientation use of restraints, chemical agents and room ☒ ☐ ☐ confinement; (n) immigration legal services; Policy 944(p): Orientation ☒ ☐ ☐ (o) emergencies including evacuation procedures; Policy 944(q): Orientation ☒ ☐ ☐ (p) non-discrimination policy and the right to be free Policy 944(r): Orientation from physical, verbal or sexual abuse and ☒ ☐ ☐ harassment by other youth and staff; (q) availability of services and programs in a language Policy 944(s): Orientation other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy 944(t): Orientation education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 944(u): Orientation information regarding the youth’s stay in the Parent information is provided online on the facility that at a minimum includes answers to agency website which include FAQ’s. frequently asked questions and provides contact ☒ ☐ ☐ Technical assistance provided and suggested information for the facility, medical, school and that paper copies be provided for parents that mental health; and, do not have internet. (t) a process by which youth may request access to Policy 944(w): Orientation ☒ ☐ ☐ Title 15 Minimum Standards for Juvenile Facilities. 1354 SEPARATION Policy 945: Separation Policy The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures that address: 7420 Riverside Southwest JH PRO 18-20 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) separation of youth for reasons that include, but are Policy 945: Separation Policy not be limited to, medical and mental health Policy 945.1.1: Definitions conditions, assaultive behavior, disciplinary consequences and protective custody. The agency has 8 types of separation by policy. • Age of Majority (AOM) • Intervention Separation (IS) • Exclusionary (EXC) • Medical Separation (MS) • Protective Custody (PC) ☒ ☐ ☐ • Room Confinement (RC) • Safety Room Separation (SRS) • Self-Placed Separation (SPS) Several self-placed separation forms were reviewed in which youth request to remain in their rooms or refuse to participate in the unit activities. Staff document the request, the reason why with youth signature and make an effort to counsel the youth to reintegrate them back into the activities with the other youth. If appropriate, a behavioral health referral will be made on the youth’s behalf. (b) consideration of positive youth development and Policy 945.3: Separation Policy trauma-informed care. Intervention Separation is a non-punitive separation. This is a new process being ☒ ☐ ☐ implemented as of the writing of this report which uses separation to correct behavior through coaching and counseling and using positive behavior interventions to change negative behavior. (c) separated youth shall not be denied normal Policy 945.3: Separation Policy privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Policy 945.4: Separation Policy Title 15 Section 1390 shall apply. ☐ ☐ ☒ There is no separation that will be for disciplinary purposes. (e) when separation results in room confinement, the Policy 945.5: Room Confinement separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. 7420 Riverside Southwest JH PRO 18-20 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) policies and procedures shall ensure a daily review Policy 945.3: Separation Policy of separated youth to determine if separation remains necessary. All separated youth are reviewed each shift ☒ ☐ ☐ at shift change by the duty officer and unit staff each shift to determine if separation remains necessary. 1354.5 ROOM CONFINEMENT Policy 1053: Room Confinement (a) The facility administrator shall develop and Policy, procedures and operations needed to implement written policies and procedures be updated to be consistent with regulation. addressing the confinement of youth in their room Technical assistance was provided and was that are consistent with Welfare and Institutions discussed on-site. We made suggestions Code Section 208.3. The placement of a youth in regarding policy, specifically for alternatives room confinement shall be accomplished in to placing youth in rooms for rule violations accordance with the following guidelines: that did not pose a physical safety or security risk including implementation of alternative separation or alternative behavior management options. Additional documentation was requested prior to the end of cycle and to the writing of this report to determine compliance. It was noted that facility staff continued to ☒ ☐ ☐ document the placement of youth in their room as a result of the rule violation (discipline) and not due to any unsafe behavior that the youth actively exhibited. Policy has now been updated and the agency is actively working on addressing this issue. Room Confinement forms are detailed and provide the opportunity to note efforts to counsel and deescalate; however, we found the documentation on these forms to be contrary to the intent of the regulation or the form, which was to deescalate the behavior and reintegrate the youth with the general population as soon as possible. The sections below as marked are non- compliant. (1) Room confinement shall not be used before Policy 1053.3: Policy other, less restrictive, options have been attempted and exhausted, unless attempting Policy is consistent with regulation however, those options poses a threat to the safety or operationally, the facility lacks options for security of any youth or staff. ☐ ☒ ☐ discipline other than counseling the youth and staff revert to room confinement instead of utilizing room confinement for the intended purpose, to ensure immediate safety and security. 7420 Riverside Southwest JH PRO 18-20 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Room confinement shall not be used for the Policy 1053.3: Policy purposes of punishment, coercion, ☐ ☒ ☐ See above Section a. convenience, or retaliation by staff. (3) Room confinement shall not be used to the Policy 1053.3: Policy extent that it compromises the mental and ☒ ☐ ☐ physical health of the youth. (b) A youth may be held up to four hours in room Policy 1053.4: Use of Room Confinement confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Policy 1053.4: Use of Room Confinement (2) Consult with mental health or medical staff. ☒ ☐ ☐ (3) Develop an individualized plan that includes Policy 1053.4: Use of Room Confinement the goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. (4) If room confinement must be extended beyond Policy 1053.4: Use of Room Confinement ☒ ☐ ☐ four hours, staff shall do each of the following: (A) Document the reasons for room Policy 1053.4: Use of Room Confinement confinement and the basis for the 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 Policy 1053.4: Use of Room Confinement includes the goals and objectives to be met ☒ ☐ ☐ in order to integrate the youth to general population. (C) Obtain documented authorization by the Policy 1053.4: Use of Room Confinement facility superintendent or his or her ☒ ☐ ☐ 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 ☒ ☐ ☐ youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards ☒ ☐ ☐ in court holding facilities or adult facilities. (7) Nothing in this section shall be construed to conflict with any law providing greater or ☒ ☐ ☐ additional protections to youth. 7420 Riverside Southwest JH PRO 18-20 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (8) This section does not apply during an extraordinary emergency circumstance that 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 Policy 1053.4: Use of Room Confinement placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth ☒ ☐ ☐ is not required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND Policy 946: Institutional Assessment and PLAN Case Plan ☒ ☐ ☐ The facility administrator shall develop and implement written policies and procedures for assessment and case planning. (a) Assessment: Policy 946.4: Institutional Assessment and The assessment is based on information collected Case Plan during the admission process with periodic review, The DCO completes the Initial Detention which includes the youth's risk factors, needs and Youth Questionnaire or the Youth strengths including, but not limited to, Assessment Guide (same form- different identification of substance abuse history, name) that meets regulatory expectations. educational, vocational, counseling, behavioral ☒ ☐ ☐ This information is used to complete the case health, consideration of known history of trauma, plan. and family strengths and needs. Documentation reviewed showed that an assessment is completed at admission and this information is later reviewed to develop the case plan. 7420 Riverside Southwest JH PRO 18-20 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Institutional Case Plan: Policy 946.4: Institutional Assessment and (1) A case plan shall be developed for each youth Case Plan held for at least 30 days or more and created Case plans were provided for our review. within 40 days of admission. ☒ ☐ ☐ The majority we viewed were completed within 40 days. (2) The institutional plan shall include, but not be Policy 946.4: Institutional Assessment and limited to, written documentation that provides: Case Plan Officers are assigned to each youth as an individual caseworker. They are responsible to develop, implement and review the plan with the youth regularly. Initial documentation reviewed showed minimal ☒ ☐ ☐ documentation of regulatory areas. Technical assistance was provided to administration regarding enhancing case planning activities and transitional case plans. Subsequent documentation provided and the case planning and areas of regulation were better documented and addressed. (A) objectives and time frame for the resolution Policy 946.4: Institutional Assessment and of problems identified in the assessment; ☒ ☐ ☐ Case Plan (B) a plan for meeting the objectives that Policy 946.4: Institutional Assessment and includes a description of program resources Case Plan ☒ ☐ ☐ needed and individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting Policy 946.4: Institutional Assessment and ☒ ☐ ☐ the objectives, including periodic review and Case Plan discussion of the plan with the youth; 7420 Riverside Southwest JH PRO 18-20 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) a transition plan, the contents of which shall be Policy 946.4: Institutional Assessment and subject to existing resources, shall be developed Case Plan for post dispositional youth in accordance with At inspection, we noted that the facility Section 1351; and, provided all releases with a packet that included local community-based referrals for community-based services, parent resources, a RCOE contact sheet and human trafficking education; however, these did not fully ☒ ☐ ☐ address the specific requirements of Section 1351. After discussion, the facility immediately corrected this issue and they now provide the resource packet and a transition case plan with as much information as possible upon release for all youth. Subsequent compliant documentation was provided for our review that met all requirements. (5) in as much as possible and if appropriate, the Policy 946.4: Institutional Assessment and plan, including the transition plan, shall be Case Plan ☒ ☐ ☐ developed with input from the family, Staff make effort as able to contact parents supportive adults, youth, and Regional Center by telephone to seek their input. for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK Policy 947: Counseling and Casework SERVICES Policy 947.5: Documentation The facility administrator shall develop and implement All facility partners work together to address written policies and procedures ensuring the availability the needs of the youth through the daily of appropriate counseling and casework services for all huddles and the weekly treatment team youth. Policies and procedures shall ensure: ☒ ☐ ☐ meetings. Staff communicate their observations and concerns regarding the youth to the duty officer who in turn, communicates with the team. Every new intake is discussed to address any issue he or she may present in order to develop a plan to address it proactively. (a) youth will receive assistance with needs or concerns Policy 947.4: Staff Responsibilities that may arise; Policy 947.4.1; Behavioral Health Referrals Policy 947.4.2: Behavioral Health Requests Policy 947.5: Documentation ☒ ☐ ☐ Staff assist the youth with whatever request they have from special visits to referrals for medical or mental health issues to help with college entrance paperwork or questions. 7420 Riverside Southwest JH PRO 18-20 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) youth will receive assistance in requesting contact Policy 947.4.3: Other Requests with parents, other supportive adults, attorney, clergy, probation officer, or other public official; ☒ ☐ ☐ Staff support visits from other supportive adults for special visits. Staff will assist and, youth with contacting their Probation Officer or attorney as requested. (c) youth will be provided access to available resources Policy 947.6: Services Provided ☒ ☐ ☐ to meet the youth’s needs. 1357 USE OF FORCE Policy 948: Use of Force Policy 948.3: Policy The facility administrator, in cooperation with the Policy 948.12: Inappropriate Use of Force by responsible physician, shall develop and implement Staff written policies and procedures for the use of force, which may include chemical agents. Force shall never This policy was developed by the facility ☒ ☐ ☐ be applied as punishment, discipline, retaliation or administrator in cooperation with the treatment. responsible physician from Riverside University Health Systems - Correctional (a) At a minimum, each facility shall develop policies Health Services (RUHS-CHS). and procedures which: (1) restricts the use of force to that which is deemed Policy 948.1.1: Definitions reasonable and necessary, as defined in Section Policy 948.3: Policy 1302 to ensure the safety and security of youth, ☒ ☐ ☐ staff, others and the facility. (2) outline the force options available to staff Policy 948.1.1: Definitions including both physical and non-physical Policy 948.5: Interventions options and define when those force options are Policy 948.8: Defense Techniques Policy 948.9: Physical Restraints appropriate. PHYSICAL OPTIONS • Physical restraint techniques - The use of department authorized control holds. • Defense techniques - Department ☒ ☐ ☐ authorized techniques utilized to protect oneself. • Physical restraints - Restraint devices such as handcuffs, shackles, waist chains, and the WRAP. • Chemical agents - The application of oleoresin capsicum (OC) sprays. NON-PHYSICAL OPTIONS • Interventions (3) describe force options or techniques that are Policy 948.12: Inappropriate Use of Force by expressly prohibited by the facility. Staff ☒ ☐ ☐ Choke Holds are prohibited, and staff shall never apply any object to the throat of any youth. Intentional lethal force is forbidden. 7420 Riverside Southwest JH PRO 18-20 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) describe the requirements of staff to report any Policy 948.12: Inappropriate Use of Force by inappropriate use of force, and to take Staff affirmative action to immediately stop it. ☒ ☐ ☐ Staff must stop any inappropriate use of force and report the incident to the Duty Officer or Supervisor. (5) define a standardized reporting format that • Policy 948.13: Incident Report includes time period and procedure for Documentation documenting and reporting the use of force, • Policy 957: Reporting of Incidents including reporting requirements of and Other Information management and line staff and procedures for • Policy 948.13.1: Duty Officer reviewing and tracking use of force incidents by (DO)/Supervising Probation Officer (SPO) supervisory and or management staff, which ☒ ☐ ☐ • Policy 948.13.2: Facility Managers include procedures for debriefing a particular Responsibilities incident with staff and/or youth for the purposes of training as well as mitigating the effects of All Use of Force requires an incident report. trauma that may have been experienced by staff All regulatory areas are required by policy. and /or the youth involved. A Use of Force review board meets monthly to debrief and track use of force incidents. (6) Include an administrative review and a system Policy 948.13.2: Facility Manager ☒ ☐ ☐ for investigating unreasonable use of force. Responsibilities (7) define the role, notification, and follow-up Policy 948.5: Interventions procedures required after use of force incidents Policy 948.7: Physical Restraint Techniques for medical, mental health staff and parents or Policy 948.8: Defense Techniques Policy 948.10.4: Once Staff Decide to Use legal guardians. OC Spray Policy 948.13.1: Duty Officer/Supervising Probation Officer Staff attempt to deescalate a youth’s behavior by enlisting the aid of behavioral health staff if they are in the building before use of force is used. If use of force is used, BH staff are notified and will see the youth ☒ ☐ ☐ or a referral is made for the youth to be seen as soon as possible. Medical staff is are on site 24 hours a day, 7 days a week. Medical staff respond to all use of force incidents. If a youth is involved in a use of force incident resulting in his/her injury, or use of force involving chemical agents, the youth’s parent(s)/legal guardian(s) is notified by the DO/SPO once the incident has been resolved. 7420 Riverside Southwest JH PRO 18-20 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (8) describe the limitations of use of force on Policy 948.11: Use of Force Involving pregnant youth in accordance with Penal Code Pregnant Youth Section 6030(f) and Welfare and Institutions ☒ ☐ ☐ Any use of force that occurs with a pregnant Code Section 222. youth, healthcare staff are contacted immediately for follow up care. (b) Facilities that authorize chemical agents as a force All Riverside County Probation Facilities use ☒ ☐ ☐ option shall include policies and procedures that: OC spray. (1) identify who is approved to carry and/or utilize Policy 948.10: Chemical Agents/Oleoresin chemical agents in the facility and the type, size Capsicum (OC)Spray and the approved method of deployment for ☒ ☐ ☐ OC spray is authorized to be carried and those chemical agents. utilized by all sworn, trained staff working within juvenile facilities. (2) mandate that chemical agents only be used when Policy 948.10.2: When to Use OC Spray 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. 7420 Riverside Southwest JH PRO 18-20 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) outline the facility’s approved methods and Policy 948.10.5: OC Spray Aftercare Procedures timelines for decontamination from chemical Policy 948.10.5: OC Spray Aftercare agents. This shall include that youth who have Procedures been exposed to chemical agents shall not be left unattended until that youth is fully At inspection, documentation reviewed noted decontaminated or is no longer suffering the that youth were decontaminated, and the effects of the chemical agent. decontamination checklist was completed consistently; however, it was not noted if the youth was no longer suffering the effects of the OC. Conversations with staff and youth revealed that operationally, the youth is provided with a decontamination shower and staff/the duty officer give the youth the opportunity to ☒ ☐ ☐ decide when they are ready to come out of the shower. The youth is then placed on a close watch status for an hour either inside their room or in the dayroom depending on their ability to be safe/secure. Technical assistance provided and discussed that youth must be fully decontaminated or no longer suffering the effects to be unattended. Documentation must reflect this. Subsequent documentation was requested and reviewed. The agency updated their OC checklist, the facility addressed the issue of documentation with staff and the issue has been resolved. 7420 Riverside Southwest JH PRO 18-20 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) define the role, notification, and follow-up Policy 948.10.4: Once Staff Decide to Use procedures required after use of force incidents OC Spray involving chemical agents for medical, mental Policy 948.10.5(g) Policy 948.13.1: Duty Officer/Supervising health staff and parents or legal guardians. Probation Officer If OC is used, BH staff are notified and if in the building, will see the youth or a referral is made for the youth to be seen as soon as ☒ ☐ ☐ possible. Medical staff are on site 24 hours a day, 7 days a week. Medical staff respond to all OC incidents. If a youth is involved in an OC incident, the youth’s parent(s)/legal guardian(s) are notified by the DO/SPO once the incident has been resolved. (5) provide for the documentation of each incident Policy 948.13 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 Policy 948.4: Required Training which require that agencies provide initial and ☒ ☐ ☐ regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health Policy 948.4: Required Training ☒ ☐ ☐ conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy 948.10: Chemical Agents/Oleoresin application. Capsicum (OC)Spray Facility staff are issued an MK4 (3 oz.) OC ☒ ☐ ☐ cannister. Deputy Probation Officers (DPO) and SPO’s not assigned to the facility but working in the facility may use their department issued MK3 (1.47oz.) OC cannister. (3) signs or symptoms that should result in Policy 948.4: Required Training ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of ☒ ☐ ☐ Policy 948.4: Required Training Use of Force. (5) physical training force options that may require ☒ ☐ ☐ Policy 948.4: Required Training the use of perishable skills. 7420 Riverside Southwest JH PRO 18-20 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) timelines the facility uses to define regular Policy 948.4: Required Training training. Staff receive training in CORE and also in ☒ ☐ ☐ annual refresher training. Staff are trained in OC in initial training and then every 2 years for refresher training. 1358 USE OF PHYSICAL RESTRAINTS Policy 951: Use of Physical Restraints The facility administrator, in cooperation with the This policy was developed by the facility responsible physician and mental health director, shall administrator in cooperation with the responsible physician from Riverside develop and implement written policies and procedures University Health Systems - Correctional for the use of restraint devices. Restraint devices Health Services (RUHS-CHS) and mental include any devices which immobilize a youth's health director from Riverside University extremities and/or prevent the youth from being Health Systems - Behavioral Health ambulatory. (RUHS-BH). ☒ ☐ ☐ Acceptable restraints that may be used in the facility are handcuffs, shackles, waist chains, and the WRAP which includes a helmet. Documentation was provided and included incident reports, safety watch notifications, safety watch documentation sheet, safety watch daily shift logs and restraint logs. All areas of regulation. Physical restraints may be used only for those youth Policy 951.3: Policy Policy 951.4: Prior to Using Restraints who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy 951.3: Policy discipline, or as a substitute for treatment. The use of Policy 951.9 Use of Physical Restraints restraint devices that attach a youth to a wall, floor or Involving Pregnant Youth 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. 7420 Riverside Southwest JH PRO 18-20 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The provisions of this section do not apply to the use of Policy 951.3: Policy handcuffs, shackles or other restraint devices when used 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 Policy 951.4 Prior to Using Restraints of the facility manager or designee. The facility manager Policy 951.6: Use of Physical Restrains for may delegate authority to place a youth in restraints to a ☒ ☐ ☐ Behavior Control physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy 951.6 Use of Physical Restraints for retention shall be secured as soon as possible, but no later Behavior Control than two hours from the time of placement. The youth ☒ ☐ ☐ shall be medically cleared for continued retention at least Medical staff see the youth immediately to every three hours thereafter. ensure their safety. There was no extended use of restraints. A mental health consultation shall be secured as soon as Policy 951.6 Use of Physical Restraints for possible, but in no case longer than four hours from the Behavior Control time of placement, to assess the need for mental health treatment. ☒ ☐ ☐ When behavioral health is not on site, the on-call provider is notified. All incidents were followed up on. Continuous direct visual supervision shall be conducted Policy 951.5: Use of Physical Restraints to ensure that the restraints are properly employed, and Policy 951.6 Use of Physical Restraints for to ensure the safety and well-being of the youth. Behavior Control ☒ ☐ ☐ 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 Policy 951.5: Use of Physical Restraints ☒ ☐ ☐ application of restraints. (b) known medical conditions that would Policy 951.12: Medical and Behavioral contraindicate certain restraint devices and/or ☒ ☐ ☐ Health Guidelines Regarding Physical techniques. Restraints (c) acceptable restraint devices. Policy 951.1.1: Definitions ☒ ☐ ☐ Agency utilizes handcuffs, shackles, waist chains, and the Wrap. (d) signs or symptoms which should result in Policy 951.12: Medical and Behavioral immediate medical/mental health referral. ☒ ☐ ☐ Health Guidelines Regarding Physical Restraints 7420 Riverside Southwest JH PRO 18-20 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) availability of cardiopulmonary resuscitation Policy 951.12: Medical and Behavioral equipment. ☒ ☐ ☐ Health Guidelines Regarding Physical Restraints (f) protective housing of restrained youth. While in Policy 951.6 Use of Physical Restraints for restraint devices, all youth shall be housed alone or Behavior Control ☒ ☐ ☐ in a specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Policy 951.12: Medical and Behavioral ☒ ☐ ☐ Health Guidelines Regarding Physical Restraints (h) exercising of extremities. Policy 951.12: Medical and Behavioral ☒ ☐ ☐ Health Guidelines Regarding Physical Restraints 1358.5 USE OF RESTRAINT DEVICES FOR Policy 952: Use of Physical Restraints for MOVEMENT AND TRANSPORTATION WITHIN Movement and Transportation within the THE FACILITY. Facility The Facility Administrator, in cooperation with the This policy was developed by the facility responsible physician and behavioral/mental health administrator in cooperation with the director, shall develop and implement written policies ☒ ☐ ☐ responsible physician from Riverside and procedures for the use of restraint devices when the University Health Systems - Correctional purpose is for movement or transportation within the Health Services (RUHS-CHS) and mental facility that shall include the following: health director from Riverside University Health Systems - Behavioral Health (RUHS-BH). (a) identification of acceptable restraint devices, staff Policy 952.1: Purpose and Scope approved to utilize restraint devices and the Policy applies to all facility staff required training. Policy 952.1.1: Definition Handcuffs, shackles, waist chains and the ☒ ☐ ☐ WRAP Policy 952.5: General Safety Guidelines Staff must complete PC 832 Arrest Training before placing or removing any restraints on any youth. (b) the circumstances leading to the application of 952.4: Assessment restraints must be documented. Documentation reviewed. Incident reports ☒ ☐ ☐ clearly noted the circumstances that led to the incident and the use of restraints. 7420 Riverside Southwest JH PRO 18-20 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) an individual assessment of the need to apply 952.3: Policy restraints for movement or transportation that Policy has been updated to reflect all includes consideration of less restrictive regulatory requirements. alternatives, consideration of a youth’s known medical or mental health conditions, trauma Incident reports that included the use of force informed approaches, and a process for with exigent circumstances and subsequent ☐ ☒ ☐ documentation and supervisor review and approval. movement were reviewed and we noted that staff are documenting the circumstances for the use of restraints but are not consistently documenting the need to continue the restraint for movement or transport. Staff must also refer to the considerations as required in regulation. (d) consideration of safety and security of the facility, 952.3: Policy with a clearly defined expectation that restraint ☒ ☐ ☐ devices shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in 952.6.1 Pregnant youth ☒ ☐ ☐ accordance with Penal Code Section6030(f) and Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES Policy 954: Safety Room Procedures (a) The facility administrator, and where applicable, in This policy was developed in cooperation cooperation with the responsible physician, shall with Probation, Riverside University Health develop and implement written policies and Systems - Correctional Health Services procedures governing the use of safety rooms, as (RUHS-CHS) and Behavioral Health described in Title 24, Part 2, Section 1230.1.13. The (RUHS-BH). room shall be used to hold only those youth who The safety room may be used for youth who present an immediate danger to themselves or present an immediate danger to themselves others, who exhibit behavior which results in the through self-inflicted harm or present harm destruction of property or reveals the intent to cause to others, or who exhibit behavior which self-inflicted physical harm. A safety room shall not ☒ ☐ ☐ results in the destruction of property. be used for punishment or discipline, or as a substitute for treatment. Policies and procedures Documentation reviewed was compliant with shall: regulation. Reminder to facility administration to ensure that staff are consistently and thoroughly documentation to all specific regulatory requirements. This is likely a training issue and will resolve as new staff become more familiar with regulations. Safety room placements were short, and the youth returned to their room quickly. (1) include provisions for administration of Policy 954.5: Staff Responsibilities ☒ ☐ ☐ necessary nutrition and fluids, access to a toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or Policy 954.4: Safety Room Procedures designee, before a youth is placed into a safety ☒ ☐ ☐ room; 7420 Riverside Southwest JH PRO 18-20 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) provide for continuous direct visual supervision Policy 954.4: Safety Room Procedures and documentation of the youth's behavior and Policy 954.5.1: Documentation ☒ ☐ ☐ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the Policy 954.6: Duty Officer Responsibilities ☒ ☐ ☐ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Policy 954.7: Medical Assessment and where appropriate, or an assessment at the next Clearance ☒ ☐ ☐ daily sick call; and, (6) provide a process for documenting the reason for Policy 954.5.1: Documentation placement, including attempts to use less ☒ ☐ ☐ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be Policy 954.4: Safety Room Procedures ☒ ☐ ☐ accomplished in accordance with the following: (1) safety room shall not be used before other less Policy 954.4(a): Safety Room Procedures restrictive options have been attempted and ☒ ☐ ☐ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of Policy 954.4(b): Safety Room Procedures punishment, coercion, convenience, or ☒ ☐ ☐ retaliation by staff. (3) safety room shall not be used to the extent that it Policy 954.4(c): Safety Room Procedures compromises the mental and physical health of ☒ ☐ ☐ the youth. (c) A youth may be held up to four hours in the safety Policy 954.4: Safety Room Procedures room. After the youth has been held in the safety ☒ ☐ ☐ room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☒ ☐ ☐ Policy 954.4: Safety Room Procedures (2) consult with mental health or medical staff, Policy 954.4: Safety Room Procedures ☒ ☐ ☐ (3) develop an individualized plan that includes the Policy 954.4: Safety Room Procedures goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. (d) If confinement in the safety room must be extended Policy 954.5.2(d): Process for Extended Use beyond four hours, staff shall develop an of the Safety Room 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. 7420 Riverside Southwest JH PRO 18-20 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1360 SEARCHES Policy 955 Searches The facility administrator shall develop and implement Facility searches consist of perimeter checks, written policies and procedures governing the search of room searches, unit searches, public and youth, the facility, and visitors. Policies and procedures internal area searches shall provide that: Youth are generally searched through a pat ☒ ☐ ☐ down search or with an electronic wand. Strip searches are rare at Southwest JH but when they occur, strip searches are documented and must be pre-approved by a supervisor. All files reviewed had this form in the file. (a) Searches shall be conducted to ensure the safety and Policy 955.3 Policy ☒ ☐ ☐ security of the facility, public, visitors, youth, and staff. (b) Searches shall be conducted in a manner that Policy 955.3 Policy preserves the privacy and dignity of the person ☒ ☐ ☐ being searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity Policy 955.6: Strip Search/Visual Body ☒ ☐ ☐ searches shall comply with Penal Code Section Cavity Search Guidelines 4030. (d) Physical body cavity searches shall only be Policy 955.9: Physical Body Cavity Search ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only Policy 955.8: Post-Detention Hearing be strip searched with prior approval of a supervisor Searches when there is reasonable suspicion based on Facility staff document if a strip search was specific and articulable facts to believe that youth is ☒ ☐ ☐ conducted at intake or not. All strip searches concealing contraband. The reasonable suspicion must be pre-approved by a supervisor. All shall be documented. files reviewed had the strip search form in the file. (f) Searches of transgender and intersex youth shall Policy 1054.5: Searches comply with Section 1352.5. Transgender youth may request either a male or female staff member conduct their ☒ ☐ ☐ search. Whenever feasible, the facility shall respect the youth's preference. 7420 Riverside Southwest JH PRO 18-20 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Searches of transgender and intersex youth shall Policy 1054.5: Searches comply with Section 1352.5. Transgender youth may request either a male or female staff member conduct their ☒ ☐ ☐ search. Whenever feasible, the facility shall respect the youth's preference. 1361 GRIEVANCE PROCEDURE Policy 956: Grievance Procedure The facility administrator shall develop and implement Policy 956.3: Policy written policies and procedures whereby any youth may Grievances reviewed. All were addressed in appeal and have resolved grievances relating to any a timely manner. Facility managers reminded condition of confinement, including but not limited to to notify staff that youth may grieve any health care services, classification decisions, program ☒ ☐ ☐ issue relating to confinement. participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy 956.5: Grievance Policy and Forms ☒ ☐ ☐ grievance, which includes provisions for the youth Accessibility to have free access to the form; (b) the youth shall have the option to confidentially file Policy 956.6: Process for Submitting ☒ ☐ ☐ the grievance or to deliver the form to any youth supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate Policy 956.6: Process for Submitting staff level; Youth are encouraged to resolve issues with ☒ ☐ ☐ staff informally but once a grievance is documented formally, the duty officer hears the issue. (d) provision for a prompt review and initial response Policy 956.6: Process for Submitting to grievances within three (3) business days, Policy 956.9: Food Services, Education, ☒ ☐ ☐ grievances that relate to health and safety issues Health Care, Behavioral Health Grievances. must be addressed immediately; (1) The youth may elect to be present to explain Policy 956.6: Process for Submitting his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy 956.6: Process for Submitting ☒ ☐ ☐ the facility administrator to assist the youth. 7420 Riverside Southwest JH PRO 18-20 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) provision for a written response to the grievance Policy 956.7: Unresolved Grievances/ which includes the reasons for the decisions; Appeals Policy 956.12: Resolution and Documentation of Grievances (Not Personnel Complaints) Documentation reviewed and we found that for grievances where a partner was involved, i.e., a grievance regarding the school or the kitchen, it was noted there was no opportunity for the youth to be notified of the final outcome. Regulation requires that ☒ ☐ ☐ youth be provided with a written response at all levels. Technical assistance was provided, and it was suggested that the youth receive a final copy of the grievance, so they are aware of how their grievance was handled and the reasons for the decisions. A new form was implemented, additional documentation was reviewed, youth now receive copies and the section was found to be compliant. (f) a system which provides that any appeal of a Policy 956.7: Unresolved Grievances/ grievance shall be heard by a person not directly Appeals ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten Policy 956.7: Unresolved Grievances/ (10) business days unless circumstances dictate a Appeals ☒ ☐ ☐ longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and Policy 956.10 Reporting Sexual Abuse and external methods to report sexual abuse and sexual Sexual Harassment harassment. Youth may report sexual abuse and ☒ ☐ ☐ harassment through the facility grievance process. A grievance of this nature would be addressed immediately. Whether or not associated with a grievance, concerns of Policy 956.3: Policy parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 7420 Riverside Southwest JH PRO 18-20 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1362 REPORTING OF INCIDENTS Policy 957: Reporting of Incidents and Other Information A written report of all incidents which result in physical Policy 957.4.1: Reporting Requirements harm, use of force, serious threat of physical harm, or Policy 957.4.2: Submittal Process death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the Several informational incident reports were staff and submitted to the facility manager by the end of provided for our review in addition to the the shift, unless additional time is necessary and specific regulatory incident reports as authorized by the facility manager or designee. required. These reports were well written and submitted in a timely manner. 1363 USE OF REASONABLE FORCE TO Policy 960: DNA Collection COLLECT DNA SPECIMENS, SAMPLES, Policy 960.7: Refusal to Submit DNA IMPRESSIONS Youth are advised of their legal obligation to (a) Pursuant to Penal Code Section 298.1 authorized provide a DNA sample. Efforts are made to law enforcement, custodial, or corrections collect the sample. If the youth still refuses, personnel including peace officers, may employ ☒ ☐ ☐ they are counseled and then are referred to reasonable force to collect blood specimens, saliva the court for action and possible prosecution. samples, and thumb or palm print impressions from Force shall not be used to obtain a sample. 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 NA 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 NA 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 NA 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 NA 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. 7420 Riverside Southwest JH PRO 18-20 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM Policy 961: Education Program (a) School Programs Policy 961.3: Policy The County Board of Education shall provide for the There is an MOU between RCOE and the administration and operation of juvenile court Riverside County Probation Department. schools in conjunction with the Chief Probation Both agencies report an outstanding Officer, or designee pursuant to applicable State collaborative The Riverside County Office laws. The school and facility administrators shall of Education provides education services to develop and implement written policy and all Riverside County juvenile detention procedures to ensure communication and facilities. coordination between educators and probation staff. Staffing at the Southwest Juvenile Hall Culturally responsive and trauma-informed includes 3 full time teachers and 3 full time approaches should be applied when providing paraprofessionals. Teachers are dually instruction. Education staff should collaborate with credentialled in general education and the facility administrator to use technology to special education, ensuring that all youth’s facilitate learning and ensure safe technology education needs are met. practices. The facility administrator shall request an annual review of each required element of the All youth have access to the credit recovery program by the Superintendent of Schools, and a program-Plato Edmentum or the Units of report or review checklist on compliance, Study program which allows for youth to deficiencies, and corrective action needed to achieve catch up on credits they are missing. The compliance with this section. Such a review, when ☒ ☐ ☐ school and the probation department have conducted, cannot be delegated to the principal or collaboratively developed and implemented any other staff of any juvenile court school site. The a comprehensive program that provides Superintendent of Schools shall conduct this review access to post-secondary educational in conjunction with a qualified outside agency or opportunities for the youth. Youth can take individual. Upon receipt of the review, the facility college courses online through the local administrator or designee shall review each item community colleges. There is also a with the Superintendent of Schools and shall take College Connect Liaison that assists all whatever corrective action is necessary to address eligible youth to get signed up, to complete each deficiency and to fully protect the educational their FAFSA eligibility paperwork and interests of all youth in the facility. assists them while in custody with college related needs. Certain youth also may qualify for the dual enrollment program, which provides both high school credit and college credit through UC Riverside. Lastly, RCOE provides a Transition Coordinator who works on all youth’s transition back to their home schools or to the court schools to ensure a smooth transition with the goal of success for the youth. 7420 Riverside Southwest JH PRO 18-20 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements Policy 961.5: Policy The facility school program shall comply with the State 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 Policy 961.5: Policy program shall be free from discriminatory action. ☒ ☐ ☐ Staff 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 Policy 961.5: Policy Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Policy 961.5: Policy Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education Policy 961.5: Policy and vocational opportunities. ☒ ☐ ☐ (4) Administration of the High School Equivalency Tests Policy 961.5: Policy as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Policy 961.5: Policy who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Policy 961.5: Policy State Education Code Requirements for juvenile 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. 7420 Riverside Southwest JH PRO 18-20 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) Education shall be provided to all youth regardless of Policy 961.5: Policy classification, housing, security 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 Policy 961.6: School Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action in the ☒ ☐ ☐ school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Policy 961.6: School Discipline decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Education Policy 961.6: School Discipline Code, expulsion/suspension from 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 Policy 961.6: School Discipline education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations Policy 961.7: Provisions for Special Populations (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 Policy 961.7: Provisions for Special afforded an educational program that addresses their Populations ☒ ☐ ☐ language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy 961.8: Educational Screening and Admission ☒ ☐ ☐ (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's educational history, including but not limited to: 7420 Riverside Southwest JH PRO 18-20 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) School progress/school history; Policy 961.8: Educational Screening and ☒ ☐ ☐ Admission (B) Home Language Survey and the results of the State Policy 961.8: Educational Screening and ☒ ☐ ☐ Test used for English language proficiency; Admission (C) Needs and services of special populations as defined Policy 961.8: Educational Screening and ☒ ☐ ☐ by the State Education Code, including but not Admission limited to, students with special needs. (D) Discipline problems. Policy 961.8: Educational Screening and ☒ ☐ ☐ Admission (2) Youth will be immediately enrolled in school. Policy 961.8: Educational Screening and Educational staff shall conduct an assessment to Admission ☒ ☐ ☐ determine the youth's general academic functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Policy 961.8: Educational Screening and ☒ ☐ ☐ education plan shall be developed for each youth Admission within five school days. (4) Upon enrollment, education staff shall comply with Policy 961.8: Educational Screening and the State Education Code and request the youth's Admission 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 Policy 961.9: Educational Reporting ☒ ☐ ☐ (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 Policy 961.9: Educational Reporting appropriate credit (full or partial) for course work ☒ ☐ ☐ completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 961.10: Transition and Re-Entry Planning (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. 7420 Riverside Southwest JH PRO 18-20 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Post-Secondary Education Opportunities Policy 961.11: Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Policy 962: Recreation, Programs and EXERCISE. Exercise The facility administrator shall develop and implement Policy 962.3: Policy ☒ ☐ ☐ 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. Juvenile facilities shall provide the opportunity for Policy 962.4.1: Minimum Requirements programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy 962.4.1: Minimum Requirements exercise may be suspended only upon a written finding ☒ ☐ ☐ 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 Policy 962.4.1: Minimum Requirements ☒ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, Policy 962.4.1: Minimum Requirements recreation, and exercise by the responsible agency to All internal programs, exercise and ensure content offered is current, consistent, and recreation activities have been reviewed by relevant to the population. ☒ ☐ ☐ Director Mease on 08/09/2019. The full facility review was completed on 12/27/2019. 7420 Riverside Southwest JH PRO 18-20 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Programs. All youth shall be provided with the Policy 962.4.1: Minimum Requirements opportunity for at least one hour of daily Reviewed Unit Daily Logs. Documentation programming to include, but not be limited to, did not consistently reflect full hour of trauma focused, cognitive, evidence-based, best activity that met the regulatory requirement. practice interventions that are culturally relevant and Technical Assistance discussed and provided linguistically appropriate, or pro-social interventions regarding a form update that will make the and activities designed to reduce recidivism. These documentation more efficient and that will programs should be based on the youth’s individual capture the information in a more consistent needs as required by Sections 1355 and 1356. Such manner. Additional documentation was programs may be provided under the direction of the requested and reviewed and was found to be Chief Probation Officer or the County Office of consistent and compliant with regulation. Education and can be administered by county Issue has been corrected. partners such as mental health agencies, community- based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: ☒ ☐ ☐ (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the Policy 962.4.1: Minimum Requirements opportunity for at least one hour of daily access to Reviewed Unit Daily Logs. Documentation unscheduled activities such as leisure reading, letter did not consistently reflect full hour of writing, and entertainment. Activities shall be activity that met the regulatory requirement. supervised and include orientation and may include Technical Assistance discussed and provided coaching of youth. regarding a form update that will make the ☒ ☐ ☐ documentation more efficient and that will capture the information in a more consistent manner. Additional documentation was requested and reviewed and was found to be consistent and compliant with regulation. Issue has been corrected. 7420 Riverside Southwest JH PRO 18-20 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Exercise. All youth shall be provided with the Policy 962.4.1: Minimum Requirements opportunity for at least one hour of large muscle Reviewed Unit Daily Logs. Documentation activity each day. did not consistently reflect full hour of activity that met the regulatory requirement. Technical Assistance discussed and provided regarding a form update that will make the ☒ ☐ ☐ documentation more efficient and that will capture the information in a more consistent manner. Additional documentation was requested and reviewed and was found to be consistent and compliant with regulation. Issue has been corrected. The administrator/manager may suspend, for a period not Policy 962.4.1: Minimum Requirements to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM Policy 965: Faith Based Program The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy 965.9: Faith -Based Programs Catholic and Christian services occur ☒ ☐ ☐ weekly. Alternative activities are available for those who do not wish to participate. (b) availability of clergy; and, Policy 965.8: Faith-Based Representatives Youth may request for their own clergy to ☒ ☐ ☐ come in for visits or the facility will make arrangements with area churches. (c) availability of religious diets. Policy 965.9.1: Diets The kitchen will prepare religious diets for ☒ ☐ ☐ youth who request them for religious purposes. 7420 Riverside Southwest JH PRO 18-20 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy 966. 3: Work Program Policy The facility administrator shall develop policies and All youth are expected to clean their own procedures regarding the fair and consistent assignment rooms daily and disinfect their living units of youth to work programs. Work assigned to a youth twice a week, on Wednesday and Sunday shall be meaningful, constructive and related to afternoons. vocational training or increasing a youth's sense of Work programs outside the unit include responsibility. Work programs shall not be imposed as a hallway detail, library detail and DCO disciplinary measure. detail. ☒ ☐ ☐ Work details are sometimes offered as an incentive to promote positive behavior for a youth who is struggling to adjust to the institutional setting and provides some one on one time with staff outside of the unit or may be used as behavior incentives for youth. It is common for youth to express a desire to assist with these work details. 1374 VISITING Policy 968: Visiting Policy 968.3: Policy The facility administrator shall develop and implement written policies and procedures for visiting, that include Visiting logs and special visit logs were provisions for special visits. Youth shall be allowed to reviewed. Youth receive visits from parents receive visits by parents, guardians or persons standing and guardians as well as special visits from in loco parentis, and children of youth. Other family grandparents, aunts, uncles, sisters, members, such as grandparents and siblings, and brothers, cousins, foster parents and foster supportive adults, may be allowed to visit with the ☒ ☐ ☐ siblings. Supervisors review requests for special visits and discuss requests with approval of the facility administrator or designee, and in youth to determine relationship and conjunction with the youth’s case plan or in the best connection of the request before approval is interest of the youth. granted. If a youth has a child, the child may be added to regular visits but generally, special arrangements will be made for the child to come at a time that is more conducive to visiting with the child and the youth parent. All visits shall occur at reasonable times, subject only to Policy 968.3: Policy the limitations necessary to maintain order and security. Policy 968.4: Requirements Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, ☒ ☐ ☐ whether the visitor’s criminal history represents a risk to the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. 7420 Riverside Southwest JH PRO 18-20 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Opportunity for visitation shall be a minimum of two Policy 968.5: Visiting Rules hours per week. Visits may be supervised, but Regular Visiting Occurs as follows: conversations shall not be monitored unless there is a ☒ ☐ ☐ Unit 2 Saturday 9:30AM to 11:30 AM security or safety need. Unit 3: Currently Vacant Unit 4: Sunday 9:30AM to 11:30 AM Unit 1: Sunday 12:30 PM to 2:30 PM Provisions for special visits, in addition to the two-hour Special Visits are held Tuesday and minimum and/or outside of the regular visiting hours, Thursdays from 6:30 PM to 7:30PM shall be accommodated as necessary and within the After Court Visits are held from 1:30PM to discretion of the facility administrator or designee. ☒ ☐ ☐ 1:45 PM 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 Policy 968.3: Policy ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE Policy 970: Correspondence The facility administrator shall develop and implement ☒ ☐ ☐ Youth have the ability to write and receive written policies and procedures for correspondence letters daily. which provide that: (a) there is no limitation on the volume of mail that youth Policy 970.4: Authorized Correspondence ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Policy 970.4: Authorized Correspondence (c) youth may correspond confidentially with state and Policy 970.6.1: Privileged Mail federal courts, any member of the State Bar or holder 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 Policy 970.6.2: Non-Privileged Mail in (c), may be read by staff only when there is ☒ ☐ ☐ reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy 972: Telephone Access The administrator of each juvenile facility shall develop ☒ ☐ ☐ Youth have access to the telephones daily. and implement written policies and procedures to provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES Policy 973: Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ There are confidential interview rooms for procedures to ensure the right of youth to have access to in-person visits. Youth may call their the courts and legal services. Such access shall include: attorney at any time. (a) access, upon request by the youth, to licensed Policy 973.4(a): Access to Courts and Legal ☒ ☐ ☐ attorneys and their authorized representatives; Services (b) provision for confidential consultation with Policy 973.4(b): Access to Courts and Legal ☒ ☐ ☐ attorneys; and, Services 7420 Riverside Southwest JH PRO 18-20 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) unlimited postage free, legal correspondence and Policy 973.4(c): Access to Courts and Legal ☒ ☐ ☐ cost-free telephone access as appropriate. Services 1390 DISCIPLINE Policy 976.3: Policy The facility administrator shall develop and implement 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; Policy 976.3(a): Policy ☒ ☐ ☐ (b) daily shower, access to drinking fountain, toilet and Policy 976.3(b): Policy ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; Policy 976.3(c): Policy ☒ ☐ ☐ (d) contact with parent or attorney; Policy 976.3(d): Policy ☒ ☐ ☐ (e) exercise; Policy 976.3(e): Policy ☒ ☐ ☐ (f) medical services and counseling; Policy 976.3(f): Policy ☒ ☐ ☐ (g) religious services; Policy 976.3(g): Policy ☒ ☐ ☐ (h) clean and sanitary living conditions; Policy 976.3(h): Policy ☒ ☐ ☐ (i) the right to send and receive mail; Policy 976.3(i): Policy ☒ ☐ ☐ (j) education; and, Policy 976.3(j): Policy ☒ ☐ ☐ (k) rehabilitative programming. ☒ ☐ ☐ Policy 976.3(k): Policy The facility administrator shall establish rules of conduct Policy 976.3: Policy and disciplinary penalties to guide the conduct of youth. Policy 976.5: Minor Rule Violations Such rules and penalties shall include both major Policy 976.8: Major Rule Violations 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 Policy 976: Incentives and Discipline Process The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for the administration of discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose Policy 976.3: Policy discipline for violation of rules; Discipline is only administered by probation ☒ ☐ ☐ corrections officers (PCOs), senior probation corrections officers (SPCOs), and supervising probation officers (SPOs). 7420 Riverside Southwest JH PRO 18-20 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Policy 976.3: Policy (c) definition of major and minor rule violations and Policy 976.5: Minor Rule Violations ☒ ☐ ☐ their consequences, and due process requirements; Policy 976.8: Major Rule Violations (d) trauma-informed approaches and positive behavior 976.3: Policy ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by 976.3: Policy counseling, advising the youth of expected conduct 976.5: Minor Rule Violations imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process Policy 976.3: Policy ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; Policy 976.11 Procedure for Due Process for Major Discipline Youth are provided with notice prior to the hearing. At inspection we noted that due process forms were not being filed out completely or consistently. We found that while youth are being provided with notice prior to the hearing, the forms are not consistently noting the consequences and youth are routinely waiving their hearings. ☒ ☐ ☐ Technical assistance provided and discussions were held regarding this issue. Additional documentation was requested and reviewed, and staff are noting alternative consequences such as behavior contracts, mediation requirements or writing assignments to encourage behavior change. It is expected that this issue will be addressed as part of the room confinement corrective action and will not be noted as non- compliant in this section. (2) accommodations provided to youth with Policy 976.3: Policy disabilities, limited literacy, and English Policy 976.10: Due Process for Discipline language learners; Youth with limited literacy or English ☒ ☐ ☐ proficiency will have documents read to them. There are several bilingual staff present on each shift however, there is a translation service available as needed. (3) hearing by a person who is not a party to the Policy 976.11 Procedure for Due Process for incident; Major Discipline ☒ ☐ ☐ All hearings are completed by a supervisor who was not involved in the incident. 7420 Riverside Southwest JH PRO 18-20 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) opportunity for the youth to be heard, present Policy 976.11.1: Disciplinary Hearing ☒ ☐ ☐ evidence and testimony; Process/ DHO Responsibilities (5) provision for youth to be assisted by staff in the Policy 976.11.1: Disciplinary Hearing ☒ ☐ ☐ hearing process; Process/ DHO Responsibilities (6) provision for administrative review. Policy 976.12: Procedures for the Appeal ☒ ☐ ☐ Process for Major Discipline (g) violations that result in a removal from camp or 976.8: Major Rule Violations commitment program, but not a return to court, will follow the due process provisions in subsection (e) ☒ ☐ ☐ Rule violations are handled internally. above. Youth do not return to court unless new charges are filed. f 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 ☐Vio Dependent or neglected minors who are defined under ☒ latio ☐ Section 300 of the Welfare and Institutions Code n (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 ☐Vio Juvenile Delinquents (WIC 602)? (WIC 207[d]). ☐ latio ☒ n 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. 7420 Riverside Southwest JH PRO 18-20 - 62 - J453 JUV PRO-Eff. 01-01-2019 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 ☐Vio separated from minors. ☐ latio ☒ n Adult inmates from an adult facility (e.g. inmate ☐Vio workers or “Scared Straight” programs) are not allowed ☐ latio ☒ in the facility in a manner that allows contact with n minors. 7420 Riverside Southwest JH PRO 18-20 - 2 - J453 JUV PRO-Eff. 01-01-2019 BOARD OF STATE AND COMMUNITY CORRECTIONS – BIENNIAL INSPECTION JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001 California Code of Regulations (CCR) BSCC Code: 7420 FACILITY NAME: FACILITY TYPE: Southwest Juvenile Hall Juvenile Hall APPLICABLE REGULATIONS (Check All That 4/98: X 2001: OTHER: Apply): FIELD REPRESENTATIVES: DATE: Lisa Southwell January 22-25, 2020 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) X Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of Four holding rooms. X minors pending admission to JH Provides access to a shower X Provides a secure vault or storage space for minor's X valuables Provides telephone access to minors X Provides staff access to hot and cold running water Adjacent shower/toilet room. X Locked Holding Room (1.2) X Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area X Contains seating to accommodate all minors as X specified in these regulations Provides access to a toilet, washbasin and drinking X fountain as specified in these regulations Maximizes staff visual supervision Full glazing. X Natural Light (1.3) Visual access to natural light is provided in locked X sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 7420 Riverside Southwest JH PHY 18-20 - 1 - J456 PHY 98 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) New generation design. Corridors in living areas are at least eight feet wide. X When doors are staggered or if rooms are located only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) JH living units do not exceed 30 minors and contain X sleeping areas and plumbing fixtures, commensurate with the number of minors housed. Locked Sleeping Rooms (1.6) Have a toilet, wash basin and drinking fountain X unless a procedure is in effect to provide other access to these fixtures Single Occupancy Sleeping Rooms (1.7) X Minimum of 63 square feet of floor area and a clear ceiling height or eight feet 98: A door view panel is constructed of security Good visibility provided by 5" x 36" view glazing and is a maximum of 144 square inches. panels. X 01: View panel size changed to a minimum of 144 inches. Double Occupancy Sleeping Rooms (1.8) Minimum of 100 square feet floor area, a clear X ceiling height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. X 01: View panel size changed to a minimum of 144 inches Dormitories (1.9) 1009 square feet. In JHs and camps, there is a minimum of 50 square feet of floor area per minor, with a minimum X dormitory size of 200 square feet and a minimum clear ceiling height of eight feet. In JHs and camps, dormitories are designed for no X fewer than four minors. JH dormitories for detained minors are designed for Alternate means of compliance for 20 person X no more than 15 minors (NA camps). dormitories granted 5/18/00. JH dormitories for court commitments are designed X for no more than 30 minors (NA Camps). Dayrooms (1.10) X JH dayrooms contain 35 square feet of floor area per minor. 7420 Riverside Southwest JH PHY 18-20 - 2 - J456 PHY 98 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Dayrooms in camps and SPJHs contain 30 square X feet of floor area per minor. All dayrooms provide access to toilets, wash basins, X drinking fountains and showers. Physical Activity and Recreation Spaces (NA SPJH; 1.11) 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet dedicated X indoor-outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9000 square feet dedicated indoor-outdoor space. 98: Facilities with a capacity of 41 to 100 minors One courtyard = 3,278 square feet. have a minimum of 9,000 square feet dedicated One courtyard = 2,951 square feet. indoor-outdoor space, plus a field area. The field Recreation yard = 42,263 square feet. area contains a minimum of one acre with a minimum dimension of 100 feet. X 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor-outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. X 01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor-outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor-outdoor space is a paved or "like" surface. X 01: Changed from one-half to one-quarter of the space A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped and X of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single X dimension less than 40 feet. Outdoor recreation area lighting allows for evening X activities and provides security. Academic Classrooms (NA SPJH; 1.12) Each unit has one classroom plus there is an additional classroom. X Classrooms are designed for a maximum of 20 minors. 7420 Riverside Southwest JH PHY 18-20 - 3 - J456 PHY 98 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for X every juvenile in the facility. The primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square Four classrooms @ 722 square feet. The feet of floor space for the teacher's desk and work additional classroom contains 748 square X area, and a minimum of 28 square feet floor space per feet. minor. There is a communication system in each classroom X that allows for immediate response to emergencies. Safety Room (1.13) X Provides a minimum of 63 square feet of floor space and a minimum clear ceiling height of eight feet Limited to one minor X Padded as specified in these regulations X There are one or more vertical view panels constructed of security glazing. Panels provide a X view of the entire room and are no more than four inches wide and at least 24 inches long. Audio monitoring system as specified in these Threshold monitoring. X regulations Access to a toilet, wash basin and drinking fountain is Adjacent toilet/shower room. X provided. Medical Examination Room (NA SPJH; 1.14) Two exam rooms. There is a minimum of one suitably equipped medical X examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations X that is used for no other purpose; Privacy for minors; X Lockable storage for medical supplies; X Locked cabinets. Not less than 144 square feet floor space with no 10' x 14'6". X single dimension less than seven feet; Hot and cold running water; and, X 01: Smooth, non-porous, washable surfaces. X Pharmaceutical Storage (1.15) There is lockable storage space for medical supplies X and pharmaceutical preparations as specified by Title 15, § 1438. Dining Areas (NA SPJH; 1.16) Central dining contains 2,359 square feet. There is a minimum of 15 square feet floor space and X sufficient tables and seating for each person being fed (including minors, staff and visitors). 7420 Riverside Southwest JH PHY 18-20 - 4 - J456 PHY 98 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Dining areas do not contain toilets or showers in the same room, unless there is an appropriate visual X barrier. Visiting Space (1.17) X Visiting space is provided. Institutional Storage (1.19) Located in intake. There is a minimum of 80 cubic feet of storage space X per minor for institutional clothing, bedding, supplies and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each unit has personal storage. Each minor has a minimum of nine cubic feet of X secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, X such as fire extinguishers, self-contained breathing apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) Each unit. There is at least one securely lockable janitorial closet X containing a mop sink and sufficient area for storing cleaning implements within the security area. Audio Monitoring System (1.22) There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; X locked holding rooms, locked sleeping rooms; single and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to X maintain fire and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) In each unit and in intake. X Contain a minimum of 60 square feet of floor area and provide for confidential consultation with minors 7420 Riverside Southwest JH PHY 18-20 - 5 - J456 PHY 98 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS There is a minimum of one suitably furnished X interview room for each 30 minors in JHs. There is a minimum of one suitably furnished X interview room in each camp. Court Holding Room for Minors (1.26) X Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors X Provides 40 square feet of floor area and a minimum X clear ceiling height of eight feet Contains seating to accommodate all minors X Contains a toilet, wash basin and drinking fountain as X specified in these regulations Maximizes staffs' visual supervision of minors X Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked holding rooms. X One toilet and one urinal may be substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Wash basins must provide hot and cold or tempered X water and be available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. Drinking Fountains (2.3) X Drinking fountains are accessible to minors and staff in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents X waste water from flowing over the bubbler. Showers (2.4) Showers provide tempered water and are available on X living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without X mitigating staff's ability to supervise. Beds (2.5) Concrete beds = 30" x 83". Bunk beds = 30" x 77". X Beds are at least 30 inches wide and 76 long and are of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no X less than 36 inches apart. 7420 Riverside Southwest JH PHY 18-20 - 6 - J456 PHY 98 01.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS Lighting (2.6) There is at least 20 foot-candles (216 1x) of X illumination at desk level in locked sleeping rooms, single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good X visibility and is conducive to sleep. Padding (2.7) Padding in safety rooms covers the floor, door and X walls to a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper-resistant fire sprinkler as approved by the State Fire Marshal X (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or X laminated construction; firmly bonded to all padded surfaces; and, is without exposed seams. Seating (2.8) Concrete seating. Seating is designed for the level of security. When X bench seating is used, 18 inches of bench seating is allowed for each person. Weapons Locker ( 2.9) Weapons lockers are located outside the security X perimeter of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, X each with their own locking device. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met. (See regulation for specific X requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7420 Riverside Southwest JH PHY 18-20 - 7 - J456 PHY 98 01.dot (03/01) BOARD OF STATE AND COMMUNITY CORRECTIONS – BIENNIAL INSPECTION JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION BSCC Code: 7420 FACILITY: TYPE: RC: Riverside County Southwest Juvenile Hall JH 99 FIELD REPRESENTATIVES: DATE: Lisa Southwell January 22-25, 2020 ALL DIMENSIONS BASED ON CYA DATA UNLESS OTHERWISE DESIGNATED. ROOMS EACH ROOM Each Room FIXTURES* # Size (L x W x H) COMMENTS Unit Room Applicable Total Room or Square/Cubic Designation Type Standards # RC s RC Feet T U W F S Beds INTAKE (Detention Control) 145 Holding 1998 1 (2) 9' x 7'5" x 9'11" 1 1 1 Accessible cell. 67 square feet. 43" bench. 146 Holding 1998 1 (2) 8' x 7'5" x 9'11" 1 1 1 59 square feet. 43" bench. 147 Holding 1998 1 (2) 8' x 7'5" x 9'11" 1 1 1 59 square feet. 43" bench. 148 Holding 1998 1 (2) 8' x 7'5" x 9'11" 1 1 1 59 square feet. 43" bench. 143 Safety 1998 1 (1) 11'9" x 6'6" x 76 square feet. 9'11" HOUSING Unit 1 Single 1998 2 1 1 2 8' x 10'1" x 10' 1 1 1 81 square ft. Accessible cells. Chase is 4 sq. ft. Single 1998 17 1 1 17 7'1" x 10'1" x 10' 1 1 1 71 sq. ft. All cells at least this size. Chase is 4 sq. ft. Dayroo 1998 Irregular 1 1 1 6 Minimally 2269 square feet. -1 S for Cold m decontamination Unit 2 Single 1998 2 1 1 2 8' x 10'1" x 10' 1 1 1 81 square ft. Accessible cells. Chase is 4 sq. ft. Single 1998 18 1 1 18 7'1" x 10'1" x 10' 1 1 1 71 sq. ft. All cells at least this size. Chase is 4 sq. ft. Dayroo 1998 Irregular 1 1 1 6 Minimally 2269 square feet. -1S *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7420 Riverside Southwest JH LASE 18-20 - 1 - J460 LAS JUV.dot (03/01) ROOMS EACH ROOM Each Room FIXTURES* # Size (L x W x H) COMMENTS Unit Room Applicable Total Room or Square/Cubic Designation Type Standards # RC s RC Feet T U W F S Beds m Unit 3 Single 1998 2 1 1 2 8' x 10'1" x 10' 1 1 1 81 square ft. Accessible cells. Chase is 4 sq. ft. Boys Single 1998 8 1 1 8 7'1" x 10'1" x 10' 1 1 1 71 sq. ft. All cells at least this size. Chase is 4 sq. ft. Dorm 1998 1 20 20 20 Irregular 2 2 4 3 1009 square feet. Dayroo 1998 Irregular 1 1 1 3 Minimally 2269 square feet. m Dayroom (34'2" x 54'8") + (19'2" x 15') + (15' x 15'/2). Unit 4 Single 1998 2 1 1 2 8' x 10'1" x 10' 1 1 1 81 square ft. Accessible cells. Chase is 4 sq. ft. Girls Single 1998 8 1 1 8 7'1" x 10'1" x 10' 1 1 1 71 sq. ft. All cells at least this size. Chase is 4 sq. ft. Dorm 1998 1 20 20 20 Irregular 3 4 3 1009 square feet. Dayroo 1998 Irregular 2 1 3 Minimally 2269 square feet. m + 1 Dayroom (34'2" x 54'8") + (19'2" x 15') + (15' x 15'/2). Historical Notes: Intake: N/A Unit 1: Toilet room off of dayroom for special use only. Ceiling height in toilet room is only 7'3". Dayroom (34'2" x 54'8") + (19'2" x 15') + (15' x 15'/2). Four of the showers are on the ground floor, three are on the upper tier. Unit 2: Toilet room off of dayroom for special use only. Ceiling height in toilet room is only 7'3". Dayroom (34'2" x 54'8") + (19'2" x 15') + (15' x 15'/2). Four of the showers are on the ground floor, three are on the upper tier. Unit 3: Alternate means of compliance for 20 bed dormitory granted 5/18/00. Dormitory measurements (14'7" x 60'9") + (13'6" x 5'10") + (9'5" x 9'5"/2). 2012-14 Inspection: This unit was unoccupied and was not inspected. Unit 4: Note: Alternate means of compliance for 20 bed dormitory granted 5/18/00. Dormitory measurements (14'7" x 60'9") + (13'6" x 5'10") + (9'5" x 9'5"/2). 2014-2016 Evaluated full facility for LASE. Unit 1: 1 S for Cold decontamination. Unit 2: -1S RC 99 (40 Dorm beds and 59 Single 2016-2018 LASE: RC remains same, no change 99 2018-2020 LASE: RC remains same, no changes. RC 99 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7420 Riverside Southwest JH LASE 18-20 - 2 - J460 LAS JUV.dot (03/01) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7421 FACILITY NAME: Indio Juvenile Hall FACILITY TYPE: Juvenile Hall PERSON(S) INTERVIEWED: Elisa Porras; Division Director, Michael Brinkman; Assistant Director, Melissa Loscano; Supervisor, Victor Regaldo, Senior PCO Nancy Salcedo, Tanya Strickland; Senior Clinical Therapist, Art Kimball; Principal, Residents, Ages 16,17 and 18. FIELD REPRESENTATIVE: Lisa Southwell DATE: January 27-30, 2020 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 2019 the Board of Supervisors to approve building safety; The building inspection was completed by ☒ ☐ ☐ Andres Alfaro on December 26, 2019 and on January 8, 2019 by Craig Lobnow. There were no areas of concern. (B) Fire authority having jurisdiction, including a fire The fire inspection was completed by clearance as required by Health and Safety Code ☒ ☐ ☐ Riverside County Fire Department on Section 13146.1 (a) and (b); December 5, 2019. Fire Clearance was granted. (C) Local health officer, inspection in accordance with 2018 Health and Safety Code Section 101045; Medical Mental Health: April 5, 2018 Nutrition: April 5, 2018 Environmental Health: April 5, 2018 2019 ☒ ☐ ☐ Medical Mental Health: July 18, 2019, 2019 Nutrition: July 18, 2019 Environmental Health: July 18, 2019 with corrections needed. Memo Received from Shantel Bacon on December 19, 2019 noting that all corrective action completed. 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. 7421 Riverside Indio JH PRO18-20 - 1 - J453 JUV PRO-Eff. 01-01-2019 (D) County superintendent of schools on the adequacy Education for the Indio Juvenile Hall is of educational services and facilities as required in provided by Riverside County Office of Section 1370; Education. 2019 The facility was inspected twice in 2019. Once on February 5, 2019, the Facility was reviewed by Janice Delagrammatickas, Principal, Comeback Kids Charter School found the school program to meet regulatory expectations and again on October 7, 2019, by Michael Curtis Principal of Desert-Mountain Alternative Education, San Bernardino County Superintendent of Schools. The school program was again reviewed on October 7, 2019 by Michael Curtis, Principal, Desert-Mountain Alternative Education San Bernardino County Superintendent of Schools who also found the school program to meet regulatory expectations. Principal Curtis stated “The school program shows a strong collaboration with the Riverside County Probation Department, ☒ ☐ ☐ and all other supporting agencies. During the course of this evaluation, all juvenile court schools in the county were visited, as well as all classrooms within those facilities. It was clearly observed that all required elements of the students' academic needs were met. Upon entry to the school, student records are requested. Those records are then evaluated by teaching staff where a six-period schedule is developed for each student based upon their educational needs. The school collaborates regularly with Probation to provide positive behavior intervention and supports. Students are on a point system where they earn incentives for positive behavior. There has been a documented reduction in discipline issues since the implementation of this system. School and Probation staff also provide socio-emotional programs to students and collaborate by sharing information pertaining to the students' behavior to ensure the best opportunity for the students to succeed in school. The school has an exceptionally strong transitional program to ensure that students are in the best possible placement upon release from the facility in 7421 Riverside Indio JH PRO18-20 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS order to give them a greatly increased chance for future success. (E) Juvenile court as required by Section 209 of the 2018 Welfare and Institutions Code The facility was inspected by the Honorable Judge Susanne Cho on December 20, 2018. Judge Cho found the facility to be suitable to house youth. ☒ ☐ ☐ 2019 The facility was inspected by the Honorable Judge Susanne Cho on December 13, 2019. Judge Cho found the facility to be suitable to house youth. (F) Juvenile Justice Commission as required by Section The Juvenile Justice Commission conducts 229 of the Welfare and Institutions Code or annual inspections of the facility. Probation Commission as required by Section 240 of 2018 the Welfare and Institutions Code. The facility was inspected on December 26, 2018 by Commissioners Jester and Cook. ☒ ☐ ☐ 2019 The facility was inspected on June 6, 2019 by Commissioners Derilo, Jester, Robitzer and Walter. The commission determined the facility was suitable for continued detention of juveniles. 1320 APPOINTMENT AND QUALIFICATIONS Policy 905: Appointment and Qualifications BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s Letter received from Interim Chief Ron Miller dated December 5, 2019 noting all certification letter confirming that all elements of regulatory requirements of section 1320. 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, Policy 905.4(a): Employee Qualifications skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Policy 905.4(b): Employee Qualifications examination including tuberculosis screening test ☒ ☐ ☐ and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); 7421 Riverside Indio JH PRO18-20 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) adhere to the minimum standards for the selection Policy 905.4(c): Employee Qualifications and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Policy 905.4(d): Employee Qualifications employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- Policy 905.4: Employee Qualifications employees of the facility, who may be present at the facility, shall have such clearance and qualifications Policy 908: Initial Orientation for Non- Sworn Staff and Others as may be required by law, and their presence at the facility shall be subject to the approval and control of Per facility administrators, all contract the facility manager. personnel, volunteers and other non- ☒ ☐ ☐ employees participate in background checks as required by the Probation Department. Education staff are currently monitored by the County Office of Education; however, the Probation Department is actively working on a solution with the County Office of Education to collaborate in this endeavor. Probation maintains control as to who has access into the facility. 1321 STAFFING Each juvenile facility shall: a) have an adequate number of personnel sufficient to Policy 906.4(a): Staffing Requirements carry out the overall facility operation and its We reviewed the Agency’s Organization programming, to provide for safety and security of Chart, Vacancy Report, Leave Management youth and staff, and meet established standards and Report, the Master Staff Schedule and Daily regulations; Schedules for the week of January 21, 2020 – January 24, 2020 were reviewed. Each unit ☒ ☐ ☐ was staffed appropriately for the number of youth housed. Random dates were selected throughout the cycle and also viewed to ensure adequate personnel were present on site. Minimum staffing ratios were consistently met or exceeded. 7421 Riverside Indio JH PRO18-20 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) ensure that no required services shall be denied Policy 906.4(b): Staffing Requirements because of insufficient numbers of staff on duty absent exigent circumstances; At inspection, technical assistance was provided and discussed that staffing was specific to more than just the ratios and that all areas of Title 15 must be met, and the facility must be staffed accordingly. While ☒ ☐ ☐ we did not find a consistent shortage of staff or noncompliance in this area, this was addressed to ensure that facility managers used their staff on site to the best potential. As RJH was pending closure and staff would be realigned, this would result in existing staff being transferred to the existing facilities which will increase staffing overall. c) have a sufficient number of supervisory level staff to Policy 906.4(c): Staffing Requirements ensure adequate supervision of all staff members; Facility has a supervisor or an assigned ☒ ☐ ☐ senior officer who acts with supervisory powers on each shift d) have a clearly identified person on duty at all times Policy 906.4(e): Staffing Requirements who is responsible for operations and activities and The Duty Officer is responsible for the has completed the Juvenile Corrections Officer Core ☒ ☐ ☐ operations of the facility. Facility staff are Course and PC 832 training; responsible for the unit activities of the youth. e) have at least one staff member present on each living Policy 906.4(f): Staffing Requirements unit whenever there are youth in the living unit; There is always a staff present in the unit or ☒ ☐ ☐ where a youth is present. Youth are not left alone. f) have sufficient food service personnel relative to the Policy 906.4(g): Staffing Requirements number and security of living units, including staff The facility has a full dining hall. All youth qualified and available to: plan menus meeting eat their meals in the dining hall unless they nutritional requirements of youth; provide kitchen ☒ ☐ ☐ refuse to leave their room or the unit. The supervision; direct food preparation and servings; dining hall is staffed by facility cooks who conduct related training programs for culinary staff; plan and prepare all meals. Cooks do not and maintain necessary records; or, a facility may supervise youth. serve food that meets nutritional standards prepared by an outside source; 7421 Riverside Indio JH PRO18-20 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, Policy 906.4(h): Staffing Requirements medical, dental, mental health, building The Duty Officer is responsible for the maintenance, transportation, control room, facility operations of the facility. Facility staff are security and other support staff for the efficient responsible for the unit activities of the management of the facility, and to ensure that youth youth. supervision staff shall not be diverted from supervising youth; and, Medical staff are on site 24 hours a day, 7 days a week. The clinic is staffed with an RN on shift at all times. The DR visits several times a week. The DR visits several times a week and youth have access to the optometrist and dental as needed. Behavior Health is present on site daily ☒ ☐ ☐ including weekend hours. Youth in treatment have weekly therapy on Saturdays and Sundays. Groups provided include ART and MRT. Both Probation and MH staff report a very collaborative, proactive relationship between them. In our conversations with mental health and medical staff, both report the environment and culture to be positive and one of teamwork. Probation managers and the partner agencies should be proud of the collaboration that has been developed between the agencies. h) assign sufficient youth supervision staff to provide Policy 906.4(i): Staffing Requirements continuous wide-awake supervision of youth, subject to temporary variations in staff assignments ☒ ☐ ☐ to meet special program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls (minimum youth-staff ratio) Policy 906.5(a): Youth-To-Staff Ratio by (A) during the hours that youth are awake, one wide- Facility (Juvenile Detention Facilities) awake youth supervision staff member on duty for ☒ ☐ ☐ Minimum staffing ratios are maintained. each 10 youth in detention; (B) during the hours that youth are confined to their Policy 906.5(b): Youth-To-Staff Ratio by room for the purpose of sleeping, one wide-awake Facility (Juvenile Detention Facilities) ☒ ☐ ☐ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Policy 906.5(c): Youth-To-Staff Ratio by members on duty at all times, regardless of the Facility (Juvenile Detention Facilities) number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to emergencies; and, 7421 Riverside Indio JH PRO18-20 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (D) at least one youth supervision staff member on duty Policy 906.5(d): Youth-To-Staff Ratio by who is the same gender as youth housed in the Facility (Juvenile Detention Facilities) facility. ☒ ☐ ☐ There are always male and female staff on duty. (E) personnel with primary responsibility for other Policy 906.5(e): Youth-To-Staff Ratio by duties such as administration, supervision of Facility (Juvenile Detention Facilities) ☒ ☐ ☐ personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (2) Special Purpose Juvenile Halls (minimum youth- staff ratio) ☐ ☐ ☒ (A) during hours that youth are awake, one wide-awake youth supervision staff member is on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the ☐ ☐ ☒ number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of ☐ ☐ ☒ personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (minimum youth -staff ratio) (A) during the hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the ☐ ☐ ☒ number of youth in residence, unless arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility; 7421 Riverside Indio JH PRO18-20 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF Policy 907.4(a): Youth Supervision Staff ORIENTATION AND TRAINING Orientation and Training (a) Prior to assuming any responsibilities each youth ☒ ☐ ☐ Each new staff upon reporting to the facility supervision staff member shall be properly oriented is assigned to a training officer who assists to their duties, including: the new officer in their orientation and training. (1) youth supervision duties; Policy 907.4(a)1: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (2) scope of decisions they shall make; Policy 907.4(a)2: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (3) the identity of their supervisor; Policy 907.4(a)3: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (4) the identity of persons who are responsible to Policy 907.4(a)4: Youth Supervision Staff them; Orientation and Training ☒ ☐ ☐ Day 1: Welcome (5) persons to contact for decisions that are beyond Policy 907.4(a)5: Youth Supervision Staff their responsibility; and Orientation and Training ☒ ☐ ☐ Day 1: Welcome (6) ethical responsibilities. Policy 907.4(a)6: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (b) Prior to assuming any responsibility for the Policy 907.4(b): Youth Supervision Staff supervision of youth, each youth supervision staff Orientation and Training ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility-specific orientation, including: 7421 Riverside Indio JH PRO18-20 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) individual and group supervision techniques; Policy 907.4(b)2: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Embedded throughout the 40-hour training (2) regulations and policies relating to discipline and Policy 907.4(b3): Youth Supervision Staff rights of youth pursuant to law and the Orientation and Training ☒ ☐ ☐ provisions of this chapter; Day 5: Living Unit Techniques and Program (3) basic health, sanitation and safety measures; Policy 907.4(b)4: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 3: Behavior Health Services, Day 4: Correctional Health Services and Living Unit Programs (4) suicide prevention and response to suicide Policy 907.4(b)5: Youth Supervision Staff attempts Orientation and Training ☒ ☐ ☐ Day 4: Suicide Prevention (5) policies regarding use of force, de-escalation Policy 907.4(b)6: Youth Supervision Staff techniques, chemical agents, mechanical and ☒ ☐ ☐ Orientation and Training physical restraints; (6) review of policies and procedures referencing Policy 907.4(b)7: Youth Supervision Staff trauma and trauma-informed approaches; ☒ ☐ ☐ Orientation and Training (7) procedures to follow in the event of Policy 907.4(b)8: Youth Supervision Staff emergencies; Orientation and Training ☒ ☐ ☐ Day 2: Emergency Procedures (8) routine security measures, including facility Policy 907.4(b)9: Youth Supervision Staff perimeter and grounds; Orientation and Training ☒ ☐ ☐ Day 1: Issue Equipment/Uniforms (9) crisis intervention and mental health referrals to Policy 907.4(b)10: Youth Supervision Staff mental health services; Orientation and Training ☒ ☐ ☐ Day 3: Behavior Health Services (10) documentation; and Policy 907.4(b)11: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 6: Online Computer Training (11) fire/life safety training Policy 907.4(b)12: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 2: Emergency Procedures 7421 Riverside Indio JH PRO18-20 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Prior to assuming sole supervision of youth, each Policy 907.4(b): Youth Supervision Staff youth supervision staff member shall successfully Orientation and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal All staff complete CORE Training prior to 1 Code Section 6035. year of service and prior to assuming sole supervision of youth. (d) Prior to exercising the powers of a peace officer Policy 907.4(b): Youth Supervision Staff youth supervision staff shall successfully complete Orientation and Training ☒ ☐ ☐ training pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY Policy 909: Fire and Life Safety Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all ☒ ☐ ☐ times who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL Policy 910: Policy and Procedures Manual All facility administrators shall develop, publish, and Riverside County Probation Department implement a manual of written policies and procedures Policy Manual that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made The policy and procedure manual was available to all employees, reviewed by all employees, provided for our review. The manual is and shall be administratively reviewed at a minimum reviewed and updated every 2 years. every two years, and updated, as necessary. Those Additional updates were last completed and records relating to the standards and requirements set provided in May 2020 and June 2020. forth in these regulations shall be accessible to the Board ☒ ☐ ☐ on request. The BSCC has reviewed the agency Policy The manual shall include: and Procedure specific to regulations and has confirmed the required policies and procedure exist specific to required regulations; however, there may be cites noted in the comments that may not match due to updates that were unable to be reverified The agency manual is provided to staff electronically for their review. (a) table of organization, including channels of communications and a description of job ☒ ☐ ☐ classifications; (b) responsibility of the probation department, purpose Policy 962: Recreation, Programs and of programs, relationship to the juvenile court, the Exercise Juvenile Justice/Delinquency Prevention 1044: Operation of Riverside County Commission or Probation Committee, probation ☒ ☐ ☐ Juvenile Facilities staff, school personnel and other agencies that are Policy 1048: Responsibility of Probation involved in juvenile facility programs; Department to Collaborative Partners (c) responsibilities of all employees; Policy 1049: Responsibilities of All Juvenile ☒ ☐ ☐ Facility Staff 7421 Riverside Indio JH PRO18-20 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) initial orientation and training program for See Section 1322 and Section e below. ☒ ☐ ☐ employees; (e) initial orientation, including safety and security Policy 908: Initial Orientation for Non- issues and anti-discrimination policies, for support Sworn Staff and Others ☒ ☐ ☐ staff, contract employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and See Sections Below ☒ ☐ ☐ communication system to ensure: (1) efficient operation of the juvenile facility; Policy 1044: Operation of Riverside County ☒ ☐ ☐ Juvenile Facilities (2) legal and proper care of youth; Policy 1044: Operation of Riverside County ☒ ☐ ☐ Juvenile Facilities (3) maintenance of individual youth's records; Policy 957: Reporting of Incidents and Other ☒ ☐ ☐ Information (4) supply of information to the juvenile court and Policy 957: Reporting of Incidents and Other those authorized by the court or by the law; and, Information ☒ ☐ ☐ Policy 958: Confidentiality and Release of Information (5) release of information regarding youth. Policy 958: Confidentiality and Release of ☒ ☐ ☐ Information (g) ethical responsibilities; ☒ ☐ ☐ Policy 300: Ethics 7421 Riverside Indio JH PRO18-20 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) trauma-informed approaches; 907: Youth Supervision Staff Orientation and Training Policy 910: Policy and Procedures Manual Policy 932: Suicide Prevention Plan Policy 952: Use of Physical Restraints for Movement and Transportation within the Facility Policy 961: Education Policy 976: Incentives and Discipline Process Policy 1033: General Treatment of Youth Staff were initially trained in Trauma Informed Care and Trauma Approaches in 2014, 2015 and some staff also in 2016 and 2017. Staff and supervisors note that they ☒ ☐ ☐ are also trained in Non-Violent Crisis Intervention Training and receive regular updates. Trauma, trauma informed approaches and other reference to trauma are noted in agency policy. Trauma is defined in definitions in the agency policy. Indio staff also spoke very highly of their Senior Behavior Health Therapist Tanya Strickland. All staff we spoke with, noted that the ongoing communication shared is key to the success they share in working with the youth in recognizing their trauma triggers and also in assisting them in deescalating the youth when their behavior before their behavior becomes out of control. (i) culturally responsive approaches; Policy 1033: General Treatment of Youth ☒ ☐ ☐ Policy 1033.4.1(e): Treatment of Youth (j) gender responsive approaches; Policy 1033: General Treatment of Youth ☒ ☐ ☐ Policy 1033.4.1(f): Treatment of Youth 7421 Riverside Indio JH PRO18-20 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) a non-discrimination provision that provides that all Policy 1050: Youth Non-Discrimination youth within the facility shall have fair and equal 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 Policy 916: Safety Equipment Control chemical agents related security devices, and ☒ ☐ ☐ weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy 1051: Medi-Cal Information, Cal eligibility information and enrollment of eligible Eligibility, and Enrollment youth; and, ☒ ☐ ☐ All youth and their families are provided with information regarding DPSS Medi Cal program upon release including information for enrollment. (n) establishment of a policy that prohibits all forms of Policy 1008: Prison Rape Elimination Act sexual abuse, sexual assault and sexual harassment. (PREA) of 2003 The policy shall include an approach to preventing, ☒ ☐ ☐ detecting and responding to such conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy 911: Fire Safety Plan The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with The fire safety plan is part of the facility the State Fire Marshal, in developing a plan for fire safety specific emergency operation plan and is which shall include, but not be limited to: coordinated with the City of Indio Fire Department. This document was last ☒ ☐ ☐ reviewed in January 2020. The facility provided a copy of their Annual Safety Evaluation completed by the County’s Safety Division that outlines safety areas where the facility could improve. a) a fire prevention plan to be included as part of the Policy 911: Fire Safety Plan ☒ ☐ ☐ manual of policy and procedures; 7421 Riverside Indio JH PRO18-20 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) monthly fire and life safety inspections by facility Policy 911.8: Prevention staff with two- year retention of the inspection record; Monthly fire and life inspections are ☒ ☐ ☐ completed as required and are part of a more comprehensive facility inspection that is completed monthly. c) fire prevention inspections as required by Health Policy 911.8: Prevention and Safety Code Section 13146.1(a) and (b); The fire inspection was completed by ☒ ☐ ☐ Riverside County Fire Department on December 5, 2019. Fire Clearance was granted. d) an evacuation plan; Policy 911.5: Fire Safety Plan Policy 928: Indio Juvenile Hall Evacuation Plan ☒ ☐ ☐ Each facility has a facility specific procedure for evacuation. Evacuation signs are posted, and current evacuation maps were provided for our review. e) documented fire drills not less than quarterly; Policy 911.8: Prevention Fire Drills are to be completed monthly per policy. Facility staff completed fire drills for all but 2 months and in their place, were earthquake and other facility emergency ☒ ☐ ☐ drills. Agency commended for completing additional drills however, reminded that the emergency drills must be completed with the fire drills to be consistent with their policy. f) a written plan for the emergency housing of youth in Policy 911.6: Emergency Housing of Youth the case of fire; and, ☒ ☐ ☐ Facility may evacuate to any other Riverside Juvenile Hall depending on location of fire. g) development of a fire suppression pre-plan in Policy 911: Fire Safety Plan cooperation with the local fire department. ☒ ☐ ☐ Agency has coordinated their plan with Mark Oakley, Battalion Chief with the Indio Fire Department. 1326 SECURITY REVIEW Policy 912.4: Security Review Each facility administrator shall develop policies and Completed by Facility Director Vedrode on procedures to annually review, evaluate, and document ☒ ☐ ☐ January 9, 2018 and January 31, 2019. 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. 7421 Riverside Indio JH PRO18-20 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1327 EMERGENCY PROCEDURES Policy 917: Emergency Procedures The facility administrator shall develop facility-specific Each facility has a facility specific procedure policies and procedures for emergencies that shall for all emergencies and evacuation. The ☒ ☐ ☐ include, but not be limited to: procedures are specific to the facility but also provide information to the other facilities in the county. (a) escape, disturbances, and the taking of hostages; Policy 918: Hostages Policy 919: Riot Control ☒ ☐ ☐ Policy 920: Escapes/AWOL Policy 949: 11:88: Radio Call (b) civil disturbance, active shooter and terrorist attack; Policy 1055: Civil Disturbance, Active ☒ ☐ ☐ Shooter, Terrorist Attack (c) fire and natural disasters; Policy 923: Earthquake Policy 924: Fire ☒ ☐ ☐ Policy 926: Utility Outage Policy 927: Smog Episodes and Excessive Heat (d) periodic testing of emergency equipment; ☒ ☐ ☐ Policy 916: Safety Equipment Control (e) emergency evacuation of the facility; and Policy 930: Indio Juvenile Hall Evacuation Plan ☒ ☐ ☐ Each facility has a facility specific procedure for evacuation. (f) a program to provide all youth supervision staff Policy 917.5: Annual Review with an annual review of emergency procedures. All staff are provided with a packet of emergency policy and procedures to review and to sign off. Staff review as time permits. ☒ ☐ ☐ Most sign offs occurred in January 2018 and February 2019. Supervisors then track the sign offs to ensure that all staff have completed them. All Facility staff completed the emergency procedure annual review. 7421 Riverside Indio JH PRO18-20 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS Policy 931.3: Safety Check Policy The facility administrator shall develop and implement Agency utilizes the Guard 1 Plus System to policy and procedures that provide for direct visual document their facility safety checks. On observation of youth at a minimum of every 15 minutes, days where youth are in school or otherwise at random or varied intervals during hours when youth outside of their rooms, there are are asleep or when youth are in their rooms, confined in approximately 7000 safety checks completed holding cells or confined to their bed in a dormitory. in a 24-hour time frame facility wide. Supervision is not replaced, but may be supplemented Supervisors conduct daily quality assurance by, an audio/visual electronic surveillance system checks three times a day to ensure that designed to detect overt, aggressive or assaultive checks are being completed. If discrepancies behavior and to summon aid in emergencies. All safety are noted by the supervisor reviewing, staff checks shall be documented with the actual time the are directed to write an incident report to check is completed. document what occurred and the details of the incident. Generally, the staff have ☒ ☐ ☐ already documented the incident on their own before they are asked to do so. Supervisors review the report, then cameras to ensure the type of error and to be sure of and circumstances that may have led to the discrepancy. We reviewed random blocks of dates and times of safety checks for Indio Juvenile Hall. We found no late or missing safety checks that were not reviewed and addressed by a supervisor. There were only a few late safety checks overall. This is noteworthy when considering the number of safety checks that occur over the course of a day, week, month or year. 1329 SUICIDE PREVENTION PLAN Policy 932: Suicide Prevention Plan The facility administrator, in collaboration with the Policy 932.3 Policy healthcare and behavioral/mental health administrators, shall plan and implement written policies and The Suicide Prevention Plan was developed procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ in collaboration with Riverside University The plan shall consider the needs of youth experiencing Health System Behavioral Health and past or current trauma. Suicide prevention responses Correctional Health Services shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements. (a) Suicide prevention training as required in Policy 932.6: Staff Training Section 1322, Youth Supervision Staff All staff complete a Suicide Prevention Orientation, and Training and the Juvenile Corrections Officer Core Course. Training module of Initial Orientation ☒ ☐ ☐ training. Staff are also trained in Suicide Prevention in the CORE Academy. All staff also complete a refresher training annually thereafter. 7421 Riverside Indio JH PRO18-20 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and Policy 932.7: Screening and Referral Precautionary Protocols MAYSI (1) All youth shall be screened for risk of suicide at intake and as needed during Reviewed multiple intake files for youth detention. detained at Indio JH. All were screened ☒ ☐ ☐ immediately upon entry and the results were documented in the case management system. We did not view any additional Maysi screenings for any youth during detention, but youth may be screened at anytime. (2) All youth supervision staff who perform Policy 932.7: Screening and Referral intake processes shall be trained in Facility Behavior Health Staff initially screening youth for risk of suicide. trained the “trainers” who are Senior Officers. These officers then trained all staff ☒ ☐ ☐ assigned to complete the screenings with the youth. Senior Officers will continue to train any new staff that come to the facility and are tasked to complete the screenings. (3) All youth who have been identified during Policy 932.8: Assessment the intake screening process to be at risk of Youth who score as either a “caution” or as a suicide shall be referred to behavioral/mental health staff for a suicide ☒ ☐ ☐ “warning” are referred to Behavior Health. risk assessment. Staff place the youth on the appropriate safety watch consistent with his safety need pending a behavioral health assessment. (4) Precautionary protocols shall be developed 932.8: Assessment to ensure the youth’s safety pending the SWDVS and SW5: Increased watches while behavioral/mental health assessment. assessment is pending. Mental Health assessment should occur as soon as possible ☒ ☐ ☐ but within 24 hours of referral. The Duty officer contacts all facility partners to notify of the youth’s status. 7421 Riverside Indio JH PRO18-20 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Referral process to behavioral/mental health Policy 932.8: Assessment staff for assessment and/or services. Policy 932.10: Juvenile Facility Staff Responsibilities When Placing Youth on Safety Watch Policy 932.11: Duty Officer (DO/Supervising Probation Officer (SPO) ☒ ☐ ☐ Responsibilities Youth are immediately referred to behavioral health for assessment. It is the Duty Officers responsibility to contact the on-call BHS if there are no BHS on site. Both staff and the Duty officer will make contact with BHS if they are on site. (d) Procedures for monitoring of youth identified 932.9: Increased Monitoring at risk for suicide. Safety Watch Direct Visual Supervision: (SWDVS) Continuous monitoring of youth by staff until assessment ☒ ☐ ☐ Safety Watch 5: (SW5) 5-minute safety checks of youth by staff until assessment (e) Safety Interventions (1) Procedures to address intervention protocols for youth identified at risk for ☒ ☐ ☐ suicide which may include, but are not limited to: A. Housing consideration Policy 932.13: Safe Housing ☒ ☐ ☐ Policy 932.13.1: Placement of Youth on Suicide Watch in a Room B. Treatment strategies including Policy 932.15: Treatment trauma-informed approaches Treatment team is held 1x a week but any youth that is having any issue is reviewed. ☒ ☐ ☐ There is no agenda set as the agenda is dynamic and based on the youth’s needs. the facility partners work together to meet the youth’s needs holistically. 7421 Riverside Indio JH PRO18-20 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Procedures to instruct youth supervision Policy 932.14: Responding to an Active staff how to respond to youth who exhibit Suicide suicidal behaviors. Behavior Health provides an “Attachment B” for every youth at intake within 72 hours that provides information regarding Danger to Self, Danger to Others and provides a place for description. Additionally, The safety watch forms provide a place for BHS ☒ ☐ ☐ to document and to provide additional information to staff. The 3rd page of the triplicate form goes to the youths unit and provides a means to communicate with all staff regarding the necessary areas. This process is unique, and this writer has not seen such a collaborative approach and team effort between the two disciplines. This is a great job. (f) Communication Policy 932.7: Screening and Referral (1) The intake process shall include communication with the arresting officer The intake officer completes the Arresting ☒ ☐ ☐ and family guardians regarding the youth’s Officer Questionnaire and the Telephone past or present suicidal ideations, behaviors Interview with Parent form. or attempts. (2) Procedures for clear and current Policy 932.12: Downgrading or Removing information sharing about youth at risk for Youth from Intensive Monitoring suicide with youth supervision, healthcare, and behavioral/mental health staff. Policy 932.16: Communication Facility staff and partners have excellent communication with one another. The facility duty logs contain the necessary ☒ ☐ ☐ information regarding the youth that is communicated as do the unit logs and the communication between staff and the partners is noteworthy and all should be commended. It is refreshing to see the type of relationship that these staff have with one another. (g) Debriefing of Critical Incidents Related to Policy 932.17: Debriefing Suicides or Attempts Policy 932.18: Review of Suicide and (1) Process for administrative review of the circumstances and responses proceeding, Serious Self Injuries Behavior during and after the critical incident. ☒ ☐ ☐ Suggestion provided for the provision of a training for supervisors that addresses regulatory requirements in (g)1-3 so that in the event of a high stress emergency, supervisors are prepared and ready to act. 7421 Riverside Indio JH PRO18-20 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Process for a debriefing event with affected Policy 932.17(a): Debriefing ☒ ☐ ☐ staff. (3) Process for a debriefing event with affected Policy 932.17(a): Debriefing ☒ ☐ ☐ youth. (a) Documentation Policy 932.9.1: Documentation (1) Documentation processes shall be Policy 957: Reporting of Incident and Other developed to ensure compliance with this Information regulation Policy requires that all incidences of suicide or serious self-injury shall be documented in an incident report as required in JAMS pursuant to section 957 and requires specific information to be included. ☒ ☐ ☐ Suicide packets reviewed contained an incident report, a behavioral health referral, a behavioral health response, suicide watch safety checks and removal from suicide watch documentation. Additional documentation noted was the MAYSI assessment, the Arresting Officer Questionnaire and the telephone Interview with the parent Youth identified at risk for suicide shall not be denied Policy 932.13: Safe Housing the opportunity to participate in facility programs, Facility policy requires that staff document services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety daily activities for youth on SW on the SW of the youth or security of the facility. Any deprivation form. Documentation reviewed and it was of programs, services or activities for youth at risk of noted that several SW youth daily logs were suicide shall be documented and approved by the not completed. Based on this alone, we facility manager. would be unable to ascertain if youth on suicide watch participate fully in exercise, program and recreation. It is not clearly ☒ ☐ ☐ defined nor clearly documented. At inspection we noted that this was an issue and discussed regular program logs. Program logs at Indio JH are completed on all youth. Program logs are required on all youth in 1371, which would also cover youth on Suicide Watch. This issue was addressed via correction made to Section. 1371. 1340 REPORTING OF LEGAL ACTIONS Policy 933: Reporting of Legal Actions Policy 933.4 Notification Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions There are no legal actions pending for the of confinement, filed against persons or legal entities facility. responsible for juvenile facility operation. 7421 Riverside Indio JH PRO18-20 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR Policy 934: Death and Serious Illness or INJURY OF A YOUTH WHILE Injury of a Youth While Detained DETAINED Policy 934.3: Policy Policy 934.5.3: Chief Probation Officer or (1) Death of a Youth. Designee Responsibilities (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental This policy was developed by the facility health director, shall develop written policies and administrator, in cooperation with the procedures in the event of the death of a youth while health administrator (Riverside University detained, which include notifications to necessary Health Systems - Correctional Health parties, which may include the Juvenile Court, the Services - RUHSCHS) and the parent, guardian or person standing in loco parentis behavioral/mental health director (Riverside and the youth’s attorney of record. University Health Systems - Behavioral Health Services - RUHS-BH). ☒ ☐ ☐ In the event of a death, the Chief Probation Officer or his or her designee would contact the Juvenile and Superior Court Presiding Judge. In the event of a death, the Chief Probation Officer or his or her designee would contact the Juvenile and Superior Court Presiding Judge. The youth’s parent would be notified by the coroner and a designated representative of the department. (b) The health administrator, in cooperation with the Policy 934: Death and Serious Illness or facility administrator, shall develop written policies Injury of a Youth While Detained and procedures to assure there is a medical and Policy 934.7: Medical and Operational operational review of every in-custody death of a Review ☒ ☐ ☐ 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 Policy 934.5: Required Written Reports Board a copy of the report submitted to the Attorney General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy 934.5: Required Written Reports the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7421 Riverside Indio JH PRO18-20 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Serious Illness or Injury of Youth Policy 934.5.2: Facility Manager(s) (a) The facility administrator, in cooperation with the Responsibilities health administrator, shall develop written policies In the event of a serious illness or injury, and procedures for the notification to necessary ☒ ☐ ☐ the parent or guardian is contacted by the parties, which may include the Juvenile Court, the facility manager 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 Policy 935.3: Population Accounting Policy Each juvenile facility shall submit required population All reports have been received timely. ☒ ☐ ☐ and profile survey reports to the Board within 10 working days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY Policy 936.4: BSCC Notification When the number of youth detained in a living unit of a Agency has not exceeded its Board Rated juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ Capacity. fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy 937 Admittance Procedures The facility administrator shall develop and implement Policy 937.3(a-e): Policy written policies and procedures for admittance of youth that emphasize respectful and humane engagement with Admission documentation was requested for youth and reflect that the admission process may be review. We also were able to view staff ☒ ☐ ☐ traumatic to youth who may have already experienced completing the admission process with a new trauma. Policies shall be trauma-informed, culturally intake while we were onsite. Staff took their relevant, and responsive to the language and literacy time and did a great job explaining the needs of youth. In addition to the requirements of process and the facility expectations to the Sections 1324 and 1430 of these regulations: youth. (a) the admittance process shall include: Policy 937.7: Telephone Calls (1) Access to two free phone calls within one hour of admittance in accordance with the provisions Youths are advised of right to make calls and of Welfare and Institution Code Section 627; are provided with opportunities to call within ☒ ☐ ☐ one hour of admission. If calls are not completed, youth will continue to call in the living units until calls are completed. Phone calls are documented on the Juvenile Admittance Packet- Intake Questionnaire (2) Offer of a shower; 937.9(h): Admittance Requirements ☒ ☐ ☐ Youth are offered a shower and Detention Control Officers document this information in contacts and on the intake questionnaire. 7421 Riverside Indio JH PRO18-20 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Documented secure storage of personal 938: Personal Property belongings; All property is inventoried, documented and stored in a secure area. Only Supervisors and ☒ ☐ ☐ the DCO have access. Staff and youth sign a property slip to ensure a proper accounting of all property transactions. Property is documented on the Juvenile Admittance Packet- Juvenile Admittance Slip (4) Offer of food upon arrival; Policy 937.8: Provision for Food Policy 1010.4: Frequency of Serving ☒ ☐ ☐ Youth are offered food upon arrival regardless of the time. Detention Control Officers document this information in contacts and on the intake questionnaire. (5) Screening for physical and behavioral health Policy 937.10(i): Admittance Requirements and safety issues, intellectual or developmental disabilities; All youth are screened by medical for entry into the facility. If Behavior Health is on site ☒ ☐ ☐ at time of entry, they too will clear the youth for detention or if not on site, will clear the youth as soon as possible upon returning to the facility. Education staff meet with the youth the next school day. (6) Screening for physical and developmental Policy 937.10(i): Admittance Requirements disabilities in accordance with Sections 1329, Policy 997.5: Medical Clearance/Intake 1413, and 1430 of these regulations; Health Screening ☒ ☐ ☐ Youth are screened for special needs at intake. (7) Contact with Regional Center for the Policy 946.5: Developmentally Disabled Developmentally Disabled for youth that are Youth suspected of or identified as having a ☒ ☐ ☐ If youth appears to be developmentally developmental disability, pursuant to Section disabled, the Regional Center is contacted by 1418; and, the DCO. (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ See 1352.5 7421 Riverside Indio JH PRO18-20 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) juvenile hall administrators shall establish written Policy 937.9: Detain/Release Decision criteria for detention that considers the least restrictive environment. All youth are screened with the Juvenile Detention Intake Assessment which is a weighted screening tool. Youth are either held for Probation Intake, ☒ ☐ ☐ released directly to their parent or guardian or may be released on home supervision as an immediate alternative to detention. Youth may also be detained in a relative placement, a temporary resource family home or with a foster family but this would require a court order. (c) juvenile camps and post-dispositional programs in Does not apply juvenile halls shall develop policies and procedures that advise the youth of the estimated length of ☐ ☐ ☒ stay, inform them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and Policy 940.4: Time Ordered procedures that advise any committed youth of the estimated length of his/her stay. There have been no youth committed to the ☒ ☐ ☐ JH however, when asked, staff provided the appropriate form and were able to discuss its’s purpose and use. 1350.5. SCREENING FOR THE RISK OF SEXUAL 1008.5.1: Screening for Risk of Sexual ABUSE Victimization and Abusiveness The facility administrator shall develop and implement written policies and procedures to reduce the risk of Policy requires a screening for Risk of sexual abuse by or upon youth. The policy shall require Sexual Abuse to occur at admission and facility staff to assess each youth within 72 hours of again every 180 days unless an incident or admission based on the following information: other information warrants a screening ☒ ☐ ☐ sooner. Admission documents were reviewed to ensure this screening was completed as required. All records reviewed included a screening and were completed in compliance with regulation expectations and in compliance with agency policy. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Present in Screening Document (b) Gender nonconforming appearance or manner; Present in Screening Document or identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Present in Screening Document 7421 Riverside Indio JH PRO18-20 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Age; ☒ ☐ ☐ Present in Screening Document (e) Level of emotional and cognitive development; ☒ ☐ ☐ Present in Screening Document (f) Physical size and stature; ☒ ☐ ☐ Present in Screening Document (g) Mental illness or mental disabilities; ☒ ☐ ☐ Present in Screening Document (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Present in Screening Document (i) Physical disabilities; ☒ ☐ ☐ Present in Screening Document (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Present in Screening Document (k) Any other specific information about the Present in Screening Document individual youth that may indicate heightened ☒ ☐ ☐ needs for supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Policy 1008.5.1: Screening for Risk of conversations with the youth during the admittance Sexual Victimization and Abusiveness process, medical and behavioral health screenings; during classification assessments; and by reviewing Staff do not have direct access to medical or court records, case files, facility behavioral records, and mental health records due to HIPAA; other relevant documentation from the youth’s files. however, any information that is important to ☒ ☐ ☐ know, medical and behavioral health staff will share with probation staff. Staff also have access to JAMS (Juvenile Adult Management System) and review the electronic case file for all past information relevant to the youth’s history. The facility administrator shall implement appropriate Policy 1008.5.1: Screening for Risk of controls on the dissemination of information within the Sexual Victimization and Abusiveness facility relative to responses received pursuant to this assessment in order to ensure that sensitive information Information regarding youth’s results is is not exploited to the youth’s detriment by staff or other considered sensitive information. A youth. Behavioral Health referral will be submitted by the DCO and the DO for youth who score as being a victim or as a perpetrator of sexual abuse. The unit supervisor is responsible for disseminating the information to the facility ☒ ☐ ☐ partners so that the information is not used to the detriment of the youth. Technical assistance discussed regarding timelines noted in policy for response for BH to follow up and for the evaluation of youth in a detention setting given the average length of stay is generally 21 days. Policy updates made to reflect that an evaluation will occur within 48 hours. 7421 Riverside Indio JH PRO18-20 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1351 RELEASE PROCEDURES Policy 941: Release Procedures The facility administrator shall develop and implement The facility holds a “daily huddle” which written policies and procedures for release of youth includes representatives from probation, from custody which provide for: medical, education and behavioral health. Information is shared in these meetings regarding admissions, releases and codes from the day prior, and any suicide issues, ☒ ☐ ☐ watches or Emergency Treatment Service transports from the current day are discussed. If a release is known for the current day, that too will be discussed. This process is the main information sharing process for the facility beyond emails and it is expected that all partners attend. Minutes are produced. (a) verification of identity/release papers; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (b) return of personal clothing and valuables; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (c) notification to the youth's parents or guardian; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (d) notification to the facility health care provider in Policy 941.6: Detention Control Officer accordance with Sections 1408 and 1437 of these (DCO) Responsibilities ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (f) notification of facility mental health personnel. Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities The facility administrator shall develop and implement Policy 946.4: Institutional Assessment and policies and procedures for post-disposition youth to Case Plan. coordinate the provision of transitional and reentry services including, but not limited to, medical and Indio houses Ricardo M (Youth that are behavioral health, education, probation supervision and ordered to completed custody time at the community-based services. facility) and youth that are awaiting placement. ☒ ☐ ☐ At inspection, it was noted that these youth were only being provided with the community-based resource materials upon release as these youth were often not here longer than 30 days. The facility has since corrected the issue and they are now being provided with a more detailed transitional reentry plan. The facility administrator shall develop and implement There are no provisions for furloughs in the written policies and procedures for the furlough of ☐ ☐ ☒ Juvenile Hall. youth from custody. 7421 Riverside Indio JH PRO18-20 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1352 CLASSIFICATION Policy 942.1: Classification- Purpose and Scope The facility administrator shall develop and implement written policies and procedures on classification of ☒ ☐ ☐ youth for the purpose of determining housing placement in the facility. Such procedures shall: (a) provide for the safety of the youth, other youth, Policy 942.4: Classification Assignment facility staff, and the public by placing youth in the 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 Policy 942.3: Policy ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon Policy 942.3: Policy admittance to the facility; classification factors Policy 942.4: Classification Assignment shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, Facility has 2 classifications- Group and legal status, public safety considerations, Security which are identified by shirt color. medical/mental health considerations, gender and ☒ ☐ ☐ Classification documentation is completed gender identity of the youth; upon entry by the Detention Control Officer. Females are not housed in Indio JH. Females will be admitted, booked and transported to Southwest Juvenile Hall. (d) provide for periodic classification reviews, Policy 942.4.2: Review including provisions that consider the level of supervision and the youth's behavior while in Policy defines periodic as at least every 30 custody; and, days. At inspection, supervisors were not ☒ ☐ ☐ consistent. Subsequent to inspection, additional documentation was provided for review and was found to be timely within agency policy. Weekly MDT’s are held, and youth are discussed at that time. (e) provide that facility staff shall not separate youth Policy 1050: Youth Non-Discrimination from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, ☒ ☐ ☐ gender expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. 7421 Riverside Indio JH PRO18-20 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) facility staff shall not consider lesbian, gay, Policy 942.4: Classification Assignment bisexual, transgender, questioning or intersex ☒ ☐ ☐ identification or status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy 1054: Transgender and Intersex Youth The facility administrator shall develop written policies ☒ ☐ ☐ and procedures ensuring respectful and equitable Discussion with staff regarding operations treatment of transgender and intersex youth. The and procedures/treatment of transgender policies shall provide that: youth. (a) Facility staff shall respect every youth’s gender Policy 1054.6: Addressing identity and shall refer to the youth by the youth’s Transgender/Intersex Youth preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the ☒ ☐ ☐ use of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy 1054.7: Clothing themselves in a manner consistent with their gender ☒ ☐ ☐ 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 Policy 1054.4 Housing that best meets their individual needs and promotes 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 Policy 1054.8: Medical and Behavioral and intersex youth have access to medical and Health Providers ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Policy 1054.4 Housing necessary security considerations and physical Transgender youth are housed in single plant, facility staff shall make every effort to ensure ☒ ☐ ☐ rooms where they have access to their own the safety and privacy of transgender and intersex restroom. They are showered separately. youth when the youth are using the bathroom or shower, or dressing or undressing. 7421 Riverside Indio JH PRO18-20 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Facility staff shall not conduct physical searches of any Policy 1054.5: Searches youth for the purpose of determining the youth’s Youth are never be searched to determine anatomical sex. Whenever feasible, the facility shall sex. respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. ☒ ☐ ☐ Prior to being searched, transgender youth may request either a male or female staff member to conduct the search and the facility will attempt to have that gender search. A second staff member is present to observe the staff conducting the search. 1353 ORIENTATION Policy 944: Orientation The facility administrator shall develop and implement Orientation is provided verbally, and a very written policies and procedures to orient a youth prior detailed handbook is given to the youth for to placement in a living area. Both written and verbal their review and to keep. Orientation is information shall be provided and supplemented with provided by the Detention Control Officer video orientation if feasible. Provision shall be made to side by side with the youth and it takes about provide accessible orientation information to all 90 minutes for youth that have not been to detained youth including those with disabilities, limited the facility before. Staff do not use a video literacy, or English language learners. Orientation shall as the space is very limited in the intake include information that addresses: office. There are always staff on duty who ☒ ☐ ☐ are bilingual for youth that don’t speak English. If needed for those languages not represented, staff have access to an interpreter line that can be utilized. Staff take their time with all youth and make sure they understand what is being told to them. All files had documentation of the orientation being completed. (a) facility rules including contraband and searches and Policy 944(a): Orientation disciplinary procedures; ☒ ☐ ☐ (b) facility’s system of positive behavior interventions Policy 944(c): Orientation and supports, including behavior expectations, 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 Policy 944(v): Orientation facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy 944(d): Orientation ☒ ☐ ☐ (e) the existence of the grievance procedure, Policy 944(b): Orientation the steps that must be taken to use it, the youth’s right to be free of retaliation for reporting a ☒ ☐ ☐ grievance, and the name of the person or position designated to resolve the issue; 7421 Riverside Indio JH PRO18-20 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) access to legal services and information on the court Policy 944(e): Orientation ☒ ☐ ☐ process; (g) access to routine and emergency health and Policy 944(f): Orientation ☒ ☐ ☐ mental health care; (h) access to education, religious services, and Policy 944(g): Orientation recreational activities; ☒ ☐ ☐ (i) housing assignments; Policy 944(h): Orientation ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy 944(i): Orientation ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, Policy 944(j): Orientation ☒ ☐ ☐ visits and telephone use; (l) availability of reading materials, programming, and Policy 944(k): Orientation ☒ ☐ ☐ other activities; (m) facility policies on the use of force, Policy 944(o): Orientation use of restraints, chemical agents and room ☒ ☐ ☐ confinement; (n) immigration legal services; Policy 944(p): Orientation ☒ ☐ ☐ (o) emergencies including evacuation procedures; Policy 944(q): Orientation ☒ ☐ ☐ (p) non-discrimination policy and the right to be free Policy 944(r): Orientation from physical, verbal or sexual abuse and ☒ ☐ ☐ harassment by other youth and staff; (q) availability of services and programs in a language Policy 944(s): Orientation other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy 944(t): Orientation education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 944(u): Orientation information regarding the youth’s stay in the Parent information is provided online on the facility that at a minimum includes answers to agency website which include FAQ’s. frequently asked questions and provides contact ☒ ☐ ☐ Technical assistance provided and suggested information for the facility, medical, school and that paper copies be provided for parents that mental health; and, do not have internet. (t) a process by which youth may request access to Policy 944(w): Orientation ☒ ☐ ☐ Title 15 Minimum Standards for Juvenile Facilities. 1354 SEPARATION Policy 945: Separation Policy The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures that address: 7421 Riverside Indio JH PRO18-20 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) separation of youth for reasons that include, but are Policy 945: Separation Policy not be limited to, medical and mental health Policy 945.1.1: Definitions conditions, assaultive behavior, disciplinary consequences and protective custody. The agency has 8 types of separation by policy. • Age of Majority (AOM) • Intervention Separation (IS) • Exclusionary (EXC) • Medical Separation (MS) • Protective Custody (PC) • Room Confinement (RC) • Safety Room Separation (SRS) ☒ ☐ ☐ • Self-Placed Separation (SPS) Reviewed self-placed separations in which youth request to remain in their rooms or refuse to come out and participate in group activities for reasons such as youth needs time alone, time to calm down, clear their mind, they are tired or other. Staff document activities and make effort to counsel youth to reintegrate with the group. Staff will make appropriate referrals to behavioral health as appropriate. All are reviewed and approved by the supervisor. (b) consideration of positive youth development and Policy 945.3: Separation Policy trauma-informed care. Intervention Separation is a non-punitive separation. This is a new process being ☒ ☐ ☐ implemented as of the writing of this report which uses separation to correct behavior through coaching and counseling and using positive behavior interventions to change negative behavior. (c) separated youth shall not be denied normal Policy 945.3: Separation Policy privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Policy 945.4: Separation Policy Title 15 Section 1390 shall apply. ☐ ☐ ☒ There is no separation that will be for disciplinary purposes. (e) when separation results in room confinement, the Policy 945.5: Room Confinement separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. 7421 Riverside Indio JH PRO18-20 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) policies and procedures shall ensure a daily review Policy 945.3: Separation Policy of separated youth to determine if separation remains necessary. All separated youth are reviewed each shift ☒ ☐ ☐ at shift change by the duty officer and unit staff each shift to determine if separation remains necessary. 7421 Riverside Indio JH PRO18-20 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354.5 ROOM CONFINEMENT Policy 1053: Room Confinement (a) The facility administrator shall develop and Policy, procedures and operations needed to implement written policies and procedures be updated to be consistent with regulation. addressing the confinement of youth in their room Technical assistance was provided and was that are consistent with Welfare and Institutions discussed on-site. We made suggestions Code Section 208.3. The placement of a youth in regarding policy, specifically for alternatives room confinement shall be accomplished in to placing youth in rooms for rule violations accordance with the following guidelines: that did not pose a physical safety or security risk including implementation of alternative separation or alternative behavior management options. Additional documentation was requested prior to the end of cycle and to the writing of this report to determine compliance. It was noted that facility staff continued to document the placement of youth in their room as a result of the rule violation (discipline) and not due to unsafe behavior ☒ ☐ ☐ that the youth actively exhibited. Policy has now been updated and the agency is actively working on addressing this issue. Room Confinement forms are detailed and provide the opportunity to note efforts to counsel and deescalate, however, we found the documentation of these forms to be contrary to the intent of the regulation or the form, which was to deescalate the behavior and reintegrate the youth with the general population as soon as possible. IJH did make improvements and only youth who were involved in fights with the exception of one, were placed in room confinement but not for the purpose intended by regulation. The sections below as marked are non- compliant. 7421 Riverside Indio JH PRO18-20 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Room confinement shall not be used before Policy 1053.3: Policy other, less restrictive, options have been attempted and exhausted, unless attempting Policy is consistent with regulation however, those options poses a threat to the safety or operationally, the facility lacks options for security of any youth or staff. ☐ ☒ ☐ discipline other than counseling the youth and staff revert to room confinement instead of utilizing room confinement for the intended purpose, to ensure immediate safety and security. (2) Room confinement shall not be used for the Policy 1053.3: Policy purposes of punishment, coercion, ☐ ☒ ☐ See above Section a. convenience, or retaliation by staff. (3) Room confinement shall not be used to the Policy 1053.3: Policy extent that it compromises the mental and ☒ ☐ ☐ physical health of the youth. (b) A youth may be held up to four hours in room Policy 1053.4: Use of Room Confinement confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Policy 1053.4: Use of Room Confinement (2) Consult with mental health or medical staff. ☒ ☐ ☐ (3) Develop an individualized plan that includes Policy 1053.4: Use of Room Confinement the goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. (4) If room confinement must be extended beyond Policy 1053.4: Use of Room Confinement ☒ ☐ ☐ four hours, staff shall do each of the following: (A) Document the reasons for room Policy 1053.4: Use of Room Confinement confinement and the basis for the 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 Policy 1053.4: Use of Room Confinement includes the goals and objectives to be met ☒ ☐ ☐ in order to integrate the youth to general population. (C) Obtain documented authorization by the Policy 1053.4: Use of Room Confinement facility superintendent or his or her ☒ ☐ ☐ 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 ☒ ☐ ☐ youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards ☒ ☐ ☐ in court holding facilities or adult facilities. (7) Nothing in this section shall be construed to conflict with any law providing greater or ☒ ☐ ☐ additional protections to youth. 7421 Riverside Indio JH PRO18-20 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (8) This section does not apply during an extraordinary emergency circumstance that 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 Policy 1053.4: Use of Room Confinement placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth ☒ ☐ ☐ is not required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND Policy 946: Institutional Assessment and PLAN Case Plan The facility administrator shall develop and implement Institutional assessments and plans were written policies and procedures for assessment and case requested and reviewed. Technical assistance ☒ ☐ ☐ planning. provided and discussed consistency in documentation and suggested that an in- service training be provided to keep staff on the same page. (a) Assessment: Policy 946.4: Institutional Assessment and The assessment is based on information collected Case Plan during the admission process with periodic review, The DCO completes the Initial Detention which includes the youth's risk factors, needs and Youth Questionnaire that meets regulatory strengths including, but not limited to, ☒ ☐ ☐ expectations. This information is used to identification of substance abuse history, complete the case plan. educational, vocational, counseling, behavioral health, consideration of known history of trauma, An assessment was found to have been and family strengths and needs. completed for all youth during the intake process. 7421 Riverside Indio JH PRO18-20 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Institutional Case Plan: Policy 946.4: Institutional Assessment and (1) A case plan shall be developed for each youth Case Plan held for at least 30 days or more and created ☒ ☐ ☐ A case plan was found to have been within 40 days of admission. completed for all youth with only a few completed outside of the 40-day window. (2) The institutional plan shall include, but not be Policy 946.4: Institutional Assessment and limited to, written documentation that provides: ☒ ☐ ☐ Case Plan (A) objectives and time frame for the resolution Policy 946.4: Institutional Assessment and of problems identified in the assessment; Case Plan ☒ ☐ ☐ Form notes a start dated and a projected completion date. (B) a plan for meeting the objectives that Policy 946.4: Institutional Assessment and includes a description of program resources Case Plan needed and individuals responsible for Each youth is assigned a caseworker who is assuring that the plan is implemented; responsible to develop the case plan and work with the youth through their goals. ☒ ☐ ☐ Case plans contain an action plan by need that staff use to document resources or coping mechanisms, behavior modifications or de-escalation strategies the youth will use as goals to assist in meeting their goals. (3) periodic evaluation of progress towards meeting Policy 946.4: Institutional Assessment and the objectives, including periodic review and Case Plan discussion of the plan with the youth; Periodic review is not defined by policy; ☒ ☐ ☐ however, documentation noted a review at about every 30 days and when asked, staff confirmed this. (4) a transition plan, the contents of which shall be Policy 946.4: Institutional Assessment and subject to existing resources, shall be developed Case Plan for post dispositional youth in accordance with See 1351 Section 1351; and, Facility provides all releases with a packet that includes A DPSS referral for community ☒ ☐ ☐ based services. , a human trafficking brochure, a parent empowerment packet for the Indio Region and the RCOE contact information. The facility also completes a Transition and Re-Entry Plan (Part C) meets all requirements for this section. 7421 Riverside Indio JH PRO18-20 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) in as much as possible and if appropriate, the Policy 946.4: Institutional Assessment and plan, including the transition plan, shall be Case Plan developed with input from the family, ☒ ☐ ☐ If a youth has been in the facility longer than supportive adults, youth, and Regional Center 30 days, the family is involved in the for the Developmentally Disabled. transition planning. 1356 COUNSELING AND CASEWORK Policy 947: Counseling and Casework Policy SERVICES 947.5: Documentation The facility administrator shall develop and implement Staff are responsible for reporting their written policies and procedures ensuring the availability observations and concerns about youth to the of appropriate counseling and casework services for all duty officer and to other staff. youth. Policies and procedures shall ensure: Staff make appropriate referrals to Behavior ☒ ☐ ☐ Health staff or to the clinic as appropriate. Staff also assist the youth in filling out the request for contact with parents or other family members, supportive adults, attorneys or probation officers or members of the clergy. (a) youth will receive assistance with needs or concerns Policy 947.4: Staff Responsibilities that may arise; ☒ ☐ ☐ Policy 947.4.1; Behavioral Health Referrals Policy 947.4.2: Behavioral Health Requests Policy 947.5: Documentation (b) youth will receive assistance in requesting contact Policy 947.4.3: Other Requests with parents, other supportive adults, attorney, clergy, probation officer, or other public official; Staff also assist the youth in filling out the ☒ ☐ ☐ request for contact with parents or other and, family members, supportive adults, attorneys or probation officers or members of the clergy. (c) youth will be provided access to available resources Policy 947.6: Services Provided to meet the youth’s needs. Staff work with the youth to provide them ☒ ☐ ☐ with what they need to work on and meet their goals. 1357 USE OF FORCE Policy 948: Use of Force Policy 948.3: Policy The facility administrator, in cooperation with the Policy 948.12: Inappropriate Use of Force by responsible physician, shall develop and implement Staff written policies and procedures for the use of force, which may include chemical agents. Force shall never This policy was developed by the facility ☒ ☐ ☐ be applied as punishment, discipline, retaliation or administrator in cooperation with the treatment. responsible physician from Riverside University Health Systems - Correctional (a) At a minimum, each facility shall develop policies Health Services (RUHS-CHS). and procedures which: 7421 Riverside Indio JH PRO18-20 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) restricts the use of force to that which is deemed Policy 948.1.1: Definitions reasonable and necessary, as defined in Section Policy 948.3: Policy ☒ ☐ ☐ 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff Policy 948.1.1: Definitions including both physical and non-physical Policy 948.5: Interventions options and define when those force options are Policy 948.8: Defense Techniques Policy 948.9: Physical Restraints appropriate. PHYSICAL OPTIONS • Physical restraint techniques - The use of department authorized control holds. • Defense techniques - Department authorized techniques utilized to protect oneself. ☒ ☐ ☐ • Physical restraints - Restraint devices such as handcuffs, shackles, waist chains, • and the WRAP. These devices are designed to be attached to the human body to limit • mobility and/or restrict movement. • Chemical agents - The application of oleoresin capsicum (OC) sprays. NON-PHYSICAL OPTIONS • Interventions (3) describe force options or techniques that are Policy 948.12: Inappropriate Use of Force by expressly prohibited by the facility. Staff ☒ ☐ ☐ Choke Holds are prohibited, and staff shall never apply any object to the throat of any youth. Intentional lethal force is forbidden. (4) describe the requirements of staff to report any Policy 948.12: Inappropriate Use of Force by inappropriate use of force, and to take Staff affirmative action to immediately stop it. ☒ ☐ ☐ Staff must stop any inappropriate use of force and report the incident to the Duty Officer or Supervisor. 7421 Riverside Indio JH PRO18-20 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) define a standardized reporting format that • Policy 948.13: Incident Report includes time period and procedure for Documentation documenting and reporting the use of force, • Policy 957: Reporting of Incidents including reporting requirements of and Other Information management and line staff and procedures for • Policy 948.13.1: Duty Officer reviewing and tracking use of force incidents by (DO)/Supervising Probation Officer (SPO) supervisory and or management staff, which ☒ ☐ ☐ • Policy 948.13.2: Facility Managers include procedures for debriefing a particular Responsibilities incident with staff and/or youth for the purposes All Use of Force requires an incident report. of training as well as mitigating the effects of All regulatory areas are required by policy. trauma that may have been experienced by staff A Use of Force review board meets monthly and /or the youth involved. to debrief and track use of force incidents. (6) Include an administrative review and a system Policy 948.13.2: Facility Manager ☒ ☐ ☐ for investigating unreasonable use of force. Responsibilities (7) define the role, notification, and follow-up Policy 948.7: Physical Restraint Techniques procedures required after use of force incidents Policy 948.8: Defense Techniques for medical, mental health staff and parents or 948.10.4: Once Staff Decide to Use OC Spray legal guardians. Staff notify Behavioral Health and Medical after use of force incidents. Youth are seen ☒ ☐ ☐ by medical immediately following a use of force incident and if BH is on site, youth will be seen immediately or when BH is back in the building. The youth’s parent or guardian is also notified. (8) describe the limitations of use of force on Policy 948.11: Use of Force Involving pregnant youth in accordance with Penal Code Pregnant Youth Section 6030(f) and Welfare and Institutions ☒ ☐ ☐ Any use of force that occurs with a pregnant Code Section 222. youth, healthcare staff shall be contacted immediately for follow up care. (b) Facilities that authorize chemical agents as a force All Riverside County Probation Facilities use ☒ ☐ ☐ option shall include policies and procedures that: OC spray. (1) identify who is approved to carry and/or utilize Policy 948.10: Chemical Agents/Oleoresin chemical agents in the facility and the type, size Capsicum (OC) Spray and the approved method of deployment for ☒ ☐ ☐ OC spray is authorized to be carried and those chemical agents. utilized by all sworn staff working within juvenile facilities. 7421 Riverside Indio JH PRO18-20 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) mandate that chemical agents only be used when Policy 948.10.2: When to Use OC Spray 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. (3) outline the facility’s approved methods and Policy 948.10.5: OC Spray Aftercare timelines for decontamination from chemical Procedures agents. This shall include that youth who have At inspection, documentation reviewed noted been exposed to chemical agents shall not be left that youth were decontaminated, and the unattended until that youth is fully decontamination checklist was completed decontaminated or is no longer suffering the consistently; however, it was not noted if the effects of the chemical agent. youth was no longer suffering the effects of the OC. Conversations with staff and youth revealed that operationally, the youth is provided with a decontamination shower and staff/the duty officer give the youth the opportunity to decide when they are ready to come out of ☒ ☐ ☐ the shower. The youth is then placed on a close watch status for an hour either inside their room or in the dayroom depending on their ability to be safe/secure. Technical assistance provided and discussed that youth must be fully decontaminated or no longer suffering to be unattended. Documentation must reflect this. Subsequent documentation was requested and reviewed. The agency updated their OC checklist, the facility addressed the issue of documentation with staff and the issue has been resolved. 7421 Riverside Indio JH PRO18-20 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) define the role, notification, and follow-up Policy 948.10.4: Once Staff Decide to Use procedures required after use of force incidents OC Spray involving chemical agents for medical, mental Policy 948.10.5(g) Policy 948.13.1: Duty Officer/Supervising health staff and parents or legal guardians. Probation Officer If OC is used, BH staff are notified and if in the building, will see the youth or a referral is made for the youth to be seen as soon as ☒ ☐ ☐ possible. Medical staff are on site 24 hours a day, 7 days a week. Medical staff respond to all OC incidents. If a youth is involved in an OC incident, the youth’s parent(s)/legal guardian(s) shall be notified by the DO/SPO once the incident has been resolved. (5) provide for the documentation of each incident Policy 948.13 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 Policy 948.4: Required Training which require that agencies provide initial and ☒ ☐ ☐ regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health Policy 948.4: Required Training ☒ ☐ ☐ conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of Policy 948.10: Chemical Agents/Oleoresin application. Capsicum (OC)Spray Facility staff are issued an MK4 (3 oz.) OC ☒ ☐ ☐ cannister. Deputy Probation Officers (DPO) and SPO’s not assigned to the facility but working in the facility my use their department issued MK3 (1.47oz.) OC cannister. (3) signs or symptoms that should result in Policy 948.4: Required Training ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of ☒ ☐ ☐ Policy 948.4: Required Training Use of Force. (5) physical training force options that may require ☒ ☐ ☐ Policy 948.4: Required Training the use of perishable skills. 7421 Riverside Indio JH PRO18-20 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) timelines the facility uses to define regular Policy 948.4: Required Training training. Staff receive training in CORE and also in ☒ ☐ ☐ annual refresher training. Staff are trained in OC in initial training and then every 2 years for refresher training. 1358 USE OF PHYSICAL RESTRAINTS Policy 951: Use of Physical Restraints The facility administrator, in cooperation with the This policy was developed by the facility responsible physician and mental health director, shall administrator in cooperation with the responsible physician from Riverside develop and implement written policies and procedures University Health Systems - Correctional for the use of restraint devices. Restraint devices Health Services (RUHS-CHS) and mental include any devices which immobilize a youth's health director from Riverside University extremities and/or prevent the youth from being Health Systems - Behavioral Health ambulatory. ☒ ☐ ☐ (RUHSBH). Acceptable restraints that may be used in the facility are handcuffs, shackles, waist chains, and the WRAP which includes a helmet. Only 2 incidents were noted to have occurred this cycle. All areas appear to be compliant with regulations. Physical restraints may be used only for those youth Policy 951.3: Policy Policy 951.4: Prior to Using Restraints who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property or reveals the intent to cause ☒ ☐ ☐ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy 951.3: Policy discipline, or as a substitute for treatment. The use of Policy 951.9 Use of Physical Restraints restraint devices that attach a youth to a wall, floor or Involving Pregnant Youth 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 Policy 951.3: Policy handcuffs, shackles or other restraint devices when used 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. 7421 Riverside Indio JH PRO18-20 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Youth shall be placed in restraints only with the approval Policy 951.4 Prior to Using Restraints of the facility manager or designee. The facility manager Policy 951.6: Use of Physical Restrains for may delegate authority to place a youth in restraints to a ☒ ☐ ☐ Behavior Control physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and Policy 951.6 Use of Physical Restraints for retention shall be secured as soon as possible, but no later Behavior Control 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 Policy 951.6 Use of Physical Restraints for possible, but in no case longer than four hours from the Behavior Control ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted Policy 951.5: Use of Physical Restraints to ensure that the restraints are properly employed, and Policy 951.6 Use of Physical Restraints for to ensure the safety and well-being of the youth. Behavior Control ☒ ☐ ☐ 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 Policy 951.5: Use of Physical Restraints ☒ ☐ ☐ application of restraints. (b) known medical conditions that would Policy 951.12: Medical and Behavioral contraindicate certain restraint devices and/or ☒ ☐ ☐ Health Guidelines Regarding Physical techniques. Restraints (c) acceptable restraint devices. Policy 951.1.1: Definitions ☒ ☐ ☐ Agency utilizes handcuffs, shackles, waist chains, and the Wrap (d) signs or symptoms which should result in Policy 951.12: Medical and Behavioral immediate medical/mental health referral. ☒ ☐ ☐ Health Guidelines Regarding Physical Restraints (e) availability of cardiopulmonary resuscitation Policy 951.12: Medical and Behavioral equipment. ☒ ☐ ☐ Health Guidelines Regarding Physical Restraints (f) protective housing of restrained youth. While in Policy 951.6 Use of Physical Restraints for restraint devices, all youth shall be housed alone or Behavior Control ☒ ☐ ☐ in a specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Policy 951.12: Medical and Behavioral ☒ ☐ ☐ Health Guidelines Regarding Physical Restraints 7421 Riverside Indio JH PRO18-20 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) exercising of extremities. Policy 951.12: Medical and Behavioral ☒ ☐ ☐ Health Guidelines Regarding Physical Restraints 1358.5 USE OF RESTRAINT DEVICES FOR Policy 952: Use of Physical Restraints for MOVEMENT AND TRANSPORTATION WITHIN Movement and Transportation within the THE FACILITY. Facility The Facility Administrator, in cooperation with the This policy was developed by the facility responsible physician and behavioral/mental health administrator in cooperation with the director, shall develop and implement written policies ☒ ☐ ☐ responsible physician from Riverside and procedures for the use of restraint devices when the University Health Systems - Correctional purpose is for movement or transportation within the Health Services (RUHS-CHS) and mental facility that shall include the following: health director from Riverside University Health Systems - Behavioral Health (RUHSBH). (a) identification of acceptable restraint devices, staff Policy 952.1: Purpose and Scope approved to utilize restraint devices and the Policy applies to all facility staff required training. Policy 952.1.1: Definition Handcuffs, shackles, waist chains and the ☒ ☐ ☐ Wrap Policy 952.5: General Safety Guidelines Staff must complete PC 832 Arrest Training before placing or removing any restraints on any youth. (b) the circumstances leading to the application of Policy 952.4: Assessment restraints must be documented. Documentation reviewed. Incident reports ☒ ☐ ☐ clearly noted the circumstances that led to the incident and the use of restraints. (c) an individual assessment of the need to apply Policy 952.3: Policy restraints for movement or transportation that Policy has been updated to reflect all includes consideration of less restrictive regulatory requirements. alternatives, consideration of a youth’s known medical or mental health conditions, trauma Incident reports that included the use of force informed approaches, and a process for with exigent circumstances and subsequent ☐ ☒ ☐ documentation and supervisor review and approval. movement were reviewed and we noted that staff are documenting the circumstances for the use of restraints but are not consistently documenting the need to continue the restraint for movement or transport. Staff must also refer to the considerations as required in regulation. (d) consideration of safety and security of the facility, Policy 952.3: Policy with a clearly defined expectation that restraint ☒ ☐ ☐ devices shall not be used for the purposes of discipline or retaliation. 7421 Riverside Indio JH PRO18-20 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) the use of restraints on pregnant youth is limited in Policy 952.6.1 Pregnant youth ☒ ☐ ☐ accordance with Penal Code Section6030(f) and Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES The safety room has been removed from the facility LASE as the space has been (a) The facility administrator, and where applicable, in repurposed with shelves and used for cooperation with the responsible physician, shall institutional clothing storage. develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of ☐ ☐ ☒ necessary nutrition and fluids, access to a toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or ☐ ☐ ☒ designee, before a youth is placed into a safety room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and ☐ ☐ ☒ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, ☐ ☐ ☒ where appropriate, or an assessment at the next daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less ☐ ☐ ☒ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of ☐ ☐ ☒ punishment, coercion, convenience, or retaliation by staff. 7421 Riverside Indio JH PRO18-20 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) safety room shall not be used to the extent that it ☐ ☐ ☒ compromises the mental and physical health of the youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ (2) consult with mental health or medical staff, ☐ ☐ ☒ (3) develop an individualized plan that includes the ☐ ☐ ☒ goals and objectives to be met in order to reintegrate the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements ☐ ☐ ☒ of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Policy 955 Searches The facility administrator shall develop and implement All strip searches are documented and must written policies and procedures governing the search of be pre-approved by a supervisor. All files youth, the facility, and visitors. Policies and procedures reviewed had this form in the file. shall provide that: Staff generally only use the wand and will pat down the youth. Strip searches are rare at ☒ ☐ ☐ Indio JH. Facility searches are completed with and without notice and consist of room searches, unit searches and perimeter checks. All internal and public areas are also searched as needed. (a) Searches shall be conducted to ensure the safety and Policy 955.3 Policy ☒ ☐ ☐ security of the facility, public, visitors, youth, and staff. (b) Searches shall be conducted in a manner that Policy 955.3 Policy preserves the privacy and dignity of the person ☒ ☐ ☐ being searched, and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity 955.6: Strip Search/Visual Body Cavity ☒ ☐ ☐ searches shall comply with Penal Code Section Search Guidelines 4030. (d) Physical body cavity searches shall only be Policy 955.9: Physical Body Cavity Search ☒ ☐ ☐ conducted by a medical professional. 7421 Riverside Indio JH PRO18-20 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Any youth held after a detention hearing shall only 955.8: Post-Detention Hearing Searches be strip searched with prior approval of a supervisor 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 Policy 1054.5: Searches comply with Section 1352.5. Transgender youth may request either a male or female staff member conduct their ☒ ☐ ☐ search. Whenever feasible, the facility shall respect the youth's preference. (g) Cross-gender pat-down searches and strip searches 955.4.1: Cross-Gender Searches are prohibited except in exigent circumstances or ☒ ☐ ☐ when conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy 956: Grievance Procedure The facility administrator shall develop and implement Policy 956.3: Policy written policies and procedures whereby any youth may Indio JH had 8 Grievances in 2019. All were appeal and have resolved grievances relating to any reviewed and most were regarding physical condition of confinement, including but not limited to plant issues. This is outstanding. health care services, classification decisions, program ☒ ☐ ☐ participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy 956.5: Grievance Policy and Forms ☒ ☐ ☐ grievance, which includes provisions for the youth Accessibility to have free access to the form; (b) the youth shall have the option to confidentially file Policy 956.6: Process for Submitting ☒ ☐ ☐ the grievance or to deliver the form to any youth supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate Policy 956.6: Process for Submitting staff level; Youth are encouraged to resolve issues with ☒ ☐ ☐ staff informally but once a grievance is documented formally, the duty officer hears the issue. (d) provision for a prompt review and initial response Policy 956.6: Process for Submitting to grievances within three (3) business days, Policy 956.9: Food Services, Education, ☒ ☐ ☐ grievances that relate to health and safety issues Health Care, Behavioral Health Grievances. must be addressed immediately; 7421 Riverside Indio JH PRO18-20 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) The youth may elect to be present to explain Policy 956.6: Process for Submitting his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy 956.6: Process for Submitting ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance Policy 956.7: Unresolved Grievances/ which includes the reasons for the decisions; Appeals Policy 956.12: Resolution and Documentation of Grievances (Not Personnel Complaints) It was noted that there were a few grievances that had responses documented from the facility manager due to the grievance being regarding a facility partner however, there was no opportunity for the youth to be notified of the final outcome. ☒ ☐ ☐ Regulation requires that youth be provided with a written response at all levels. Technical assistance provided and it was suggested that the youth receive a final copy of the grievance so that they are aware that the facility manager or the supervisor of the facility partner addressed their grievance and how it was handled and the reasons for the decisions. Additional documentation was reviewed, a new form was implemented, youth now received copies and the section was found to be compliant. (f) a system which provides that any appeal of a Policy 956.7: Unresolved Grievances/ grievance shall be heard by a person not directly Appeals ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten Policy 956.7: Unresolved Grievances/ (10) business days unless circumstances dictate a Appeals ☒ ☐ ☐ longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and Policy 956.10 Reporting Sexual Abuse and external methods to report sexual abuse and sexual Sexual Harassment harassment. Youth may report sexual abuse and ☒ ☐ ☐ harassment through the facility grievance process. A grievance of this nature would be addressed immediately. 7421 Riverside Indio JH PRO18-20 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Whether or not associated with a grievance, concerns of Policy 956.3: Policy parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS Policy 957: Reporting of Incidents and Other Information A written report of all incidents which result in physical Policy 957.4.1: Reporting Requirements harm, use of force, serious threat of physical harm, or Policy 957.4.2: Submittal Process death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the Several informational incident reports were staff and submitted to the facility manager by the end of provided for our review in addition to the the shift, unless additional time is necessary and specific regulatory incident reports as authorized by the facility manager or designee. required. These reports were well written and submitted in a timely manner. 1363 USE OF REASONABLE FORCE TO Policy 960: DNA Collection COLLECT DNA SPECIMENS, SAMPLES, Policy 960.7: Refusal to Submit DNA IMPRESSIONS Youth are advised of their legal obligation to (a) Pursuant to Penal Code Section 298.1 authorized provide a DNA sample. Efforts are made to law enforcement, custodial, or corrections collect the sample. If the youth still refuses, personnel including peace officers, may employ ☒ ☐ ☐ they are counseled regarding compliance by reasonable force to collect blood specimens, saliva Indio JH Staff and if they still refuse, are samples, and thumb or palm print impressions from referred to the court for action and possible individuals who are required to provide such additional charges. Force will not be used samples, specimens or impressions pursuant to to obtain a sample. Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of NA 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 NA 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 NA 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. 7421 Riverside Indio JH PRO18-20 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) If the use of reasonable force includes a cell NA 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. 7421 Riverside Indio JH PRO18-20 - 50 - J453 JUV PRO-Eff. 01-01-2019 1370 EDUCATION PROGRAM Policy 961: Education Program Policy 961.3: Policy (a) School Programs The County Board of Education shall provide for the We met with Principal Art Kimball to administration and operation of juvenile court discuss the school program. schools in conjunction with the Chief Probation Officer, or designee pursuant to applicable State The Riverside County Office of Education laws. The school and facility administrators shall provides education services to all Riverside develop and implement written policy and County juvenile detention facilities. procedures to ensure communication and Staffing at the Indio Juvenile Hall includes coordination between educators and probation staff. 2 full time teachers and 2 full time Culturally responsive and trauma-informed paraprofessionals. Teachers are dually approaches should be applied when providing credentialled in general education and instruction. Education staff should collaborate with special education, ensuring that all youth’s the facility administrator to use technology to education needs are met. facilitate learning and ensure safe technology All youth have access to the credit recovery practices. The facility administrator shall request an program-Plato Edmuntum or the Units of annual review of each required element of the Study program which allows for youth to program by the Superintendent of Schools, and a catch up on credits they are missing. The report or review checklist on compliance, school and the probation department have deficiencies, and corrective action needed to achieve collaboratively developed and implement a compliance with this section. Such a review, when comprehensive program that provides conducted, cannot be delegated to the principal or access to post-secondary educational any other staff of any juvenile court school site. The opportunities for the youth. Youth can take Superintendent of Schools shall conduct this review ☒ ☐ ☐ college courses online through the local in conjunction with a qualified outside agency or community colleges. There is also a individual. Upon receipt of the review, the facility College Connect Liaison that assists all administrator or designee shall review each item eligible youth to get signed up, to complete with the Superintendent of Schools and shall take their FAFSA eligibility paperwork and whatever corrective action is necessary to address assists them while in custody with college each deficiency and to fully protect the educational related needs. Certain youth also may interests of all youth in the facility. qualify for the dual enrollment program, which provides both high school credit and college credit through UC Riverside. Separate vocational education programs are available for graduates that wish to attend but are not offered for the general population youth. At the time of inspection, there were 6 youth who were taking courses in forklift and customer service. Special programs that occur at IJH within the education program are the Reading Circle, a grant with the Public Library for youth to check out library books, a book drive with the local library to enhance the facility library for reading, student of the month program , art projects, tech based 7421 Riverside Indio JH PRO18-20 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS projects and graduations with backdrops and family on site. RCOE provides a Transition Coordinator who works on all youth’s transition back to their home schools or to the court schools to ensure a smooth transition with the goal of success for the youth. Lastly, Principal Kimball stated that the school and Probation have an amazing relationship and work together within an extremely collaborative environment for the benefit of each youth. He stated that the Division Director is “awesome and holds high expectations for the staff and for each child under her care.” It is nice to hear such positive remarks from collaborative partners about facility managers. (b) Required Elements Policy 961.5: Policy The facility school program shall comply with the State 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 Policy 961.5: Policy program shall be free from discriminatory action. ☒ ☐ ☐ Staff 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 Policy 961.5: Policy Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Policy 961.5: Policy Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education Policy 961.5: Policy and vocational opportunities. ☒ ☐ ☐ 7421 Riverside Indio JH PRO18-20 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Administration of the High School Equivalency Tests Policy 961.5: Policy as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Policy 961.5: Policy who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Policy 961.5: Policy State Education Code Requirements for juvenile 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 Policy 961.5: Policy classification, housing, security 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 Policy 961.6: School Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action in the ☒ ☐ ☐ school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Policy 961.6: School Discipline decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Education Policy 961.6: School Discipline Code, expulsion/suspension from 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 Policy 961.6: School Discipline education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. 7421 Riverside Indio JH PRO18-20 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Provisions for Special Populations Policy 961.7: Provisions for Special Populations (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 Policy 961.7: Provisions for Special afforded an educational program that addresses their Populations ☒ ☐ ☐ language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy 961.8: Educational Screening and Admission ☒ ☐ ☐ (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; Policy 961.8: Educational Screening and ☒ ☐ ☐ Admission (B) Home Language Survey and the results of the State Policy 961.8: Educational Screening and ☒ ☐ ☐ Test used for English language proficiency; Admission (C) Needs and services of special populations as defined Policy 961.8: Educational Screening and ☒ ☐ ☐ by the State Education Code, including but not Admission limited to, students with special needs. (D) Discipline problems. Policy 961.8: Educational Screening and ☒ ☐ ☐ Admission (2) Youth will be immediately enrolled in school. Policy 961.8: Educational Screening and Educational staff shall conduct an assessment to Admission ☒ ☐ ☐ determine the youth's general academic functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Policy 961.8: Educational Screening and ☒ ☐ ☐ education plan shall be developed for each youth Admission within five school days. (4) Upon enrollment, education staff shall comply with Policy 961.8: Educational Screening and the State Education Code and request the youth's Admission 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 Policy 961.9: Educational Reporting ☒ ☐ ☐ (1) The complete facility educational record of the youth shall be forwarded to the next educational placement in accordance with the State Education Code. 7421 Riverside Indio JH PRO18-20 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) The County Superintendent of Schools shall provide Policy 961.9: Educational Reporting appropriate credit (full or partial) for course work ☒ ☐ ☐ completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 961.10: Transition and Re-Entry Planning (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 Policy 961.11: Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Policy 962: Recreation, Programs and EXERCISE. Exercise The facility administrator shall develop and implement Policy 962.3: Policy ☒ ☐ ☐ 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. Juvenile facilities shall provide the opportunity for Policy 962.4.1: Minimum Requirements programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy 962.4.1: Minimum Requirements exercise may be suspended only upon a written finding ☒ ☐ ☐ 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 Policy 962.4.1: Minimum Requirements ☒ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, Policy 962.4.1: Minimum Requirements recreation, and exercise by the responsible agency to ☒ ☐ ☐ ensure content offered is current, consistent, and relevant to the population. 7421 Riverside Indio JH PRO18-20 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Programs. All youth shall be provided with the Policy 962.4.1: Minimum Requirements opportunity for at least one hour of daily Reviewed Unit Daily Logs. Documentation programming to include, but not be limited to, did not consistently reflect full hour of trauma focused, cognitive, evidence-based, best activity that met the regulatory requirement. practice interventions that are culturally relevant and Technical Assistance discussed and provided linguistically appropriate, or pro-social interventions regarding a form update that will make the and activities designed to reduce recidivism. These documentation more efficient and that will programs should be based on the youth’s individual ☒ ☐ ☐ capture the information in a more consistent needs as required by Sections 1355 and 1356. Such manner. Additional documentation was programs may be provided under the direction of the requested and reviewed and was found to be Chief Probation Officer or the County Office of consistent and compliant with regulation. Education and can be administered by county Issue has been corrected. partners such as mental health agencies, community- based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the Policy 962.4.1: Minimum Requirements opportunity for at least one hour of daily access to Reviewed Unit Daily Logs. Documentation unscheduled activities such as leisure reading, letter did not consistently reflect full hour of writing, and entertainment. Activities shall be activity that met the regulatory requirement. supervised and include orientation and may include Technical Assistance discussed and provided coaching of youth. regarding a form update that will make the ☒ ☐ ☐ documentation more efficient and that will capture the information in a more consistent manner. Additional documentation was requested and reviewed and was found to be consistent and compliant with regulation. Issue has been corrected. 7421 Riverside Indio JH PRO18-20 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Exercise. All youth shall be provided with the Policy 962.4.1: Minimum Requirements opportunity for at least one hour of large muscle Reviewed Unit Daily Logs. Documentation activity each day. did not consistently reflect full hour of activity that met the regulatory requirement. Technical Assistance discussed and provided regarding a form update that will make the ☒ ☐ ☐ documentation more efficient and that will capture the information in a more consistent manner. Additional documentation was requested and reviewed and was found to be consistent and compliant with regulation. Issue has been corrected. The administrator/manager may suspend, for a period not Policy 962.4.1: Minimum Requirements to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 1372 RELIGIOUS PROGRAM 965: Faith Based Program The facility administrator shall provide access to Religious volunteers provide services on a religious services and/or religious counseling at least regular basis as well as participate in special once each week. Attendance shall be voluntary. A youth programs with the youth throughout the year ☒ ☐ ☐ shall be allowed to participate in an activity outside of during the holidays. their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy 965.3(a): Policy 965.9: Faith -Based Programs Catholic and Christian services are provided. ☒ ☐ ☐ Youth who do not wish to attend church participate in alternative activities outside of their room. (b) availability of clergy; and, Policy 965.3(b): Policy Policy 965.8: Faith-Based Representatives ☒ ☐ ☐ Efforts are made to bring in other clergy as requested, and youth may request special visits with their own clergy. (c) availability of religious diets. Policy 965.3(c): Policy Policy 965.9.1: Diets ☒ ☐ ☐ The kitchen will prepare religious diets for youth who request them for religious purposes. 7421 Riverside Indio JH PRO18-20 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM Policy 966. 3: Work Program Policy The facility administrator shall develop policies and There are no formal work programs in the procedures regarding the fair and consistent assignment facility. Youth assist in the facility by of youth to work programs. Work assigned to a youth keeping their living areas clean. Any work ☒ ☐ ☐ shall be meaningful, constructive and related to that may be done around the facility is vocational training or increasing a youth's sense of generally completed by the graduates and is responsibility. Work programs shall not be imposed as a completed as part of a learning environment disciplinary measure. and not a work program. 1374 VISITING Policy 968: Visiting Policy 968.3: Policy The facility administrator shall develop and implement written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Youth receive visits from parents and receive visits by parents, guardians or persons standing guardians as well as special visits from in loco parentis, and children of youth. Other family extended family members. Youth may also members, such as grandparents and siblings, and make requests for visits from other supportive adults, may be allowed to visit with the supportive adults in their lives. Supervisors ☒ ☐ ☐ approval of the facility administrator or designee, and in review requests for these visits and discuss conjunction with the youth’s case plan or in the best the requests with the youth. If a youth has a interest of the youth. child, the child is added to regular visits. Youth we spoke to spoke highly of the supervisors in the facility noting that if they wished to see other family members it was generally approved. One youth noted that he had regular visits with his son. All visits shall occur at reasonable times, subject only to Policy 968.3: Policy the limitations necessary to maintain order and security. Policy 968.4: Requirements Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, ☒ ☐ ☐ whether the visitor’s criminal history represents a risk to the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two Policy 968.5: Visiting Rules hours per week. Visits may be supervised, but conversations shall not be monitored unless there is a Regular Visiting Occurs as follows: ☒ ☐ ☐ Unit 2 Saturday 12:30 to 2:30PM security or safety need. Unit 4: Sunday 2:00PM to 4:PM All other unit currently vacant. 7421 Riverside Indio JH PRO18-20 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Provisions for special visits, in addition to the two-hour Policy 968.3: Policy minimum and/or outside of the regular visiting hours, Special Visits are held Wednesday and shall be accommodated as necessary and within the Thursdays by appointment and any time after discretion of the facility administrator or designee. ☒ ☐ ☐ court. 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 Policy 968.3: Policy ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE Policy 970: Correspondence The facility administrator shall develop and implement Youth have opportunity to write letters ☒ ☐ ☐ written policies and procedures for correspondence almost daily. All postage is paid and staff which provide that: send out and bring in the mail daily. (a) there is no limitation on the volume of mail that youth Policy 970.4: Authorized Correspondence ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Policy 970.4: Authorized Correspondence (c) youth may correspond confidentially with state and Policy 970.6.1: Privileged Mail federal courts, any member of the State Bar or holder 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 Policy 970.6.2: Non-Privileged Mail in (c), may be read by staff only when there is ☒ ☐ ☐ reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy 972: Telephone Access Youth have access to the ICE (Inmate Call The administrator of each juvenile facility shall develop Engine) collect call phones daily during free ☒ ☐ ☐ and implement written policies and procedures to time recreation. If a youth has an issue with provide youth with access to telephone communications. finances for phone calls, a supervisor will allow them to make a free call. 1377 ACCESS TO LEGAL SERVICES Policy 973: Access to Legal Services The facility administrator shall develop written ☒ ☐ ☐ procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed Policy 973.4(a): Access to Courts and Legal ☒ ☐ ☐ attorneys and their authorized representatives; Services (b) provision for confidential consultation with Policy 973.4(b): Access to Courts and Legal ☒ ☐ ☐ attorneys; and, Services (c) unlimited postage free, legal correspondence and Policy 973.4(c): Access to Courts and Legal ☒ ☐ ☐ cost-free telephone access as appropriate. Services 7421 Riverside Indio JH PRO18-20 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1390 DISCIPLINE Policy 976.3: Policy The facility administrator shall develop and implement 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; Policy 976.3(a): Policy ☒ ☐ ☐ (b) daily shower, access to drinking fountain, toilet and Policy 976.3(b): Policy ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; Policy 976.3(c): Policy ☒ ☐ ☐ (d) contact with parent or attorney; Policy 976.3(d): Policy ☒ ☐ ☐ (e) exercise; Policy 976.3(e): Policy ☒ ☐ ☐ (f) medical services and counseling; Policy 976.3(f): Policy ☒ ☐ ☐ (g) religious services; Policy 976.3(g): Policy ☒ ☐ ☐ (h) clean and sanitary living conditions; Policy 976.3(h): Policy ☒ ☐ ☐ (i) the right to send and receive mail; Policy 976.3(i): Policy ☒ ☐ ☐ (j) education; and, Policy 976.3(j): Policy ☒ ☐ ☐ (k) rehabilitative programming. ☒ ☐ ☐ Policy 976.3(k): Policy The facility administrator shall establish rules of conduct Policy 976.3: Policy and disciplinary penalties to guide the conduct of youth. Policy 976.5: Minor Rule Violations Such rules and penalties shall include both major Policy 976.8: Major Rule Violations 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 Policy 976: Incentives and Discipline Process The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for the administration of discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose Policy 976.3: Policy discipline for violation of rules; Discipline is only administered by probation ☒ ☐ ☐ corrections officers (PCOs), senior probation corrections officers (SPCOs), and supervising probation officers (SPOs). (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Policy 976.3: Policy 7421 Riverside Indio JH PRO18-20 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) definition of major and minor rule violations and Policy 976.5: Minor Rule Violations ☒ ☐ ☐ their consequences, and due process requirements; Policy 976.8: Major Rule Violations (d) trauma-informed approaches and positive behavior 976.3: Policy ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by 976.3: Policy counseling, advising the youth of expected conduct 976.5: Minor Rule Violations imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process Policy 976.3: Policy ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; Policy 976.11 Procedure for Due Process for Major Discipline Youth are provided with notice prior to the hearing. At inspection we noted that due process forms were not being filed out completely or consistently. We found that while youth are being provided with notice prior to the hearing, the forms are not consistently noting the consequences and youth are routinely waiving their hearings. ☒ ☐ ☐ Technical assistance provided and discussions were held regarding this issue. Additional documentation was requested and reviewed, and staff are noting alternative consequences such as behavior contracts, mediation requirements or writing assignments to encourage behavior change. It is expected that this issue will be addressed as part of the room confinement corrective action and will not be noted as non- compliant in this section. (2) accommodations provided to youth with Policy 976.3: Policy disabilities, limited literacy, and English language learners; Policy 976.10: Due Process for Discipline There are several staff that are bilingual ☒ ☐ ☐ working in the facility. If a youth speaks another language, translation services are available. Staff will read all documents to youth who do not understand. They will go the extra step to be sure the youth understands. 7421 Riverside Indio JH PRO18-20 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) hearing by a person who is not a party to the Policy 976.11 Procedure for Due Process for incident; Major Discipline ☒ ☐ ☐ All due process hearings are completed by a supervisor who was not involved in the incident. (4) opportunity for the youth to be heard, present Policy 976.11.1: Disciplinary Hearing ☒ ☐ ☐ evidence and testimony; Process/ DHO Responsibilities (5) provision for youth to be assisted by staff in the Policy 976.11.1: Disciplinary Hearing ☒ ☐ ☐ hearing process; Process/ DHO Responsibilities (6) provision for administrative review. Policy 976.12: Procedures for the Appeal ☒ ☐ ☐ Process for Major Discipline (g) violations that result in a removal from camp or 976.8: Major Rule Violations commitment program, but not a return to court, will follow the due process provisions in subsection (e) ☒ ☐ ☐ Rule violations are handled internally. above. Youth do not return to court unless new charges are filed. f 7421 Riverside Indio JH PRO18-20 - 62 - J453 JUV PRO-Eff. 01-01-2019 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 ☐Vio Dependent or neglected minors who are defined under ☒ latio ☐ Section 300 of the Welfare and Institutions Code n (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 ☐Vio Juvenile Delinquents (WIC 602)? (WIC 207[d]). ☐ latio ☒ n 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 ☐Vio separated from minors. ☐ latio ☒ n Adult inmates from an adult facility (e.g. inmate ☐Vio workers or “Scared Straight” programs) are not allowed ☐ latio ☒ in the facility in a manner that allows contact with n minors. 7421 Riverside Indio JH PRO18-20 - 63 - J453 JUV PRO-Eff. 01-01-2019 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 BSCC Code: 7421 FACILITY NAME: FACILITY TYPE: Indio Juvenile Hall Juvenile Hall APPLICABLE REGULATIONS (Check 4/98: X 2001: 2003: OTHER: X All That Apply): (Applicable to Units 6 Pre-1998 and 7) FIELD REPRESENTATIVE: DATE: Lisa Southwell 11/29/2017 TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) X Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of X minors pending admission to JH Provides access to a shower X Provides a secure vault or storage space for minor's X valuables Provides telephone access to minors X Provides staff access to hot and cold running water X Locked Holding Room (1.2) X Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area X Contains seating to accommodate all minors as X specified in these regulations 98: Provides access to a toilet, wash basin and drinking fountain as specified in these regulations 03: Be equipped with a toilet, wash basin and X drinking fountain unless a procedure is in effect to provide access Maximizes staff visual supervision X 03: Outward swinging or lateral sliding door required X Natural Light (1.3) Visual access to natural light is provided in locked X sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. 7421 Riverside Indio JH PHY18-20 -1 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Corridors in living areas are at least eight feet wide. When doors are staggered or if rooms are located X only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) JH living units do not exceed 30 minors and contain X sleeping areas and plumbing fixtures, commensurate with the number of minors housed. Locked Sleeping Rooms (1.6) 98: Have a toilet, wash basin and drinking fountain unless a procedure is in effect to provide other X access to these fixtures 03: Toilet, wash basin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) 98: Minimum of 63 square feet of floor area and a X clear ceiling height of eight feet 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144 X inches. 03: Outward swinging or lateral sliding door required X Double Occupancy Sleeping Rooms (1.8) No double occupancy rooms Minimum of 100 square feet floor area, a clear ceiling X height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. 01: View panel size changed to a minimum of 144 X inches 03: Outward swinging or lateral sliding door required X Dormitories (1.9) In JHs and camps, there is a minimum of 50 square feet of floor area per minor, with a minimum dormitory X size of 200 square feet and a minimum clear ceiling height of eight feet. 7421 Riverside Indio JH PHY18-20 - 2 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS In JHs and camps, dormitories are designed for no X fewer than four minors. 98: JH dormitories for detained minors are designed Units 6 and 7, built under 1998 standards, for no more than 15 minors (NA camps). have 20 bed dorms. Pilot project granted by X 03: This subsection deleted, eliminating the 15 minor BOC/CSA 11/12/98. limitation. (See below.) 98: JH dormitories for court commitments are designed for no more than 30 minors (NA Camps). 03: No JH dormitory can be designed for more than X 30 minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10) X JH dayrooms contain 35 square feet of floor area per minor. Dayrooms in camps and SPJHs contain 30 square X feet of floor area per minor. All dayrooms provide access to toilets, wash basins, drinking fountains and showers. X Physical Activity and Recreation Spaces (NA SPJH; 1.11) 98: Facilities with a capacity of less than 41 minors have a minimum of 9,000 square feet dedicated X indoor-outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9,000 square feet dedicated indoor-outdoor space. 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor-outdoor space, plus a field area. The field area contains a minimum of one acre with a X minimum dimension of 100 feet. 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. X 01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor- outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor-outdoor space is a paved or "like" surface. X 01: Changed from one-half to one-quarter of the space 7421 Riverside Indio JH PHY18-20 - 3 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS A portion of the dedicated physical activity and recreation space is out-of-doors, and is equipped and X of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single X dimension less than 40 feet. Outdoor recreation area lighting allows for evening activities and provides security. X Academic Classrooms (NA SPJH; 1.12) X Classrooms are designed for a maximum of 20 minors. There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for X every juvenile in the facility. The primary purpose for the academic classroom is for education. Each classroom contains 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 floor space per minor. There is a communication system in each classroom Classrooms built to 1998 standards comply that allows for immediate response to emergencies. X with this regulation. Safety Room (1.13) One “Protection Room” in Intake, Pre-1998 regulations. X Provides a minimum of 63 square feet of floor space and a minimum clear ceiling height of eight feet Limited to one minor X Policy limits use of safety room to one minor Padded as specified in these regulations X There are one or more vertical view panels constructed of security glazing. Panels provide a X view of the entire room and are no more than four inches wide and at least 24 inches long. Audio monitoring system as specified in these X regulations Access to a toilet, wash basin and drinking fountain is X provided. 03: Be equipped with a variable intensity security- type lighting fixture, with controls outside the X room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access. X Medical Examination Room (NA SPJH; 1.14) There is a minimum of one suitably equipped medical X examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations X that is used for no other purpose; Privacy for minors; X Lockable storage for medical supplies; X 7421 Riverside Indio JH PHY18-20 - 4 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Not less than 144 square feet floor space with no X single dimension less than seven feet; Hot and cold running water; and, X 01: Smooth, non-porous, washable surfaces. X Pharmaceutical Storage (1.15) There is lockable storage space for medical supplies X and pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) There is a minimum of 15 square feet floor space and X sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate visual X barrier. Visiting Space (1.17) X Visiting space is provided. Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage space per minor for institutional clothing, bedding, supplies X and activity equipment, in one or more storage rooms. Personal Storage (1.19) Each minor has a minimum of nine cubic feet of X secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, such as fire extinguishers, self-contained breathing X apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) There is at least one securely lockable janitorial X closet containing a mop sink and sufficient area for storing cleaning implements within the security area. 7421 Riverside Indio JH PHY18-20 - 5 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Audio Monitoring System (1.22) Threshold monitoring system in single occupancy rooms of Units 6 and 7. There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding rooms, locked sleeping rooms; single X and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to X maintain fire and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) One on each of the units (6 and 7) built to 1998 regulations. X Contain a minimum of 60 square feet of floor area and provide for confidential consultation with minors There is a minimum of one suitably furnished X interview room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp. X Court Holding Room for Minors (1.26) X Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors X Provides 40 square feet of floor area and a minimum X clear ceiling height of eight feet Contains seating to accommodate all minors X Contains a toilet, wash basin and drinking fountain as X specified in these regulations Maximizes staffs' visual supervision of minors X Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked holding rooms. X One toilet and one urinal may be substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. 7421 Riverside Indio JH PHY18-20 - 6 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Wash basins (2.2) Wash basins must provide hot and cold or tempered water and be available on living units in a ratio of 1:6 X in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. Drinking Fountains (2.3) Drinking fountains are accessible to minors and staff X in living areas and indoor-outdoor recreation areas. 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents waste water from flowing over the X bubbler. Showers (2.4) Showers provide tempered water and are available X on living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise. X Beds (2.5) Beds are at least 30 inches wide and 76 long and are X of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no less than 36 inches apart. X Lighting (2.6) There is at least 20 foot-candles (216 1x) of illumination at desk level in locked sleeping rooms, X single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good visibility and is conducive to sleep. X Padding (2.7) Not applicable to Pre-1998 Safety Padding in safety rooms covers the floor, door and (Protection) Room. X walls to a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper-resistant fire sprinkler as approved by the State Fire Marshal X (SFM). The padding is approved by the SFM and is: non- porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all padded X surfaces; and, is without exposed seams. 7421 Riverside Indio JH PHY18-20 - 7 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Seating (2.8) Seating is designed for the level of security. When bench seating is used, 18 inches of bench seating is X allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security X perimeter of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking device. X Assess for New Construction/Remodel or Repair: Security Glazing (2.10) (Added in 2003) (Note to inspector: This will typically be assessed from specifications provided at plan review.) Security glazing complies 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; California Department of Corrections, CDC 860-94d, Class C glass; or, H. P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met. X (Note to inspector: See regulation for specific requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7421 Riverside Indio JH PHY18-20 - 8 - J456 PHY 98 01 03.dot (8/05) Board of State and Community Corrections - BIENNIAL INSPECTION JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION BSCC Code: 7421 FACILITY: TYPE: RC: Riverside County: Indio Campus • JH “7421” JH 150 FIELD REPRESENTATIVE: Lisa Southwell DATE: January 27-30, 2020 ALL DIMENSIONS BASED ON CYA DATA UNLESS OTHERWISE DESIGNATED. ROOMS EACH ROOM Each Room FIXTURES* Applicabl # Size (L x W x H) COMMENTS Unit Room Total e Room or Square/Cubic Designation Type # RC Standards s RC Feet T U W F S Beds Intake Protectio Padded floor, carpeted wall. No drain. Pre-1998 1 0 (1) (1) 74 Square Feet n Room Window is 6"x18" Holding Pre-1998 1 0 (4) (4) 75 Square Feet Bench 9' 4"; dry cell. (14/16: Add 1 F and delete 1 S. Converted Shower/ Pre-1998 1 0 0 0 143 Square Feet 1 1 1 1 to portable cold-water decontamination Toilet shower) Unit 1 Annex Dorm Pre-1998 1 6 (5) (5) 20'6" x 16'6" 1 1 1 Used as program space 3 – 4 Dorm Pre-1998 2 4 4 8 232 Square Feet 1 1 1 1 – 2, 5 – 14 Single Pre-1998 12 1 1 12 89 Square Feet 1 1 1 Two rooms with cameras. 649 sq. ft. Dayroom Pre-1998 1 0 0 0 22' x 29'6" 3 2 1 4 (14/16: Delete 1 W. Converted to cold water decontamination shower) *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7421 Riverside Indio JH LASE18-20 - 1 - Juv LAS.dot;CSA 460(1/6/97) ROOMS EACH ROOM Each Room FIXTURES* Applicabl # Size (L x W x H) COMMENTS Unit Room Total e Room or Square/Cubic # Designation Type RC Standards s RC Feet T U W F S Beds Unit 2 Annex Dorm Pre-1998 1 6 (6) (6) 20'6" x 16'6" 1 1 1 Used as program space 29 – 31 Dorm Pre-1998 3 4 4 12 232 Square Feet 1 1 1 15 – 29, 32- Single Pre-1998 18 1 1 18 89 Square Feet 1 1 1 35 649 sq. (1 shower head change to add cold Dayroom Pre-1998 1 0 0 0 22' x 29'6" 3 2 3 1 4 water) Unit 3 (Vacant at 14/16 inspection) Dorm Pre-1998 1 20 20 20 32'6" x 26' 845 sq. ft. Dayroom Pre-1998 1 0 0 0 40' x 23' 2 2 8 1 4 920 sq. ft. 25' of fixed seating. 1 Unit 4 Single Pre-1998 10 1 1 10 9'6" x 8' 1 1 1 Classroom adjacent to dayroom. No Dayroom Pre-1998 1 0 0 0 18' x 25' 1 2 Fountain but water container. Added cold- water decontamination shower. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7421 Riverside Indio JH LASE18-20 - 2 - Juv LAS.dot;CSA 460(1/6/97) ROOMS EACH ROOM Each Room FIXTURES* Applicabl # Size (L x W x H) COMMENTS Unit Room Total e Room or Square/Cubic # Designation Type RC Standards s RC Feet T U W F S Beds Unit 5 (Vacant at 14/16 Inspection) Dorm Pre-1998 1 20 20 20 32' x 32' 1,024 sq. ft. Dayroom Pre-1998 1 0 0 0 29' x 22' 4 0 8 1 4 638 sq. ft. ALL DIMENSIONS BASED ON CYA DATA UNLESS OTHERWISE DESIGNATED. ROOMS EACH ROOM Each Room FIXTURES* Applicabl # Size (L x W x H) COMMENTS Unit Room Total e Room or Square/Cubic # Designation Type RC Standards s RC Feet T U W F S Beds Unit 6 Pilot project granted 11/98 for dorm <15 Dorm 1998 1 20 20 20 30' x 33'4" minors. Single 1998 5 1 1 5 8'x10' 1 1 1 (Less 6 sq. ft. chase) 74 sq. ft. Total approximate area 925 sq. ft. 3T=2+1 Dayroom 1998 1 0 0 0 Irregular 3 2 4 2 5 5S=4+1 Handicap Shower and Toilet Unit 7 Pilot project granted 11/98 for dorm <15 Dorm 1998 1 20 20 20 30' x 33'4" minors. Single 1998 5 1 1 5 8'x10' 1 1 1 (Less 6 sq. ft. chase) 74 sq. ft. Total approximate area 925 sq. ft. 3T=2+1 Dayroom 1998 1 0 0 0 Irregular 3 2 4 2 5 5S=4+1 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7421 Riverside Indio JH LASE18-20 - 3 - Juv LAS.dot;CSA 460(1/6/97) Historical Notes: Intake: Note: The intake area has an additional toilet, washbasin and drinking fountain. Separate interview room available in intake. Unit 1: Note: Unit capacity 20. (1992 CYA maximum capacity was 8 boys and 12 girls.) Annex added at later date than CYA rating. Bench around perimeter. 2012-14: Bathtub previously included in total number of showers has been removed from the LASE, it is no longer operable. The number of washbasins includes a hair washbasin which was inoperable at the time of our inspection. Unit 2: Note: Unit capacity 30. (1992 CYA maximum capacity was 30; dayroom would limit capacity of this unit to 21.1) Annex added at later date than CYA rating. Unit 4: Note: Unit capacity 10. (1992 CYA maximum capacity was 10.) 1 Pre-1998 (CYA) regulations required indoor activity space at 30 square feet of floor area for every minor. 2 Pre-1998 (CYA) regulations required 50 square feet of dormitory space for every minor. To determine the capacity of Units 3 and 4, the square footage of the dayroom and dormitory were added together; that sum was divided by 80. 2010-12: The designation of Unit 1 as a YOP unit reduced the IJH RC from 70 to 50. 2012-14: Units 3 and 5 now assigned to YOP (#7422 – RC 44). Units 6 and 7 were unoccupied and were not inspected. Unit 1 2 3 4 5 6 7 Total CYA maximum 20 30 20 10 20 n/a n/a 100 capacity** 1 Pre-1998 (CYA) regulations required 50 square feet of dormitory space for every minor. To determine the capacity of Units 3 and 4, the square footage of the dayroom and dormitory were added together; that sum was divided by 80. Current Cycle Notes: 2014-2016 Evaluated full facility for LASE Units 3 and 5 no longer assigned to YOP #7422. Currently Vacant. Units 6 and 7 house YTEC youth. Change to RC for 7422 as still 50 not 40 with unit changes. Intake: Change: Add 1 F and delete 1 S. Converted to portable cold water decontamination shower Unit 1: Change: Delete 1 W Converted to cold water decontamination shower. Unit 2: 1 shower head change to add cold water Unit 3: Vacant Unit 4: No Fountain but water container. Added cold water decontamination shower. Unit 5: Vacant Unit 6: Moved to YTEC-25 LASE “7422” Unit 7: Moved to YTEC-25 LASE “7422” 2014/2016 LASE JH:100 2016/2018 LASE No Change – JH RC at 100 08/15/2018: YTEC Closed at Indio JH as all youth transferred to Alan Crogan YTEC. Transfers began August 2017 and continued through October 2017. 50 beds returned to the IJH. Update sent to county and database updated. 2018-2020 LASE: : RC 150 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit; If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7421 Riverside Indio JH LASE18-20 - 4 - Juv LAS.dot;CSA 460(1/6/97) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7423 FACILITY NAME: Alan M. Crogan Youth Training and Education Center FACILITY TYPE: Camp (YTEC) PERSON(S) INTERVIEWED: Joe Doty; Division Director, Daniel Castaneda; Assistant Director, Mario Pineda; Supervisor Stacey Zapata; Supervisor, Residents FIELD REPRESENTATIVE: Lisa Southwell DATE: January13-15, 2020 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 2019 the Board of Supervisors to approve building safety; The building inspection was completed by ☒ ☐ ☐ Mike McCafferty on September 26, 2019. There were no areas of concern. (B) Fire authority having jurisdiction, including a fire The fire inspection was completed on clearance as required by Health and Safety Code August 5, 2019. The facility was deemed to Section 13146.1 (a) and (b); have failed due to 4 violations that were ☒ ☐ ☐ later corrected. The facility received Fire Clearance on January 14, 2019. 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. 7423 Riverside YTEC PRO 18 20 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) Local health officer, inspection in accordance with 2018 Health and Safety Code Section 101045; Medical Mental Health: June 21, 2018 Nutrition: June 21, 2018 Environmental Health: June 21, 2018 The facility Nutritional Evaluation was found to be Non-Compliant due to no registered Dietician being on board. No Corrective action provided. ☒ ☐ ☐ 2019 Medical Mental Health: June 20, 2019 Nutrition: June 20, 2019 Environmental Health: June 20, 2019 There were no corrections necessary. The Nutritional Evaluation corrective action from 2018 was corrected as a registered dietician consultant was hired. 7423 Riverside YTEC PRO 18 20 - 2 - J453 JUV PRO-Eff. 01-01-2019 (D) County superintendent of schools on the adequacy Education for the Alan Crogan Youth of educational services and facilities as required in Treatment and Education Center is provided Section 1370; by the Riverside County Superintendent of Schools. 2018 On March 27, 2018, the Facility was inspected by Janice Delagrammatikas, Principal of Come Back Kids Charter. Ms. Delagrammatikas found the school program to meet regulatory expectations. 2019 On February 12, 2019 the Facility was inspected by Janice Delagrammatikas, Principal of Come Back Kids Charter. Ms. Delagrammatikas found the school program to meet regulatory expectations. The facility was again inspected on October 18, 2019 by Michael Curtis, Principal of Desert- Mountain Alternative Education, San Bernardino County Superintendent of Schools and by Monica Hatcher, Principal of Central Valley Juvenile Court School/Youth Justice Center, San ☒ ☐ ☐ Bernardino County Superintendent of Schools. The school program was found to meet all regulatory expectations. The following information was provided in summary. “YTEC is a placement facility where students live there between 6 months and I year. They are able to earn community access through achieving certain benchmarks for positive behavior. The school program located within YTEC shows a strong collaboration with the Riverside County Probation Department, and all other supporting agencies. This is a unique facility which had a focus on rehabilitation through treatment, education, and vocational programs. It was clearly observed that all required elements of the students' academic needs were met. Upon entry to the school, student records are requested. Those records are then evaluated by teaching staff where a six-period schedule is developed for each student based upon their educational needs. The school collaborates regularly with Probation to provide positive behavior intervention and supports. Students are on a point system where they earn incentives for 7423 Riverside YTEC PRO 18 20 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS positive behavior. There has been a documented reduction in discipline issues since the implementation of this system. School and Probation staff also provide socio emotional programs to students and collaborate by sharing information pertaining to the students' behavior to ensure the best opportunity for the students to succeed in school. The school has an exceptionally strong transitional program to ensure that students are in the best possible placement upon release from the facility in order to give them a greatly increased chance for future success.” (E) Juvenile court as required by Section 209 of the 2019 Welfare and Institutions Code The facility was inspected by the Honorable Luebs on November 13, 2019. ☒ ☐ ☐ Judge Luebs found the facility to meet minimum standards and to be suitable for the confinement of minors. (F) Juvenile Justice Commission as required by Section The Juvenile Justice Commission conducts 229 of the Welfare and Institutions Code or annual inspections of the facility. The Probation Commission as required by Section 240 of following summarizes their inspection results. the Welfare and Institutions Code. 2018 The facility was inspected on December 21, 2018 by Commissioners Husseine and June. The commissioners noted all marks on their inspection worksheet to be satisfactory and marked no areas of concern. ☒ ☐ ☐ 2019 The facility was inspected on May 22, 2019 by Commissioners Laurel Cook, Rosa Gascoigne and Robert Lippert. Commission members recommended adding a fourth full time male therapist to the behavioral health staff, suggested that programming occur during shift change and that statistics be developed regarding the YTEC program to share with other counties who are faced with a similar population. 7423 Riverside YTEC PRO 18 20 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS Policy 905: Appointment and Qualifications BSCC Note: Compliance with this section is determined by receipt of the Chief Probation Officer’s Letter received from Interim Chief Ron Miller dated December 5, 2019 noting all certification letter confirming that all elements of regulatory requirements of section 1320. 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, Policy 905.4(a): Employee Qualifications skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical Policy 905.4(b): Employee Qualifications examination including tuberculosis screening 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 Policy 905.4(c): Employee Qualifications and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new Policy 905.4(d): Employee Qualifications employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- Policy 905.4: Employee Qualifications employees of the facility, who may be present at the facility, shall have such clearance and qualifications Policy 908: Initial Orientation for Non- Sworn Staff and Others as may be required by law, and their presence at the facility shall be subject to the approval and control of Per facility administrators, all contract the facility manager. personnel, volunteers and other non- ☒ ☐ ☐ employees participate in background checks as required by the Probation Department. Education staff are currently monitored by the County Office of Education however; the Probation Department is actively working on a solution with the County Office of Education to collaborate in this endeavor. Probation maintains control as to who has access into the facility. 7423 Riverside YTEC PRO 18 20 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1321 STAFFING Alan Crogan Youth Treatment Education Center (YTEC) has 1 Director, 1 Assistant Each juvenile facility shall: Director, 8 Supervising Probation Officers 10, Senior Probation Officers, 83 Probation Corrections Officer II’s (with 48 vacancies), 1 Probation Corrections Officer 1 and 1 extra help staff. Agency has been staffing vacant shifts with staff on overtime; however, there is an internal plan in place to address the vacancies in the future. a) have an adequate number of personnel sufficient to Policy 906.4(a): Staffing Requirements carry out the overall facility operation and its We reviewed the Agency’s Organization programming, to provide for safety and security of Chart, Vacancy Report, Leave Management youth and staff, and meet established standards and Report, the Master Staff Schedule and Daily regulations; Schedules for the week of January 7, 2020 – ☒ ☐ ☐ January 12, 2020 were reviewed. Each unit was staffed appropriately for the number of youth housed. Random dates were selected throughout the cycle and also viewed to ensure adequate personnel were present on site. Minimum staffing ratios were consistently met or exceeded. b) ensure that no required services shall be denied Policy 906.4(b): Staffing Requirements because of insufficient numbers of staff on duty absent exigent circumstances; At inspection, technical assistance was provided and discussed that staffing was specific to more than just the ratios and that all areas of Title 15 must be met, and the facility must be staffed accordingly. While ☒ ☐ ☐ we did not find a consistent shortage of staff or noncompliance in this area, this was addressed to ensure that facility managers used their staff on site to the best potential. As RJH was pending closure and staff would be realigned, this would result in existing staff being transferred to the existing facilities which will increase staffing overall. 7423 Riverside YTEC PRO 18 20 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS c) have a sufficient number of supervisory level staff to Policy 906.4(c): Staffing Requirements ensure adequate supervision of all staff members; Each shift is staffed with a Duty Officer. In most cases, the Duty Officer is a Supervising Probation Officer; however, policy does allow for Senior Probation Officers to act as a Supervisor as needed. Senior Probation officers act as the Duty ☒ ☐ ☐ Officer 4 of the 7 evenings for shift 1 at the YTEC facility. There are no bookings or releases during this time. Duty Officers have full supervisory authority while in this role but if there are any issues, there are supervisors on duty at Riverside Juvenile Hall, Southwest Juvenile Hall and Indio Juvenile Hall that they may call for guidance. d) have a clearly identified person on duty at all times Policy 906.4(e): Staffing Requirements who is responsible for operations and activities and All staff as of this time have completed has completed the Juvenile Corrections Officer Core ☒ ☐ ☐ CORE before being assigned to YTEC, as Course and PC 832 training; have all the Supervisors. e) have at least one staff member present on each living Policy 906.4(f): Staffing Requirements unit whenever there are youth in the living unit; ☒ ☐ ☐ There is always at least one staff member in each unit at all times. f) have sufficient food service personnel relative to the Policy 906.4(g): Staffing Requirements number and security of living units, including staff The facility has support staff, correctional qualified and available to: plan menus meeting cooks, food service workers, house keepers, nutritional requirements of youth; provide kitchen ☒ ☐ ☐ house managers, laundry workers and supervision; direct food preparation and servings; landscapers that maintain the facility and do conduct related training programs for culinary staff; not provide youth supervision. and maintain necessary records; or, a facility may serve food that meets nutritional standards prepared by an outside source; 7423 Riverside YTEC PRO 18 20 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, Policy 906.4(h): Staffing Requirements medical, dental, mental health, building The facility has administrative staff, medical, maintenance, transportation, control room, facility mental health and maintenance staff. security and other support staff for the efficient management of the facility, and to ensure that youth We met with Anthony Wilkins, Correctional supervision staff shall not be diverted from Health Care manager. Medical staff are supervising youth; and, present in the building 24 hours a day, 7 days a week. Medical Clinic Staffing consists of 1 RN, 1LVN, 1 Medical Records Technician, 1 Senior Institutional Nurse and a Supervisor. ☒ ☐ ☐ The Doctor is on site 2x a week. The facility has onsite optometry and off-site dental clinic as well as any other medical necessity that youth would need. We met with Dwayne George, Behavioral Health manger. Mental Health staff are present from 730 AM to 8PM every day with the exception of every other Saturday. There is always a Supervisor on Call who is available for crisis or emergency direction. h) assign sufficient youth supervision staff to provide Policy 906.4(i): Staffing Requirements continuous wide-awake supervision of youth, All staff are always required to remain subject to temporary variations in staff assignments ☒ ☐ ☐ awake. to meet special program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls (minimum youth-staff ratio) The facility is not a Juvenile Hall. (A) during the hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of ☐ ☐ ☒ personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. 7423 Riverside YTEC PRO 18 20 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Special Purpose Juvenile Halls (minimum youth- The facility is not a special purpose. staff ratio) ☐ ☐ ☒ (A) during hours that youth are awake, one wide-awake youth supervision staff member is on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the ☐ ☐ ☒ number of youth in detention, unless an arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility. (E) personnel with primary responsibility for other duties such as administration, supervision of ☐ ☐ ☒ personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (minimum youth -staff ratio) Policy 906.5(a): Youth-To-Staff Ratio by (A) during the hours that youth are awake, one wide- Facility (Juvenile Treatment Facilities) ☒ ☐ ☐ awake youth supervision staff member on duty for Minimum staffing ratios are maintained. each 15 youth in the camp population; (B) during the hours that youth are confined to their Policy 906.5(b): Youth-To-Staff Ratio by room for the purpose of sleeping, one wide-awake Facility (Juvenile Treatment Facilities) ☒ ☐ ☐ youth supervision staff member on duty for each 30 Same youth present in the facility; (C) at least two wide-awake youth supervision staff Policy 906.5(c): Youth-To-Staff Ratio by members on duty at all times, regardless of the Facility (Juvenile Treatment Facilities) ☒ ☐ ☐ number of youth in residence, unless arrangements Each unit is staff with 2 staff at all times. have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty Policy 906.5(d): Youth-To-Staff Ratio by who is the same gender as youth housed in the Facility (Juvenile Treatment Facilities) facility; ☒ ☐ ☐ There is always a minimum of one male staff and one female staff member on duty. (E) in addition to the minimum staff to youth ratio Policy 906.5(e): Youth-To-Staff Ratio by required in (h)(3)(A)-(B), consideration shall be Facility (Juvenile Treatment Facilities) given to the size, design, and location of the camp; YTEC is a Treatment facility and may types of youth committed to the camp; and the ☒ ☐ ☐ operate at a 1 to 15 ratio; however, the function of the camp in determining the level of agency chooses to operate at a 1 to 10 ratio. supervision necessary to maintain the safety and welfare of youth and staff; 7423 Riverside YTEC PRO 18 20 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (F) personnel with primary responsibility for other Policy 906.5(f): Youth-To-Staff Ratio by duties such as administration, supervision of Facility (Juvenile Treatment Facilities) personnel, academic or trade instruction, clerical, ☒ ☐ ☐ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF Policy 907.4(a): Youth Supervision Staff ORIENTATION AND TRAINING Orientation and Training ☒ ☐ ☐ Prior to assuming any responsibilities each youth Each new staff upon reporting to the facility supervision staff member shall be properly oriented to is assigned to a training officer who assist the their duties, including: new officer in their orientation and training. (1) youth supervision duties; Policy 907.4(a)1: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (2) scope of decisions they shall make; Policy 907.4(a)2: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (3) the identity of their supervisor; Policy 907.4(a)3: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (4) the identity of persons who are responsible to Policy 907.4(a)4: Youth Supervision Staff them; Orientation and Training ☒ ☐ ☐ Day 1: Welcome (5) persons to contact for decisions that are beyond Policy 907.4(a)5: Youth Supervision Staff their responsibility; and Orientation and Training ☒ ☐ ☐ Day 1: Welcome (6) ethical responsibilities. Policy 907.4(a)6: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 1: Welcome (b) Prior to assuming any responsibility for the Policy 907.4(b): Youth Supervision Staff supervision of youth, each youth supervision staff Orientation and Training ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility-specific orientation, including: (1) individual and group supervision techniques; Policy 907.4(b)2: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Embedded throughout the 40-hour training (2) regulations and policies relating to discipline and Policy 907.4(b3): Youth Supervision Staff rights of youth pursuant to law and the Orientation and Training ☒ ☐ ☐ provisions of this chapter; Day 5: Living Unit Techniques and Program 7423 Riverside YTEC PRO 18 20 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) basic health, sanitation and safety measures; Policy 907.4(b)4: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 3: Behavior Health Services, Day 4: Correctional Health Services and Living Unit Programs (4) suicide prevention and response to suicide Policy 907.4(b)5: Youth Supervision Staff attempts Orientation and Training ☒ ☐ ☐ Day 4: Suicide Prevention (5) policies regarding use of force, de-escalation Policy 907.4(b)6: Youth Supervision Staff techniques, chemical agents, mechanical and ☒ ☐ ☐ Orientation and Training physical restraints; (6) review of policies and procedures referencing Policy 907.4(b)7: Youth Supervision Staff trauma and trauma-informed approaches; ☒ ☐ ☐ Orientation and Training (7) procedures to follow in the event of Policy 907.4(b)8: Youth Supervision Staff emergencies; Orientation and Training ☒ ☐ ☐ Day 2: Emergency Procedures (8) routine security measures, including facility Policy 907.4(b)9: Youth Supervision Staff perimeter and grounds; Orientation and Training ☒ ☐ ☐ Day 1: Issue Equipment/Uniforms (9) crisis intervention and mental health referrals to Policy 907.4(b)10: Youth Supervision Staff mental health services; Orientation and Training ☒ ☐ ☐ Day 3: Behavior Health Services (10) documentation; and Policy 907.4(b)11: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 6: Online Computer Training (11) fire/life safety training Policy 907.4(b)12: Youth Supervision Staff Orientation and Training ☒ ☐ ☐ Day 2: Emergency Procedures (c) Prior to assuming sole supervision of youth, each Policy 907.4(b): Youth Supervision Staff youth supervision staff member shall successfully Orientation and Training complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal All staff complete CORE Training prior to 1 Code Section 6035. year of service and prior to assuming sole supervision of youth. (d) Prior to exercising the powers of a peace officer Policy 907.4(b): Youth Supervision Staff youth supervision staff shall successfully complete Orientation and Training ☒ ☐ ☐ training pursuant to Section 830 et seq. of the Penal Code. 7423 Riverside YTEC PRO 18 20 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1323 FIRE AND LIFE SAFETY Policy 909: Fire and Life Safety Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all ☒ ☐ ☐ times who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICY AND PROCEDURES MANUAL Policy 910: Policy and Procedures Manual All facility administrators shall develop, publish, and Riverside County Probation Department implement a manual of written policies and procedures Policy Manual that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made The policy and procedure manual was available to all employees, reviewed by all employees, provided for our review. The manual is and shall be administratively reviewed at a minimum reviewed and updated every 2 years. every two years, and updated, as necessary. Those Additional updates were last completed and records relating to the standards and requirements set provided in May 2020 and June 2020. forth in these regulations shall be accessible to the Board ☒ ☐ ☐ on request. The BSCC has reviewed the agency Policy The manual shall include: and Procedure specific to regulations and has confirmed the required policies and procedure exist specific to required regulations; however, there may be cites noted in the comments that may not match due to updates that were unable to be reverified. The agency manual is provided to staff electronically for their review. (a) table of organization, including channels of communications and a description of job ☒ ☐ ☐ classifications; (b) responsibility of the probation department, purpose Policy 962: Recreation, Programs and of programs, relationship to the juvenile court, the Exercise Juvenile Justice/Delinquency Prevention Policy 1044: Operation of Riverside County ☒ ☐ ☐ Commission or Probation Committee, probation Juvenile Facilities staff, school personnel and other agencies that are Policy 1048: Responsibility of Probation involved in juvenile facility programs; Department to Collaborative Partners (c) responsibilities of all employees; Policy 1049: Responsibilities of All Juvenile ☒ ☐ ☐ Facility Staff (d) initial orientation and training program for See Section 1322 and Section e below. ☒ ☐ ☐ employees; (e) initial orientation, including safety and security Policy 908: Initial Orientation for Non- issues and anti-discrimination policies, for support Sworn Staff and Others ☒ ☐ ☐ staff, contract employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and See Sections Below ☒ ☐ ☐ communication system to ensure: (1) efficient operation of the juvenile facility; Policy 1044: Operation of Riverside County ☒ ☐ ☐ Juvenile Facilities 7423 Riverside YTEC PRO 18 20 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) legal and proper care of youth; Policy 1044: Operation of Riverside County ☒ ☐ ☐ Juvenile Facilities (3) maintenance of individual youth's records; Policy 957: Reporting of Incidents and Other ☒ ☐ ☐ Information (4) supply of information to the juvenile court and Policy 957: Reporting of Incidents and Other those authorized by the court or by the law; and, Information ☒ ☐ ☐ Policy 958: Confidentiality and Release of Information (5) release of information regarding youth. Policy 958: Confidentiality and Release of ☒ ☐ ☐ Information (g) ethical responsibilities; ☒ ☐ ☐ Policy 300: Ethics (h) trauma-informed approaches; Policy 907: Youth Supervision Staff Orientation and Training Policy 910: Policy and Procedures Manual Policy 932: Suicide Prevention Plan Policy 952: Use of Physical Restraints for Movement and Transportation within the Facility Policy 961: Education Policy 976: Incentives and Discipline Process Policy 1033: General Treatment of Youth ☒ ☐ ☐ Staff were initially trained in Trauma Informed Care and Trauma Approaches in 2014, 2015 and some staff also in 2016 and 2017. Staff and supervisors note that they are also trained in Non-Violent Crisis Intervention Training and receive regular updates. Trauma, trauma informed approaches and other reference to trauma are noted in agency policy. Trauma is defined in definitions in the agency policy. (i) culturally responsive approaches; Policy 1033: General Treatment of Youth Policy 1033.4.1(e): Treatment of Youth Facility routinely celebrate various cultural events in effort to share and educate youth ☒ ☐ ☐ regarding cultural tolerance. As able, youth are able to go off site for field trips and have visited the Museum of Tolerance to teach youth about racism and prejudice around the world. 7423 Riverside YTEC PRO 18 20 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (j) gender responsive approaches; Policy 1033: General Treatment of Youth Policy 1033.4.1(f): Treatment of Youth The facility offers programming that are ☒ ☐ ☐ gender specific to both genders: Girls Circle and Boys Council. These programs support equality and justice focused programming for all genders and includes focus on transgender youth as well. (k) a non-discrimination provision that provides that all Policy 1050: Youth Non-Discrimination youth within the facility shall have fair and equal 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 Policy 916: Safety Equipment Control chemical agents related security devices, and ☒ ☐ ☐ weapons and ammunition, where applicable; (m) establishment of procedures for collection of Medi- Policy 1051: Medi-Cal Information, Cal eligibility information and enrollment of eligible Eligibility, and Enrollment youth; and, ☒ ☐ ☐ All youth and their families are provided with information regarding DPSS Medi Cal program upon release including information for enrollment. (n) establishment of a policy that prohibits all forms of Policy 1008: Prison Rape Elimination Act sexual abuse, sexual assault and sexual harassment. (PREA) of 2003 The policy shall include an approach to preventing, ☒ ☐ ☐ detecting and responding to such conduct and any retaliation for reporting such conduct, as well as a provision for reporting such conduct by youth, staff or a third party. 1325 FIRE SAFETY PLAN Policy 911: Fire Safety Plan The facility administrator shall consult with the local fire department having jurisdiction over the facility, or with The Fire Suppression Pre-Plan was the State Fire Marshal, in developing a plan for fire safety completed in conjunction with Tracy Shaw which shall include, but not be limited to: ☒ ☐ ☐ Fire Inspector on May 21, 2019 from the California Fire Department Station # 2 located at 9449 Andrew Street Riverside, CA. There was also a plan completed on January 11, 2018. 7423 Riverside YTEC PRO 18 20 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS a) a fire prevention plan to be included as part of the Policy 911: Fire Safety Plan ☒ ☐ ☐ manual of policy and procedures; b) monthly fire and life safety inspections by facility Policy 911.8: Prevention staff with two- year retention of the inspection record; Monthly fire and life safety inspections are to be completed monthly. Facility has some missing inspections; however, facility has implemented corrective action to ensure that all drills are completed as required. ☒ ☐ ☐ Technical Assistance provided and discussed that in addition to facility corrective action, a suggestion for ensuring that inspections be completed timely would be to complete them at the beginning of the month to ensure completion. c) fire prevention inspections as required by Health Policy 911.8: Prevention and Safety Code Section 13146.1(a) and (b); The fire inspection was completed by ☒ ☐ ☐ August 5, 2019. The facility was deemed to have failed due to 4 violations that were later corrected. The facility received Fire Clearance on January 14, 2019. d) an evacuation plan; Policy 911.5: Fire Safety Plan Policy 1052: Alan M. Crogan Youth Treatment and Education Center Evacuation Plan Each facility has a facility specific procedure for evacuation. Evacuation signs are posted. ☒ ☐ ☐ YTEC’S Emergency Action plan was last updated July 1, 2019. The Juvenile Court has provided the facility Directors the authority to release any youth from custody in the event of a natural disaster as deemed necessary for the protection of the minor. 7423 Riverside YTEC PRO 18 20 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS e) documented fire drills not less than quarterly; Policy 911.8: Prevention Fire Drills are to be completed monthly. Facility has some missing drills; however, facility has implemented corrective action to ensure that all drills are completed as required. ☒ ☐ ☐ Technical Assistance provided and discussed ensuring that drills be completed at the beginning of the month to ensure completion. Facility has implemented corrective action to ensure that all drills are completed as required. f) a written plan for the emergency housing of youth in Policy 911.6: Emergency Housing of Youth ☒ ☐ ☐ the case of fire; and, g) development of a fire suppression pre-plan in Policy 911: Fire Safety Plan ☒ ☐ ☐ cooperation with the local fire department. 1326 SECURITY REVIEW Policy 912.4: Security Review Each facility administrator shall develop policies and Security Review completed January 29, 2019 procedures to annually review, evaluate, and document ☒ ☐ ☐ and provided for our 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. 1327 EMERGENCY PROCEDURES Policy 917: Emergency Procedures The facility administrator shall develop facility-specific Each facility has a facility specific procedure policies and procedures for emergencies that shall ☒ ☐ ☐ for all emergencies and evacuation. All other include, but not be limited to: emergency procedures are generic and apply to all facilities. (a) escape, disturbances, and the taking of hostages; Policy 918: Hostages Policy 919: Riot Control ☒ ☐ ☐ Policy 920: Escapes/AWOL Policy 949: 11:88: Radio Call (b) civil disturbance, active shooter and terrorist attack; Policy 1055: Civil Disturbance, Active ☒ ☐ ☐ Shooter, Terrorist Attack (c) fire and natural disasters; Policy 923: Earthquake Policy 924: Fire ☒ ☐ ☐ Policy 926: Utility Outage Policy 927: Smog Episodes and Excessive Heat (d) periodic testing of emergency equipment; ☒ ☐ ☐ Policy 916: Safety Equipment Control 7423 Riverside YTEC PRO 18 20 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) emergency evacuation of the facility; and Policy 928: Indio Juvenile Hall Evacuation Plan Policy 929: Riverside Juvenile Hall Evacuation Plan Policy 930: Southwest Juvenile Hall Evacuation Plan ☒ ☐ ☐ Policy 1052: Alan M. Crogan Youth Treatment and Education Center Evacuation Plan Each facility has a facility specific procedure for evacuation. (f) a program to provide all youth supervision staff Policy 917.5: Annual Review with an annual review of emergency procedures. All staff are required to sign off on emergency procedures annually. This is managed electronically via Lexipol Knowledge Management System, an electronic, online learning tool. Progress can be tracked via an online data base and ☒ ☐ ☐ administration can view who has not complied to ensure compliance. A memo was drafted on December 21, 2019 by Assistant Division Director Castaneda that all staff assigned to the Alan Crogan YTEC facility reviewed and acknowledged their sign off of the emergency procedure review. 7423 Riverside YTEC PRO 18 20 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS Policy 931.3: Safety Check Policy The facility administrator shall develop and implement Agency uses the Guard 1 Plus System. The policy and procedures that provide for direct visual facility has a paper back up system in place observation of youth at a minimum of every 15 minutes, in the event that the system goes down. at random or varied intervals during hours when youth On days where youth are in school or are asleep or when youth are in their rooms, confined in otherwise outside of their rooms, there are holding cells or confined to their bed in a dormitory. about 7000 safety checks completed daily Supervision is not replaced, but may be supplemented facility wide. Supervisors are responsible to by, an audio/visual electronic surveillance system review safety check downloads daily to designed to detect overt, aggressive or assaultive ensure that safety checks are done correctly behavior and to summon aid in emergencies. All safety and per policy. We reviewed several, various checks shall be documented with the actual time the periods of times within the cycle check is completed. electronically. We found a very minimal amount of checks that were either a procedural violation, a safety check not completed or an equipment error. ☒ ☐ ☐ Duty officers’ complete reviews of every issue found and complete camera reviews. Depending on the circumstance, the issue is either resolved with the staff member as a training issue or the issue is elevated. We were very impressed with the level of quality assurance that the duty officers put into the reviews and follow up with staff to ensure that all safety checks were completed as required. Facility administration actively tracks accuracy of safety checks in their performance measure tracking and reports this information to agency administration as part of their performance measure reporting process. 1329 SUICIDE PREVENTION PLAN Policy 932: Suicide Prevention Plan The facility administrator, in collaboration with the Policy 932.3 Policy healthcare and behavioral/mental health administrators, shall plan and implement written policies and Plan was developed in collaboration with procedures which delineate a Suicide Prevention Plan. ☒ ☐ ☐ Riverside University Health System The plan shall consider the needs of youth experiencing Behavioral Health and Correctional Health past or current trauma. Suicide prevention responses Services shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: 7423 Riverside YTEC PRO 18 20 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Suicide prevention training as required in Policy 932.6: Staff Training Section 1322, Youth Supervision Staff All staff complete a Suicide Prevention Orientation, and Training and the Juvenile Corrections Officer Core Course. Training module of Initial Orientation ☒ ☐ ☐ training. Staff are also trained in Suicide Prevention in the CORE Academy. All staff also complete a refresher training annually thereafter. (b) Screening, Identification Assessment and Policy 932.7: Screening and Referral Precautionary Protocols All youth upon admission are screened with (1) All youth shall be screened for risk of suicide at intake and as needed during the MAYSI. Youth who are admitted to detention. YTEC have been committed by the Court and are transfers from the JH. Prior to being cleared to come to YTEC, all youth are ☒ ☐ ☐ screened for Suicide Risk by Behavior Health for transfer purpose prior to leaving the Juvenile Hall. Youth would not be placed on the transfer list if they were not safe to move. At any time, a youth may be screened with the MAYSI if staff feel it is necessary or a youth may be placed on a safety watch status. (2) All youth supervision staff who perform Policy 932.7: Screening and Referral intake processes shall be trained in Facility Behavior Health Staff initially screening youth for risk of suicide. trained the “trainers” who are the Senior Officers. These officers then trained all staff ☒ ☐ ☐ assigned to complete the intake screenings or who would complete the MAYSI as needed. Senior Officers will continue to train any new staff that come to the facility and are tasked to complete the screenings. (3) All youth who have been identified during Policy 932.8: Assessment the intake screening process to be at risk of If a youth is identified at transfer to be at risk suicide shall be referred to behavioral/mental health staff for a suicide for suicide, a referral is immediately made to ☒ ☐ ☐ risk assessment. behavioral health for a risk assessment. A Safety Watch Notification will be completed, and this form acts as the referral to behavioral health. (4) Precautionary protocols shall be developed Policy 932.8: Assessment to ensure the youth’s safety pending the SWDVS and SW5: Increased watches while behavioral/mental health assessment. ☒ ☐ ☐ assessment is pending. Behavioral Health assessment should occur as soon as possible but within 24 hours of referral. 7423 Riverside YTEC PRO 18 20 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Referral process to behavioral/mental health Policy 932.8: Assessment staff for assessment and/or services. Policy 932.10: Juvenile Facility Staff Responsibilities When Placing Youth on Safety Watch Policy 932.11: Duty Officer (DO/Supervising ☒ ☐ ☐ Probation Officer (SPO) Responsibilities Youth are immediately referred to behavioral health for assessment. It is the Duty Officers responsibility to contact the on-call BHS if there are no BHS on site. (d) Procedures for monitoring of youth identified 932.9: Increased Monitoring at risk for suicide. Safety Watch Direct Visual Supervision: (SWDVS) Continuous monitoring of youth ☒ ☐ ☐ by staff until assessment Safety Watch 5: (SW5) 5-minute safety checks of youth by staff until assessment (e) Safety Interventions (1) Procedures to address intervention protocols for youth identified at risk for ☒ ☐ ☐ suicide which may include, but are not limited to: A. Housing consideration Policy 932.13: Safe Housing – ☒ ☐ ☐ Policy 932.13.1: Placement of Youth on Suicide Watch in a Room B. Treatment strategies including Policy 932.15: Treatment trauma-informed approaches Treatment team is the primary venue in ☒ ☐ ☐ which facility partners meet to discuss youth to develop appropriate care strategies. Facility also participates in a “Daily Huddle” to enhance communications. 7423 Riverside YTEC PRO 18 20 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Procedures to instruct youth supervision Policy 932.14: Responding to an Active staff how to respond to youth who exhibit Suicide suicidal behaviors. Policy 932.14: Responding to an Active Suicide Behavior Health provides an “Attachment B” for every youth at intake within 72 hours that provides information regarding Danger to Self, Danger to Others and provides a place for description. Additionally, the safety ☒ ☐ ☐ watch forms provide a place for BHS to document and to provide additional information to staff. The 3rd page of the triplicate form goes to the youth’s unit and provides a means to communicate with all staff regarding the necessary areas. This process is unique, and this writer has not seen such a collaborative approach and team effort between the two disciplines. This is a great job. (f) Communication Policy 932.7: Screening and Referral (1) The intake process shall include communication with the arresting officer The Arresting Officer Questionnaire does not and family guardians regarding the youth’s apply to the camp however, during past or present suicidal ideations, behaviors ☒ ☐ ☐ admission, the admission officer contacts that or attempts. youths’ parent and conducts a telephone interview with them regarding their child’s mental health status. (2) Procedures for clear and current Policy 932.12: Downgrading or Removing information sharing about youth at risk for Youth from Intensive Monitoring suicide with youth supervision, healthcare, ☒ ☐ ☐ and behavioral/mental health staff. Policy 932.16: Communication (g) Debriefing of Critical Incidents Related to Policy 932.17: Debriefing Suicides or Attempts Policy 932.18: Review of Suicide and (1) Process for administrative review of the circumstances and responses proceeding, Serious Self Injuries Behavior during and after the critical incident. There were no incidents to review ☒ ☐ ☐ Suggestion provided for the provision of a training for supervisors that addresses regulatory requirements in (g)1-3 so that in the event of a high stress emergency, supervisors are prepared and ready to act. (2) Process for a debriefing event with affected Policy 932.17(a): Debriefing ☒ ☐ ☐ staff. There were no incidents to review 7423 Riverside YTEC PRO 18 20 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Process for a debriefing event with affected Policy 932.17(a): Debriefing ☒ ☐ ☐ youth. There were no incidents to review (a) Documentation Policy 957: Reporting of Incident and Other (1) Documentation processes shall be Information developed to ensure compliance with this regulation Policy requires that all incidences of suicide or serious self-injury shall be documented in an incident report as required in JAMS pursuant to Section 957 and requires specific information to be included. ☒ ☐ ☐ Suicide packets reviewed contained an incident report, a behavioral health referral, a behavioral health response, suicide watch safety checks and removal from suicide watch documentation. Additional documentation noted was the MAYSI assessment, the Arresting Officer Questionnaire and the telephone Interview with the parent. Youth identified at risk for suicide shall not be denied Policy 932.13: Safe Housing the opportunity to participate in facility programs, Facility policy requires that staff document services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety daily activities for youth on SW on the SW of the youth or security of the facility. Any deprivation form. Documentation was reviewed and it of programs, services or activities for youth at risk of was noted that the logs were not consistently suicide shall be documented and approved by the completed. Based on this alone, we would facility manager. be unable to ascertain if youth on suicide watch participate fully in exercise, program, ☒ ☐ ☐ and recreation. It is not clearly defined nor clearly documented. We discussed regular program logs and that regular program logs should be completed on all youth. Pursuant to Section 1371, which would also pertain to youth on Suicide Watch. This issue was addressed via correction made to Section1371. 1340 REPORTING OF LEGAL ACTIONS Policy 933: Reporting of Legal Actions Policy 933.4 Notification Each facility shall submit to the Board a letter of ☒ ☐ ☐ notification on each legal action, pertaining to conditions There are no legal actions pending for the of confinement, filed against persons or legal entities facility. responsible for juvenile facility operation. 7423 Riverside YTEC PRO 18 20 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR Policy 934: Death and Serious Illness or INJURY OF A YOUTH WHILE Injury of a Youth While Detained DETAINED Policy 934.3: Policy Policy 934.5.3: Chief Probation Officer or (1) Death of a Youth. Designee Responsibilities (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental This policy was developed by the facility health director, shall develop written policies and administrator, in cooperation with the procedures in the event of the death of a youth while health administrator (Riverside University detained, which include notifications to necessary Health Systems - Correctional Health parties, which may include the Juvenile Court, the Services – RUHS-CHS) and the parent, guardian or person standing in loco parentis behavioral/mental health director (Riverside and the youth’s attorney of record. ☒ ☐ ☐ University Health Systems - Behavioral Health Services - RUHS-BH). In the event of a death, the Chief Probation Officer or his or her designee would contact the Juvenile and Superior Court Presiding Judge. The youth’s parent would be notified by the coroner and a designated representative of the department. (b) The health administrator, in cooperation with the Policy 934: Death and Serious Illness or facility administrator, shall develop written policies Injury of a Youth While Detained and procedures to assure there is a medical and Policy 934.7: Medical and Operational operational review of every in-custody death of a Review ☒ ☐ ☐ 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 Policy 934.5: Required Written Reports Board a copy of the report submitted to the Attorney General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from Policy 934.5: Required Written Reports the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7423 Riverside YTEC PRO 18 20 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Serious Illness or Injury of Youth Policy 934.5.2: Facility Manager(s) (a) The facility administrator, in cooperation with the Responsibilities health administrator, shall develop written policies In the event of a serious illness or injury, the and procedures for the notification to necessary ☒ ☐ ☐ parent or guardian is contacted by the parties, which may include the Juvenile Court, the facility manager. 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 Policy 935.3: Population Accounting Policy Each juvenile facility shall submit required population All reports have been received timely. ☒ ☐ ☐ and profile survey reports to the Board within 10 working days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY Policy 936.4: BSCC Notification When the number of youth detained in a living unit of a Agency has not exceeded its Board Rated juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ Capacity. fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES Policy 937 Admittance Procedures The facility administrator shall develop and implement Policy 937.3(a-e): Policy written policies and procedures for admittance of youth that emphasize respectful and humane engagement with youth and reflect that the admission process may be ☒ ☐ ☐ traumatic to youth who may have already experienced trauma. Policies shall be trauma-informed, culturally relevant, and responsive to the language and literacy needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: Policy 937.7: Telephone Calls (1) Access to two free phone calls within one hour of admittance in accordance with the provisions YTEC transports youth directly from the 2 of Welfare and Institution Code Section 627; Juvenile Halls to the YTEC facility. Upon arrival, each youth receives an initial phone call to contact their parent or guardian to ☐ ☐ ☒ notify them of their transfer. If no answer, the youth will continue to call once they arrive in the living unit until call is completed. Youth are also advised of the telephone procedures at YTEC upon admission. (2) Offer of a shower; Policy 937.9(h): Showers ☒ ☐ ☐ Youth are transferring directly from a juvenile hall but may shower if they choose to. 7423 Riverside YTEC PRO 18 20 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Documented secure storage of personal Policy 938: Personal Property belongings; ☒ ☐ ☐ Property is transferred from detention to YTEC. All property is stored securely. (4) Offer of food upon arrival; Policy 937.8: Provision for Food Policy 1010.4: Frequency of Serving ☒ ☐ ☐ Youth would be given a snack if they request one. (5) Screening for physical and behavioral health Policy 937.10(i): Admittance Requirements and safety issues, intellectual or developmental disabilities; All youth are screened and cleared for transfer by medical staff and behavioral health staff before being transferred to YTEC. ☒ ☐ ☐ This process occurs at the sending juvenile hall. If there are any concerns the youth remain at the juvenile hall until the concern is resolved. All behavioral health and correctional heath staff also share information about youth between facilities as necessary to ensure they receive appropriate care and follow up. (6) Screening for physical and developmental Policy 937.10(i): Admittance Requirements disabilities in accordance with Sections 1329, Policy 997.5: Medical Clearance/Intake 1413, and 1430 of these regulations; Health Screening ☒ ☐ ☐ Youth are screened and cleared by medical staff and behavioral health before being transferred to YTEC. (7) Contact with Regional Center for the Policy 946.5: Developmentally Disabled Developmentally Disabled for youth that are Youth suspected of or identified as having a Youth who are developmentally disabled developmental disability, pursuant to Section ☒ ☐ ☐ would not likely be sent to YTEC by the 1418; and, courts. Juvenile Hall staff would have already contacted the Regional Center on their behalf. (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ See 1352.5 (b) juvenile hall administrators shall establish written Does not apply to the YTEC Facility. criteria for detention that considers the least ☐ ☐ ☒ restrictive environment. 7423 Riverside YTEC PRO 18 20 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) juvenile camps and post-dispositional programs in Policy 937.10(q and r): Admittance juvenile halls shall develop policies and procedures Requirements that advise the youth of the estimated length of stay, inform them of program guidelines and A commitment to YTEC can only occur with provide written screening criteria for inclusion and a court order. Youth that are committed to exclusion from the program. YTEC are provided with information regarding their estimated length of stay and ☒ ☐ ☐ information regarding the program guidelines. A minimum commitment to the YTEC program is 6 months to 1 year. The average length of stay is approximately 7 months. Documentation reviewed and youth are advised of this information upon admission. (d) juvenile halls shall develop policies and procedures Does not apply to the YTEC Facility. that advise any committed youth of the estimated ☐ ☐ ☒ length of his/her stay. 7423 Riverside YTEC PRO 18 20 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350.5. SCREENING FOR THE RISK OF SEXUAL Policy 1008.5.1: Screening for Risk of ABUSE Sexual Victimization and Abusiveness The facility administrator shall develop and implement written policies and procedures to reduce the risk of Policy requires the original Screening for sexual abuse by or upon youth. The policy shall require Risk of Sexual Abuse to be conducted during facility staff to assess each youth within 72 hours of admission to the Juvenile Hall and again 180 admission based on the following information: days thereafter unless an incident or information warrants a sooner screening. At inspection, it was noted that the youth’s files were not consistently filed with the original or 180-day screenings, thus I was unable to determine if the screenings were timely. Random YTEC youth were then selected in JAMS to review for their initial and 180-day ☒ ☐ ☐ screenings. It was noted that there were 4 screenings that were overdue. (2 from December 2019 and 2 from January 2020). It was found that a management report could be run however, there was no process in place to ensure that this was done on a regular basis and no one assigned to do so. Upon bringing this to the attention of the facility administrator, the issue was immediately addressed, the screenings completed immediately, and the facility administrators implemented immediate corrective action to ensure immediate oversight occurred going forward so future screenings would be timely. Subsequent review found that this issue has been corrected. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Present in Screening Document (b) Gender nonconforming appearance or manner; Present in Screening Document or identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Present in Screening Document (d) Age; ☒ ☐ ☐ Present in Screening Document (e) Level of emotional and cognitive development; ☒ ☐ ☐ Present in Screening Document (f) Physical size and stature; ☒ ☐ ☐ Present in Screening Document (g) Mental illness or mental disabilities; ☒ ☐ ☐ Present in Screening Document (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Present in Screening Document (i) Physical disabilities; ☒ ☐ ☐ Present in Screening Document 7423 Riverside YTEC PRO 18 20 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Present in Screening Document (k) Any other specific information about the Present in Screening Document individual youth that may indicate heightened ☒ ☐ ☐ needs for supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through Policy 1008.5.1: Screening for Risk of conversations with the youth during the admittance Sexual Victimization and Abusiveness process, medical and behavioral health screenings; during classification assessments; and by reviewing Staff do not have direct access to medical or court records, case files, facility behavioral records, and behavioral Health records due to HIPAA; other relevant documentation from the youth’s files. however, any information that is important to ☒ ☐ ☐ know, medical and behavioral health staff will share with probation staff. Staff also have access to JAMS (Juvenile Adult Management System) and review the electronic case file for all past information relevant to the youth’s history. The facility administrator shall implement appropriate Policy 1008.5.1: Screening for Risk of controls on the dissemination of information within the Sexual Victimization and Abusiveness facility relative to responses received pursuant to this assessment in order to ensure that sensitive information Information regarding youth’s results is is not exploited to the youth’s detriment by staff or other considered sensitive information. A youth. Behavioral Health referral will be submitted by the DCO and the DO for youth who score as being a victim or as a perpetrator of sexual abuse. The unit supervisor is responsible for disseminating the information to the facility partners so that the information is not used to ☒ ☐ ☐ the detriment of the youth. Technical assistance discussed regarding timelines noted in policy for response for behavioral health to follow up and for the evaluation of youth. While the youth are in the YTEC program for a longer period of time, 60 days to complete an evaluation seems excessive for this level of incident. Policy updates made to reflect that an evaluation will occur within 48 hours. 1351 RELEASE PROCEDURES Policy 941: Release Procedures The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for release of youth from custody which provide for: (a) verification of identity/release papers; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (b) return of personal clothing and valuables; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities 7423 Riverside YTEC PRO 18 20 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) notification to the youth's parents or guardian; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (d) notification to the facility health care provider in Policy 941.6: Detention Control Officer accordance with Sections 1408 and 1437 of these (DCO) Responsibilities ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities (f) notification of facility mental health personnel. Policy 941.6: Detention Control Officer ☒ ☐ ☐ (DCO) Responsibilities The facility administrator shall develop and implement Policy 946.4: Institutional Assessment and policies and procedures for post-disposition youth to Case Plan. coordinate the provision of transitional and reentry services including, but not limited to, medical and All youth are post disposition youth and all ☒ ☐ ☐ behavioral health, education, probation supervision and have a transition and reentry plan upon community-based services. release. See Section 1355: Institutional Assessment and Case Plan. The facility administrator shall develop and implement Policy 941.7: Required Release Paperwork written policies and procedures for the furlough of Temporary Release /Furlough (Treatment youth from custody. Facility only) ☒ ☐ ☐ Policy 941.11.12: Treatment Facilities Only youth in YTEC can be released on a furlough. 1352 CLASSIFICATION Policy 942.1: Classification- Purpose and Scope The facility administrator shall develop and implement written policies and procedures on classification of ☒ ☐ ☐ youth for the purpose of determining housing placement in the facility. Such procedures shall: (a) provide for the safety of the youth, other youth, Policy 942.4: Classification Assignment facility staff, and the public by placing youth in the 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 Policy 942.3: Policy ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon Policy 942.3: Policy admittance to the facility; classification factors Policy 942.4: Classification Assignment shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, ☒ ☐ ☐ All files reviewed contained completed legal status, public safety considerations, classification documentation. medical/mental health considerations, gender and gender identity of the youth; 7423 Riverside YTEC PRO 18 20 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provide for periodic classification reviews, Policy 942.4.2: Review including provisions that consider the level of supervision and the youth's behavior while in At inspection documentation was not custody; and, consistent with regard to periodic ☒ ☐ ☐ classification reviews. Policy defines periodic as at least every 30 days. Additional documentation was provided for review and was found to be timely. (e) provide that facility staff shall not separate youth Policy 1050: Youth Non-Discrimination from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, ☒ ☐ ☐ gender expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, Policy 942.4: Classification Assignment bisexual, transgender, questioning or intersex ☒ ☐ ☐ identification or status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. Policy 1054: Transgender and Intersex Youth The facility administrator shall develop written policies ☒ ☐ ☐ 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 Policy 1054.6: Addressing identity, and shall refer to the youth by the youth’s Transgender/Intersex Youth preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the ☒ ☐ ☐ use of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present Policy 1054.7: Clothing themselves in a manner consistent with their gender ☒ ☐ ☐ identity, and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. 7423 Riverside YTEC PRO 18 20 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Facility staff shall house youth in the unit or room Policy 1054.4 Housing that best meets their individual needs, and promotes 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 Policy 1054.8: Medical and Behavioral and intersex youth have access to medical and Health Providers ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and Policy 1054.4 Housing necessary security considerations and physical Transgender youth are housed in a single plant, facility staff shall make every effort to ensure ☒ ☐ ☐ room where they will have access to their the safety and privacy of transgender and intersex own restroom. They will be showered youth when the youth are using the bathroom or separately. shower, or dressing or undressing. Facility staff shall not conduct physical searches of any Policy 1054.5: Searches youth for the purpose of determining the youth’s Prior to being searched, transgender youth anatomical sex. Whenever feasible, the facility shall may request either a male or female staff respect the youth’s preference regarding the gender of ☒ ☐ ☐ member to conduct the search and the the staff member who conducts any search of the youth. facility will attempt to have that gender search. A second staff member shall be present to observe the staff conducting the search. 1353 ORIENTATION Policy 944: Orientation The facility administrator shall develop and implement Each youth is oriented upon transfer to the written policies and procedures to orient a youth prior program. Staff explain all the rules of the to placement in a living area. Both written and verbal program in detail. The youth is also provided information shall be provided and supplemented with with a detailed handbook to keep. Youth are ☒ ☐ ☐ video orientation if feasible. Provision shall be made to also encouraged to ask questions as they provide accessible orientation information to all come up so that the youth can focus on their detained youth including those with disabilities, limited program and continue to advance without literacy, or English language learners. Orientation shall problem. Bilingual staff are available as include information that addresses: needed. All files reviewed contained completed orientation documentation. (a) facility rules including contraband and searches and Policy 944(a): Orientation disciplinary procedures; ☒ ☐ ☐ (b) facility’s system of positive behavior interventions Policy 944(c): Orientation and supports, including behavior expectations, incentives that youth will receive for complying ☒ ☐ ☐ with facility rules, and consequences that may result when youth violate the rules of the facility; 7423 Riverside YTEC PRO 18 20 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) age appropriate information that explains the Policy 944(v): Orientation facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; Policy 944(d): Orientation ☒ ☐ ☐ (e) the existence of the grievance procedure, Policy 944(b): Orientation the steps that must be taken to use it, the youth’s right to be free of retaliation for reporting a ☒ ☐ ☐ grievance, and the name of the person or position designated to resolve the issue; (f) access to legal services and information on the court Policy 944(e): Orientation process; ☒ ☐ ☐ Youth generally have no additional court hearings after being committed to YTEC. (g) access to routine and emergency health and Policy 944(f): Orientation ☒ ☐ ☐ mental health care; (h) access to education, religious services, and Policy 944(g): Orientation recreational activities; ☒ ☐ ☐ (i) housing assignments; Policy 944(h): Orientation ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers Policy 944(i): Orientation ☒ ☐ ☐ including the availability of personal care items (k) rules and access to correspondence, Policy 944(j): Orientation ☒ ☐ ☐ visits and telephone use; (l) availability of reading materials, programming, and Policy 944(k): Orientation ☒ ☐ ☐ other activities; (m) facility policies on the use of force, Policy 944(o): Orientation use of restraints, chemical agents and room ☒ ☐ ☐ confinement; (n) immigration legal services; Policy 944(p): Orientation ☒ ☐ ☐ (o) emergencies including evacuation procedures; Policy 944(q): Orientation ☒ ☐ ☐ (p) non-discrimination policy and the right to be free Policy 944(r): Orientation from physical, verbal or sexual abuse and ☒ ☐ ☐ harassment by other youth and staff; (q) availability of services and programs in a language Policy 944(s): Orientation other than English if appropriate; ☒ ☐ ☐ (r) the process for requesting different housing, Policy 944(t): Orientation education, programming and work assignments; ☒ ☐ ☐ (s) a process for which parents/guardians receive Policy 944(u): Orientation information regarding the youth’s stay in the Parent information is provided online on the facility that at a minimum includes answers to agency website which include FAQ’s. frequently asked questions and provides contact ☒ ☐ ☐ Technical assistance provided and suggested information for the facility, medical, school and that paper copies be provided for parents that mental health; and, do not have internet. 7423 Riverside YTEC PRO 18 20 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (t) a process by which youth may request access to Policy 944(w): Orientation Title 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Copies of Title 15 are available in each unit and are available for youth to view. 1354 SEPARATION Policy 945: Separation Policy The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures that address: (a) separation of youth for reasons that include, but are Policy 945: Separation Policy not be limited to, medical and mental health Policy 945.1.1: Definitions conditions, assaultive behavior, disciplinary consequences and protective custody. The agency has 8 types of separation by policy. • Age of Majority (AOM) • Intervention Separation (IS) • Exclusionary (EXC) • Medical Separation (MS) • Protective Custody (PC) • Room Confinement (RC) • Safety Room Separation (SRS) ☒ ☐ ☐ • Self-Placed Separation (SPS) Reviewed self-placed separations in which youth request to remain in their rooms or refuse to come out and participate in group activities. Generally, this is because the youth needs time alone, time to calm down, clear their mind, they are tired or other. Staff document their activities and make effort to counsel them to reintegrate with the group. Staff will make appropriate referral as necessary to behavioral health as appropriate. All are reviewed and approved by the supervisor. (b) consideration of positive youth development and Policy 945.3: Separation Policy trauma-informed care. Intervention Separation is a non-punitive separation. This is a new process being ☒ ☐ ☐ implemented as of the writing of this report which uses separation to correct behavior through coaching and counseling and using positive behavior interventions to change negative behavior. (c) separated youth shall not be denied normal Policy 945.3: Separation Policy privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. 7423 Riverside YTEC PRO 18 20 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) when the objective of the separation is discipline, Policy 945.4: Separation Policy Title 15 Section 1390 shall apply. ☒ ☐ ☐ There is no separation that will be for disciplinary purposes. (e) when separation results in room confinement, the Policy 945.5: Room Confinement separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Policy 945.3: Separation Policy of separated youth to determine if separation remains necessary. All separated youth are reviewed each shift at ☒ ☐ ☐ shift change by the duty officer and unit staff each shift to determine if separation remains necessary. 7423 Riverside YTEC PRO 18 20 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354.5 ROOM CONFINEMENT Policy 1053: Room Confinement (a) The facility administrator shall develop and Policy, procedures and operations needed to implement written policies and procedures be updated to be consistent with regulation. addressing the confinement of youth in their room Technical assistance was provided and was that are consistent with Welfare and Institutions discussed on-site. We made suggestions Code Section 208.3. The placement of a youth in regarding policy, specifically for alternatives room confinement shall be accomplished in to placing youth in rooms for rule violations accordance with the following guidelines: that did not pose a physical safety or security risk including implementation of alternative separation or alternative behavior management options. Additional documentation was requested prior to the end of cycle and to the writing of this report to determine compliance. It was noted that facility staff continued to ☒ ☐ ☐ document the placement of youth in their room as a result of the rule violation (discipline) and not due to unsafe behavior that the youth actively exhibited. Policy has now been updated and the agency is actively working on addressing this issue. Room Confinement forms are detailed and provide the opportunity to note efforts to counsel and deescalate, however, we found the documentation of these forms to be contrary to the intent of the regulation or the form, which was to deescalate the behavior and reintegrate the youth with the general population as soon as possible. The sections below as marked are non- compliant. (1) Room confinement shall not be used before Policy 1053.3: Policy other, less restrictive, options have been attempted and exhausted, unless attempting Policy is consistent with regulation however, those options poses a threat to the safety or operationally, the facility lacks options for security of any youth or staff. ☐ ☒ ☐ discipline other than counseling the youth and staff revert to room confinement instead of utilizing room confinement for the intended purpose, to ensure immediate safety and security. (2) Room confinement shall not be used for the Policy 1053.3: Policy purposes of punishment, coercion, ☐ ☒ ☐ See above Section a. convenience, or retaliation by staff. 7423 Riverside YTEC PRO 18 20 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Room confinement shall not be used to the Policy 1053.3: Policy extent that it compromises the mental and ☒ ☐ ☐ physical health of the youth. (b) A youth may be held up to four hours in room Policy 1053.4: Use of Room Confinement confinement. After the youth has been held in room ☒ ☐ ☐ confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. ☒ ☐ ☐ Policy 1053.4: Use of Room Confinement (2) Consult with mental health or medical staff. ☒ ☐ ☐ Policy 1053.4: Use of Room Confinement (3) Develop an individualized plan that includes Policy 1053.4: Use of Room Confinement the goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. (4) If room confinement must be extended beyond Policy 1053.4: Use of Room Confinement ☒ ☐ ☐ four hours, staff shall do each of the following: (A) Document the reasons for room Policy 1053.4: Use of Room Confinement confinement and the basis for the 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 Policy 1053.4: Use of Room Confinement includes the goals and objectives to be met ☒ ☐ ☐ in order to integrate the youth to general population. (C) Obtain documented authorization by the Policy 1053.4: Use of Room Confinement facility superintendent or his or her ☒ ☐ ☐ designee every four hours thereafter. (5) This section is not intended to limit the use of Policy 1053.4: Use of Room Confinement single-person rooms or cells for the housing of ☒ ☐ ☐ youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards Policy 1053.4: Use of Room Confinement ☒ ☐ ☐ in court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Policy 1053.4: Use of Room Confinement conflict with any law providing greater or ☒ ☐ ☐ additional protections to youth. (8) This section does not apply during an Policy 1053.4: Use of Room Confinement extraordinary emergency circumstance that 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. 7423 Riverside YTEC PRO 18 20 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (9) This section does not apply when a youth is Policy 1053.4: Use of Room Confinement placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth ☒ ☐ ☐ is not required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND Policy 946: Institutional Assessment and PLAN Case Plan ☒ ☐ ☐ The facility administrator shall develop and implement written policies and procedures for assessment and case planning. (a) Assessment: Policy 946.4: Institutional Assessment and The assessment is based on information collected Case Plan during the admission process with periodic review, Assessments are completed on all youth at which includes the youth's risk factors, needs and the time of entry into the program. Each strengths including, but not limited to, youth is given the Ohio Youth Assessment identification of substance abuse history, ☒ ☐ ☐ Screening-Residential. This tool assists staff educational, vocational, counseling, behavioral in determining the risk level and needs of the health, consideration of known history of trauma, youth. and family strengths and needs. All files had an assessment that was completed at admission. (b) Institutional Case Plan: Policy 946.4: Institutional Assessment and (1) A case plan shall be developed for each youth Case Plan held for at least 30 days or more and created ☒ ☐ ☐ All files had a case plan that was completed within 40 days of admission. at 30 days that contained all regulatory expectations. (2) The institutional plan shall include, but not be Policy 946.4: Institutional Assessment and limited to, written documentation that provides: ☒ ☐ ☐ Case Plan (A) objectives and time frame for the resolution Policy 946.4: Institutional Assessment and of problems identified in the assessment; ☒ ☐ ☐ Case Plan (B) a plan for meeting the objectives that Policy 946.4: Institutional Assessment and includes a description of program resources Case Plan ☒ ☐ ☐ needed and individuals responsible for assuring that the plan is implemented; 7423 Riverside YTEC PRO 18 20 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) periodic evaluation of progress towards meeting Policy 946.4: Institutional Assessment and the objectives, including periodic review and Case Plan discussion of the plan with the youth; Assigned Case Managers review and update youth status at 30, 60, 90 and 120 days. Technical Assistance provided and discussed ☒ ☐ ☐ ensuring documents are dated properly and reviews are completed before the due date and not based off the date of a past review that may have been late. Also discussed that youth should sign the same date as the review as progress is discussed with the case manager. (4) a transition plan, the contents of which shall be Policy 946.4: Institutional Assessment and subject to existing resources, shall be developed Case Plan for post dispositional youth in accordance with A Pre-Release plan is completed for all Section 1351; and, YTEC youth. The plan is generally completed about 30 to 40 days in advance and provided to the Probation Officer. A ☒ ☐ ☐ pre-release meeting is held with the youth, the parent and the team prior to release to go over all expectations. Here the parent sets their expectations, all questions are answered etc., regarding the conditions of the youth’s release. (5) in as much as possible and if appropriate, the Policy 946.4: Institutional Assessment and plan, including the transition plan, shall be Case Plan developed with input from the family, ☒ ☐ ☐ Parents are involved at the pre-release supportive adults, youth, and Regional Center meeting for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK Policy 947: Counseling and Casework SERVICES Policy 947.5: Documentation The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: 7423 Riverside YTEC PRO 18 20 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) youth will receive assistance with needs or concerns Policy 947.4: Staff Responsibilities Policy that may arise; Policy 947.4.1; Behavioral Health Referrals Policy 947.4.2: Behavioral Health Requests Policy 947.5: Documentation Staff are to assist youth with addressing their needs and concerns. Staff would make any appropriate referral to behavioral health or ☒ ☐ ☐ medical, as necessary. Staff advocate for youth with their probation officer, their attorney, parents, education or whatever the situation may be. We reviewed many case contact entries and staff assisted youth with applications for food handler cards, help with college enrollment, employment applications, interview skills, keeping a job, supervisor requests, visit requests etc. (b) youth will receive assistance in requesting contact Policy 947.4.3: Other Requests with parents, other supportive adults, attorney, clergy, probation officer, or other public official; ☒ ☐ ☐ Unit staff help youth contact whomever they wish to contact as long as the contact is legal. and, Youth may also make requests for special visits in writing through unit supervisors. (c) youth will be provided access to available resources Policy 947.6: Services Provided ☒ ☐ ☐ to meet the youth’s needs. 1357 USE OF FORCE Policy 948: Use of Force Policy 948.3: Policy The facility administrator, in cooperation with the Policy 948.12: Inappropriate Use of Force by responsible physician, shall develop and implement Staff written policies and procedures for the use of force, which may include chemical agents. Force shall never This policy was developed by the facility ☒ ☐ ☐ be applied as punishment, discipline, retaliation or administrator in cooperation with the treatment. responsible physician from Riverside University Health Systems - Correctional (a) At a minimum, each facility shall develop policies Health Services (RUHS-CHS). and procedures which: (1) restricts the use of force to that which is deemed Policy 948.1.1: Definitions reasonable and necessary, as defined in Section Policy 948.3: Policy 1302 to ensure the safety and security of youth, ☒ ☐ ☐ staff, others and the facility. 7423 Riverside YTEC PRO 18 20 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) outline the force options available to staff Policy 948.1.1: Definitions including both physical and non-physical Policy 948.5: Interventions options and define when those force options are Policy 948.8: Defense Techniques Policy 948.9: Physical Restraints appropriate. PHYSICAL OPTIONS • Physical restraint techniques - The use of department authorized ☒ ☐ ☐ control holds. • Defense techniques - Department authorized techniques utilized to protect oneself. • Physical restraints - Restraint devices such as handcuffs, shackles, waist chains, and the WRAP. NON-PHYSICAL OPTIONS • Interventions (3) describe force options or techniques that are Policy 948.12: Inappropriate Use of Force by expressly prohibited by the facility. Staff ☒ ☐ ☐ Choke Holds are prohibited, and staff shall never apply any object to the throat of any youth. Intentional lethal force is forbidden. (4) describe the requirements of staff to report any Policy 948.12: Inappropriate Use of Force by inappropriate use of force, and to take Staff affirmative action to immediately stop it. ☒ ☐ ☐ Staff must stop any inappropriate use of force and report the incident to the Duty Officer or Supervisor. (5) define a standardized reporting format that • Policy 948.13: Incident Report includes time period and procedure for Documentation documenting and reporting the use of force, • Policy 957: Reporting of Incidents including reporting requirements of and Other Information management and line staff and procedures for • Policy 948.13.1: Duty Officer reviewing and tracking use of force incidents by (DO)/Supervising Probation Officer (SPO) supervisory and or management staff, which ☒ ☐ ☐ • Policy 948.13.2: Facility Managers include procedures for debriefing a particular Responsibilities incident with staff and/or youth for the purposes of training as well as mitigating the effects of All Use of Force requires an incident report. trauma that may have been experienced by staff All regulatory areas are required by policy. and /or the youth involved. A Use of Force review board meets monthly to debrief and track use of force incidents. (6) Include an administrative review and a system Policy 948.13.2: Facility Manager ☒ ☐ ☐ for investigating unreasonable use of force. Responsibilities 7423 Riverside YTEC PRO 18 20 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) define the role, notification, and follow-up Policy 948.5: Interventions procedures required after use of force incidents Policy 948.7: Physical Restraint Techniques for medical, mental health staff and parents or Policy 948.8: Defense Techniques 948.10.4: Once Staff Decide to Use OC legal guardians. Spray Policy 948.13.1: Duty Officer/Supervising Probation Officer Staff attempt to deescalate a youth’s behavior by enlisting the aid of behavioral health staff if they are in the building before use of force is used if possible. If use of force is used, BH ☒ ☐ ☐ staff are notified and will see the youth or a referral is made for the youth to be seen as soon as possible. Medical staff is are on site 24 hours a day, 7 days a week. Medical staff respond to all use of force incidents to check the youth for injuries. If a youth is involved in a use of force incident resulting in injury, s, the youth’s parent(s)/legal guardian(s) is notified by the DO/SPO once the incident has been resolved. (8) describe the limitations of use of force on Policy 948.11: Use of Force Involving pregnant youth in accordance with Penal Code Pregnant Youth ☒ ☐ ☐ Section 6030(f) and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force YTEC does not use Chemical Agents. ☐ ☐ ☒ option shall include policies and procedures that: Section marked as NA (1) identify who is approved to carry and/or utilize YTEC does not use Chemical Agents. Section marked as NA 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 YTEC does not use Chemical Agents. there is an imminent threat to the youth’s safety Section marked as NA ☐ ☐ ☒ or the safety of others and only when de- escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and YTEC does not use Chemical Agents. timelines for decontamination from chemical Section marked as NA 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. 7423 Riverside YTEC PRO 18 20 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) define the role, notification, and follow-up YTEC does not use Chemical Agents. procedures required after use of force incidents Section marked as NA ☐ ☐ ☒ involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident YTEC does not use Chemical Agents. of use of chemical agents, including the reasons Section marked as NA 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 Policy 948.4: Required Training which require that agencies provide initial and ☒ ☐ ☐ regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health Policy 948.4: Required Training ☒ ☐ ☐ conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of ☐ ☐ ☒ YTEC does not use Chemical Agents. Section marked as NA application. (3) signs or symptoms that should result in Policy 948.4: Required Training ☒ ☐ ☐ immediate referral to medical or behavioral health. (4) instruction on the Constitutional Limitations of ☒ ☐ ☐ Policy 948.4: Required Training Use of Force. (5) physical training force options that may require ☒ ☐ ☐ Policy 948.4: Required Training the use of perishable skills. (6) timelines the facility uses to define regular Policy 948.4: Required Training training. Staff receive training in CORE and also in ☒ ☐ ☐ annual refresher training. 7423 Riverside YTEC PRO 18 20 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358 USE OF PHYSICAL RESTRAINTS Policy 951: Use of Physical Restraints The facility administrator, in cooperation with the This policy was developed by the facility responsible physician and mental health director, shall administrator in cooperation with the responsible physician from Riverside develop and implement written policies and procedures University Health Systems - Correctional for the use of restraint devices. Restraint devices Health Services (RUHS-CHS) and mental include any devices which immobilize a youth's health director from Riverside University extremities and/or prevent the youth from being Health Systems - Behavioral Health ambulatory. ☐ ☐ ☒ (RUHS-BH). Facility administration noted there were no restraints used for the purposes of this regulation this cycle. Acceptable restraints that may be used in the facility are handcuffs, shackles, waist chains, and the WRAP which includes a helmet. Physical restraints may be used only for those youth Policy 951.3: Policy Policy 951.4: Prior to Using Restraints who present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property or reveals the intent to cause ☐ ☐ ☒ self-inflicted physical harm. Physical restraints should be utilized only when it appears less restrictive alternatives would be ineffective in controlling the youth’s behavior. In no case shall restraints be used as punishment or Policy 951.3: Policy discipline, or as a substitute for treatment. The use of Policy 951.9 Use of Physical Restraints restraint devices that attach a youth to a wall, floor or Involving Pregnant Youth 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 Policy 951.3: Policy handcuffs, shackles or other restraint devices when used 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 Policy 951.4 Prior to Using Restraints of the facility manager or designee. The facility manager Policy 951.6: Use of Physical Restrains for may delegate authority to place a youth in restraints to a ☐ ☐ ☒ Behavior Control physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. 7423 Riverside YTEC PRO 18 20 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS A medical opinion on the safety of placement and Policy 951.6 Use of Physical Restraints for retention shall be secured as soon as possible, but no later Behavior Control 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 Policy 951.6 Use of Physical Restraints for possible, but in no case longer than four hours from the ☐ ☐ ☒ Behavior Control time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted Policy 951.5: Use of Physical Restraints to ensure that the restraints are properly employed, and Policy 951.6 Use of Physical Restraints for to ensure the safety and well-being of the youth. ☐ ☐ ☒ Behavior Control 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 Policy 951.5: Use of Physical Restraints ☐ ☐ ☒ application of restraints. (b) known medical conditions that would Policy 951.12: Medical and Behavioral contraindicate certain restraint devices and/or ☐ ☐ ☒ Health Guidelines Regarding Physical techniques. Restraints (c) acceptable restraint devices. Policy 951.1.1: Definitions ☐ ☐ ☒ Agency utilizes handcuffs, shackles, waist chains, and the Wrap (d) signs or symptoms which should result in Policy 951.12: Medical and Behavioral immediate medical/mental health referral. ☐ ☐ ☒ Health Guidelines Regarding Physical Restraints (e) availability of cardiopulmonary resuscitation Policy 951.12: Medical and Behavioral equipment. ☐ ☐ ☒ Health Guidelines Regarding Physical Restraints (f) protective housing of restrained youth. While in Policy 951.6 Use of Physical Restraints for restraint devices, all youth shall be housed alone or Behavior Control ☐ ☐ ☒ in a specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. Policy 951.12: Medical and Behavioral ☐ ☐ ☒ Health Guidelines Regarding Physical Restraints (h) exercising of extremities. Policy 951.12: Medical and Behavioral ☐ ☐ ☒ Health Guidelines Regarding Physical Restraints 7423 Riverside YTEC PRO 18 20 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR Policy 952: Use of Physical Restraints for MOVEMENT AND TRANSPORTATION WITHIN Movement and Transportation within the THE FACILITY. Facility This policy was developed by the facility administrator in cooperation with the The Facility Administrator, in cooperation with the ☒ ☐ ☐ responsible physician from Riverside responsible physician and behavioral/mental health University Health Systems - Correctional director, shall develop and implement written policies Health Services (RUHS-CHS) and mental and procedures for the use of restraint devices when the health director from Riverside University purpose is for movement or transportation within the Health Systems - Behavioral Health facility that shall include the following: (RUHSBH). (a) identification of acceptable restraint devices, staff Policy 952.1: Purpose and Scope approved to utilize restraint devices and the Policy applies to all facility staff required training. Policy 952.1.1: Definition Handcuffs, shackles, waist chains and the ☒ ☐ ☐ Wrap Policy 952.5: General Safety Guidelines Staff must complete PC 832 Arrest Training before placing or removing any restraints on any youth. (b) the circumstances leading to the application of Policy 952.4: Assessment restraints must be documented. Documentation reviewed. Incident reports ☒ ☐ ☐ clearly noted the circumstances that led to the incident and the use of restraints. (c) an individual assessment of the need to apply Policy 952.3: Policy restraints for movement or transportation that Policy has been updated to reflect all includes consideration of less restrictive regulatory requirements. alternatives, consideration of a youth’s known medical or mental health conditions, trauma Incident reports that included the use of force informed approaches, and a process for with exigent circumstances and subsequent ☐ ☒ ☐ documentation and supervisor review and approval. movement were reviewed and we noted that staff are documenting the circumstances for the use of restraints but are not consistently documenting the need to continue the restraint for movement or transport. Staff must also refer to the considerations as required in regulation. (d) consideration of safety and security of the facility, Policy 952.3: Policy with a clearly defined expectation that restraint ☒ ☐ ☐ devices shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in Policy 952.6.1 Pregnant youth ☒ ☐ ☐ accordance with Penal Code Section6030(f) and Welfare and Institutions Code Section 222. 7423 Riverside YTEC PRO 18 20 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1359 SAFETY ROOM PROCEDURES Policy 954: Safety Room Procedures (a) The facility administrator, and where applicable, in There is no safety room at YTEC. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of ☐ ☐ ☒ necessary nutrition and fluids, access to a toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or ☐ ☐ ☒ designee, before a youth is placed into a safety room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and ☐ ☐ ☒ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, ☐ ☐ ☒ where appropriate, or an assessment at the next daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less ☐ ☐ ☒ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and ☐ ☐ ☒ exhausted, unless attempting those options poses a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of ☐ ☐ ☒ punishment, coercion, convenience, or retaliation by staff. (3) safety room shall not be used to the extent that it ☐ ☐ ☒ compromises the mental and physical health of the youth. 7423 Riverside YTEC PRO 18 20 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ (2) consult with mental health or medical staff, ☐ ☐ ☒ (3) develop an individualized plan that includes the ☐ ☐ ☒ goals and objectives to be met in order to reintegrate the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements ☐ ☐ ☒ of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES Policy 955 Searches The facility administrator shall develop and implement Searches at YTEC consist of facility and written policies and procedures governing the search of youth searches. Full facility searches are youth, the facility, and visitors. Policies and procedures conducted to ensure that contraband does not shall provide that: enter the facility for the safety of the ☒ ☐ ☐ residents and the staff. Youth are generally searched by wand or through a pat down search. Strip searches are conducted when a youth leaves and returns to the facility and must have supervisor approval. All strip searches are documented on a facility log. (a) Searches shall be conducted to ensure the safety and Policy 955.3 Policy ☒ ☐ ☐ security of the facility, public, visitors, youth, and staff. (b) Searches shall be conducted in a manner that Policy 955.3 Policy preserves the privacy and dignity of the person ☒ ☐ ☐ being searched, and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity 955.6: Strip Search/Visual Body Cavity ☒ ☐ ☐ searches shall comply with Penal Code Section Search Guidelines 4030. (d) Physical body cavity searches shall only be Policy 955.9: Physical Body Cavity Search ☒ ☐ ☐ conducted by a medical professional. (e) Any youth held after a detention hearing shall only Policy 955.8: Post-Detention Hearing be strip searched with prior approval of a supervisor Searches when there is reasonable suspicion based on ☒ ☐ ☐ specific and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. 7423 Riverside YTEC PRO 18 20 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Searches of transgender and intersex youth shall Policy 1054.5: Searches comply with Section 1352.5. Transgender youth may request either a ☒ ☐ ☐ male or female staff member conduct their search. Whenever feasible, the facility shall respect the youth's preference. (g) Cross-gender pat-down searches and strip searches Policy 955.4.1: Cross-Gender Searches are prohibited except in exigent circumstances or ☒ ☐ ☐ when conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE Policy 956: Grievance Procedure Policy 956.3: Policy The facility administrator shall develop and implement written policies and procedures whereby any youth may Several months of grievances were provided appeal and have resolved grievances relating to any and 16 total grievances for those months condition of confinement, including but not limited to were reviewed. All were addressed in a health care services, classification decisions, program ☒ ☐ ☐ timely manner and all consistent with participation, telephone, mail or visiting procedures, regulatory requirements. food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a Policy 956.5: Grievance Policy and Forms ☒ ☐ ☐ grievance, which includes provisions for the youth Accessibility to have free access to the form; (b) the youth shall have the option to confidentially file Policy 956.6: Process for Submitting ☒ ☐ ☐ the grievance or to deliver the form to any youth supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate Policy 956.6: Process for Submitting ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response Policy 956.6: Process for Submitting to grievances within three (3) business days, Policy 956.9: Food Services, Education, ☒ ☐ ☐ grievances that relate to health and safety issues Health Care, Behavioral Health Grievances. must be addressed immediately; (1) The youth may elect to be present to explain Policy 956.6: Process for Submitting his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by Policy 956.6: Process for Submitting ☒ ☐ ☐ the facility administrator to assist the youth. 7423 Riverside YTEC PRO 18 20 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) provision for a written response to the grievance Policy 956.7: Unresolved Grievances/ which includes the reasons for the decisions; Appeals Policy 956.12: Resolution and Documentation of Grievances (Not Personnel Complaints) It was noted that there were a few grievances that had responses documented from the facility manager due to the grievance being regarding a facility partner however, there was no opportunity for the youth to be ☒ ☐ ☐ notified of the final outcome. Technical assistance was provided, and it was suggested that the youth receive a final copy of the grievance, so they are aware of how their grievance was handled and the reasons for the decisions. Additional documentation was reviewed, a new form was implemented, youth now received copies and the section was found to be compliant. (f) a system which provides that any appeal of a Policy 956.7: Unresolved Grievances/ grievance shall be heard by a person not directly Appeals ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten Policy 956.7: Unresolved Grievances/ (10) business days unless circumstances dictate a Appeals longer time frame. The youth shall be notified of ☒ ☐ ☐ How would an “emergency grievance” be any delay; and, different for this section” (h) the policy shall provide multiple internal and Policy 956.10 Reporting Sexual Abuse and external methods to report sexual abuse and sexual Sexual Harassment harassment. Youth may report sexual abuse and ☒ ☐ ☐ harassment through the facility grievance process. A grievance of this nature would be addressed immediately. Whether or not associated with a grievance, concerns of Policy 956.3: Policy parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 7423 Riverside YTEC PRO 18 20 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1362 REPORTING OF INCIDENTS Policy 957: Reporting of Incidents and Other Information A written report of all incidents which result in physical Policy 957.4.1: Reporting Requirements harm, use of force, serious threat of physical harm, or Policy 957.4.2: Submittal Process death of an employee, youth or other person(s) shall be ☒ ☐ ☐ maintained. Such written record shall be prepared by the We reviewed incident reports referencing staff and submitted to the facility manager by the end of various other topics and found them to be the shift, unless additional time is necessary and submitted timely and well written. authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO Policy 960: DNA Collection COLLECT DNA SPECIMENS, SAMPLES, Policy 960.7: Refusal to Submit DNA IMPRESSIONS Youth are advised of their legal obligation to (a) Pursuant to Penal Code Section 298.1 authorized provide a DNA sample. Efforts are made to law enforcement, custodial, or corrections collect the sample. If the youth still refuses, personnel including peace officers, may employ ☒ ☐ ☐ they are counseled and then are referred to reasonable force to collect blood specimens, saliva the court for action and possible prosecution. samples, and thumb or palm print impressions from Force shall not be used to obtain a sample. 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 NA 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 NA 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 NA 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 NA 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. 7423 Riverside YTEC PRO 18 20 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM Policy 961: Education Program Policy 961.3: Policy (a) School Programs There is an MOU between RCOE and the The County Board of Education shall provide for the Riverside County Probation Department. administration and operation of juvenile court The Riverside County Office of Education schools in conjunction with the Chief Probation provides education services to all Riverside Officer, or designee pursuant to applicable State County juvenile detention facilities. laws. The school and facility administrators shall Staffing at the Alan Crogan YTEC includes develop and implement written policy and 2 full time teachers and 2 full time procedures to ensure communication and paraprofessionals. Teachers are dually coordination between educators and probation staff. credentialled in general education and Culturally responsive and trauma-informed special education, ensuring that all youth’s approaches should be applied when providing education needs are met. All youth have instruction. Education staff should collaborate with access to the credit recovery program-Plato the facility administrator to use technology to Edmentum or the Units of Study program facilitate learning and ensure safe technology which allows for youth to catch up on practices. The facility administrator shall request an credits they are missing. The school and the annual review of each required element of the probation department have collaboratively program by the Superintendent of Schools, and a ☒ ☐ ☐ developed and implement a comprehensive report or review checklist on compliance, program that provides access to post- deficiencies, and corrective action needed to achieve secondary educational opportunities for the compliance with this section. Such a review, when youth. Youth can take college courses conducted, cannot be delegated to the principal or online through the local community any other staff of any juvenile court school site. The colleges. There is also a College Connect Superintendent of Schools shall conduct this review Liaison that assists all eligible youth to get in conjunction with a qualified outside agency or signed up, to complete their FAFSA individual. Upon receipt of the review, the facility eligibility paperwork and assists them while administrator or designee shall review each item in custody with college related needs. with the Superintendent of Schools and shall take Certain youth also may qualify for the dual whatever corrective action is necessary to address enrollment program, which provides both each deficiency and to fully protect the educational high school credit and college credit through interests of all youth in the facility. UC Riverside. Lastly, RCOE provides a Transition Coordinator who works on all youth’s transition back to their home schools or to the court schools to ensure a smooth transition with the goal of success for the youth. 7423 Riverside YTEC PRO 18 20 - 51 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements Policy 961.5: Policy The facility school program shall comply with the State 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 Policy 961.5: Policy program shall be free from discriminatory action. ☒ ☐ ☐ Staff 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 Policy 961.5: Policy Education Code and include, but not be limited to, ☒ ☐ ☐ courses required for high school graduation. (2) Information and preparation for the High School Policy 961.5: Policy Equivalency Test as approved by the California ☒ ☐ ☐ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education Policy 961.5: Policy and vocational opportunities. ☒ ☐ ☐ (4) Administration of the High School Equivalency Tests Policy 961.5: Policy as approved by the California Department of ☒ ☐ ☐ Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth Policy 961.5: Policy who do not demonstrate sufficient progress towards ☒ ☐ ☐ grade level standards. (6) The minimum school day shall be consistent with Policy 961.5: Policy State Education Code Requirements for juvenile 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. 7423 Riverside YTEC PRO 18 20 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) Education shall be provided to all youth regardless of Policy 961.5: Policy classification, housing, security 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 Policy 961.6: School Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action in the ☒ ☐ ☐ school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative Policy 961.6: School Discipline decisions made by probation staff that may affect the ☒ ☐ ☐ educational programming of students. (3) Except as otherwise provided by the State Education Policy 961.6: School Discipline Code, expulsion/suspension from 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 Policy 961.6: School Discipline education staff will develop policies and procedures ☒ ☐ ☐ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations Policy 961.7: Provisions for Special Populations (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 Policy 961.7: Provisions for Special afforded an educational program that addresses their Populations ☒ ☐ ☐ language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission Policy 961.8: Educational Screening and Admission ☒ ☐ ☐ (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's educational history, including but not limited to: 7423 Riverside YTEC PRO 18 20 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) School progress/school history; Policy 961.8: Educational Screening and ☒ ☐ ☐ Admission (B) Home Language Survey and the results of the State Policy 961.8: Educational Screening and ☒ ☐ ☐ Test used for English language proficiency; Admission (C) Needs and services of special populations as defined Policy 961.8: Educational Screening and ☒ ☐ ☐ by the State Education Code, including but not Admission limited to, students with special needs. (D) Discipline problems. Policy 961.8: Educational Screening and ☒ ☐ ☐ Admission (2) Youth will be immediately enrolled in school. Policy 961.8: Educational Screening and Educational staff shall conduct an assessment to Admission ☒ ☐ ☐ determine the youth's general academic functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary Policy 961.8: Educational Screening and ☒ ☐ ☐ education plan shall be developed for each youth Admission within five school days. (4) Upon enrollment, education staff shall comply with Policy 961.8: Educational Screening and the State Education Code and request the youth's Admission 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 Policy 961.9: Educational Reporting ☒ ☐ ☐ (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 Policy 961.9: Educational Reporting appropriate credit (full or partial) for course work ☒ ☐ ☐ completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Policy 961.10: Transition and Re-Entry Planning (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. 7423 Riverside YTEC PRO 18 20 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Post-Secondary Education Opportunities Policy 961.11: Post-Secondary Education Opportunities (1) The school and facility administrator should, whenever possible, collaborate with local post- ☒ ☐ ☐ secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND Policy 962: Recreation, Programs and EXERCISE. Exercise The facility administrator shall develop and implement Policy 962.3: Policy ☒ ☐ ☐ 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. Juvenile facilities shall provide the opportunity for Policy 962.4.1: Minimum Requirements programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and Policy 962.4.1: Minimum Requirements exercise may be suspended only upon a written finding ☒ ☐ ☐ 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 Policy 962.4.1: Minimum Requirements ☒ ☐ ☐ be posted in the living units. There will be a written annual review of the programs, Policy 962.4.1: Minimum Requirements recreation, and exercise by the responsible agency to ☒ ☐ ☐ ensure content offered is current, consistent, and relevant to the population. (a) Programs. All youth shall be provided with the Policy 962.4.1: Minimum Requirements opportunity for at least one hour of daily Reviewed Unit Daily Logs. Documentation programming to include, but not be limited to, did not consistently reflect full hour of trauma focused, cognitive, evidence-based, best activity that met the regulatory requirement. practice interventions that are culturally relevant and Technical Assistance discussed and provided linguistically appropriate, or pro-social interventions regarding a form update that will make the and activities designed to reduce recidivism. These documentation more efficient and that will programs should be based on the youth’s individual ☒ ☐ ☐ capture the information in a more consistent needs as required by Sections 1355 and 1356. Such manner. Additional documentation was programs may be provided under the direction of the requested and reviewed and was found to be Chief Probation Officer or the County Office of consistent and compliant with regulation. Education and can be administered by county Issue has been corrected. partners such as mental health agencies, community- based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7423 Riverside YTEC PRO 18 20 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the Policy 962.4.1: Minimum Requirements opportunity for at least one hour of daily access to Reviewed Unit Daily Logs. Documentation unscheduled activities such as leisure reading, letter did not consistently reflect full hour of writing, and entertainment. Activities shall be activity that met the regulatory requirement. supervised and include orientation and may include Technical Assistance discussed and provided coaching of youth. ☒ ☐ ☐ regarding a form update that will make the documentation more efficient and that will capture the information in a more consistent manner. Additional documentation was requested and reviewed and was found to be consistent and compliant with regulation. Issue has been corrected. (c) Exercise. All youth shall be provided with the Policy 962.4.1: Minimum Requirements opportunity for at least one hour of large muscle Reviewed Unit Daily Logs. Documentation activity each day. did not consistently reflect full hour of activity that met the regulatory requirement. Technical Assistance discussed and provided ☒ ☐ ☐ regarding a form update that will make the documentation more efficient and that will capture the information in a more consistent manner. Additional documentation was requested and reviewed and was found to be consistent and compliant with regulation. Issue has been corrected. The administrator/manager may suspend, for a period not Policy 962.4.1: Minimum Requirements to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7423 Riverside YTEC PRO 18 20 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1372 RELIGIOUS PROGRAM Policy 965: Faith Based Program The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; Policy 965.3(a): Policy 965.9: Faith -Based Programs Religious Volunteers from both the Catholic ☒ ☐ ☐ and Christian faith provide church services for the youth. If a youth wishes to attend all services, they may do so. Youth who do not attend church, attend alternative programming in the day room. (b) availability of clergy; and, Policy 965.3(b): Policy Policy 965.8: Faith-Based Representatives If a youth has a different religion or would ☒ ☐ ☐ like to visit with their own pastor or clergy member, they may request for them to visit. Facility staff will also make efforts to seek out alternative clergy as needed. (c) availability of religious diets. Policy 965.3(c): Policy Policy 965.9.1: Diets ☒ ☐ ☐ Religious diets are available as needed. 1373 WORK PROGRAM Policy 966. 3: Work Program Policy The facility administrator shall develop policies and There are no formalized work programs. procedures regarding the fair and consistent assignment Youth are responsible to keep their living of youth to work programs. Work assigned to a youth ☒ ☐ ☐ unit and personal space clean. They are shall be meaningful, constructive and related to assigned tasks to complete and jobs rotate. vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure. 1374 VISITING Policy 968: Visiting Policy 968.3: Policy The facility administrator shall develop and implement written policies and procedures for visiting, that include Visiting logs and special visit logs were provisions for special visits. Youth shall be allowed to reviewed to ensure all visits complied with receive visits by parents, guardians or persons standing timelines and persons allowed to visit. All ☒ ☐ ☐ in loco parentis, and children of youth. Other family were compliant. 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. 7423 Riverside YTEC PRO 18 20 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS All visits shall occur at reasonable times, subject only to Policy 968.3: Policy the limitations necessary to maintain order and security. Policy 968.4: Requirements Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, ☒ ☐ ☐ whether the visitor’s criminal history represents a risk to the safety of youth or staff in the facility. Any denial of visitation or limitation on visitations shall be communicated to the youth, person denied and facility administrator. Opportunity for visitation shall be a minimum of two Policy 968.5: Visiting Rules hours per week. Visits may be supervised, but ☒ ☐ ☐ Visiting hours were on the weekends from conversations shall not be monitored unless there is a 9:30 to 11:30AM and 12:30- 2:30PM security or safety need. Provisions for special visits, in addition to the two-hour Policy 968.3: Policy minimum and/or outside of the regular visiting hours, 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 Policy 968.3: Policy ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE Policy 970: Correspondence The facility administrator shall develop and implement Youth have the option to write letters at ☒ ☐ ☐ written policies and procedures for correspondence various times throughout the day. They can which provide that: also send and receive mail daily. (a) there is no limitation on the volume of mail that youth Policy 970.4: Authorized Correspondence ☒ ☐ ☐ may send or receive; (b) youth may send two letters per week postage free; ☒ ☐ ☐ Policy 970.4: Authorized Correspondence (c) youth may correspond confidentially with state and Policy 970.6.1: Privileged Mail federal courts, any member of the State Bar or holder 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 Policy 970.6.2: Non-Privileged Mail in (c), may be read by staff only when there is ☒ ☐ ☐ reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS Policy 972: Telephone Access Youth have access to the ICE (Inmate Call The administrator of each juvenile facility shall develop ☒ ☐ ☐ Engine (Collect)) Call phones daily. and implement written policies and procedures to provide youth with access to telephone communications. 7423 Riverside YTEC PRO 18 20 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1377 ACCESS TO LEGAL SERVICES Policy 973: Access to Legal Services The facility administrator shall develop written Youth may call or write their attorney at any ☒ ☐ ☐ procedures to ensure the right of youth to have access to time. They may also call or write their PO at the courts and legal services. Such access shall include: any time. If their attorney comes to visit, they visit in a confidential area away. (a) access, upon request by the youth, to licensed Policy 973.4(a): Access to Courts and Legal ☒ ☐ ☐ attorneys and their authorized representatives; Services (b) provision for confidential consultation with Policy 973.4(b): Access to Courts and Legal ☒ ☐ ☐ attorneys; and, Services (c) unlimited postage free, legal correspondence and Policy 973.4(c): Access to Courts and Legal ☒ ☐ ☐ cost-free telephone access as appropriate. Services 1390 DISCIPLINE Policy 976.3: Policy The facility administrator shall develop and implement 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; Policy 976.3(a): Policy ☒ ☐ ☐ (b) daily shower, access to drinking fountain, toilet and Policy 976.3(b): Policy ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; Policy 976.3(c): Policy ☒ ☐ ☐ (d) contact with parent or attorney; Policy 976.3(d): Policy ☒ ☐ ☐ (e) exercise; Policy 976.3(e): Policy ☒ ☐ ☐ (f) medical services and counseling; Policy 976.3(f): Policy ☒ ☐ ☐ (g) religious services; Policy 976.3(g): Policy ☒ ☐ ☐ (h) clean and sanitary living conditions; Policy 976.3(h): Policy ☒ ☐ ☐ (i) the right to send and receive mail; Policy 976.3(i): Policy ☒ ☐ ☐ (j) education; and, Policy 976.3(j): Policy ☒ ☐ ☐ (k) rehabilitative programming. ☒ ☐ ☐ Policy 976.3(k): Policy The facility administrator shall establish rules of conduct Policy 976.3: Policy and disciplinary penalties to guide the conduct of youth. Policy 976.5: Minor Rule Violations Such rules and penalties shall include both major Policy 976.8: Major Rule Violations 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. 7423 Riverside YTEC PRO 18 20 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1391 DISCIPLINE PROCESS Policy 976: Incentives and Discipline Process The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for the administration of discipline which shall include, but not be limited to: (a) designation of personnel authorized to impose Policy 976.3: Policy discipline for violation of rules; ☒ ☐ ☐ Discipline is only administered by sworn probation staff. (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Policy 976.3: Policy (c) definition of major and minor rule violations and Policy 976.5: Minor Rule Violations ☒ ☐ ☐ their consequences, and due process requirements; Policy 976.8: Major Rule Violations (d) trauma-informed approaches and positive behavior 976.3: Policy ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by 976.3: Policy counseling, advising the youth of expected conduct 976.5: Minor Rule Violations imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process Policy 976.3: Policy shall be documented and require the following: Youth are provided with notice prior to the hearing. At inspection we noted that due process forms were not being filed out completely or consistently. ☒ ☐ ☐ Technical assistance provided and discussions were held regarding this issue. Additional documentation was requested and reviewed, and due process forms still were not filled out correctly. It is expected that this issue will be addressed as part of the room confinement corrective action and will not be noted as non-compliant in this section. (1) written notice of violation prior to a hearing; Policy 976.11 Procedure for Due Process for Major Discipline ☒ ☐ ☐ Youth receive a notice of their violation and the option for a hearing before discipline is assigned. (2) accommodations provided to youth with Policy 976.3: Policy disabilities, limited literacy, and English language learners; Policy 976.10: Due Process for Discipline ☒ ☐ ☐ Youth with limited literacy or English proficiency will be provided with written documentation, will have documents read to them by staff and there is a translation service available if needed. 7423 Riverside YTEC PRO 18 20 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) hearing by a person who is not a party to the Policy 976.11 Procedure for Due Process for incident; Major Discipline ☒ ☐ ☐ The hearing is completed by another supervisor who was not a party to the incident. (4) opportunity for the youth to be heard, present Policy 976.11.1: Disciplinary Hearing ☒ ☐ ☐ evidence and testimony; Process/ DHO Responsibilities (5) provision for youth to be assisted by staff in the Policy 976.11.1: Disciplinary Hearing ☒ ☐ ☐ hearing process; Process/DHO Responsibilities (6) provision for administrative review. Policy 976.12: Procedures for the Appeal ☒ ☐ ☐ Process for Major Discipline (g) violations that result in a removal from camp or Policy 976.8: Major Rule Violations commitment program, but not a return to court, will follow the due process provisions in subsection (e) ☒ ☐ ☐ Rule violations are handled internally. Youth above. do not return to court unless new charges are filed. f 7423 Riverside YTEC PRO 18 20 - 61 - J453 JUV PRO-Eff. 01-01-2019 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 ☐Vio ☒ ☐ Section 300 of the Welfare and Institutions Code (WIC) lation 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 ☐Vio ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). lation 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 ☐Vio separated from minors. ☒ ☐ lation Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed ☐Vio ☒ ☐ in the facility in a manner that allows contact with lation minors. 7423 Riverside YTEC PRO 18 20 - 62 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State & Community Corrections Inspection BSCC Code: 7423 FACILITY: Riverside County TYPE: RC: Alan M. Crogan Youth Treatment/Education Center (AMC-YTEC) Camp 106 FIELD REPRESENTATIVE: DATE Lisa Southwell January13-15, 2020 ROOMS EACH ROOM COMMENTS Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S LIVING UNITS AA (RC20) 1-3,5-8,10- Single, 16 1 16 16 75.03 Sq. Feet- 1 0 1 1 0 18 Locked 77.17 Sq. Feet 4,9 Single, 2 1 2 2 79.05 Sq. Feet 1 0 1 1 0 Odd Shaped Room Locked 19 Single, 1 1 1 1 71.67 Sq. Feet- 1 0 1 1 0 Locked 73.81 Sq. Feet 20(ADA) Single, 1 1 1 1 100.82 Sq. Feet 1 0 1 1 0 Odd Shaped Room -ADA Locked Dayroom NA NA NA NA NA 3184 Sq. Feet 1 0 2 2 4 Classroom NA NA NA NA NA 743.47 Sq. Feet NA NA NA NA NA Quad NA NA NA NA NA 2040 Sq. Feet NA NA NA NA NA Shared Quad with AB ** Rooms are within just a few inches of each other. 10.7 x 7.3,7.4 or 7.5. Plumbing Chase was 1.1 x 2.8 or in room 19 2.3 x2.8 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7423 Riverside YTEC LASE 18-20 ROOMS EACH ROOM COMMENTS Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S AB (RC20) 1-3,5-8,10- Single, 16 1 16 16 75.03 Sq. Feet- 1 0 1 1 0 18 Locked 77.17 Sq. Feet 4,9 Single, 2 1 2 2 79.05 Sq. Feet 1 0 1 1 0 Odd Shaped Room Locked 19 Single, 1 1 1 1 71.67 Sq. Feet- 1 0 1 1 0 Locked 73.81 Sq. Feet 20(ADA) Single, 1 1 1 1 100.82 Sq. Feet 1 0 1 1 0 Odd Shaped Room -ADA Locked Dayroom NA NA NA NA NA 3184 Sq. Feet 1 0 2 2 4 Classroom NA NA NA NA NA 743.47 Sq. Feet NA NA NA NA NA Quad NA NA NA NA NA 2040 Sq. Feet NA NA NA NA NA Shared Quad with AA ** Rooms are within just a few inches of each other. 10.7 x 7.3, 7.4 or 7.5. Plumbing Chase was 1.1 x 2.8 or in room 19, 2.3 x2.8 AC (RC20) 1-3,5-8,10- Single, 16 1 16 16 75.03 Sq. Feet- 1 0 1 1 0 18 Locked 77.17 Sq. Feet *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7423 Riverside YTEC LASE 18-20 ROOMS EACH ROOM COMMENTS Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S 4,9 Single, 2 1 2 2 79.05 Sq. Feet 1 0 1 1 0 Odd Shaped Room Locked 19 Single, 1 1 1 1 71.67 Sq. Feet- 1 0 1 1 0 Locked 73.81 Sq. Feet 20(ADA) Single, 1 1 1 1 100.82 Sq. Feet 1 0 1 1 0 Odd Shaped Room -ADA Locked Dayroom NA NA NA NA NA 3184 Sq. Feet 1 0 2 2 4 Classroom NA NA NA NA NA 743.47 Sq. Feet NA NA NA NA NA Quad NA NA NA NA NA 2040 Sq. Feet NA NA NA NA NA Shared Quad with AD ** Rooms are within just a few inches of each other. 10.7 x 7.3, 7.4 or 7.5. Plumbing Chase was 1.1 x 2.8 or in room 19, 2.3 x2.8 AD (RC20) 1-3,5-8,10- Single, 16 1 16 16 75.03 Sq. Feet- 1 0 1 1 0 18 Locked 77.17 Sq. Feet 4,9 Single, 2 1 2 2 79.05 Sq. Feet 1 0 1 1 0 Odd Shaped Room Locked 19 Single, 1 1 1 1 71.67 Sq. Feet- 1 0 1 1 0 Locked 73.81 Sq. Feet 20(ADA) Single, 1 1 1 1 100.82 Sq. Feet 1 0 1 1 0 Odd Shaped Room -ADA Locked Dayroom NA NA NA NA NA 3184 Sq. Feet 1 0 2 2 4 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7423 Riverside YTEC LASE 18-20 ROOMS EACH ROOM COMMENTS Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S Classroom NA NA NA NA NA 743.47 Sq. Feet NA NA NA NA NA Quad NA NA NA NA NA 2040 Sq. Feet NA NA NA NA NA Shared Quad with AC ** Rooms are within just a few inches of each other. 10.7 x 7.3, 7.4 or 7.5. Plumbing Chase was 1.1 x 2.8 or in room 19, 2.3 x2.8 Assessment Unit (RC6) 1 (ADA) Single, 1 1 1 1 112 Sq. Feet 1 0 1 1 0 Locked 2-6 Single, 5 1 5 5 85 Sq. Feet 1 0 1 1 0 Locked Dayroom NA NA NA NA NA 1175 Sq. Feet 1 0 2 1 Classroom NA NA NA NA NA 400 Sq. Feet NA NA NA NA NA Quad NA NA NA NA NA 38 x37 Sq. Feet NA NA NA NA NA Transition Unit (RC20) Numbers begin with alcove next to classroom (rotate clockwise) *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7423 Riverside YTEC LASE 18-20 ROOMS EACH ROOM COMMENTS Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # Beds RC RC (L x W x H) T U W F S 1 Dorm 2 2 2 122 Sq. Feet NA NA NA NA NA 2,3 Dorm 4 4 4 103 Sq. Feet NA NA NA NA NA 4 Dorm 2 2 2 104 Sq. Feet NA NA NA NA NA 5 4 Man 4 4 4 205 Sq. Feet NA NA NA NA NA Dorm 6 Dorm. 2 2 2 113 Sq. Feet NA NA NA NA NA 7,8 Dorm 4 4 4 102 Sq. Feet NA NA NA NA NA 9 Dorm. 2 2 2 96 Sq. Feet NA NA NA NA NA Extra NA NA NA NA NA - 1 0 1 0 1 Toilet Dayroom NA NA NA NA NA 1323 Sq. Feet 3 0 3 2 3 Classroom NA NA NA NA NA 548 Sq. Feet NA NA NA NA NA Quad NA NA NA NA NA 2601 Sq. Feet NA NA NA NA NA Bonus NA NA NA NA NA 910 Sq. Feet NA NA NA NA NA Room 4 Gen Pop units share 2 quads. (total of 4080 sq. feet between 2 outdoor quads.) 2016-2018: RC 106 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7423 Riverside YTEC LASE 18-20