Santa Barbara County, County Probation (2020-2022 inspection cycle)

May 24, 2022 Tanja Heitman, Chief Probation Officer Santa Barbara County Probation Department 117 E. Carrillo Street Santa Barbara, CA 93101 SANTA BARBARA COUNTY 2020-2022 BIENNIAL INSPECTION PURSUANT TO WELFARE AND INSTITUTIONS CODE SECTIONS 209 AND 885 Dear Chief Heitman: The 2020-2022 biennial inspection of the Santa Barbara County Probation Department’s Susan Gionfriddo Juvenile Justice Center, AKA Santa Maria Juvenile Hall (SMJH) and the Los Prietos Boys Camp (LPBC) has been completed. A pre-inspection briefing was held on June 27, 2021; the facility inspections occurred between November 8th and November 12th, 2021. The complete Board of State and Community Corrections (BSCC) inspection report is enclosed and consists of the following: this transmittal letter; a Title 15 Procedures checklist, outlining applicable minimum standards for juvenile detention facilities; a Physical Plant Evaluation, outlining applicable Title 24 minimum standards; and the Living Area Space Evaluation (LASE), summarizing the physical plant configuration and outlining the rated capacity of the Santa Maria Juvenile Hall and Los Prietos Boys Camp. Please refer to the Title 15 Procedures checklist for a summary of all relevant minimum standards, indication of compliance or noncompliance, and information that was used to determine compliance. MANDATORY LOCAL INSPECTIONS In addition to the biennial inspection, Title 15, section 1313, and its authorizing statute also require local inspections conducted by the following local authorities: • county building inspector or person designated by the Board of Supervisors • fire authority having jurisdiction • local health officer • county Superintendent of Schools • Juvenile Court • Juvenile Justice Commission. Results of those inspections are considered a part of this report. The dates of the local inspections may be found in the accompanying Procedures Checklist. Tanja Heitman Chief Probation Officer Page 2 Scope of the Inspection The inspection consisted of a review of the Santa Maria Juvenile Hall and Los Prietos Boys Camp facilities Policy and Procedure Manual1, a site visit to review operations, physical plant and relevant documentation, and interviews with administration, facility staff, youth, and collaborative partners. During the inspection, we evaluated compliance with Title 15 and Title 24 and consistency between policy and practices. BSCC INSPECTION RESULTS Title 15, CCR Minimum Standards Upon final review of all documentation, there are no outstanding items of noncompliance with Title 15 at the Santa Maria Juvenile Hall and Los Prietos Boys Camp. No corrective action is required at this time. Please see the attached procedures checklist for detailed information. During the inspection process, we discussed several policies and procedures with staff and provided technical assistance and best practice recommendations which might bring more clarity and specificity to the facility policy and procedure manual. In particular, we discussed Title 15 sections 1354.5 Room Confinement, 1370 Education, and 1357 Use of Force. Please see the attached procedures checklist for detailed information regarding those regulations. Following our inspection, Deputy Chief Probation Officer Kimberly Shean and Probation Manager JJ Zahry addressed areas of concern with Title 15 section 1354.5 and 1370 with SMJH probation staff and school staff. Protocols and quality assurance procedures have been put in place to hold staff accountable for ensuring youth unable to attend school due to safety concerns receive their educational packet, education assistance and a location outside of their room to complete schoolwork. All other policy and procedures discussed were updated to remain in compliance with Title 15 prior to the submission of this report. Title 24, CCR Physical Plant There were no changes made to the physical plant and your rated capacity remains 140 youth for the Santa Maria Juvenile Hall and 96 youth for the Los Prietos Boys Camp. Please see the Physical Plant Evaluation for more information. There are no outstanding items of noncompliance with Title 24 minimum standards. Training According to the most recent Standards and Training for Corrections audit, Santa Barbara County Probation Department is in compliance with all relevant regulations and mandates and mitigating circumstances if applicable. 1 BSCC reviews only those policy and procedures required by, and applicable to, Title 15, CCR. BSCC staff do not “approve” policies and procedures or assess them for constitutional or legal issues. Agencies should seek review through their legal advisor, risk manager, and other persons deemed appropriate for such evaluation. 7574+7571 Santa Barbara JH+Camp LTR 20-22 Tanja Heitman Chief Probation Officer Page 3 Juvenile Justice and Delinquency Prevention Act (JJDPA) Compliance Monitoring We reviewed applicable documentation and found no violations of the JJDPA. Please refer to the Title 15 Procedures checklist for detailed information. We want to thank you and your staff for their time and assistance in completing this inspection. Probation Managers JJ Zahry and Barton Clark and the Deputy Chief Probation Officer Kimberly Shean were helpful in coordinating this inspection. Each of these individuals assisted at each step by clarifying processes, answering questions, and providing supporting documentation. This concludes the 2020-2022 biennial inspection report. -- I am available to assist as needed and happy to provide technical assistance when requested. I look forward to continuing to work together. Please do not hesitate to email me at craigus.thompson@bscc.ca.gov or call (916) 597-4610 if you have any questions. Sincerely, Craigus Thompson, Sr. Field Representative Facilities Standards and Operations Division Enclosures cc: Presiding Judge, Juvenile Court, Santa Barbara County* Chair, Juvenile Justice Commission, Santa Barbara County* Chair, Board of Supervisors, Santa Barbara County* County Administrator, Santa Barbara County* Kimberly Shean, Deputy Chief Probation Officer *Copies of full inspection are available online at www.bscc.ca.gov. 7574+7571 Santa Barbara JH+Camp LTR 20-22 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7571 FACILITY NAME: Los Prietos Boys Camp (LPBC) FACILITY TYPE: Camp PERSON(S) INTERVIEWED: Kimberly Shean, Deputy Chief Probation Officer; Probation Manager Barton Clark; Tiffany Phillips, Supervising Probation Officer; Crystal Crockett, Senior Deputy Probation Officer; Karyn Schoen, Registered Nurse; Renee Wheeler, Director, Juvenile Court and Community Schools Santa Barbara County Education Office; Emmanuel Morales, Senior Juvenile Institution Officer; Christina Ortiz, LMFT Lead Clinician FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: October 6, 2021 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND All local inspections for the 2020-2022 EVALUATION OF BUILDING AND GROUNDS inspection cycle completed. On an annual basis, or as otherwise required by law, X each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by LPBC- Completed on November 30, 2020 X the Board of Supervisors to approve building safety; (B) Fire authority having jurisdiction, including a fire LPBC- Completed on May 19, 2021 clearance as required by Health and Safety Code X Section 13146.1 (a) and (b); (C) Local health officer, inspection in accordance with LPBC-Environmental completed December Health and Safety Code Section 101045; 11, 2020 LPBC-Nutritional completed December 7, X 2020 LPBC-Medical/Mental Health completed November 11, 2020 (D) County superintendent of schools on the adequacy Completed on December 18, 2020 by Brian of educational services and facilities as required in X Zimmerman, director of Pupil Services Santa Section 1370; Maria Bonita School District (E) Juvenile court as required by Section 209 of the Judge Arthur Garcia provided letter on X Welfare and Institutions Code December 9, 2020 (F) Juvenile Justice Commission as required by Section LPBC- Completed on September 16, 2021 229 of the Welfare and Institutions Code or X Probation Commission as required by Section 240 of the Welfare and Institutions Code. 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. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS LPBC Policy and Procedure Manual section BSCC Note: Compliance with this section is 5103 reviewed on 4/16/20 by Probation determined by receipt of the Chief Probation Officer’s Manager Kristina Brumbaugh certification letter confirming that all elements of The elements of this regulation are covered regulation are met. in Chief Tanja Heitman letter, February 10, (a) Appointment 2021 X 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 X LPBC Policy and Procedure Manual section Each facility shall: 5103 (1) recruit and hire employees who possess knowledge, LPBC Policy and Procedure Manual section skills and abilities appropriate to their job X 5103 classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical LPBC Policy and Procedure Manual section examination including tuberculosis screening test 5103 X 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 LPBC Policy and Procedure Manual section and training requirements adopted by the Board X 5103 pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new LPBC Policy and Procedure Manual section employee, and psychological examination in X 5103 accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- LPBC Policy and Procedure Manual section employees of the facility, who may be present at the 5103 reviewed on 9/30/21 by SPO Tiffany facility, shall have such clearance and qualifications X Phillips as may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING LPBC Policy and Procedure Manual section 5105 reviewed on 9/30/21 by SPO Tiffany Each juvenile facility shall: Phillips X We reviewed a variety of documents including safety check records, grievances, disciplinary actions, and incidents reports. a) have an adequate number of personnel sufficient to LPBC 5105, Section II, Pages 2-3 carry out the overall facility operation and its X programming, to provide for safety and security of youth and staff, and meet established standards and regulations; 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 2 - 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 LPBC 5105, Section II, Page 3 because of insufficient numbers of staff on duty X reviewed on 9/30/21 by SPO Tiffany Phillips absent exigent circumstances; c) have a sufficient number of supervisory level staff to X LPBC 5105, Section II, B Page 3 ensure adequate supervision of all staff members; d) have a clearly identified person on duty at all times LPBC 5105, Section II, Pages 2-3 who is responsible for operations and activities and X has completed the Juvenile Corrections Officer Core Course and PC 832 training; e) have at least one staff member present on each living X LPBC 5105, Section III, Pages 4-9 unit whenever there are youth in the living unit; f) have sufficient food service personnel relative to the LPBC 5105, Section II, Page 3 number and security of living units, including staff qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen X supervision; direct food preparation and servings; 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; g) have sufficient administrative, clerical, recreational, LPBC 5105, Section II, Page 3 medical, dental, mental health, building maintenance, transportation, control room, facility X security and other support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and, h) assign sufficient youth supervision staff to provide LPBC 5105, Section II, Pages 2-3 continuous wide-awake supervision of youth, subject to temporary variations in staff assignments X 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) Not applicable (A) during the hours that youth are awake, one wide- NA awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their Not applicable room for the purpose of sleeping, one wide-awake NA youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Not applicable members on duty at all times, regardless of the number of youth in detention, unless an NA arrangement has been made for backup support services which allow for immediate response to emergencies; and, 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 3 - 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 Not applicable NA who is the same gender as youth housed in the facility. (E) personnel with primary responsibility for other Not applicable duties such as administration, supervision of NA 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- Not applicable staff ratio) NA (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 Not applicable for the purpose of sleeping, one wide-awake youth NA supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff Not applicable members on duty at all times, regardless of the NA 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 Not applicable NA who is the same gender as youth housed in the facility. (E) personnel with primary responsibility for other Not applicable duties such as administration, supervision of NA personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (minimum youth -staff ratio) LPBC Policy and Procedure Manual section (A) during the hours that youth are awake, one wide- 5105 reviewed on 9/30/21 by SPO Tiffany awake youth supervision staff member on duty for Phillips each 15 youth in the camp population; X Los Prietos Boys Camp population at the time of the inspection was seven (7) male youths. (B) during the hours that youth are confined to their LPBC 5105, Section II, B, Page 3 room for the purpose of sleeping, one wide-awake X youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff LPBC 5105, Section II, A, Page 2 members on duty at all times, regardless of the X 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 LPBC 5105, Section II, A, Page 2 X who is the same gender as youth housed in the facility; 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 4 - 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 LPBC 5105, Section III, Pages 4-9 required in (h)(3)(A)-(B), consideration shall be reviewed on 9/30/21 by SPO Tiffany Phillips given to the size, design, and location of the camp; types of youth committed to the camp; and the X 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 LPBC 5105, Section II, A (1), Page 2 duties such as administration, supervision of personnel, academic or trade instruction, clerical, X farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF LPBC Policy and Procedure Manual section ORIENTATION AND TRAINING 5101, 5103, and 5105 (a) Prior to assuming any responsibilities each youth 5101 reviewed on 9/30/21 by Probation supervision staff member shall be properly oriented X Manager Barton Clark to their duties, including: 5103 reviewed on 4/16/20 by Probation Manager Kristina Brumbaugh (1) youth supervision duties; LPBC 5105, Section III, Pages 4-9 reviewed X on 9/30/21 by SPO Tiffany Phillips (2) scope of decisions they shall make; X LPBC 5103, Section III, Pages 4-9 (3) the identity of their supervisor; X LPBC 5103, Section III, Pages 4-9 (4) the identity of persons who are responsible to LPBC 5101, Section I, Page 1 X them; LPBC 5103, Section III, Pages 4-9 (5) persons to contact for decisions that are beyond LPBC 5103, Section III, Pages 4-9 X their responsibility; and (6) ethical responsibilities. X LPBC 5103, Pages 4-9 (b) Prior to assuming any responsibility for the LPBC 5103, Section I, D, Page 1 supervision of youth, each youth supervision staff X member shall receive a minimum of 40 hours of All new full-time and temporary employees facility-specific orientation, including: receive 40 hours of Introductory Training. (1) individual and group supervision techniques; X LPBC, 5103, Section II, A (9), Page 3 (2) regulations and policies relating to discipline and LPBC 5103, Section II, A (3), Page 2 rights of youth pursuant to law and the X provisions of this chapter; (3) basic health, sanitation and safety measures; X LPBC 5103, Section III, H (5), Page 8 (4) suicide prevention and response to suicide LPBC 5103, Section I, B (7), Page 1 X attempts LPBC 5103, Section III, G, 1-5, Page 7 (5) policies regarding use of force, de-escalation LPBC 5103, Section II, Pages 2-4 techniques, chemical agents, mechanical and X physical restraints; (6) review of policies and procedures referencing LPBC, 5103, Section III H (6), Page 8 X trauma and trauma-informed approaches; (7) procedures to follow in the event of LPBC 5103, Section III, F, Pages 6-7 X emergencies; (8) routine security measures, including facility LPBC 5103, Section III, C, Page 5 X perimeter and grounds; 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (9) crisis intervention and mental health referrals to LPBC 5103 Section II, Pages 2-4 X mental health services; LPBC 5103, Section III, F (3), Page 7 (10) documentation; and X LPBC 5103, Section II, A (11), Page 3 (11) fire/life safety training X LPBC 5103, Section III, Pages 4-9 (c) Prior to assuming sole supervision of youth, each LPBC 5103, Section I, D, Page 2 youth supervision staff member shall successfully 5103 reviewed on 4/16/20 by Probation complete the requirements of the Juvenile X Manager Kristina Brumbaugh Corrections Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer LPBC 5103, Section I, F, Page 2 youth supervision staff shall successfully complete X training pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY LPBC 5105, Section II, A, Page 2 Whenever there is a youth in a juvenile facility, there 5105 reviewed on 9/30/21 by SPO Tiffany shall be at least one wide awake person on duty at all Phillips times who meets the training standards established by the LPBC 5103, Section II, F, Pages 6-7 Board for general fire and life safety which relate specifically to the facility. LPBC 5112, Section I, A, Page 1 X 5112 reviewed on 9/22/21 by Probation Manager Barton Clark Review of documentation indicates that all youth supervisory staff receive site-specific life safety training during orientation. Also, all full-time employees receive fire and safety training in juvenile CORE. 1324 POLICY AND PROCEDURES MANUAL LPBC Policy and Procedure Manual section All facility administrators shall develop, publish, and 5101 and 5103 implement a manual of written policies and procedures Every year each section of the policy and that address, at a minimum, all regulations that are procedure manual are reviewed by Seniors applicable to the facility. Such a manual shall be made and Supervisors. Probation Managers then available to all employees, reviewed by all employees, X approves reviewed policy and procedure and shall be administratively reviewed at a minimum sections. every two years, and updated, as necessary. Those records relating to the standards and requirements set Policy and procedure manual was forth in these regulations shall be accessible to the Board administratively reviewed on May 12, 2021 on request. by Probation Manager Kristina Brumbaugh. The manual shall include: (a) table of organization, including channels of LPBC 5101, Section I communications and a description of job 5101 reviewed on 9/30/21 by Probation classifications; Manager Barton Clark X SMJH 4100, Section II, Pages 2-3 4100 reviewed on 2/9/21 by Probation Manager JJ Zahry 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) responsibility of the probation department, purpose LPBC 5101 reviewed on 9/30/21 by of programs, relationship to the juvenile court, the Probation Manager Barton Clark Juvenile Justice/Delinquency Prevention X Commission or Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; LPBC 5103 reviewed on 3/2/20 by Probation X Manager Kristina Brumbaugh (d) initial orientation and training program for LPBC 5103, Section I, Pages 1-8 X employees; (e) initial orientation, including safety and security LPBC 5103, Section I, F and G, Page 2 issues and anti-discrimination policies, for support X LPBC 5101, Section II, Page 2 staff, contract employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and LPBC 5101, Section VI, Page 7 X communication system to ensure: LPBC 5103, Section III, D, Page 6 (1) efficient operation of the juvenile facility; X LPBC 5101, Section VI, Page 7 (2) legal and proper care of youth; X LPBC 5101, Section VI, Page 7 (3) maintenance of individual youth's records; X LPBC 5101 Section VI, B (2), Page 7 (4) supply of information to the juvenile court and LPBC 5101, Section VI, A, Page 7 X those authorized by the court or by the law; and, (5) release of information regarding youth. X LPBC 5101, Section VI, F, Page 9 (g) ethical responsibilities; X LPBC 5101, Sections II-V, Page 2-7 (h) trauma-informed approaches; X LPBC 5101, Sections II-V, Page 2-7 (i) culturally responsive approaches; X LPBC 5101, Sections II-V, Page 2-7 (j) gender responsive approaches; X LPBC 5101, Sections II-V, Page 2-7 (k) a non-discrimination provision that provides that all LPBC 5101, Section IV, Page 5 youth within the facility shall have fair and equal 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 X 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 LPBC 5108, Section IV, D (10), Pages 9-11 chemical agents related security devices, and X 5108 reviewed on 8/13/20 by Probation weapons and ammunition, where applicable; Manager Kristina Brumbaugh (m) establishment of procedures for collection of Medi- Not applicable Cal eligibility information and enrollment of eligible SMJH 4124, Section XIV, Pages 19-20 NA youth; and, 4124 reviewed on 9/14/21 by SPO Miguel Monge 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (n) establishment of a policy that prohibits all forms of LPBC 5105, Section VIII, 13, Page 15 sexual abuse, sexual assault and sexual harassment. 5105 reviewed on 09/30/2021 by SPO The policy shall include an approach to preventing, Tiffany Phillips detecting and responding to such conduct and any X 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 LPBC Policy and Procedure Manual section The facility administrator shall consult with the local fire 5102 reviewed on 09/24/2021 by SPO department having jurisdiction over the facility, or with X Tiffany Phillips the State Fire Marshal, in developing a plan for fire safety which shall include, but not be limited to: a) a fire prevention plan to be included as part of the LPBC 5112, Section I, B, Page 1 manual of policy and procedures; X 5112 reviewed by Probation Manager Barton Clark b) monthly fire and life safety inspections by facility LPBC 5102, Section I, F, Page 2 reviewed staff with two- year retention of the inspection on 09/24/2021 by SPO Tiffany Phillips record; LPBC 5112, Section I, A, Page 1 X We reviewed monthly and fire safety inspections from July 2020 to the date of our inspection. Review of documentation revealed compliance with this regulation. c) fire prevention inspections as required by Health LPBC 5112, Section I, B (8), Page 2 and Safety Code Section 13146.1(a) and (b); LPBC 5102, Section I, Page 1 reviewed on X 09/24/2021 by SPO Tiffany Phillips LPBC- Completed 1/17/2019 d) an evacuation plan; X LPBC 5112, Section II, B, Page 4 e) documented fire drills not less than quarterly; LPBC 5112, Section I, A (1), Page 1 LPBC 5102, Section IV, Page 5 reviewed on 09/24/2021 by SPO Tiffany Phillips X We reviewed monthly Emergency Drills log from July 2020 to the date of our inspection. Review of documentation revealed compliance with this regulation. f) a written plan for the emergency housing of youth in LPBC 5113, Sections 1-IV, Pages 1-3 the case of fire; and, X reviewed on 09/24/2021 by SPO Tiffany Phillips g) development of a fire suppression pre-plan in LPBC 5112, Section I, Page 1-2 X cooperation with the local fire department. 1326 SECURITY REVIEW LPBC Policy and Procedure Manual section 5102 reviewed on 09/24/2021 by SPO Each facility administrator shall develop policies and Tiffany Phillips procedures to annually review, evaluate, and document X security of the facility. The review and evaluation shall Most recent review: 05/12/2021 completed include internal and external security, including, but not by Probation Manager Barton Clark limited to, key control, equipment, and staff training. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1327 EMERGENCY PROCEDURES LPBC Policy and Procedure Manual section 5112 and 5113 reviewed on 09/24/2021 by The facility administrator shall develop facility-specific X SPO Tiffany Phillips policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; LPBC 5113, Section IV, Page 7 reviewed on X 09/24/2021 by SPO Tiffany Phillips (b) civil disturbance, active shooter and terrorist attack; LPBC 5113, Section V, Page 8 X 5113 reviewed on 09/24/2021 by SPO Tiffany Phillips (c) fire and natural disasters; LPBC 5113, Section V, Page 8 reviewed on X 9/24/2021 by SPO Tiffany Phillips (d) periodic testing of emergency equipment; LPBC 5112, Section I, B, 5, 7, Page 2 X 5112 reviewed on 9/22/21 by Probation Manager Barton Clark (e) emergency evacuation of the facility; and X LPBC 5112, Section II, Pages 3-11 (f) a program to provide all youth supervision staff LPBC 5112, Section I, Page 1 with an annual review of emergency procedures. Per memo dated July 8, 2021, from Joe X Talaugon, Supervising Deputy Probation Officer all LPBC has reviewed the fire safety and emergency procedures. 1328 SAFETY CHECKS LPBC 5105, Section II, C, Page 3 The facility administrator shall develop and implement LPBC 5101, Section VIII, Page 10 policy and procedures that provide for direct visual 5101 reviewed on 9/30/21 by Probation observation of youth at a minimum of every 15 minutes, Manager Barton Clark at random or varied intervals during hours when youth 5105 reviewed on 09/30/2021 by SPO are asleep or when youth are in their rooms, confined in Tiffany Phillips holding cells or confined to their bed in a dormitory. Supervision is not replaced, but may be supplemented X by, an audio/visual electronic surveillance system Reviewed LPBC safety checks for the designed to detect overt, aggressive or assaultive months of July 2021 and September 2021. behavior and to summon aid in emergencies. All safety Review of safety checks revealed checks shall be documented with the actual time the compliance with this regulation. Review of check is completed. safety checks also revealed staff are completing safety checks at random or varied intervals. Especially on the third shift which is the graveyard shift. 1329 SUICIDE PREVENTION PLAN LPBC Policy and Procedure Manual section The facility administrator, in collaboration with the 5124 reviewed on 9/28/21 by Probation healthcare and behavioral/mental health administrators, Manager Barton Clark shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. X Although, LPBC have a suicide prevention The plan shall consider the needs of youth experiencing plan policy youth who exhibits the need for past or current trauma. Suicide prevention responses suicide watch are transferred to the juvenile shall be respectful and in the least invasive manner hall. consistent with the level of suicide risk. The plan shall include the following elements: 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 9 - 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 LPBC 5124, Section IV, A, Page 3 Section 1322, Youth Supervision Staff X Orientation, and Training and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and LPBC 5124, Section IV, B, Pages 3-4 Precautionary Protocols X (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform LPBC, Section IC, A, Page 3 X intake processes shall be trained in screening youth for risk of suicide. (3) All youth who have been identified during LPBC, 5124, Section IV, B-F, Pages 3-5 the intake screening process to be at risk of X suicide shall be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed LPBC, 5124, Section IV, B-F, Pages 3-5 to ensure the youth’s safety pending the X 5124 reviewed on 9/28/21 by Probation behavioral/mental health assessment. Manager Barton Clark (c) Referral process to behavioral/mental health X LPBC, 5124, Section IV, B-F, Pages 3-5 staff for assessment and/or services. (d) Procedures for monitoring of youth identified X LPBC, 5124, Section IV, B-F, Pages 3-5 at risk for suicide. (e) Safety Interventions LPBC, 5124, Section IV, B-F, Pages 3-5 (1) Procedures to address intervention protocols for youth identified at risk for X suicide which may include, but are not limited to: A. Housing consideration X LPBC, 5124, Section IV, B-F, Pages 3-5 B. Treatment strategies including LPBC, 5124, Section IV, B-F, Pages 3-5 X trauma-informed approaches (2) Procedures to instruct youth supervision LPBC, 5124, Section IV, B-F, Pages 3-5 staff how to respond to youth who exhibit X suicidal behaviors. (f) Communication LPBC, 5124, Section IV, B-F, Pages 3-5 (1) The intake process shall include communication with the arresting officer X and family guardians regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current LPBC, 5124, Section IV, B-F, Pages 3-5 information sharing about youth at risk for X suicide with youth supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to LPBC, 5124, Section IV, B-F, Pages 3-5 Suicides or Attempts X (1) Process for administrative review of the circumstances and responses proceeding, during and after the critical incident. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 10 - 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 LPBC, 5124, Section IV, B-F, Pages 3-5 X staff. (3) Process for a debriefing event with affected LPBC, 5124, Section IV, B-F, Pages 3-5 X youth. (h) Documentation LPBC, 5124, Section IV, B-F, Pages 3-5 (1) Documentation processes shall be X developed to ensure compliance with this regulation Youth identified at risk for suicide shall not be denied LPBC, 5124, Section IV, B-F, Pages 3-5 the opportunity to participate in facility programs, services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety X of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS LPBC Policy and Procedure Manual section 5101 reviewed on 9/30/21 by Probation Each facility shall submit to the Board a letter of Manager Barton Clark notification on each legal action, pertaining to conditions X of confinement, filed against persons or legal entities No legal action reported this inspection responsible for juvenile facility operation. cycle. 1341 DEATH AND SERIOUS ILLNESS OR X INJURY OF A YOUTH WHILE LPBC Policy and Procedure Manual section DETAINED 5127 reviewed on 9/27/21 by Probation (1) Death of a Youth. Manager Barton Clark (a) The facility administrator, in cooperation with the health administrator and the behavioral/mental health director, shall develop written policies and X procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the LPBC 5127, Section V, Pages 12-13 facility administrator, shall develop written policies and procedures to assure there is a medical and operational review of every in-custody death of a X 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 LPBC 5127, Section V, A(b), Page 13 Board a copy of the report submitted to the Attorney General under Government Code Section 12525. A X copy of the report shall be submitted to the Board within 10 calendar days after the death. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Upon receipt of a report of the death of a youth from LPBC 5127, Section II, B (2), Page 13 the administrator, the Board may within 30 calendar days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the X 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 LPBC 5127, Section V, B, Page 13 (a) The facility administrator, in cooperation with the health administrator, shall develop written policies and procedures for the notification to necessary X parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING LPBC Policy and Procedure Manual section 5101 reviewed on 9/30/21 by Probation Each juvenile facility shall submit required population X Manager Barton Clark 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 LPBC Policy and Procedure Manual section 5101 When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than X LPBC rated capacity is 40 male youth. 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 LPBC Policy and Procedure Manual section The facility administrator shall develop and implement 5114 reviewed on 9/22/21 by Probation written policies and procedures for admittance of youth Manager Barton Clark that emphasize respectful and humane engagement with youth, and reflect that the admission process may be We reviewed ten (10) LPBC Youth X traumatic to youth who may have already experienced Admittance packets. Review of trauma. Policies shall be trauma-informed, culturally documentation provided revealed relevant, and responsive to the language and literacy compliance with this regulation. needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: LPBC 5114, Section I, D, Page 5 (1) Access to two free phone calls within one hour X of admittance in accordance with the provisions of Welfare and Institution Code Section 627; (2) Offer of a shower; X LPBC 5114, Section I, D, Page 5 (3) Documented secure storage of personal LPBC 5114, Section I, D, Page 5 X belongings; (4) Offer of food upon arrival; X LPBC 5114, Section I, D, Page 5 (5) Screening for physical and behavioral health LPBC, 5114, Section I, Pages 1-3 X and safety issues, intellectual or developmental disabilities; 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) Screening for physical and developmental LPBC 5114, Section I, Pages 1-3 X disabilities in accordance with Sections 1329, 1413, and 1430 of these regulations; (7) Contact with Regional Center for the LPBC 5114, Section I, Pages 1-3 Developmentally Disabled for youth that are X suspected of or identified as having a developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. X LPBC 5114, Section I, B (2), Page 4 (b) juvenile hall administrators shall establish written Not applicable criteria for detention that considers the least NA restrictive environment. (c) juvenile camps and post-dispositional programs in LPBC 5114, Section I, C, Page 4 juvenile halls shall develop policies and procedures 5114 reviewed on 9/22/21 by Probation that advise the youth of the estimated length of Manager Barton Clark X 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 Not applicable that advise any committed youth of the estimated NA length of his/her stay. 1350.5. SCREENING FOR THE RISK OF SEXUAL Not applicable ABUSE The facility administrator shall develop and implement This regulation is completed at the Santa written policies and procedures to reduce the risk of NA Maria Juvenile Hall (SMJH) sexual abuse by or upon youth. The policy shall require facility staff to assess each youth within 72 hours of admission based on the following information: (a) Prior sexual victimization or abusiveness; NA Not applicable (b) Gender nonconforming appearance or manner; Not applicable or identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the NA youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; NA Not applicable (d) Age; NA Not applicable (e) Level of emotional and cognitive development; NA Not applicable (f) Physical size and stature; NA Not applicable (g) Mental illness or mental disabilities; NA Not applicable (h) Intellectual or developmental disabilities; NA Not applicable (i) Physical disabilities; NA Not applicable (j) The youth’s perception of vulnerability; and, NA Not applicable (k) Any other specific information about the Not applicable individual youth that may indicate heightened NA needs for supervision, additional safety precautions, or separation from certain other youth. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Staff shall ascertain this information through Not applicable conversations with the youth during the admittance process, medical and behavioral health screenings; NA during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate Not applicable controls on the dissemination of information within the facility relative to responses received pursuant to this NA assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES LPBC Policy and Procedure Manual section 5114 reviewed on 9/22/21 by Probation The facility administrator shall develop and implement Manager Barton Clark written policies and procedures for release of youth from custody which provide for: X We reviewed five (5) LPBC Youth Release packets. Review of documentation provided revealed compliance with this regulation. (a) verification of identity/release papers; X LPBC 5114, Section II, Pages 5-6 (b) return of personal clothing and valuables; X LPBC 5114, Section II, D, Page 6 (c) notification to the youth's parents or guardian; X LPBC 5114, Section II, D, Page 6 (d) notification to the facility health care provider in LPBC 5114, Section II, B, Page 5 accordance with Sections 1408 and 1437 of these X regulations, for coordination with outside agencies; and, (e) notification of school staff; X LPBC 5114, Section II, B, Page 5 (f) notification of facility mental health personnel. X LPBC 5114, Section II, B, Page 5 The facility administrator shall develop and implement LPBC 5114, Section II, C, Pages 5-6 policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry X services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement LPBC 5125 reviewed on 10/01/21 by written policies and procedures for the furlough of X Probation Manager Barton Clark youth from custody. 1352 CLASSIFICATION LPBC Policy and Procedure Manual section 5114 reviewed on 9/22/21 by Probation The facility administrator shall develop and implement Manager Barton Clark written policies and procedures on classification of X youth for the purpose of determining housing placement We reviewed ten (10) LPBC Youth in the facility. Screening Checklist forms. Review of Such procedures shall: documentation provided revealed compliance with this regulation. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 14 - 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, LPBC 5114, Section I, B, Page 3 facility staff, and the public by placing youth in the appropriate, least restrictive housing and program X 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 LPBC 5114, Section I, B, Pages 3-4 X the facility; (c) provide that a youth shall be classified upon LPBC 5114, Section I, B, Pages 3-4 admittance to the facility; classification factors shall include, but not be limited to: age, maturity, sophistication, emotional stability, program needs, X legal status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, LPBC 5114, Section I, B, Pages 3-4 including provisions that consider the level of X supervision and the youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth Not applicable 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, X NA 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, LPBC 5114, Section I, B (2), Page 4 bisexual, transgender, questioning or intersex 5114 reviewed on 9/22/21 by Probation X identification or status as an indicator of likelihood Manager Barton Clark of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. LPBC Policy and Procedure Manual section 5114 The facility administrator shall develop written policies X and procedures ensuring respectful and equitable Review of policy and procedure revealed treatment of transgender and intersex youth. The compliance with this regulation. policies shall provide that: (a) Facility staff shall respect every youth’s gender LPBC 5114, Section I, B (2), Page 4 identity, and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the X 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. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Facility staff shall permit youth to dress and present LPBC 5114, Section I, B (2), Page 4 themselves in a manner consistent with their gender X 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 LPBC 5114, Section I, B (2), Page 4 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 X 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 LPBC 5114, Section I, B (2), Page 4 and intersex youth have access to medical and X behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and LPBC 5114, Section I, B (2), Page 4 necessary security considerations and physical 5114 reviewed on 9/22/21 by Probation plant, facility staff shall make every effort to ensure X Manager Barton Clark the safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any LPBC 5110 Section V, C (3), Page 3 youth for the purpose of determining the youth’s anatomical sex. Whenever feasible, the facility shall X LPBC 5110 Section V, G (4), Page 5 5110 reviewed on 09/30/2021 by SPO Tiffany respect the youth’s preference regarding the gender of Phillips the staff member who conducts any search of the youth. 1353 ORIENTATION LPBC Policy and Procedure Manual section 5115 reviewed on 9/22/21 by Probation The facility administrator shall develop and implement Manager Barton Clark written policies and procedures to orient a youth prior to placement in a living area. Both written and verbal We reviewed ten (10) LPBC Youth information shall be provided and supplemented with X Orientation packets. Review of video orientation if feasible. Provision shall be made to documentation provided revealed provide accessible orientation information to all compliance with this regulation. detained youth including those with disabilities, limited literacy, or English language learners. Orientation shall include information that addresses: (a) facility rules including contraband and searches and X LPBC 5115, Section II, B, Pages 1-2 disciplinary procedures; (b) facility’s system of positive behavior interventions LPBC 5115, Section II, B, Pages 1-2 and supports, including behavior expectations, incentives that youth will receive for complying X with facility rules, and consequences that may result when youth violate the rules of the facility; 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 16 - 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 LPBC Camper Manual facility’s policy prohibiting sexual abuse and sexual X harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; X LPBC Camper Manual (e) the existence of the grievance procedure, the steps LPBC 5115, Section II, B (6), Page 2 that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the X name of the person or position designated to resolve the issue; (f) access to legal services and information on the court LPBC 5115, Section II, B (8), Page 2 X process; (g) access to routine and emergency health and mental LPBC 5115, Section II, B (7), Page 2 X health care; LPBC 5115, Section II, B (16), Page 2 (h) access to education, religious services, and LPBC 5115, Section II, B (9), Page 2 X recreational activities; (i) housing assignments; X LPBC 5115, Section II, B (12), Page 2 (j) opportunity for personal hygiene and daily showers LPBC 5115, Section II, B (14), Page 2 X including the availability of personal care items (k) rules and access to correspondence, visits and LPBC 5115, Section II, B (10), Page 2 telephone use; X 5115 reviewed on 9/22/21 by Probation Manager Barton Clark (l) availability of reading materials, programming, and LPBC 5115, Section II, B (15), Page 2 X other activities; (m) facility policies on the use of force, use of restraints, LPBC 5115, Section II, B (13), Page 2 X chemical agents and room confinement; (n) immigration legal services; X LPBC 5115, Section II, B (8), Page 2 (o) emergencies including evacuation procedures; X LPBC 5115, Section II, B (25), Page 2 (p) non-discrimination policy and the right to be free LPBC 5115, Section II, B (5), Page 2 from physical, verbal or sexual abuse and X harassment by other youth and staff; (q) availability of services and programs in a language LPBC 5115, Section II, B (31), Page 2 X other than English if appropriate; (r) the process for requesting different housing, LPBC 5115, Section II, B (23), Page 2 X education, programming and work assignments; (s) a process for which parents/guardians receive LPBC 5115, Section II, B (29), Page 2 information regarding the youth’s stay in the facility that at a minimum includes answers to X frequently asked questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to LPBC 5115, Section II, B (30), Page 2 Title 15 Minimum Standards for Juvenile Facilities. X Title 15 copies are available to youth upon request. 1354 SEPARATION The facility does not separate youth. If a The facility administrator shall develop and implement youth requires separation the youth is NA written policies and procedures that address: transported to the Santa Maria juvenile Hall (SMJH). 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 17 - 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 Not applicable not be limited to, medical and mental health NA conditions, assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and Not applicable NA trauma-informed care. (c) separated youth shall not be denied normal Not applicable privileges available at the facility, except when NA necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Not applicable NA Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the Not applicable separation shall occur in accordance with Welfare NA and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review Not applicable of separated youth to determine if separation NA remains necessary. 1354.5 ROOM CONFINEMENT The facility does not utilize room confinement. If a youth requires room (a) The facility administrator shall develop and confinement the youth is transported to the implement written policies and procedures Santa Maria juvenile Hall (SMJH). addressing the confinement of youth in their room NA that are consistent with Welfare and Institutions Code Section 208.3. The placement of a youth in room confinement shall be accomplished in accordance with the following guidelines: (1) Room confinement shall not be used before Not applicable other, less restrictive, options have been attempted and exhausted, unless attempting NA those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the Not applicable NA purposes of punishment, coercion, convenience, or retaliation by staff. (3) Room confinement shall not be used to the Not applicable extent that it compromises the mental and NA physical health of the youth. (b) A youth may be held up to four hours in room Not applicable confinement. After the youth has been held in room NA confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. NA Not applicable (2) Consult with mental health or medical staff. NA Not applicable (3) Develop an individualized plan that includes Not applicable the goals and objectives to be met in order to NA reintegrate the youth to general population. (4) If room confinement must be extended beyond Not applicable NA four hours, staff shall do each of the following: 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) Document the reasons for room Not applicable confinement and the basis for the extension, the date and time the youth was NA first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that Not applicable includes the goals and objectives to be met NA in order to integrate the youth to general population. (C) Obtain documented authorization by the Not applicable facility superintendent or his or her NA designee every four hours thereafter. (5) This section is not intended to limit the use of Not applicable single-person rooms or cells for the housing of NA youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards Not applicable NA in court holding facilities or adult facilities. (7) Nothing in this section shall be construed to Not applicable conflict with any law providing greater or NA additional protections to youth. (8) This section does not apply during an Not applicable extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility-wide threat that poses an NA 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 Not applicable 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 NA 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. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND LPBC Policy and Procedure Manual section PLAN 5116 reviewed on 12/11/20 by Probation Manager Krista Brumbaugh The facility administrator shall develop and implement X written policies and procedures for assessment and case We reviewed ten (10) LPBC Graduation planning. Plans. Reviewed of documentation revealed compliance with this regulation. (a) Assessment: LPBC 5116, Section I, Page 1 The assessment is based on information collected All incoming youth are administered the during the admission process with periodic review, Massachusetts Youth Screening Instrument which includes the youth's risk factors, needs and (MAYSI)-II to identify signs of strengths including, but not limited to, mental/emotional disturbance or distress. identification of substance abuse history, educational, vocational, counseling, behavioral All incoming you will have a full screen X health, consideration of known history of trauma, Positive Achievement Change Tool (PACT) and family strengths and needs. assessment and case plan completed by the assigned Deputy Probation Officer (DPO) identifying the youth’s criminogenic and acute needs and including goals and objectives tailored to meet those needs. We reviewed five (5) youth PACT. (b) Institutional Case Plan: LPBC 5116, Section I, Page 1 (1) A case plan shall be developed for each youth X held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be LPBC 5116, Section I, Page 1 limited to, written documentation that provides: X 5116 reviewed on 12/11/20 by Probation Manager Krista Brumbaugh (A) objectives and time frame for the resolution LPBC 5116, Section I, Page 1 X of problems identified in the assessment; (B) a plan for meeting the objectives that LPBC 5116, Section I, Page 1 includes a description of program resources X needed and individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting LPBC 5116, Section II, Page 2 the objectives, including periodic review and LPBC staff completes a review of youth discussion of the plan with the youth; X progress towards youth goals every 30, 60, 90, and 120 days of the youth’s initial case plan date. (4) a transition plan, the contents of which shall be LPBC 5116, Section III, Page 2 subject to existing resources, shall be developed X for post dispositional youth in accordance with Section 1351; and, 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 20 - 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 LPBC 5116, Section I C (2), Page 1 plan, including the transition plan, shall be X developed with input from the family, supportive adults, youth, and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK LPBC Policy and Procedure Manual section SERVICES 5108 and 5121 The facility administrator shall develop and implement X 5108 reviewed on 8/13/20 by Probation written policies and procedures ensuring the availability Manager Kristina Brumbaugh of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: 5121 reviewed on 9/30/21 by Probation Manager Barton Clark (a) youth will receive assistance with needs or concerns X LPBC 5121, Section IV, Pages 3-5 that may arise; (b) youth will receive assistance in requesting contact LPBC 5121, Section IV, Pages 3-5 with parents, other supportive adults, attorney, X clergy, probation officer, or other public official; and, (c) youth will be provided access to available resources X LPBC 5121, Section IV, Pages 3-5 to meet the youth’s needs. 1357 USE OF FORCE LPBC Policy and Procedure Manual section 5108 reviewed on 8/13/20 by Probation The facility administrator, in cooperation with the Manager Kristina Brumbaugh responsible physician, shall develop and implement written policies and procedures for the use of force, We reviewed five (5) Hands-on use of force X which may include chemical agents. Force shall never reports. Each report reviewed revealed staff be applied as punishment, discipline, retaliation or actions were appropriate and within treatment. compliance of this regulation. (a) At a minimum, each facility shall develop policies and procedures which: (1) restricts the use of force to that which is deemed LPBC 5108, Section I, Pages 1-2 reasonable and necessary, as defined in Section LPBC 5108, Section II, B, Page 2 1302 to ensure the safety and security of youth, X staff, others and the facility. 5108 reviewed on 8/13/20 by Probation Manager Kristina Brumbaugh (2) outline the force options available to staff LPBC 5108, Section I, Pages 1-2 including both physical and non-physical X LPBC 5108, Section III, G, Page 6 options and define when those force options are appropriate. (3) describe force options or techniques that are X LPBC 5108, Section IV, Pages 6-8 expressly prohibited by the facility. (4) describe the requirements of staff to report any LPBC 5108, Section II, 5, Pages 3-4 X inappropriate use of force, and to take affirmative action to immediately stop it. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 21 - 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 LPBC 5108, Section IV, E, Pages 13-15 includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by X supervisory and or management staff, which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system X LPBC 5108, Section IV, G, Page 15 for investigating unreasonable use of force. (7) define the role, notification, and follow-up LPBC 5108, Section IV, E (4 and 5), Page procedures required after use of force incidents 14 X for medical, mental health staff and parents or LPBC 5108, Section IV, F, Page 15 legal guardians. (8) describe the limitations of use of force on Not applicable pregnant youth in accordance with Penal Code NA Section 6030(f) and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force We reviewed five (5) use of force reports in option shall include policies and procedures that: which OC spray was utilized. Each report reviewed revealed staff actions were appropriate and within compliance of this regulation. However, technical assistance was provided with regards to the documentation of the decontamination process. We recommend document the entire decontamination process include start and ending times. We also recommend documenting youth statements of no longer suffering the effects of the chemical agent. (1) identify who is approved to carry and/or utilize LPBC 5108, Section IV, D, Page 8 chemical agents in the facility and the type, size X and the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when LPBC 5108, Section II, C, Page 3 there is an imminent threat to the youth’s safety X or the safety of others and only when de- escalation efforts have been unsuccessful or are not reasonably possible. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 22 - 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 LPBC 5108, Section IV, D, (13), Pages 11- timelines for decontamination from chemical 13 agents. This shall include that youth who have X 5108 reviewed on 8/13/20 by Probation been exposed to chemical agents shall not be left Manager Kristina Brumbaugh unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up LPBC 5108, Section IV, E(3)(i), Page 14 procedures required after use of force incidents X involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident LPBC 5118, Section IV, E (1-6), Pages 13- of use of chemical agents, including the reasons 15 for which it was used, efforts to de-escalate X 5118 reviewed on 12/11/20 by Probation prior to use, youth and staff involved, the date, Manager Kristina Brumbaugh 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 LPBC 5108, Section II, C (6), Page 4 which require that agencies provide initial and X regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health LPBC 5108, Section IV, D (7), Page 8 X conditions that would contraindicate certain types of force; (2) acceptable chemical agents and the methods of X LPBC 5108, Section IV, D (12), Pages 10-11 application. (3) signs or symptoms that should result in LPBC 5108, Section IV, 13(e), Page 12 X immediate referral to medical or behavioral LPBC 5108, Section IV, E(f), Page 15 health. (4) instruction on the Constitutional Limitations of X LPBC 5108, Section II, C(6)(c), Page 4 Use of Force. (5) physical training force options that may require X LPBC 5108, Section II, C (6) Page 4 the use of perishable skills. (6) timelines the facility uses to define regular X LPBC 5108, Section IV, D(8)(d), Page 9 training. 1358 USE OF PHYSICAL RESTRAINTS LPBC Policy and Procedure Manual section 5109 reviewed on 09/27/2021 by SPO The facility administrator, in cooperation with the Tiffany Phillips responsible physician and mental health director, shall develop and implement written policies and procedures X We reviewed three (3) reports in which physical restraints were applied to youth at for the use of restraint devices. Restraint devices LPBC. Each report reviewed revealed staff include any devices which immobilize a youth's actions were appropriate and within extremities and/or prevent the youth from being compliance of this regulation. ambulatory. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Physical restraints may be used only for those youth LPBC 5109, Section I, Page 1 who present an immediate danger to themselves or LPBC 5109, Section I, E (1), Page 3 others, who exhibit behavior which results in the reviewed on 09/27/2021 by SPO Tiffany destruction of property, or reveals the intent to cause X Phillips 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 LPBC 5109, Section I, D, Page 1 discipline, or as a substitute for treatment. The use of LPBC 5109, Section, II, Q, Page 5 restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through LPBC 5109, Section II, R, Page 5 reviewed X affixing of hands and feet together behind the back on 09/27/2021 by SPO Tiffany Phillips (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 LPBC Section I, E, Page 1 handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within X 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 LPBC 5109, Section I, B, B, Page 1 of the facility manager or designee. The facility manager LPBC 5109, Section VI, Page 7 may delegate authority to place a youth in restraints to a X physician. Reasons for continued retention in restraints LPBC 5109, Section VI, 2(2)(1), Page 9 shall be reviewed and documented at a minimum of 5109 reviewed on 09/27/2021 by SPO every hour. Tiffany Phillips A medical opinion on the safety of placement and LPBC 5109, Section V, Page 6 retention shall be secured as soon as possible, but no later X 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 LPBC 5109, Section IV, Page 6 possible, but in no case longer than four hours from the X time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted LPBC 5109, Section II, G, Page 4 to ensure that the restraints are properly employed, and LPBC 5109, Section II, I, Page 4 to ensure the safety and well-being of the youth. X 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 X procedures shall address: 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) documentation of the circumstances leading to an LPBC 5109, Section VI, A(2)(a), Page 7 application of restraints. X 5109 reviewed on 09/27/2021 by SPO Tiffany Phillips (b) known medical conditions that would LPBC 5109, Sections V, C, Pages 6-7 X contraindicate certain restraint devices and/or techniques. (c) acceptable restraint devices. LPBC 5109, Section I, E, Pages 1-2 X LPBC 5109, Section III, Pages 5-6 (d) signs or symptoms which should result in X LPBC 5109, Section II, P, Page 5 immediate medical/mental health referral. (e) availability of cardiopulmonary resuscitation X LPBC 5109, Section V, B, Page 6 equipment. (f) protective housing of restrained youth. While in LPBC 5109, Section II, K, Page 4 restraint devices, all youth shall be housed alone or X in a specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. X LPBC 5109, Section II, L and M, Page 4 (h) exercising of extremities. X LPBC 5109, Section II, N, Page 4 1358.5 USE OF RESTRAINT DEVICES FOR LPBC Policy and Procedure Manual section MOVEMENT AND TRANSPORTATION WITHIN 5109 THE FACILITY. Review of policy and procedure revealed The Facility Administrator, in cooperation with the compliance with this regulation. X responsible physician and behavioral/mental health director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff LPBC 5109, Section I, E, Pages 1-2 approved to utilize restraint devices and the X LPBC 5109, Section III, Pages 5-6 required training. (b) the circumstances leading to the application of X LPBC 5109, Section VI, A (2), Page 7 restraints must be documented. (c) an individual assessment of the need to apply LPBC 5109, Section IV, Page 6 restraints for movement or transportation that LPBC 5109, Section V, Page 6 includes consideration of less restrictive X alternatives, consideration of a youth’s known LPBC 5109, Section VI, Pages 7-9 medical or mental health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, LPBC 5109, Section I, C and D, Page 1 with a clearly defined expectation that restraint X devices shall not be used for the purposes of discipline or retaliation. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 25 - 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 Not applicable NA accordance with Penal Code Section6030(f) and Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who NA 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 Not applicable NA necessary nutrition and fluids, access to a toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or Not applicable NA designee, before a youth is placed into a safety room; (3) provide for continuous direct visual supervision Not applicable and documentation of the youth's behavior and NA any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the NA Not applicable facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Not applicable NA where appropriate, or an assessment at the next daily sick call; and, (6) provide a process for documenting the reason for Not applicable placement, including attempts to use less NA restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be NA Not applicable accomplished in accordance with the following: (1) safety room shall not be used before other less Not applicable restrictive options have been attempted and NA 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 Not applicable NA punishment, coercion, convenience, or retaliation by staff. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 26 - 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 Not applicable NA compromises the mental and physical health of the youth. (c) A youth may be held up to four hours in the safety Not applicable room. After the youth has been held in the safety NA room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. NA Not applicable (2) consult with mental health or medical staff, NA Not applicable (3) develop an individualized plan that includes the Not applicable NA 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 Not Applicable beyond four hours, staff shall develop an individualized plan that includes the requirements NA of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES LPBC Policy and Procedure Manual section 5110 reviewed on 09/30/2021 by SPO The facility administrator shall develop and implement Tiffany Phillips written policies and procedures governing the search of X youth, the facility, and visitors. Policies and procedures Review of policy and procedure and shall provide that: interviews with staff revealed compliance with regulation. (a) Searches shall be conducted to ensure the safety and LPBC 5110, Section II, A, Page 1 X security of the facility, public, visitors, youth, and staff. (b) Searches shall be conducted in a manner that LPBC 5110, Section I, A, Page 1 preserves the privacy and dignity of the person X LPBC 5110, Section II, A, Pages 1-2 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 LPBC 5110, Section I, Page 1 X searches shall comply with Penal Code Section 4030. (d) Physical body cavity searches shall only be X LPBC 5110, Section V, 1, Page 5 conducted by a medical professional. (e) Any youth held after a detention hearing shall only LPBC 5110, Section V, F, Page 4 be strip searched with prior approval of a supervisor when there is reasonable suspicion based on X 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 X LPBC 5110, Section V, 4, Page 5 comply with Section 1352.5. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Cross-gender pat-down searches and strip searches LPBC 5110, Section IV, B, Page 2 reviewed are prohibited except in exigent circumstances or on 09/30/2021 by SPO Tiffany Phillips X when conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE LPBC Policy and Procedure Manual section 5119 reviewed on 8/22/20 by Probation The facility administrator shall develop and implement Manager Kristina Brumbaugh written policies and procedures whereby any youth may appeal and have resolved grievances relating to any LPBC only had one (1) grievance condition of confinement, including but not limited to documented this inspection cycle. Review of health care services, classification decisions, program X that grievance revealed compliance with this participation, telephone, mail or visiting procedures, regulation. 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 LPBC 5119, Section I, A (1), Page 1 X grievance, which includes provisions for the youth to have free access to the form; (b) the youth shall have the option to confidentially file LPBC 5119, Section II, Page 3 X 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 X LPBC 5119, Section I, B (2), Page 1 staff level; (d) provision for a prompt review and initial response LPBC 5119, Section I, B 2(b), Page 2 to grievances within three (3) business days, X grievances that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain LPBC 5119, Section I, B, 5, Page 2 his/her version of the grievance to a person not X directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by X LPBC 5119, Section I, B, 1, Page 1 the facility administrator to assist the youth. (e) provision for a written response to the grievance X LPBC 5119, Section I, B, 6, Page 2 which includes the reasons for the decisions; (f) a system which provides that any appeal of a LPBC 5119, Section I, B (1), Page 1 grievance shall be heard by a person not directly X involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten LPBC 5119, Section I, B (4), Page 2 (10) business days unless circumstances dictate a X longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and LPBC 5119, Section II, A (4), Page 4 X external methods to report sexual abuse and sexual harassment. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 28 - 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 LPBC 5119, Section I, A, 5(a), Page 2 parents, guardians, staff or other parties shall be X 5119 reviewed on 8/22/20 by Probation addressed and documented in accordance with written Manager Kristina Brumbaugh policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS LPBC Policy and Procedure Manual section 5101 reviewed on 9/30/21 by Probation A written report of all incidents which result in physical Manager Barton Clark harm, use of force, serious threat of physical harm, or death of an employee, youth or other person(s) shall be X Review of eight (8) Special Incident Reports maintained. Such written record shall be prepared by the (SIR) provided revealed compliance with staff and submitted to the facility manager by the end of this regulation. the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO LPBC Policy and Procedure Manual section COLLECT DNA SPECIMENS, SAMPLES, 5132 reviewed on 9/28/21 by Probation IMPRESSIONS Manager Barton Clark (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ X reasonable force to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of Not applicable reasonable force” shall be defined as the force that an objective, trained and competent correctional NA 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 Not applicable efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented NA 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 Not applicable authorization of the supervising officer on duty. The authorization shall include information that NA reflects the fact that the offender was asked to provide the requisite specimen, sample, or impression and refused. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 29 - 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 Not applicable extraction, the extraction shall be videotaped. Video shall be directed at the cell extraction event. The videotape shall be retained by the NA 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. 1370 EDUCATION PROGRAM LPBC Policy and Procedure Manual section 5120 reviewed on 6/10/21 by Probation (a) School Programs Manager Kristina Brumbaugh The County Board of Education shall provide for the LPBC 5120, Section I, K (1), Page 3 administration and operation of juvenile court schools in conjunction with the Chief Probation LPBC 5120, Section IV, Page 5 Officer, or designee pursuant to applicable State School annual review was completed on laws. The school and facility administrators shall Completed on December 18, 2020, by Brian develop and implement written policy and Zimmerman, director of Pupil Services Santa procedures to ensure communication and Maria Bonita School District. coordination between educators and probation staff. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology X practices. The facility administrator shall request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements LPBC 5120, Section I The facility school program shall comply with the 5120 reviewed on 6/10/21 by Probation State Education Code and County Board of Manager Kristina Brumbaugh 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 X 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 LPBC 5120, Section I, C, Page 1 program shall be free from discriminatory action. X 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 LPBC 5120, Section I, D, Pages 1-2 X Education Code and include, but not be limited to, courses required for high school graduation. (2) Information and preparation for the High School LPBC 5120, Section I, D (4), Page 2 Equivalency Test as approved by the California X Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education X LPBC 5120, Section I, I and J, Page 3 and vocational opportunities. (4) Administration of the High School Equivalency Tests LPBC 5120, Section I, F, Page 2 X as approved by the California Department of Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth LPBC 5120, Section III, Pages 4-5 who do not demonstrate sufficient progress towards X LPBC 5120, Section I, Pages 2-3 grade level standards. (6) The minimum school day shall be consistent with LPBC 5120, Section I, F, Page 2 State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that X 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. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 31 - 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 LPBC 5120, Section I, H (3), Page 3 classification, housing, security status, disciplinary 5120 reviewed on 6/10/21 by Probation or separation status, including room confinement, Manager Kristina Brumbaugh except when providing education poses an X 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 LPBC 5120, Section II, A, Pages 3-4 (1) Positive behavior management will be implemented to reduce the need for disciplinary action in the X school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative LPBC 5120, Section II, B, Page 4 X decisions made by probation staff that may affect the educational programming of students. (3) Except as otherwise provided by the State Education LPBC 5120, Section II, C, Page 4 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 X 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 LPBC 5120, Section II, A-B. Pages 3-4 education staff will develop policies and procedures X that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations LPBC 5120, Section III, Pages 4-5 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or X 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 LPBC 5120 Section III, D, Page 5 afforded an educational program that addresses their X language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission LPBC 5120, Section I, H-I, Pages 2-3 X (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's educational history, including but not limited to: 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) School progress/school history; LPBC 5120 Section I, H(2)(a), Page 2 X 5120 reviewed on 6/10/21 by Probation Manager Kristina Brumbaugh (B) Home Language Survey and the results of the State X LPBC 5120, Section I, H(2)(b), Page 2 Test used for English language proficiency; (C) Needs and services of special populations as defined LPBC 5120, Section I, H(2)(e), Page 3 X by the State Education Code, including but not limited to, students with special needs. (D) Discipline problems. X LPBC 5120, Section I, H(2)(f), Page 3 (2) Youth will be immediately enrolled in school. LPBC 5120, Section I, H, Page 2 Educational staff shall conduct an assessment to X determine the youth's general academic functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary LPBC 5120, Section H (4), Page 3 X education plan shall be developed for each youth within five school days. (4) Upon enrollment, education staff shall comply with LPBC 5120, Section I, H, Pages 2-3 the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment X 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 LPBC 5120, Section IV, Page 5 X (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 LPBC 5120, Section I A, Page 1 appropriate credit (full or partial) for course work X LPBC 5120, Section I, D (3), Page 2 completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning LPBC 5120, Section I, I, Page 3 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies X 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. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Post-Secondary Education Opportunities LPBC 5120, Section I, J, Page 3 LPBC 5120, Section K (1), Page 3 (1) The school and facility administrator should, whenever possible, collaborate with local post- X 5120 reviewed on 6/10/21 by Probation secondary education providers to facilitate access to Manager Kristina Brumbaugh educational and vocational opportunities for youth that considers the use of technology to implement these programs. 1371 PROGRAMS, RECREATION, AND LPBC Policy and Procedure Manual section EXERCISE. 5123 reviewed on 3/2/20 by Probation Manager Kristina Brumbaugh The facility administrator shall develop and implement written policies and procedures for programs, Reviewed Daily Title 15 Activities form recreation, and exercise for all youth. The intent is to from the months September 2020 and July minimize the amount of time youth are in their rooms 2021. Review of documentation provided or their bed area. revealed compliance with this regulation. X However, technical assistance was provided regarding the documentation of what programs were provided for youth. On several Daily Title 15 Activities forms staff documented the youth participated in programming but failed to document the name of the program. We recommend staff always document the name of each program the youth participates in on that day. Juvenile facilities shall provide the opportunity for LPBC 5123, Section I, C, Page 1 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each X 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 LPBC 5123, Section I, D (4), Page 1 exercise may be suspended only upon a written finding X 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 X LPBC 5123, Section I, F, Page 2 be posted in the living units. There will be a written annual review of the programs, LPBC 5123, Section I, E, Page 2 recreation, and exercise by the responsible agency to X The facility annual written program review ensure content offered is current, consistent, and was completed relevant to the population. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 34 - 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 LPBC 5104, Section VII, Page 6 opportunity for at least one hour of daily Program Overview and Daily Schedule programming to include, but not be limited to, reviewed on 09/24/2021 by SPO Tiffany trauma focused, cognitive, evidence-based, best Phillips practice interventions that are culturally relevant and linguistically appropriate, or pro-social interventions LPBC 5123, Section 1, C, Page 1 and activities designed to reduce recidivism. These Review of documentation provided revealed programs should be based on the youth’s individual X compliance with this regulation. needs as required by Sections 1355 and 1356. Such programs may be provided under the direction of the Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; LPBC 5104, Section VII, Page 6 (2) Management of Stress and Trauma; 5104 reviewed on 09/24/2021 by SPO (3) Anger Management; (4) Conflict Resolution; Tiffany Phillips and Daily Schedule (5) Juvenile Justice System; LPBC 5123, Section 1, C, Page 1 (6) Trauma-related interventions; 5123 reviewed on 3/2/20 by Probation (7) Victim Awareness; Manager Kristina Brumbaugh (8) Self-Improvement; (9) Parenting Skills and support; X (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 LPBC 5123, Section I, C, Page 1 opportunity for at least one hour of daily access to Review of documentation provided revealed unscheduled activities such as leisure reading, letter X compliance with this regulation. writing, and entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the LPBC 5123, Section I, C, Page 1 opportunity for at least one hour of large muscle X Review of documentation provided revealed activity each day. compliance with this regulation. The administrator/manager may suspend, for a period not LPBC 5123, Section I, D (4) Page 1 to exceed 24 hours, access to recreation and programs. X The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1372 RELIGIOUS PROGRAM LPBC Policy and Procedure Manual section 5129 reviewed on 9/22/21 by Probation The facility administrator shall provide access to Manager Barton Clark religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth x Review of daily schedule revealed youth can shall be allowed to participate in an activity outside of participate in alternative programming their room if he/she elects not to participate in religious during the scheduled religious program time. programs. Religious programs shall provide for: (a) opportunity for religious services and practices; x LPBC 5129 (b) availability of clergy; and, x LPBC 5129 (c) availability of religious diets. x LPBC 5129 1373 WORK PROGRAM LPBC Policy and Procedure Manual section 5122 reviewed on 09/24/2021 by SPO The facility administrator shall develop policies and Tiffany Phillips procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth X LPBC continues to provide youth excellent shall be meaningful, constructive and related to work programs such as the Culinary Arts vocational training or increasing a youth's sense of Program and the LPBC Business Center. responsibility. Work programs shall not be imposed as a disciplinary measure. 1374 VISITING LPBC Policy and Procedure Manual section 5128 reviewed on 9/22/21 by Probation The facility administrator shall develop and implement Manager Barton Clark written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to Review of LPBC visitation logs revealed receive visits by parents, guardians or persons standing compliance with this regulation. X in loco parentis, and children of youth. Other family members, such as grandparents and siblings, and supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. All visits shall occur at reasonable times, subject only to LPBC 5128, Section II the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, X 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 LPBC 5128, Section II hours per week. Visits may be supervised, but X conversations shall not be monitored unless there is a security or safety need. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 36 - 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 LPBC 5128, Section II, B (1), Page 2 minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. X 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 LPBC 5128, Section II, B (5), Page 2 X alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE LPBC Policy and Procedure Manual section 5130 reviewed on 9/22/21 by Probation The facility administrator shall develop and implement Manager Barton Clark written policies and procedures for correspondence X which provide that: Review of policy and procedures and interviews with staff and youth revealed compliance with this regulation. (a) there is no limitation on the volume of mail that youth LPBC 5130, Section I X may send or receive; (b) youth may send two letters per week postage free; X LPBC 5130, Section III, E, Page 4 (c) youth may correspond confidentially with state and LPBC 5130, Section II, A, Page 1 federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized X 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 LPBC 5130, Section II, F, Pages 1-4 in (c), may be read by staff only when there is LPBC 5130, Section III X reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS LPBC Policy and Procedure Manual section 5131 reviewed on 9/22/21 by Probation The administrator of each juvenile facility shall develop Manager Barton Clark and implement written policies and procedures to X Review of policy and procedures and provide youth with access to telephone communications. interviews with staff and youth revealed compliance with this regulation. 1377 ACCESS TO LEGAL SERVICES LPBC Policy and Procedure Manual section 5132 reviewed on 9/22/21 by Probation The facility administrator shall develop written Manager Barton Clark procedures to ensure the right of youth to have access to X Review of policy and procedures and the courts and legal services. Such access shall include: interviews with staff and youth revealed compliance with this regulation. (a) access, upon request by the youth, to licensed LPBC 5132, Section I, Page 1 X attorneys and their authorized representatives; (b) provision for confidential consultation with LPBC 5132, Section I, A, Page 1 X attorneys; and, 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 37 - 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 LPBC 5132 Section I, Page 1 X cost-free telephone access as appropriate. 1390 DISCIPLINE LPBC Policy and Procedure Manual section 5118 reviewed on 12/11/20 by Probation The facility administrator shall develop and implement Manager Kristina Brumbaugh written policies and procedures for the discipline of youth that shall promote acceptable behavior; including Review of policy and procedures and the use of positive behavior interventions and supports. X documentation revealed compliance with this Discipline shall be imposed at the least restrictive level regulation. 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; X LPBC 5118, Section I A (1), Page 1 (b) daily shower, access to drinking fountain, toilet and LPBC 5118, Section I A (2), Page 1 personal hygiene items, and clean clothing; X 5118 reviewed on 12/11/20 by Probation Manager Kristina Brumbaugh (c) full nutrition; X LPBC 5118, Section I A (3), Page 1 (d) contact with parent or attorney; X LPBC 5118, Section I A (4), Page 1 (e) exercise; X LPBC 5118, Section I A (5), Page 1 (f) medical services and counseling; X LPBC 5118, Section I A (6), Page 1 (g) religious services; X LPBC 5118, Section I A (7), Page 1 (h) clean and sanitary living conditions; X LPBC 5118, Section I A (8), Page 1 (i) the right to send and receive mail; X LPBC 5118, Section I A (9), Page 1 (j) education; and, X LPBC 5118, Section I A (10), Page 1 (k) rehabilitative programming. X LPBC 5118, Section I A (11), Page 1 The facility administrator shall establish rules of conduct LPBC 5118, Section I, B (4), Page 2 and disciplinary penalties to guide the conduct of youth. LPBC 5118, Section III, A (1), Page 3 Such rules and penalties shall include both major violations and minor violations, be stated simply and X 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 LPBC Policy and Procedure Manual section 5118 The facility administrator shall develop and implement X written policies and procedures for the administration Review of policy and procedures and of discipline which shall include, but not be limited to: documentation revealed compliance with this regulation. (a) designation of personnel authorized to impose LPBC Section II, A, Page 2 X discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; X LPBC 5118, Section I, B (3), Page 2 (c) definition of major and minor rule violations and LPBC Sections IV, V, Pages 4-16 X their consequences, and due process requirements; (d) trauma-informed approaches and positive behavior LPBC 5118, Section I, B, Pages 1-2 X interventions; 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) minor rule violations may be handled informally by LPBC 5118, Section IV, Pages 4-6 counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be X accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process LPBC 5118, Section V, Page 6 shall be documented and require the following: We reviewed six (6) Youth Long Form which documents youth due process hearing. X Review of documentation provided revealed compliance with this regulation. (1) written notice of violation prior to a hearing; X LPBC 5118, Section III, Page 3 (2) accommodations provided to youth with LPBC 5118, Section I, B (4), Page 2 disabilities, limited literacy, and English X LPBC 5118, Section III, A (1), Page 3 language learners; (3) hearing by a person who is not a party to the LPBC 5118, Section III, Page 3 X incident; (4) opportunity for the youth to be heard, present LPBC 5118, Section III, C (2), Page 3 X evidence and testimony; (5) provision for youth to be assisted by staff in the LPBC 5118, Section III, C, Page 3 hearing process; X 5118 reviewed on 12/11/20 by Probation Manager Kristina Brumbaugh (6) provision for administrative review. X LPBC 5118, Section III, D (3), Page 4 (g) violations that result in a removal from camp or Not applicable commitment program, but not a return to court, will All removals from camp or program are NA follow the due process provisions in subsection (e) heard in Juvenile Court above. f 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 39 - 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 X 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 Not applicable NA age and older. The facility has been approved to hold persons under Not applicable NA 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 X the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC Not applicable 300 MINORS Violation Dependent or neglected minors who are defined under NA Section 300 of the Welfare and Institutions Code (WIC) are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC Not applicable 601) AND FEDERAL MINORS NA Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from Violation Not applicable NA Juvenile Delinquents (WIC 602)? (WIC 207[d]). Federal Minors (ICE Holds or ORR Contract) are held Not applicable NA in the facility. If yes to the above, the Monthly Report on the Not applicable Detention of Status Offenders/Federal Minors is NA submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND Not applicable ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person NA 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 Violation Not applicable NA separated from minors. Adult inmates from an adult facility (e.g. inmate Not applicable workers or “Scared Straight” programs) are not allowed Violation NA in the facility in a manner that allows contact with minors. 7571 Santa Barbara Los Prietos Camp PRO 20-22 - 40 - 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: Pre-1998* BSCC Code: 7571 FACILITY NAME: Los Prietos Boys Camp FACILITY TYPE: Camp CONSTRUCTION/REMODEL DATE(S): 1995 (Admin/Dining Hall) 1998 (Dorm) IDENTIFY FACILITY PHYSICAL PLANT MODIFICATIONS SINCE 1992: FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: October 6, 2021 Comments: No changes to the facility during the 2020-2022 inspection cycle. TITLE 24 SECTION YES NO N/A COMMENTS RECEPTION AREA (JH)  Holding Rooms: Contain 15 square feet per minor; Have sufficient seating to accommodate the rated  capacity based on floor space; Provide access to water closets and wash basins at a  ratio of a 1:8; and Provide access to drinking fountain.  Provide access to telephone.  Provide access to private room(s) for interviews.  MEDICAL EXAM SPACE (JH & CAMP) Space or room(s) afford privacy, are equipped to carry out  routine examinations and emergency care and have sufficient locked storage space for medical supplies. LIVING UNITS (JH AND SPJH)  Living units are designed to accommodate no more than 30 minors and contain: Showers at a ratio of 1:6;  Washbasins at a ratio of 1:6;  Water closets at a ratio of 1:6 or water closet and one  urinal for every 15 boys; and, Access to a drinking fountain by minors and staff.  Doors of each sleeping room have a view panel (maximum of 144 square inches of shatter-proof glass or plastic  materials) that allows the visual supervision of all parts of the room. Hallways in the detention living units are at least eight feet wide. If rooms are located on only one side, or if room  doors are staggered, hallways are at least six feet wide. SINGLE ROOMS (JH, SPJH & CAMP)  Contain a minimum of 500 cubic feet of air space and 63 cubic feet of floor space. DOUBLE ROOMS (JH, SPJH & CAMP)  Contain a minimum of 800 cubic feet of airspace and 100 square feet of floor space. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3(Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7571 Santa Barbara Los Prietos Camp PHY 20-22 - 1 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS DORMITORY SLEEPING AREAS (JH & CAMP) At the time of the inspection all youth were housed in the Lower dormitory.  Contain a minimum of 400 cubic feet of airspace and 50 square feet of floor space per minor. LOCKED SLEEPING ROOMS (JH, SPJH & CAMP) Contain an individual or combination drinking fountain,  wash basin and toilet, unless a communication system or procedure is in effect to give minor immediate access to these fixtures. PLUMBING FIXTURES (CAMP) The following plumbing fixtures are adjacent to each  sleeping area: Shower or bathtub at a ratio of 1:6; Washbasins at a ratio of 1:10;  Access to toilets at a ratio of 1:10 or toilet and one  urinal for every 15 boys; and, Access to a drinking fountain.  BEDS AND MATTRESSES (JH, SPJH & CAMP) Beds and mattresses are:  A least 30 inches wide and 76 inches long; Spaced at least 36 inches apart and at least 12 inches off  the floor; and, Mattresses are made of a fire retardant material.  INTERVIEW ROOMS (JH, SPJH & CAMP)  There is one interview room for each detention unit in juvenile halls and special purpose juvenile halls. There is a private room suitably equipped for conferences  and interviews in each camp. LIGHTING (JH, SPJH & CAMP) There are at least 50 foot candles of illumination at desk  level and, at night, there is a maximum illumination of two foot candles at bed level in individual and multiple occupancy rooms. ACADEMIC CLASSROOM (JH & CAMP) At the time of the inspection only one classroom was being utilized due to the low population. Each classroom contains a minimum of 160 square feet with a teacher's desk and work area, and a minimum of 28 square  feet per student. Classrooms should be designed for no more than 15 students. 98: Designed for no more than 20 students DINING SPACE (JH & CAMP)  There is a minimum of 15 square feet of space for each person being fed at any given time. PHYSICAL ACTIVITY SPACE (JH & CAMP) (See 2001 regulations for revised calculations.) There is indoor space consisting of at least 30 square feet of  clear space for each minor, which may be included in a day room, a recreational building, or a multipurpose space (gymnasium). *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3(Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7571 Santa Barbara Los Prietos Camp PHY 20-22 - 2 - J455 PHY Pre-98.dot (03/01) TITLE 24 SECTION YES NO N/A COMMENTS There is outdoor and/or multipurpose (gymnasium) space consisting of:  No less than the equivalent of 90' X 100' outdoor and /or multipurpose space (gymnasium) for a facility with a capacity of 40 or less. No less than the equivalent of 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with a capacity of more than  40, and a juvenile hall with a capacity between 41 to 100 minors. No less than the equivalent of two 90' X 100' hardtop area and 260 X 260' field area and/or multipurpose space (gymnasium) for a camp with a capacity of more  than 40 and a juvenile hall with a capacity in excess of 101 minors. Lighting is adequate for security and evening recreational  activities in camps. STORAGE SPACE (JH, SPJH & CAMP)  Each minor is provided 9 cubic feet of secure storage space for personal clothing and belongings. Camps shall have adequate space (12 square feet of floor area is recommended) for bulk and activity storage  equipment. MULTIPURPOSE SPACE OR ROOM (SPJH) There is a multipurpose space or room that provides space  for reception, dining, recreation, exercise and/or education. This room contains a minimum of: 30 square feet of clear floor space per minor in the  room; 10 feet by 20 feet floor dimensions; and,  1600 cubic feet of air space with a minimum ceiling  height of eight feet. *Regulations on this checklist are from the Pre-1998 Title 15 Sections 4272/4315.3(Juvenile Halls & Special Purpose Juvenile Halls) and 4323 (Camps & Ranches). 7571 Santa Barbara Los Prietos Camp PHY 20-22 - 3 - J455 PHY Pre-98.dot (03/01) JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State and Community Corrections Inspection BSCC Codes: 7571 FACILITY: Los Prietos Boys Camp TYPE: Camp RC: 96 FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: October 6, 2021 ROOMS EACH ROOM Unit Room Applicable # Each Room Total Size (L x W x H) or FIXTURES* COMMENTS Designation Type Standards Rooms # Beds RC RC Square/Cubic Feet T U W F S Boys Camp Dorm Pre 98 1 45 56 56 95’x38'7"=3,665 5 2 8 1 10 sq. ft. Boys Dorm Pre-98 1 30 40 40 30’x 68’7” =2,061 4 5 12 2 7 This dormitory is identified as the Upper dorm and it Academy sq ft was vacant at the time of the inspection. Ancillary Space Classroom 1 30'6"x29' =884 sf Classroom 2 30'6”x29’=884 sf Classroom 3 30'6"x28'9"=877 sf Classroom 4 30'6"x29'2"=889 sf Resource Room/Library 46'x15'9"=724 sf Medical Exam Room 12'1"x10'=121 sf 1 Toilet available Sick Bay Dorm 10'2"x12'2"=124 sf 1 1 1 Dining 47'8"x36'9"=1,752 1 sf Multi-Purpose 123’x60’=6,120 sf Excludes 21 x 60 vocational shop of 1,260 sq. ft. Recreation 50’x90’=4,500 sq. ft. Paved area plus field area. Notes: 2014: The Los Prietos Boys Academy ceased operation in October 2013. The RC of the dormitory that it occupied has been added to the RC of the Los Prietos Boys Camp. 2018: Boys Camp remodel of dormitory restroom schedule to begin in November 2018. 2021: Although the Upper dorm was vacant at the time of the inspection this dormitory is used for recreation and showers for the youth. Comments: No changes to the facility during the 2020-2022 inspection cycle. *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. 7571 Santa Barbara Los Prietos Camp LASE 20-22 - 1 - J460 LAS JUV-05.dot (8/05) JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7574 FACILITY NAME: Santa Maria Juvenile Hall (SMJH) FACILITY TYPE: JH PERSON(S) INTERVIEWED: Kimberly Shean, Deputy Chief Probation Officer; JJ Zahry, Probation Manager; Lesli Stamm, Supervising Deputy Probation Officer; Miguel, Supervising Deputy Probation Officer; Shanda Barnett, Behavioral Health Supervisor; Carrick Adam MD, Physician; Shannon Guillen, RN Facility Coordinator; Melinda Cheek, Juvenile Institution Officer(JIO); Eddie Torres, School Teacher; Jorge Ruvalcaba, Senior JIO; Cristel Perez; JIO Trust Unit FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: November 11, 2021 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, X each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by SMJH- Completed on 12/18/20 X the Board of Supervisors to approve building safety; (B) Fire authority having jurisdiction, including a fire SMJH- Completed on 11/12/20 clearance as required by Health and Safety Code X Section 13146.1 (a) and (b); (C) Local health officer, inspection in accordance with SMJH-Environmental completed 11/19/20; Health and Safety Code Section 101045; 2021 Inspection completed 10/1/21 (report was not available at the time of the X inspection) SMJH-Nutritional completed 12/7/20 SMJH-Medical/Mental Health completed 11/16/20 (D) County superintendent of schools on the adequacy Completed on 12/18/2020 by Brian of educational services and facilities as required in Zimmerman, Director of Pupil Personnel X Section 1370; Services for Santa Maria-Bonita school District. (E) Juvenile court as required by Section 209 of the SMJH-Completed 11/30/20 by Judge Arthur X Welfare and Institutions Code A. Garcia (F) Juvenile Justice Commission as required by Section SMJH-Completed 8/12/21 by Gabriela 229 of the Welfare and Institutions Code or Ferreira, Commission Chair. X Probation Commission as required by Section 240 of the Welfare and Institutions Code. 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. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS SMJH Policy and Procedure Manual section BSCC Note: Compliance with this section is 4102; Reviewed by SPO Monge on 9/13/21 determined by receipt of the Chief Probation Officer’s certification letter confirming that all elements of SMJH Policy and Procedure Manual 4102; regulation are met. Reviewed by SPO Monge on 9/13/21 (a) Appointment X In each juvenile facility there shall be a superintendent, The elements of this regulation are covered director or facility manager in charge of its program and in Chief Tanja Heitman letter (memo), dated 11/13/2020 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 X SMJH Policy and Procedure Manual 4102; Each facility shall: Reviewed by SPO Monge on 9/13/21 (1) recruit and hire employees who possess knowledge, SMJH Policy and Procedure Manual 4102; skills and abilities appropriate to their job X Reviewed by SPO Monge on 9/13/21 classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical SMJH Policy and Procedure Manual 4102; examination including tuberculosis screening test Reviewed by SPO Monge on 9/13/21 X 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 SMJH Policy and Procedure Manual 4102; and training requirements adopted by the Board X Reviewed by SPO Monge on 9/13/21 pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new SMJH Policy and Procedure Manual 4102: employee, and psychological examination in X Reviewed by SPO Monge on 9/13/21 accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- SMJH Policy and Procedure Manual 4102; employees of the facility, who may be present at the Reviewed by SPO Monge on 9/13/21 facility, shall have such clearance and qualifications X as may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING SMJH Policy and Procedure Manual section 4112; Reviewed by SPO Monge on 9/14/21 Each juvenile facility shall: X We reviewed a variety of documents including safety check records, grievances, disciplinary actions, incidents reports, shift schedules and rosters. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS a) have an adequate number of personnel sufficient to SMJH 4112, Section I, C, Page 2; Reviewed carry out the overall facility operation and its by SPO Monge on 9/14/21 programming, to provide for safety and security of At the time of the inspection the juvenile hall youth and staff, and meet established standards and staffing consisted of: regulations; 1 Program Manager X 2 Supervising Probation Officers (SPO) 3 Senior Juvenile Institution Officers (JIO Sr) 24 Juvenile Institution Officers- The facility has two vacant positions and five staff currently on leave of absence. b) ensure that no required services shall be denied SMJH 4112, Section I, C, Page 2; Reviewed X because of insufficient numbers of staff on duty by SPO Monge on 9/14/21 absent exigent circumstances; c) have a sufficient number of supervisory level staff to SMJH 4112, Section I, C, Page 2; Reviewed ensure adequate supervision of all staff members; by SPO Monge on 9/14/21 X A Supervisor is identified on the daily shift rosters. d) have a clearly identified person on duty at all times SMJH 4112, Section 1, A, Page 1; Reviewed who is responsible for operations and activities and by SPO Monge on 9/14/21 has completed the Juvenile Corrections Officer Core Course and PC 832 training; X A Supervisor is assigned to each shift. In the Supervisor’s absence, a Lead Senior Juvenile Institution Officer (Sr. JIO) is identified on the roster and assumes the Supervisor’s role. e) have at least one staff member present on each living SMJH 4112, Section II, H, 6-7, Page 5; unit whenever there are youth in the living unit; Reviewed by SPO Monge on 9/14/21 X Per policy and procedure manual staff is always present in occupied housing units. f) have sufficient food service personnel relative to the SMJH 4112, Section I, C, Page 2; Reviewed number and security of living units, including staff by SPO Monge on 9/14/21 qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen X supervision; direct food preparation and servings; 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; 7574 Santa Barbara Santa Maria JH PRO 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS g) have sufficient administrative, clerical, recreational, SMJH 4112, Section I, C, Page 2; Reviewed medical, dental, mental health, building by SPO Monge on 9/14/21 maintenance, transportation, control room, facility X security and other support staff for the efficient management of the facility, and to ensure that youth supervision staff shall not be diverted from supervising youth; and, h) assign sufficient youth supervision staff to provide SMJH 4112, Section II, H, 4-6, Pages 4-5; continuous wide-awake supervision of youth, Reviewed by SPO Monge on 9/14/21 subject to temporary variations in staff assignments X 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) SMJH 4112, Section II, H, 4, 1, Page 4; (A) during the hours that youth are awake, one wide- Reviewed by SPO Monge on 9/14/21 awake youth supervision staff member on duty for X Juvenile Hall population at the time of the each 10 youth in detention; inspection was 23 youths, 20 males, and 3 females. (B) during the hours that youth are confined to their SMJH 4112, Section II, H, 2, Page 4; room for the purpose of sleeping, one wide-awake X Reviewed by SPO Monge on 9/14/21 youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff SMJH 4112, Section II, H, 3, Page 4; members on duty at all times, regardless of the Reviewed by SPO Monge on 9/14/21 number of youth in detention, unless an X 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 SMJH 4112, Section II, H, 3, Page 4; X who is the same gender as youth housed in the Reviewed by SPO Monge on 9/14/21 facility. (E) personnel with primary responsibility for other SMJH 4112, Section I, C, Page 2; Reviewed duties such as administration, supervision of by SPO Monge on 9/14/21 X 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- This facility is not a Special Purpose staff ratio) Juvenile Hall. The balance of this regulation X NA (A) during hours that youth are awake, one wide-awake has been deemed not applicable. youth supervision staff member is on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room Not applicable for the purpose of sleeping, one wide-awake youth NA supervision staff member on duty for each 30 youth in detention; 7574 Santa Barbara Santa Maria JH PRO 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) at least two wide-awake youth supervision staff Not applicable members on duty at all times, regardless of the NA 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 Not applicable NA who is the same gender as youth housed in the facility. (E) personnel with primary responsibility for other Not applicable duties such as administration, supervision of NA personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (minimum youth -staff ratio) Not applicable (A) during the hours that youth are awake, one wide- NA 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 Not applicable room for the purpose of sleeping, one wide-awake NA youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff Not applicable members on duty at all times, regardless of the NA 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 Not applicable NA who is the same gender as youth housed in the facility; (E) in addition to the minimum staff to youth ratio Not applicable 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 NA 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 Not applicable duties such as administration, supervision of personnel, academic or trade instruction, clerical, NA farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF SMJH Policy and Procedure Manual section ORIENTATION AND TRAINING 4102; Reviewed by SPO Monge 9/13/21 (a) Prior to assuming any responsibilities each youth X supervision staff member shall be properly oriented to their duties, including: (1) youth supervision duties; SMJH 4102, Section II, Page 2; Reviewed X by SPO Monge 9/13/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) scope of decisions they shall make; SMJH 4102, Section II, Page 3; Reviewed X by SPO Monge 9/13/21 (3) the identity of their supervisor; SMJH 4102, Section II, Page 2; Reviewed X by SPO Monge 9/13/21 (4) the identity of persons who are responsible to SMJH 4102, Section II, Page 2; Reviewed X them; by SPO Monge 9/13/21 (5) persons to contact for decisions that are beyond SMJH 4102, Section II, Page 2 Reviewed by X their responsibility; and SPO Monge 9/13/21 (6) ethical responsibilities. SMJH 4102, Section II, Page 3; Reviewed X by SPO Monge 9/13/21 (b) Prior to assuming any responsibility for the SMJH 4102, Section I, Page 1; Reviewed by supervision of youth, each youth supervision staff SPO Monge 9/13/21 member shall receive a minimum of 40 hours of X facility-specific orientation, including: All new full-time and temporary employees receive 40 hours of Introductory Training. (1) individual and group supervision techniques; SMJH 4102, Section III, Page 3; Reviewed X by SPO Monge 9/13/21 (2) regulations and policies relating to discipline and SMJH 4102, Section III, Pages 3-4; rights of youth pursuant to law and the X Reviewed by SPO Monge 9/13/21 provisions of this chapter; (3) basic health, sanitation and safety measures; SMJH 4102, Section III, Page 4; Reviewed X by SPO Monge 9/13/21 (4) suicide prevention and response to suicide SMJH 4102, Section III, Page 4; Reviewed X attempts by SPO Monge 9/13/21 (5) policies regarding use of force, de-escalation SMJH 4102, Section II, Page 2; Reviewed techniques, chemical agents, mechanical and X by SPO Monge 9/13/21 physical restraints; (6) review of policies and procedures referencing SMJH 4102, Section III, Page 4; Reviewed X trauma and trauma-informed approaches; by SPO Monge 9/13/21 (7) procedures to follow in the event of SMJH 4102, Section II, Page 2; Reviewed X emergencies; by SPO Monge 9/13/21 (8) routine security measures, including facility SMJH 4102, Section II, Page 2; Reviewed X perimeter and grounds; by SPO Monge 9/13/21 (9) crisis intervention and mental health referrals to SMJH 4102, Section III, Page 4; Reviewed X mental health services; by SPO Monge 9/13/21 (10) documentation; and SMJH 4102, Section II, Page 2; Reviewed X by SPO Monge 9/13/21 (11) fire/life safety training SMJH 4102, Section II, Page 2, Section III, X Page 4; Reviewed by SPO Monge 9/13/21 (c) Prior to assuming sole supervision of youth, each SMJH 4102, Page 1; Reviewed by SPO youth supervision staff member shall successfully Monge on 9/13/21 complete the requirements of the Juvenile X Corrections Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer SMJH 4102, Page 1; Reviewed by SPO youth supervision staff shall successfully complete Monge on 9/13/21 X training pursuant to Section 830 et seq. of the Penal Code. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1323 FIRE AND LIFE SAFETY SMJH Policy and Procedure Manual section 4120; Reviewed by MPO Zahry on 3/14/21 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 Review of documentation indicates that all X Board for general fire and life safety which relate youth supervisory staff receive site-specific specifically to the facility. life safety training during orientation. Also, all full-time employees receive fire and safety training in juvenile CORE. Additional training provided during 40 hr. orientation. 1324 POLICY AND PROCEDURES MANUAL SMJH Policy and Procedure Manual section All facility administrators shall develop, publish, and 4100; Reviewed by MPO Zahry on 2/9/21 implement a manual of written policies and procedures that address, at a minimum, all regulations that are applicable to the facility. Such a manual shall be made County of Santa Barbara Juvenile Detention available to all employees, reviewed by all employees, Facility Policy, Procedures and Operations X and shall be administratively reviewed at a minimum Manuals were provided prior to the date of every two years, and updated, as necessary. Those inspection. The manuals were records relating to the standards and requirements set administratively reviewed by JJ Zahry, forth in these regulations shall be accessible to the Board Probation Manager throughout the year and on request. completed on September 17, 2021. The manual shall include: (a) table of organization, including channels of SMJH 4100, Pages 1-2; Reviewed by MPO communications and a description of job X Zahry on 2/9/21 classifications; (b) responsibility of the probation department, purpose SMJH 4100, Pages 3-4; Reviewed by MPO of programs, relationship to the juvenile court, the Zahry on 2/9/21 Juvenile Justice/Delinquency Prevention X Commission or Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; SMJH 4100, Pages 3-4; Reviewed by MPO X Zahry on 2/9/21 (d) initial orientation and training program for SMJH 4102, Pages 2-3; Reviewed by SPO X employees; Monge on 9/13/21 (e) initial orientation, including safety and security SMJH 4102; Reviewed by SPO Monge on issues and anti-discrimination policies, for support 9/13/21 X staff, contract employees, school, mental/behavioral health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and SMJH 4100, Page 4; Reviewed by MPO X communication system to ensure: Zahry on 2/9/21 (1) efficient operation of the juvenile facility; SMJH 4100, Section IV, Page 3; Reviewed X by MPO Zahry on 2/9/21 (2) legal and proper care of youth; SMJH 4100, Section IV, Page 3; Reviewed X by MPO Zahry on 2/9/21 (3) maintenance of individual youth's records; SMJH 4100, Section VI, Page 4; Reviewed X by MPO Zahry on 2/9/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) supply of information to the juvenile court and SMJH 4100, Section IV, Pages 3-4; X those authorized by the court or by the law; and, Reviewed by MPO Zahry on 2/9/21 (5) release of information regarding youth. SMJH 4100, Section IV, Pages 3-4; X Reviewed by MPO Zahry on 2/9/21 (g) ethical responsibilities; SMJH 4100, Section IV, Pages 3-4; X Reviewed by MPO Zahry on 2/9/21 (h) trauma-informed approaches; SMJH 4100, Section IV, Pages 3-4; X Reviewed by MPO Zahry on 2/9/21 (i) culturally responsive approaches; SMJH 4100, Section IV, Pages 3-4; X Reviewed by MPO Zahry on 2/9/21 (j) gender responsive approaches; SMJH 4100, Section IV, Pages 3-4; X Reviewed by MPO Zahry on 2/9/21 (k) a non-discrimination provision that provides that all SMJH 4103, Section II, C, Page 2; Reviewed youth within the facility shall have fair and equal by MPO Zahry on 2/1/21 access to all available services, placement, care, treatment, and benefits, and provides that no person Posted in the living units shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group X 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 SMJH 4100, Section VII, B, Page 5; chemical agents related security devices, and Reviewed by MPO Zahry on 2/9/21 weapons and ammunition, where applicable; X SMJH 4121, Section IV, D10, Page 12; Reviewed by MPO Zahry on 5/15/21 (m) establishment of procedures for collection of Medi- SMJH 4124, Section XIV, Pages 19-20; Cal eligibility information and enrollment of eligible X Reviewed by SPO Monge on 9/14/21 youth; and, (n) establishment of a policy that prohibits all forms of SMJH 4103, Section, IV, Page 3; Reviewed sexual abuse, sexual assault and sexual harassment. by MPO Zahry on 2/1/21 The policy shall include an approach to preventing, detecting and responding to such conduct and any X 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 SMJH Policy and Procedure Manual section The facility administrator shall consult with the local fire 4120; Reviewed by MPO Zahry on 3/14/21 department having jurisdiction over the facility, or with X the State Fire Marshal, in developing a plan for fire safety which shall include, but not be limited to: a) a fire prevention plan to be included as part of the SMJH 4120; Reviewed by MPO Zahry on X manual of policy and procedures; 3/14/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 8 - 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 SMJH 4120, Page 3; Reviewed by MPO staff with two- year retention of the inspection Zahry on 3/14/21 record; X We reviewed monthly and fire safety inspections from July 2020 to the date of our inspection. Documentation reviewed revealed compliance with this regulation. c) fire prevention inspections as required by Health SMJH 4101, Page 1; Reviewed by MPO and Safety Code Section 13146.1(a) and (b); Zahry on 2/9/21 X SMJH- Completed on 11/12/20 d) an evacuation plan; SMJH 4119, Section VII, F, Page 23; X Reviewed by MPO Zahry on 3/14/21 e) documented fire drills not less than quarterly; SMJH 4120, Page 3; Reviewed by MPO Zahry on 3/14/21 X All fire drills for the current inspection cycle were reviewed and verified during this inspection. f) a written plan for the emergency housing of youth in SMJH 4120, Page 6; Reviewed by MPO X the case of fire; and, Zahry on 3/14/21 g) development of a fire suppression pre-plan in SMJH 4120, Page 1; Reviewed by MPO X cooperation with the local fire department. Zahry on 3/14/21 1326 SECURITY REVIEW SMJH Policy and Procedure Manual section 4101; Reviewed by MPO Zahry on 2/9/21 Each facility administrator shall develop policies and procedures to annually review, evaluate, and document X security of the facility. The review and evaluation shall Most recent review: September 17, 2021 include internal and external security, including, but not Completed by Probation Manager limited to, key control, equipment, and staff training. 1327 EMERGENCY PROCEDURES SMJH Policy and Procedure Manual section 4119; Reviewed by MPO Zahry on 3/14/21 The facility administrator shall develop facility-specific X policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; SMJH 4119, Pages 1-2, 6-7, 14, 19; X Reviewed by MPO Zahry on 3/14/21 (b) civil disturbance, active shooter and terrorist attack; SMJH 4119, Pages 10, 19; Reviewed by X MPO Zahry on 3/14/21 (c) fire and natural disasters; SMJH 4119, Pages 9, 13; Reviewed by MPO X Zahry on 3/14/21 (d) periodic testing of emergency equipment; SMJH 4119, Section VII, G 2B, Page 25; X Reviewed by MPO Zahry on 3/14/21 (e) emergency evacuation of the facility; and SMJH 4119, Attachments D1-D11; X Reviewed by MPO Zahry on 3/14/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 9 - 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 SMJH 4119, Page 1; Reviewed by MPO with an annual review of emergency procedures. Zahry on 3/14/21 X Review of documentation provided revealed all juvenile hall staff completed an annual review of the emergency procedures. 1328 SAFETY CHECKS SMJH Policy and Procedure Manual section 4102; Reviewed by SPO Monge on 9/13/21 The facility administrator shall develop and implement policy and procedures that provide for direct visual We reviewed the facility’s safety checks for observation of youth at a minimum of every 15 minutes, the months of July 2021, August, and at random or varied intervals during hours when youth September 2021. Review of documentation are asleep or when youth are in their rooms, confined in revealed safety checks are being completed holding cells or confined to their bed in a dormitory. X at random or varied intervals during the Supervision is not replaced, but may be supplemented hour’s youth are confined to their rooms. by, an audio/visual electronic surveillance system However, we provided technical assistance designed to detect overt, aggressive or assaultive with regards to consistently documenting behavior and to summon aid in emergencies. All safety when you are in and out of their rooms. We checks shall be documented with the actual time the also discussed the need to consistently check is completed. document the number of youths in housing units on the daily welfare checks forms. 1329 SUICIDE PREVENTION PLAN SMJH Policy and Procedure Manual section The facility administrator, in collaboration with the 4109; Reviewed by SPO Monge on 9/14/21 healthcare and behavioral/mental health administrators, shall plan and implement written policies and The Juvenile Hall had zero (0) attempted procedures which delineate a Suicide Prevention Plan. X suicide attempts during this inspection cycle. The plan shall consider the needs of youth experiencing Review of policy and procedure manual past or current trauma. Suicide prevention responses revealed compliance with this regulation. 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 SMJH 4109, Section I, Page 1; Reviewed by Section 1322, Youth Supervision Staff X SPO Monge on 9/14/21 Orientation, and Training and the Juvenile Corrections Officer Core Course. (b) Screening, Identification Assessment and SMJH 4109, Section III, Page 5; Reviewed Precautionary Protocols by SPO Monge on 9/14/21 X (1) All youth shall be screened for risk of suicide at intake and as needed during detention. (2) All youth supervision staff who perform SMJH 4109, Section III, Page 5; Reviewed intake processes shall be trained in by SPO Monge on 9/14/21 screening youth for risk of suicide. X All full-time employees receive training in screening youth for risk of suicide (3) All youth who have been identified during SMJH 4109, Section III, Page 5; Reviewed the intake screening process to be at risk of by SPO Monge on 9/14/21 X suicide shall be referred to behavioral/mental health staff for a suicide risk assessment. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Precautionary protocols shall be developed SMJH 4109, Section III, Page 5; Reviewed X to ensure the youth’s safety pending the by SPO Monge on 9/14/21 behavioral/mental health assessment. (c) Referral process to behavioral/mental health SMJH 4109, Section III, B, Page 6; staff for assessment and/or services. Reviewed by SPO Monge on 9/14/21 X SMJH 4109, Section IV, B, Page 9; Reviewed by SPO Monge on 9/14/21 (d) Procedures for monitoring of youth identified SMJH 4109, Section III, Page 6-8; Reviewed X at risk for suicide. by SPO Monge on 9/14/21 (e) Safety Interventions SMJH 4109, Section II, Page 4; Reviewed (1) Procedures to address intervention by SPO Monge on 9/14/21 protocols for youth identified at risk for X suicide which may include, but are not limited to: A. Housing consideration SMJH 4109, Section III, Page 5; Reviewed X by SPO Monge on 9/14/21 B. Treatment strategies including SMJH 4109, Section VI, Pages 12-13; X trauma-informed approaches Reviewed by SPO Monge on 9/14/21 (2) Procedures to instruct youth supervision SMJH 4109, Section VI, Pages 12-13; staff how to respond to youth who exhibit X Reviewed by SPO Monge on 9/14/21 suicidal behaviors. (f) Communication SMJH 4109, Section I, Page 1; Reviewed by (1) The intake process shall include SPO Monge on 9/14/21 communication with the arresting officer X and family guardians regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current SMJH 4109, Section IV; Reviewed by SPO information sharing about youth at risk for X Monge on 9/14/21 suicide with youth supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to SMJH 4109, Section X, Page 20; Reviewed Suicides or Attempts by SPO Monge on 9/14/21 X (1) Process for administrative review of the circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected SMJH 4109, Section X, Page 21; Reviewed X staff. by SPO Monge on 9/14/21 (3) Process for a debriefing event with affected SMJH 4109, Section X, Page 21; Reviewed X youth. by SPO Monge on 9/14/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Documentation SMJH 4109, Section IV, Page 9; Reviewed (1) Documentation processes shall be by SPO Monge on 9/14/21 X developed to ensure compliance with this regulation Youth identified at risk for suicide shall not be denied SMJH 4109, Section I, Page 1; Reviewed by the opportunity to participate in facility programs, SPO Monge on 9/14/21 services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety X of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS SMJH Policy and Procedure Manual section 4104; Reviewed by SPO Monge on 9/13/21 Each facility shall submit to the Board a letter of X notification on each legal action, pertaining to conditions No legal action reported this inspection of confinement, filed against persons or legal entities cycle. responsible for juvenile facility operation. 1341 DEATH AND SERIOUS ILLNESS OR X INJURY OF A YOUTH WHILE SMJH Policy and Procedure Manual section DETAINED 4119; Reviewed by MPO Zahry on 3/14/21 (1) Death of a Youth. (a) The facility administrator, in cooperation with the No in custody death or serious illness health administrator and the behavioral/mental reported this inspection cycle. health director, shall develop written policies and X procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the SMJH 4119, Section VI, 5-8, Pages 15-16; facility administrator, shall develop written policies Reviewed by MPO Zahry on 3/14/21 and procedures to assure there is a medical and operational review of every in-custody death of a X 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 SMJH 4119, Section VI, 6, Page 15; Board a copy of the report submitted to the Attorney Reviewed by MPO Zahry on 3/14/21 General under Government Code Section 12525. A X 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 SMJH 4119, Section VI 6(b), Page 15; the administrator, the Board may within 30 calendar Reviewed by MPO Zahry on 3/14/21 days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the X provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 12 - 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 SMJH 4119, Section VI, K, Pages 14-15; (a) The facility administrator, in cooperation with the Reviewed by MPO Zahry on 3/14/21 health administrator, shall develop written policies and procedures for the notification to necessary X parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record in the case of a serious illness or injury of a youth. 1342 POPULATION ACCOUNTING SMJH Policy and Procedure Manual section 4104, Section II, Page 3; Reviewed by SPO Each juvenile facility shall submit required population X Monge on 9/13/21 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 SMJH Policy and Procedure Manual section 4104; Reviewed by SPO Monge on 9/13/21 When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than X Juvenile hall rated capacity is 90 youth. 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 SMJH Policy and Procedure Manual section The facility administrator shall develop and implement 4108; Reviewed by MPO Zahry on 2/2/21 written policies and procedures for admittance of youth that emphasize respectful and humane engagement with We reviewed ten (10) Santa Maria Juvenile youth, and reflect that the admission process may be Hall Receiving Screening Forms from the X traumatic to youth who may have already experienced facility. Review of documentation provided, trauma. Policies shall be trauma-informed, culturally and policy and procedure manuals revealed relevant, and responsive to the language and literacy compliance with this regulation. needs of youth. In addition to the requirements of Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: SMJH 4108, Section III, A, 1, Page 16; (1) Access to two free phone calls within one hour Reviewed by MPO Zahry on 2/2/21 X of admittance in accordance with the provisions of Welfare and Institution Code Section 627; (2) Offer of a shower; SMJH 4108, Section III, A, 1, B, Page 16; X Reviewed by MPO Zahry on 2/2/21 (3) Documented secure storage of personal SMJH 4108, Section II, K, Pages 14-16; X belongings; Reviewed by MPO Zahry on 2/2/21 (4) Offer of food upon arrival; SMJH 4108, Section III, A, 1, d, Page 17; X Reviewed by MPO Zahry on 2/2/21 (5) Screening for physical and behavioral health SMJH 4108, Section III, A, 1, E, Page 17; X and safety issues, intellectual or developmental Reviewed by MPO Zahry on 2/2/21 disabilities; (6) Screening for physical and developmental SMJH 4108, Section III, A, 1, E, Page 17; X disabilities in accordance with Sections 1329, Reviewed by MPO Zahry on 2/2/21 1413, and 1430 of these regulations; 7574 Santa Barbara Santa Maria JH PRO 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) Contact with Regional Center for the SMJH 4108, Section III, A, 1, f, Page 17; Developmentally Disabled for youth that are Reviewed by MPO Zahry on 2/2/21 X suspected of or identified as having a developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. SMJH 4108, Section III, Page 17; Reviewed X by MPO Zahry on 2/2/21 (b) juvenile hall administrators shall establish written SMJH 4108, Sections I-II, Pages 1-12 criteria for detention that considers the least Booking Criteria; Reviewed by MPO Zahry restrictive environment. on 2/2/21 X SMJH 4115, Section I, B; Reviewed by MPO Zahry on 7/15/21 (c) juvenile camps and post-dispositional programs in SMJH 4108, Section I; Reviewed by MPO juvenile halls shall develop policies and procedures Zahry on 2/2/21 that advise the youth of the estimated length of X 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 SMJH 4108, Section I, Page 1; Reviewed by that advise any committed youth of the estimated X MPO Zahry on 2/2/21 length of his/her stay. 1350.5. SCREENING FOR THE RISK OF SEXUAL SMJH Policy and Procedure Manual section ABUSE 4108; Reviewed by MPO Zahry on 2/2/21 The facility administrator shall develop and implement written policies and procedures to reduce the risk of We reviewed ten (10) Commercial Sexual sexual abuse by or upon youth. The policy shall require X Exploitation of Children (CSEC) forms from facility staff to assess each youth within 72 hours of the facility. Review of documentation admission based on the following information: provided, and policy and procedure manual revealed compliance with this regulation. (a) Prior sexual victimization or abusiveness; SMJH 4108, Section III, 2, Page 17; X Reviewed by MPO Zahry on 2/2/21 (b) Gender nonconforming appearance or manner; SMJH 4108, Section III, 2, Page 17; or identification as lesbian, gay or bisexual, Reviewed by MPO Zahry on 2/2/21 transgender, queer or intersex, and whether the X youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; SMJH 4108, Section III, 2, Page 17; X Reviewed by MPO Zahry on 2/2/21 (d) Age; SMJH 4108, Section III, 2, Page 17; X Reviewed by MPO Zahry on 2/2/21 (e) Level of emotional and cognitive development; SMJH 4108, Section III, 2, Page 17; X Reviewed by MPO Zahry on 2/2/21 (f) Physical size and stature; SMJH 4108, Section III, 2, Page 17; X Reviewed by MPO Zahry on 2/2/21 (g) Mental illness or mental disabilities; SMJH 4108, Section III, 2, Page 17; X Reviewed by MPO Zahry on 2/2/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (h) Intellectual or developmental disabilities; SMJH 4108, Section III, 2, Page 17; X Reviewed by MPO Zahry on 2/2/21 (i) Physical disabilities; SMJH 4108, Section III, 2, Page 17; X Reviewed by MPO Zahry on 2/2/21 (j) The youth’s perception of vulnerability; and, SMJH 4108, Section III, 2, Page 17; X Reviewed by MPO Zahry on 2/2/21 (k) Any other specific information about the SMJH 4108, Section III, 2, Page 17; individual youth that may indicate heightened Reviewed by MPO Zahry on 2/2/21 X needs for supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through SMJH 4108, Section III, 2, Page 17; conversations with the youth during the admittance Reviewed by MPO Zahry on 2/2/21 process, medical and behavioral health screenings; X during classification assessments; and by reviewing court records, case files, facility behavioral records, and other relevant documentation from the youth’s files. The facility administrator shall implement appropriate SMJH 4108, Section III, 3, Page 17; controls on the dissemination of information within the Reviewed by MPO Zahry on 2/2/21 facility relative to responses received pursuant to this X assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES SMJH Policy and Procedure Manual section 4108; Reviewed by MPO Zahry on 2/2/21 The facility administrator shall develop and implement written policies and procedures for release of youth X We reviewed five (5) youth release packages from custody which provide for: from the facility. Review of documentation provided, and policy and procedure manuals revealed compliance with this regulation. (a) verification of identity/release papers; SMJH 4108, Section V, 1, Page 28; X Reviewed by MPO Zahry on 2/2/21 (b) return of personal clothing and valuables; SMJH 4108, Section V, 7, Page 31; X Reviewed by MPO Zahry on 2/2/21 (c) notification to the youth's parents or guardian; SMJH 4108, Section V, 5, Page 30; X Reviewed by MPO Zahry on 2/2/21 (d) notification to the facility health care provider in SMJH 4108, Section V, 6, Page 30; accordance with Sections 1408 and 1437 of these Reviewed by MPO Zahry on 2/2/21 X regulations, for coordination with outside agencies; and, (e) notification of school staff; SMJH 4108, Section V, 5, Page 30; X Reviewed by MPO Zahry on 2/2/21 (f) notification of facility mental health personnel. SMJH 4108, Section V, 6, Page 30; X Reviewed by MPO Zahry on 2/2/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall develop and implement SMJH 4117, Section VI, Page 12; policies and procedures for post-disposition youth to Reviewed by SPO Monge on 9/14/21 coordinate the provision of transitional and reentry X services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement SMJH 4117, Section I, C, Page 1; written policies and procedures for the furlough of X Reviewed by SPO Monge on 9/14/21 youth from custody. 1352 CLASSIFICATION SMJH Policy and Procedure Manual section 4110; Reviewed by MPO Zahry on 3/10/21 The facility administrator shall develop and implement written policies and procedures on classification of X We reviewed ten (10) Classification youth for the purpose of determining housing placement Checklist packets from the facility. Review in the facility. of documentation provided, and policy and Such procedures shall: procedure manual revealed compliance with this regulation. (a) provide for the safety of the youth, other youth, SMJH 4110, Section 1, Page 1; facility staff, and the public by placing youth in the Reviewed by MPO Zahry on 3/10/21 appropriate, least restrictive housing and program X 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 SMJH 4110, Section 1, B, Page 1; X the facility; Reviewed by MPO Zahry on 3/10/21 (c) provide that a youth shall be classified upon SMJH 4110, Section I, C, Page 1 admittance to the facility; classification factors SMJH 4110, Attachment A; shall include, but not be limited to: age, maturity, Reviewed by MPO Zahry on 3/10/21 sophistication, emotional stability, program needs, X legal status, public safety considerations, medical/mental health considerations, gender and gender identity of the youth; (d) provide for periodic classification reviews, SMJH 4110, Section I, A, Page 1; including provisions that consider the level of Reviewed by MPO Zahry on 3/10/21 X supervision and the youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth SMJH 4110, Section I, D, Pages 2-3; from the general population or assign youth to a Reviewed by MPO Zahry on 3/10/21 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, X 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. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 16 - 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, SMJH 4110, Section I, G, Page 3; bisexual, transgender, questioning or intersex Reviewed by MPO Zahry on 3/10/21 X identification or status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. SMJH Policy and Procedure Manual section 4110 and 4114; Reviewed by MPO Zahry on The facility administrator shall develop written policies 3/10/21 (4110) and 7/2/21 (4114) and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The We reviewed ten (10) Santa Maria Juvenile policies shall provide that: X Hall Receiving Screening Forms which also captures the youth gender assigned and gender identity. Review of documentation revealed compliance with this regulation. However, we recommended creating a form to document youth who identified gender is differ than their assigned gender. (a) Facility staff shall respect every youth’s gender SMJH 4110, Section F, Page 3 identity, and shall refer to the youth by the youth’s SMJH 4110, Section G, Page 3 preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the X SMJH 4110, Attachment A; use of gang or slang names or names that otherwise compromise facility operations as determined by Reviewed by MPO Zahry on 3/10/21 the facility manager or designee, and shall document any decision made on this basis. (b) Facility staff shall permit youth to dress and present SMJH 4114, Section I, A, 2, Page 1; themselves in a manner consistent with their gender Reviewed by MPO Zahry on 7/2/21 X 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 SMJH 4110, Section 1, B, Page 1; that best meets their individual needs, and promotes Reviewed by MPO Zahry on 3/10/21 their safety and well-being. Staff may not automatically house youth according to their external anatomy, and shall document the reasons X 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 SMJH 4110, Section 1, C, B, Page 2 and intersex youth have access to medical and X SMJH 4110, Section 1, E, Page 3; behavioral health providers qualified to provide care and treatment to transgender and intersex Reviewed by MPO Zahry on 3/10/21 youth. (e) Consistent with the facility’s reasonable and SMJH 4110, Section I, F, Page 3; necessary security considerations and physical Reviewed by MPO Zahry on 3/10/21 plant, facility staff shall make every effort to ensure X the safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 17 - 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 SMJH 4111, Section VII, H, 5, Page 11; youth for the purpose of determining the youth’s Reviewed by SPO Monge on 9/14/21 X anatomical sex. Whenever feasible, the facility shall respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION SMJH Policy and Procedure Manual section 4123; Reviewed by SPO Monge on 9/14/21 The facility administrator shall develop and implement written policies and procedures to orient a youth prior We reviewed ten (10) youth Intake Forms to placement in a living area. Both written and verbal from the facility. Review of documentation information shall be provided and supplemented with X provided, and policy and procedure manuals video orientation if feasible. Provision shall be made to revealed compliance with this regulation. provide accessible orientation information to all detained youth including those with disabilities, limited Each youth is provided a Youth Handbook literacy, or English language learners. Orientation shall during the booking process. include information that addresses: (a) facility rules including contraband and searches and SMJH 4123, Section I, B, Page 1; Reviewed X disciplinary procedures; by SPO Monge on 9/14/21 (b) facility’s system of positive behavior interventions SMJH 4123, Section I, B, Page 1; Reviewed and supports, including behavior expectations, by SPO Monge on 9/14/21 incentives that youth will receive for complying X with facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the Youth Orientation Manual facility’s policy prohibiting sexual abuse and sexual X harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; SMJH 4123, Section 1, Page 1; Reviewed by X SPO Monge on 9/14/21 (e) the existence of the grievance procedure, the steps Youth Orientation Manual that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the X name of the person or position designated to resolve the issue; (f) access to legal services and information on the court Youth Orientation Manual X process; (g) access to routine and emergency health and mental Youth Orientation Manual X health care; (h) access to education, religious services, and Youth Orientation Manual X recreational activities; (i) housing assignments; X Youth Orientation Manual (j) opportunity for personal hygiene and daily showers Youth Orientation Manual X including the availability of personal care items (k) rules and access to correspondence, visits and Youth Orientation Manual X telephone use; (l) availability of reading materials, programming, and Youth Orientation Manual X other activities; 7574 Santa Barbara Santa Maria JH PRO 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (m) facility policies on the use of force, use of restraints, Youth Orientation Manual X chemical agents and room confinement; (n) immigration legal services; X Youth Orientation Manual (o) emergencies including evacuation procedures; X Youth Orientation Manual (p) non-discrimination policy and the right to be free Youth Orientation Manual from physical, verbal or sexual abuse and X harassment by other youth and staff; (q) availability of services and programs in a language Youth Orientation Manual X other than English if appropriate; (r) the process for requesting different housing, Youth Orientation Manual X education, programming and work assignments; (s) a process for which parents/guardians receive Youth Orientation Manual information regarding the youth’s stay in the facility that at a minimum includes answers to X frequently asked questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Youth Orientation Manual Title 15 Minimum Standards for Juvenile Facilities. X Copies of Title 15 are in each housing unit and available to youth upon request. 1354 SEPARATION SMJH Policy and Procedure Manual section The facility administrator shall develop and implement 4110, 4123, and 4124; 4110 reviewed by X written policies and procedures that address: MPO Zahry on 3/10/22; 4123 & 4124 reviewed by SPO Monge on 9/14/21 (a) separation of youth for reasons that include, but are SMJH 4124; Reviewed by SPO Monge on not be limited to, medical and mental health 9/14/21 X conditions, assaultive behavior, disciplinary SMJH 4110; Reviewed by MPO Zahry on consequences and protective custody. 3/10/21 (b) consideration of positive youth development and SMJH 4110, Section B, 4, Page 13; X trauma-informed care. Reviewed by MPO Zahry on 3/10/21 (c) separated youth shall not be denied normal SMJH 4110; Reviewed by MPO Zahry on privileges available at the facility, except when X 3/10/21 necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, SMJH 4123; Reviewed by SPO Monge on X Title 15 Section 1390 shall apply. 9/14/22 (e) when separation results in room confinement, the SMJH 4110; Reviewed by MPO Zahry on separation shall occur in accordance with Welfare 3/10/21 X and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review SMJH 4110; Reviewed by MPO Zahry on of separated youth to determine if separation X 3/10/21 remains necessary. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354.5 ROOM CONFINEMENT SMJH Policy and Procedure Manual section 4110; Reviewed by MPO Zahry on 3/10/21 (a) The facility administrator shall develop and implement written policies and procedures Review of documentation provided revealed addressing the confinement of youth in their room compliance with this regulation. However, that are consistent with Welfare and Institutions we did provide technical assistance in several Code Section 208.3. The placement of a youth in areas of the regulation. At the time of the room confinement shall be accomplished in inspection facility staff were providing accordance with the following guidelines: recommendations of room confinement time of youth placed on room confinement within the documented WSR (Workers Special Report). Review of documentation revealed at times staff were recommending four hours X of room confinement or room confinement status (RCS) with a review within four hours. During our debriefing, we discussed the need to remove any recommendations of room confinement time from any room confinement WSR’s. As per the regulation a youth could only be placed on room confinement time if they pose an immediate threat to the safety and security of the facility. Once a youth no longer poses a threat to the safety and security of the facility the youth shall be return to normal programming. (1) Room confinement shall not be used before SMJH 4110, Section II, B, 2, Page 4; other, less restrictive, options have been Reviewed by MPO Zahry on 3/10/21 attempted and exhausted, unless attempting X those options poses a threat to the safety or security of any youth or staff. (2) Room confinement shall not be used for the SMJH 4110, Section II, B, 3, Page 4; X purposes of punishment, coercion, Reviewed by MPO Zahry on 3/10/21 convenience, or retaliation by staff. (3) Room confinement shall not be used to the SMJH, 4110, Section II, B 3, Page 4; extent that it compromises the mental and X Reviewed by MPO Zahry on 3/10/21 physical health of the youth. (b) A youth may be held up to four hours in room SMJH 4110, Section II, B, 3, Page; confinement. After the youth has been held in room Reviewed by MPO Zahry on 3/10/21 X confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. SMJH 4110, Section II, Pages 4-6; Reviewed X by MPO Zahry on 3/10/21 (2) Consult with mental health or medical staff. SMJH 4110, Section II, Pages 4-6; Reviewed X by MPO Zahry on 3/10/21 (3) Develop an individualized plan that includes SMJH 4110, Section II, Pages 4-6; Reviewed the goals and objectives to be met in order to X by MPO Zahry on 3/10/21 reintegrate the youth to general population. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) If room confinement must be extended beyond SMJH 4110, Section II, Pages 4-6; Reviewed X four hours, staff shall do each of the following: by MPO Zahry on 3/10/21 (A) Document the reasons for room SMJH 4110, Section II, Pages 4-6; Reviewed confinement and the basis for the by MPO Zahry on 3/10/21 extension, the date and time the youth was X first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that SMJH 4110, Section II, B, 3, C, iii, Page 6; includes the goals and objectives to be met Reviewed by MPO Zahry on 3/10/21 X in order to integrate the youth to general population. (C) Obtain documented authorization by the SMJH 4110, Section II, B, 3, C Pages 5-6; facility superintendent or his or her X Reviewed by MPO Zahry on 3/10/21 designee every four hours thereafter. (5) This section is not intended to limit the use of SMJH 4110, Section II, B, 3, C; Reviewed single-person rooms or cells for the housing of by MPO Zahry on 3/10/21 X youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards SMJH 4110, Section II, B, 3, C; Reviewed X in court holding facilities or adult facilities. by MPO Zahry on 3/10/21 (7) Nothing in this section shall be construed to SMJH 4110, Section II, B, 3, C; Reviewed conflict with any law providing greater or X by MPO Zahry on 3/10/21 additional protections to youth. (8) This section does not apply during an SMJH 4110, Section D, Page 8; Reviewed extraordinary emergency circumstance that by MPO Zahry on 3/10/21 requires a significant departure from normal institutional operations, including a natural disaster or facility-wide threat that poses an X 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 SMJH 4110, Section D, Page 8; Reviewed placed in a locked cell or sleeping room to treat by MPO Zahry on 3/10/21 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 X 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. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1355 INSTITUTIONAL ASSESSMENT AND SMJH Policy and Procedure Manual section PLAN 4115; Reviewed by MPO Zahry on 7/15/21 The facility administrator shall develop and implement All incoming youth are administered the written policies and procedures for assessment and case Massachusetts Youth Screening Instrument planning. (MAYSI)-II to identify signs of X mental/emotional disturbance or distress. Reviewed ten (10) youth assessments and case plans. Review of documentation provided revealed compliance with this regulation. (a) Assessment: SMJH 4115, Section I, A, Page 1; Reviewed The assessment is based on information collected by MPO Zahry on 7/15/21 during the admission process with periodic review, SMJH 4115, Attachment A; Reviewed by which includes the youth's risk factors, needs and X MPO Zahry on 7/15/21 strengths including, but not limited to, identification of substance abuse history, educational, vocational, counseling, behavioral health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: SMJH 4115, Page 1; Reviewed by MPO (1) A case plan shall be developed for each youth Zahry on 7/15/21 X held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be X limited to, written documentation that provides: (A) objectives and time frame for the resolution SMJH 4115, Section I, B, Page 1; Reviewed X of problems identified in the assessment; by MPO Zahry on 7/15/21 (B) a plan for meeting the objectives that SMJH 4115, Section I, B, 2, Pages 1-2; includes a description of program resources X Reviewed by MPO Zahry on 7/15/21 needed and individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting SMJH 4115, Section 1, B, 3, Page 2; the objectives, including periodic review and Reviewed by MPO Zahry on 7/15/21 discussion of the plan with the youth; X SMJH staff completes a review of youth progress towards youth goals every 30, 60, 90, and 120 days of the youth’s initial case plan date. (4) a transition plan, the contents of which shall be SMJH 4115, Section I, B, 4, Page 2; subject to existing resources, shall be developed X Reviewed by MPO Zahry on 7/15/21 for post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the SMJH 4115, Section I, Pages 2-3 plan, including the transition plan, shall be X developed with input from the family, supportive adults, youth, and Regional Center for the Developmentally Disabled. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1356 COUNSELING AND CASEWORK SMJH Policy and Procedure Manual section SERVICES 4115; Reviewed by MPO Zahry on 7/15/21 The facility administrator shall develop and implement We reviewed ten (10) SMJH Treatment written policies and procedures ensuring the availability X Team youth treatment plans. Review of of appropriate counseling and casework services for all documentation provided revealed youth. Policies and procedures shall ensure: compliance with this regulation. (a) youth will receive assistance with needs or concerns SMJH 4115, Section II, Page 3; Reviewed X that may arise; by MPO Zahry on 7/15/21 (b) youth will receive assistance in requesting contact SMJH 4115, Section II, A-B, Page 3; with parents, other supportive adults, attorney, X Reviewed by MPO Zahry on 7/15/21 clergy, probation officer, or other public official; and, (c) youth will be provided access to available resources SMJH 4115, Section II, Page 3; Reviewed X to meet the youth’s needs. by MPO Zahry on 7/15/21 1357 USE OF FORCE SMJH Policy and Procedure Manual section 4121; Reviewed by MPO Zahry on 5/15/21 The facility administrator, in cooperation with the responsible physician, shall develop and implement We reviewed five (5) use of force reports in written policies and procedures for the use of force, which OC spray was not utilized. Each which may include chemical agents. Force shall never report reviewed revealed staff actions were be applied as punishment, discipline, retaliation or X appropriate and within compliance of this treatment. regulation. However, we did provide (a) At a minimum, each facility shall develop policies technical assistance with regards to the and procedures which: facility developing and implementing a unified command call for all youth to follow during an emergency and/or safety and security incident. (1) restricts the use of force to that which is deemed SMJH 4121, Section 1, 2, Page 1; Reviewed reasonable and necessary, as defined in Section X by MPO Zahry on 5/15/21 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff SMJH 4121; Reviewed by MPO Zahry on including both physical and non-physical X 5/15/21 options and define when those force options are appropriate. (3) describe force options or techniques that are X SMJH 4122, Section II, C and D, Page 2. expressly prohibited by the facility. (4) describe the requirements of staff to report any SMJH 4121, Section II, 4-5, a-d, Pages 3-4; X inappropriate use of force, and to take Reviewed by MPO Zahry on 5/15/21 affirmative action to immediately stop it. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 23 - 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 SMJH 4121, Section IV, E, Pages 15-16 includes time period and procedure for documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by X supervisory and or management staff, which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system SMJH 4121, Section IV, F, Page 17; X for investigating unreasonable use of force. Reviewed by MPO Zahry on 5/15/21 (7) define the role, notification, and follow-up SMJH 4121, Section IV, Page 17; Reviewed procedures required after use of force incidents X by MPO Zahry on 5/15/21 for medical, mental health staff and parents or legal guardians. (8) describe the limitations of use of force on SMJH 4121, Section IV, 8, Page 17; pregnant youth in accordance with Penal Code X Reviewed by MPO Zahry on 5/15/21 Section 6030(f) and Welfare and Institutions Code Section 222. (b) Facilities that authorize chemical agents as a force We reviewed five (5) use of force reports in option shall include policies and procedures that: which OC spray was utilized. Each report reviewed revealed staff actions were appropriate and within compliance of this regulation. However, technical assistance was provided with regards to the X documentation of the decontamination process. We recommend document the entire decontamination process include start and ending times. We also recommend documenting youth statements of no longer suffering the effects of the chemical agent. (1) identify who is approved to carry and/or utilize SMJH 4121, Section IV, D, 8, 9, 12, Pages chemical agents in the facility and the type, size X 10-11; Reviewed by MPO Zahry on 5/15/21 and the approved method of deployment for those chemical agents. (2) mandate that chemical agents only be used when SMJH 4121, Section IV, D, 5, Page 9; there is an imminent threat to the youth’s safety Reviewed by MPO Zahry on 5/15/21 X or the safety of others and only when de- escalation efforts have been unsuccessful or are not reasonably possible. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 24 - 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 SMJH 4121, Section IV, 14, a-I, Pages 12- timelines for decontamination from chemical 14; Reviewed by MPO Zahry on 5/15/21 agents. This shall include that youth who have X been exposed to chemical agents shall not be left unattended until that youth is fully decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up SMJH 4121, Section IV, 14, e, Page 13; procedures required after use of force incidents X Reviewed by MPO Zahry on 5/15/21 involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident SMJH 4121, Section IV, E, Pages 15-16; of use of chemical agents, including the reasons Reviewed by MPO Zahry on 5/15/21 for which it was used, efforts to de-escalate X prior to use, youth and staff involved, the date, time and location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and X regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health SMJH 4121, Section IV, C, 6, C, Page 4; conditions that would contraindicate certain Reviewed by MPO Zahry on 5/15/21 X types of force; SMJH 4121, Section IV, D, 8, Page 9; Reviewed by MPO Zahry on 5/15/21 (2) acceptable chemical agents and the methods of SMJH 4121, Section IV, C, 6, Page 4; X application. Reviewed by MPO Zahry on 5/15/21 (3) signs or symptoms that should result in SMJH 4121, Section IV, C, 6, Page 5; immediate referral to medical or behavioral X Reviewed by MPO Zahry on 5/15/21 health. (4) instruction on the Constitutional Limitations of SMJH 4121, Section IV, C, 6(4), Page 5; X Use of Force. Reviewed by MPO Zahry on 5/15/21 (5) physical training force options that may require SMJH 4121, Section IV, C, 6, Page 4; X the use of perishable skills. Reviewed by MPO Zahry on 5/15/21 (6) timelines the facility uses to define regular SMJH 4121, Section IV, C, 6, Pages 4-5; X training. Reviewed by MPO Zahry on 5/15/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358 USE OF PHYSICAL RESTRAINTS SMJH Policy and Procedure Manual section 4122; Reviewed by MPO Zahry on 8/1/21 The facility administrator, in cooperation with the responsible physician and mental health director, shall We reviewed ten (10) reports in which develop and implement written policies and procedures X physical restraints were applied to youth at for the use of restraint devices. Restraint devices SMJH. Each report reviewed revealed staff include any devices which immobilize a youth's actions were appropriate and within extremities and/or prevent the youth from being compliance of this regulation. ambulatory. Physical restraints may be used only for those youth SMJH 4122, Section I, Page 1; Reviewed by who present an immediate danger to themselves or MPO Zahry on 8/1/21 others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause X 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 SMJH 4122, Section II, C, Page 2; Reviewed discipline, or as a substitute for treatment. The use of by MPO Zahry on 8/1/21 restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through X 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 SMJH 4122, Section II, Pages 2-3; Reviewed handcuffs, shackles or other restraint devices when used by MPO Zahry on 8/1/21 to restrain youth for movement or transportation within X 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 SMJH 4122, Section II, D, Page 2; Reviewed of the facility manager or designee. The facility manager by MPO Zahry on 8/1/21 may delegate authority to place a youth in restraints to a X 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 SMJH 4122, Section III, F, 6, Page 6; retention shall be secured as soon as possible, but no later Reviewed by MPO Zahry on 8/1/21 X 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 SMJH 4122, Section III, H, Page 6; possible, but in no case longer than four hours from the X Reviewed by MPO Zahry on 8/1/21 time of placement, to assess the need for mental health treatment. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Continuous direct visual supervision shall be conducted SMJH 4122, Section III, H, Page 6; to ensure that the restraints are properly employed, and Reviewed by MPO Zahry on 8/1/21 to ensure the safety and well-being of the youth. X 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 X procedures shall address: (a) documentation of the circumstances leading to an SMJH 4122, Section II, E, Page 3; Reviewed X application of restraints. by MPO Zahry on 8/1/21 (b) known medical conditions that would SMJH 4122, Section III, C, D, Page 4; X contraindicate certain restraint devices and/or Reviewed by MPO Zahry on 8/1/21 techniques. (c) acceptable restraint devices. SMJH 4122, Section II, G, Page 3; Reviewed X by MPO Zahry on 8/1/21 (d) signs or symptoms which should result in SMJH 4122, Section III, J, Page 6; Reviewed X immediate medical/mental health referral. by MPO Zahry on 8/1/21 (e) availability of cardiopulmonary resuscitation SMJH 4122, Section III, J, Page 6; Reviewed X equipment. by MPO Zahry on 8/1/21 (f) protective housing of restrained youth. While in SMJH 4122, Section III, O, Page 7 restraint devices, all youth shall be housed alone or X in a specified housing area for restrained youth which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. X SMJH 4122, Section III, K, L, Page 6 (h) exercising of extremities. X SMJH 4122, Section III, M, N, Page 7 1358.5 USE OF RESTRAINT DEVICES FOR SMJH Policy and Procedure Manual section MOVEMENT AND TRANSPORTATION WITHIN 4122; Reviewed by MPO Zahry on 8/1/21 THE FACILITY. Review of policy and procedure revealed The Facility Administrator, in cooperation with the X compliance with this regulation. responsible physician and behavioral/mental health director, shall develop and implement written policies and procedures for the use of restraint devices when the purpose is for movement or transportation within the facility that shall include the following: (a) identification of acceptable restraint devices, staff SMJH 4122, Section II, G, Page 3; Reviewed X approved to utilize restraint devices and the by MPO Zahry on 8/1/21 required training. (b) the circumstances leading to the application of SMJH 4122, Section II, E, Page 3; Reviewed X restraints must be documented. by MPO Zahry on 8/1/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 27 - 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 SMJH 4122, Section II, Pages 3-5; Reviewed restraints for movement or transportation that by MPO Zahry on 8/1/21 includes consideration of less restrictive X alternatives, consideration of a youth’s known medical or mental health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, SMJH 4122, Section II, C, Page 2; Reviewed with a clearly defined expectation that restraint X by MPO Zahry on 8/1/21 devices shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in SMJH 4122, Section III, E, Page 4; X accordance with Penal Code Section6030(f) and Reviewed by MPO Zahry on 8/1/21 Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES The facility does not have a safety room. (a) The facility administrator, and where applicable, in cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who NA 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 Not applicable NA necessary nutrition and fluids, access to a toilet, and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or Not applicable NA designee, before a youth is placed into a safety room; (3) provide for continuous direct visual supervision Not applicable and documentation of the youth's behavior and NA any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the NA Not applicable facility manager, or designee, every four hours; (5) provide for immediate medical assessment, Not applicable NA where appropriate, or an assessment at the next daily sick call; and, (6) provide a process for documenting the reason for Not applicable placement, including attempts to use less NA restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be NA Not applicable accomplished in accordance with the following: 7574 Santa Barbara Santa Maria JH PRO 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) safety room shall not be used before other less Not applicable restrictive options have been attempted and NA 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 Not applicable NA punishment, coercion, convenience, or retaliation by staff. (3) safety room shall not be used to the extent that it Not applicable NA compromises the mental and physical health of the youth. (c) A youth may be held up to four hours in the safety Not applicable room. After the youth has been held in the safety NA room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. NA Not Applicable (2) consult with mental health or medical staff, NA Not applicable (3) develop an individualized plan that includes the Not applicable NA 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 Not applicable beyond four hours, staff shall develop an individualized plan that includes the requirements NA of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES SMJH Policy and Procedure Manual section 4111; Reviewed by SPO Monge on 9/14/21 The facility administrator shall develop and implement written policies and procedures governing the search of Review of Strip Search Authorization form youth, the facility, and visitors. Policies and procedures X and policy and procedure revealed shall provide that: compliance with this regulation. It should be noted the facility did not conduct a strip search of a youth this inspection cycle. (a) Searches shall be conducted to ensure the safety and SMJH 4111, Sections I and II, Page 1; X security of the facility, public, visitors, youth, and Reviewed by SPO Monge on 9/14/21 staff. (b) Searches shall be conducted in a manner that SMJH 4111, Section II, Page 2; Reviewed preserves the privacy and dignity of the person by SPO Monge on 9/14/21 X 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 SMJH 4111, Section I, Page 1; Reviewed by X searches shall comply with Penal Code Section SPO Monge on 9/14/21 4030. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Physical body cavity searches shall only be SMJH 4111, Section III, Page 3; Reviewed conducted by a medical professional. by SPO Monge on 9/14/21 X SMJH 4111, Section IV, D, Page 4; Reviewed by SPO Monge on 9/14/21 (e) Any youth held after a detention hearing shall only SMJH 4111, Section IV, C, Page 4; be strip searched with prior approval of a supervisor Reviewed by SPO Monge on 9/14/21 when there is reasonable suspicion based on X 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 SMJH 4111, Section I, C, Page 2; Reviewed X comply with Section 1352.5. by SPO Monge on 9/14/21 (g) Cross-gender pat-down searches and strip searches SMJH 4111, Section IV, A, Page 3; are prohibited except in exigent circumstances or Reviewed by SPO Monge on 9/14/21 X when conducted by a medical professional. Such searches must be justified and documented in writing. 1361 GRIEVANCE PROCEDURE SMJH Policy and Procedure Manual section 4123; Reviewed by SPO Monge on 9/14/21 The facility administrator shall develop and implement written policies and procedures whereby any youth may We reviewed all grievances submitted this appeal and have resolved grievances relating to any inspection cycle. Review of documentation condition of confinement, including but not limited to provided, and review of policy and health care services, classification decisions, program X procedure revealed compliance with this participation, telephone, mail or visiting procedures, regulation. It should be noted all grievances food, clothing, bedding, mistreatment, harassment or reviewed were resolved within 72 hours. 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 SMH 4123, Section XI, Pages 12-14; X grievance, which includes provisions for the youth Reviewed by SPO Monge on 9/14/21 to have free access to the form; (b) the youth shall have the option to confidentially file SMH 4123, Section XI, Pages 12-14; X the grievance or to deliver the form to any youth Reviewed by SPO Monge on 9/14/21 supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate SMH 4123, Section XI, Pages 12-14; X staff level; Reviewed by SPO Monge on 9/14/21 (d) provision for a prompt review and initial response SMH 4123, Section XI, Pages 12-14; to grievances within three (3) business days, X Reviewed by SPO Monge on 9/14/21 grievances that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain SMH 4123, Section XI, Pages 12-14; his/her version of the grievance to a person not X Reviewed by SPO Monge on 9/14/21 directly involved in the circumstances which led to the grievance. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Provision for a staff representative approved by SMH 4123, Section XI, Pages 12-14; X the facility administrator to assist the youth. Reviewed by SPO Monge on 9/14/21 (e) provision for a written response to the grievance SMH 4123, Section XI, Pages 12-14; X which includes the reasons for the decisions; Reviewed by SPO Monge on 9/14/21 (f) a system which provides that any appeal of a SMH 4123, Section XI, Pages 12-14; grievance shall be heard by a person not directly X Reviewed by SPO Monge on 9/14/21 involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten SMH 4123, Section XI, Pages 12-14; (10) business days unless circumstances dictate a X Reviewed by SPO Monge on 9/14/21 longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and SMH 4123, Section XI, Pages 12-14; X external methods to report sexual abuse and sexual Reviewed by SPO Monge on 9/14/21 harassment. Whether or not associated with a grievance, concerns of SMH 4123, Section XI, Pages 12-14; parents, guardians, staff or other parties shall be X Reviewed by SPO Monge on 9/14/21 addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS SMJH Policy and Procedure Manual section 4104; Reviewed by SPO Monge on 9/13/21 A written report of all incidents which result in physical harm, use of force, serious threat of physical harm, or Review of documentation provided revealed death of an employee, youth or other person(s) shall be X compliance with this regulation. maintained. Such written record shall be prepared by the staff and submitted to the facility manager by the end of the shift, unless additional time is necessary and authorized by the facility manager or designee. 1363 USE OF REASONABLE FORCE TO SMJH Policy and Procedure Manual section COLLECT DNA SPECIMENS, SAMPLES, 4130, Section II, D, Page 2; Reviewed by IMPRESSIONS SPO Monge on 9/15/21 (a) Pursuant to Penal Code Section 298.1 authorized The facility staff do not use force to collect law enforcement, custodial, or corrections DNA. If ordered by the Court, the assigned personnel including peace officers, may employ X PO collects the sample. reasonable force to collect blood specimens, saliva samples, and thumb or palm print impressions from individuals who are required to provide such samples, specimens or impressions pursuant to Penal Code Section 296 and who refuse following written or oral request. (1) For the purpose of this section, the “use of Not applicable reasonable force” shall be defined as the force that an objective, trained and competent correctional NA employee, faced with similar facts and circumstances, would consider necessary and reasonable to gain compliance with this section. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) The use of reasonable force shall be preceded by Not applicable efforts to secure voluntary compliance. Efforts to secure voluntary compliance shall be documented NA 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 Not applicable authorization of the supervising officer on duty. The authorization shall include information that NA 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 SMJH 4122, Section III, F,1(a), Page 5; extraction, the extraction shall be videotaped. Reviewed by MPO Zahry on 8/1/21 Video shall be directed at the cell extraction event. The videotape shall be retained by the X 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. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM SMJH Policy and Procedure Manual section 4116; Reviewed by MPO Zahry on 7/15/21 (a) School Programs The County Board of Education shall provide for the Annual review completed by Brian administration and operation of juvenile court Zimmerman, Director of Pupil Personnel schools in conjunction with the Chief Probation Services for Santa Maria-Bonita school Officer, or designee pursuant to applicable State district. laws. The school and facility administrators shall Review of policy and procedures, youth and develop and implement written policy and staff interviews, and school daily schedules procedures to ensure communication and revealed compliance with this regulation. coordination between educators and probation staff. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe technology X practices. The facility administrator shall request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements SMJH 4116, Section I, Page 2; Reviewed by MPO Zahry on 7/15/21 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 X 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. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS All youth shall be treated equally, and the education SMJH 4116, Section 1, Page 2; Reviewed by program shall be free from discriminatory action. MPO Zahry on 7/15/21 X 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 SMJH 4116, Section I, Page 2; Reviewed by X Education Code and include, but not be limited to, MPO Zahry on 7/15/21 courses required for high school graduation. (2) Information and preparation for the High School SMJH 4116, Section I, Page 2; Reviewed by Equivalency Test as approved by the California X MPO Zahry on 7/15/21 Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education SMJH 4116, Section I, Page 2; Reviewed by X and vocational opportunities. MPO Zahry on 7/15/21 (4) Administration of the High School Equivalency Tests SMJH 4116, Section I, Page 2; Reviewed by X as approved by the California Department of MPO Zahry on 7/15/21 Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth SMJH 4116, Section I, Page 3; Reviewed by X who do not demonstrate sufficient progress towards MPO Zahry on 7/15/21 grade level standards. (6) The minimum school day shall be consistent with SMJH 4116, Section I, Page 2; Reviewed by State Education Code Requirements for juvenile MPO Zahry on 7/15/21 court schools. The facility administrator, in conjunction with education staff, must ensure that X 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 SMJH 4116, Section I, A, 11, Page 3; classification, housing, security status, disciplinary Reviewed by MPO Zahry on 7/15/21 or separation status, including room confinement, except when providing education poses an X 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 SMJH 4116, Section I, G, Page 5; Reviewed by MPO Zahry on 7/15/21 (1) Positive behavior management will be implemented to reduce the need for disciplinary action in the X school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative SMJH 4116, Section I, G, 2, Page 6; X decisions made by probation staff that may affect the Reviewed by MPO Zahry on 7/15/21 educational programming of students. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Except as otherwise provided by the State Education SMJH 4116, Section I, G, Page 6; Reviewed Code, expulsion/suspension from school shall be by MPO Zahry on 7/15/21 imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set X 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 SMJH 4116, Section I, H, Pages 6-7; education staff will develop policies and procedures X Reviewed by MPO Zahry on 7/15/21 that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations SMJH 4116, Section I, B, Page 3; Reviewed by MPO Zahry on 7/15/21 (1) State and federal laws and regulations shall be observed for all individuals with disabilities or X 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 SMJH 4116, Section I, B, 2, Page 3; afforded an educational program that addresses their Reviewed by MPO Zahry on 7/15/21 X language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission SMJH 4116, Section I, C, Page 4; Reviewed by MPO Zahry on 7/15/21 X (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; SMJH 4116, Section I, C, Page 4; Reviewed X by MPO Zahry on 7/15/21 (B) Home Language Survey and the results of the State SMJH 4116, Section I, C, Page 4; Reviewed X Test used for English language proficiency; by MPO Zahry on 7/15/21 (C) Needs and services of special populations as defined SMJH 4116, Section I, C, Page 4; Reviewed X by the State Education Code, including but not by MPO Zahry on 7/15/21 limited to, students with special needs. (D) Discipline problems. SMJH 4116, Section I, C, Page 4; Reviewed X by MPO Zahry on 7/15/21 (2) Youth will be immediately enrolled in school. SMJH 4116, Section I, C, Page 4; Reviewed Educational staff shall conduct an assessment to by MPO Zahry on 7/15/21 X determine the youth's general academic functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary SMJH 4116, Section I, C, Page 4; Reviewed X education plan shall be developed for each youth by MPO Zahry on 7/15/21 within five school days. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Upon enrollment, education staff shall comply with SMJH 4116, Section I, C, Page 4; Reviewed the State Education Code and request the youth's by MPO Zahry on 7/15/21 records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment X 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 SMJH 4116, Section I, D, Page 5; Reviewed by MPO Zahry on 7/15/21 X (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 SMJH 4116, Section I, D, Page 5; Reviewed appropriate credit (full or partial) for course work X by MPO Zahry on 7/15/21 completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning SMJH 4116, Section I, E, Page 5; Reviewed by MPO Zahry on 7/15/21 (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies X 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 SMJH 4116, Section I, F, Page 5; Reviewed by MPO Zahry on 7/15/21 (1) The school and facility administrator should, whenever possible, collaborate with local post- X secondary education providers to facilitate access to educational and vocational opportunities for youth that considers the use of technology to implement these programs. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1371 PROGRAMS, RECREATION, AND SMJH Policy and Procedure Manual section EXERCISE. 4113; Reviewed by SPO Monge on 9/14/21 The facility administrator shall develop and implement Reviewed Daily Title 15 Activities form written policies and procedures for programs, from the months August, September, and recreation, and exercise for all youth. The intent is to October 2021. Review of documentation minimize the amount of time youth are in their rooms provided revealed compliance with this or their bed area. regulation. However, technical assistance X was provided regarding the documentation of what programs were provided for youth. On several Daily Title 15 Activities forms, staff documented the youth participated in programming but failed to document the name of the program. We recommend staff always document the name of each program the youth participates in on that day. Juvenile facilities shall provide the opportunity for SMJH 4113, Section I, Page 1; Reviewed by programs, recreation, and exercise a minimum of three SPO Monge on 9/14/21 hours a day during the week and five hours a day each X 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 SMJH 4113, Section I, D, Page 1; Reviewed exercise may be suspended only upon a written finding by SPO Monge on 9/14/21 X 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 SMJH 4113, Section I, E, Page 1; Reviewed X be posted in the living units. by SPO Monge on 9/14/21 There will be a written annual review of the programs, SMJH 4113, Section I, F, Page 1; Reviewed recreation, and exercise by the responsible agency to by SPO Monge on 9/14/21 ensure content offered is current, consistent, and X The facility annual written program review relevant to the population. was completed by Probation Manager JJ Zahry. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 37 - 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 SMJH 4113, Section III, Page 9; Reviewed opportunity for at least one hour of daily by SPO Monge on 9/14/21 programming to include, but not be limited to, Although, this regulation is considered in trauma focused, cognitive, evidence-based, best compliance technical assistance was practice interventions that are culturally relevant and provided regarding the relevancy of each linguistically appropriate, or pro-social interventions program provided. Please ensure the and activities designed to reduce recidivism. These programs provided are trauma focused, programs should be based on the youth’s individual X evidence-based, or pro-social interventions. needs as required by Sections 1355 and 1356. Such The programs provided should also be based programs may be provided under the direction of the on the youth criminogenic needs and Chief Probation Officer or the County Office of designed to reduce recidivism. Education and can be administered by county partners such as mental health agencies, community based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: (1) Cognitive Behavior Interventions; SMJH 4113, Section III, Page 9; Reviewed (2) Management of Stress and Trauma; by SPO Monge on 9/14/21 (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; X (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 SMJH 4113, Section II, Page 2; Reviewed opportunity for at least one hour of daily access to by SPO Monge on 9/14/21 unscheduled activities such as leisure reading, letter X Review of policy and procedure and writing, and entertainment. Activities shall be documentation provided revealed supervised and include orientation and may include compliance with this regulation. coaching of youth. (c) Exercise. All youth shall be provided with the SMJH 4113, Section II, Page 4; Reviewed opportunity for at least one hour of large muscle by SPO Monge on 9/14/21 activity each day. X Review of policy and procedure and documentation provided revealed compliance with this regulation. The administrator/manager may suspend, for a period not SMJH 4113, Section II, Page 4; Reviewed to exceed 24 hours, access to recreation and programs. X by SPO Monge on 9/14/21 The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1372 RELIGIOUS PROGRAM SMJH Policy and Procedure Manual section 4127; Reviewed by SPO Monge on 9/14/21 The facility administrator shall provide access to religious services and/or religious counseling at least Review of daily schedule revealed youth can once each week. Attendance shall be voluntary. A youth X participate in alternative programming shall be allowed to participate in an activity outside of during the scheduled religious program time. their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; SMJH 4127, Section I, Page 1; Reviewed by X SPO Monge on 9/14/21 (b) availability of clergy; and, SMJH 4127, Section I, Page 1; Reviewed by X SPO Monge on 9/14/21 (c) availability of religious diets. SMJH 4127, Section I, Page 1; Reviewed by X SPO Monge on 9/14/21 1373 WORK PROGRAM SMJH 4113, Section II, Pages 7-8; Reviewed by SPO Monge on 9/14/21 The facility administrator shall develop policies and procedures regarding the fair and consistent assignment SMJH 4117, Section IV, Page 11; Reviewed of youth to work programs. Work assigned to a youth X by SPO Monge on 9/14/21 shall be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure. 1374 VISITING SMJH Policy and Procedure Manual section 4126; Reviewed by SPO Monge on 9/14/21 The facility administrator shall develop and implement written policies and procedures for visiting, that include Reviewed the visitation log for this provisions for special visits. Youth shall be allowed to inspection cycle. Review of policy and receive visits by parents, guardians or persons standing X procedures and visitation log revealed in loco parentis, and children of youth. Other family compliance with this regulation. 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. All visits shall occur at reasonable times, subject only to SMJH 4126, Section I, Page 1; Reviewed by the limitations necessary to maintain order and security. SPO Monge on 9/14/21 Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, X 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. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 39 - 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 SMJH 4126, Section I, Page 1; Reviewed by hours per week. Visits may be supervised, but X SPO Monge on 9/14/21 conversations shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour SMJH 4126, Section I, Page 1; Reviewed by minimum and/or outside of the regular visiting hours, SPO Monge on 9/14/21 shall be accommodated as necessary and within the discretion of the facility administrator or designee. X 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 SMJH 4126, Section I, Page 1; Reviewed by X alternative, but not as a replacement, to in-person SPO Monge on 9/14/21 visiting. 1375 CORRESPONDENCE SMJH Policy and Procedure Manual section 4128; Reviewed by SPO Monge on 9/14/21 The facility administrator shall develop and implement X written policies and procedures for correspondence Staff and youth interviewed as well as which provide that: review of policy and procedures revealed compliance with this regulation. (a) there is no limitation on the volume of mail that youth SMJH 4128, Section III, Page 3; Reviewed X may send or receive; by SPO Monge on 9/14/21 (b) youth may send two letters per week postage free; SMJH 4128, Section III, Page 3; Reviewed X by SPO Monge on 9/14/21 (c) youth may correspond confidentially with state and SMJH 4128, Section II, Page 2; Reviewed federal courts, any member of the State Bar or holder by SPO Monge on 9/14/21 of public office, and the Board; however, authorized X 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 SMJH 4128, Section I, Page 2; Reviewed by in (c), may be read by staff only when there is SPO Monge on 9/14/21 X reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 1376 TELEPHONE ACCESS SMJH Policy and Procedure Manual section 4129; Reviewed by SPO Monge on 9/14/21 The administrator of each juvenile facility shall develop X and implement written policies and procedures to Staff and youth interviewed as well as provide youth with access to telephone communications. review of policy and procedures revealed compliance with this regulation. 1377 ACCESS TO LEGAL SERVICES SMJH Policy and Procedure Manual section 4130; Reviewed by SPO Monge on 9/15/21. The facility administrator shall develop written X procedures to ensure the right of youth to have access to Staff and youth interviewed as well as the courts and legal services. Such access shall include: review of policy and procedures revealed compliance with this regulation. (a) access, upon request by the youth, to licensed SMJH 4130, Section I, Page 1; Reviewed by X attorneys and their authorized representatives; SPO Monge on 9/15/21 7574 Santa Barbara Santa Maria JH PRO 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) provision for confidential consultation with SMJH 4130, Section I, Page 1; Reviewed by X attorneys; and, SPO Monge on 9/15/21 (c) unlimited postage free, legal correspondence and SMJH 4130, Section I, Page 1; Reviewed by X cost-free telephone access as appropriate. SPO Monge on 9/15/21 1390 DISCIPLINE SMJH Policy and Procedure Manual section 4123; Reviewed by SPO Monge on 9/14/21 The facility administrator shall develop and implement written policies and procedures for the discipline of Review of policy and procedures and youth that shall promote acceptable behavior; including documentation revealed compliance with this the use of positive behavior interventions and supports. X regulation. 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; SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 (b) daily shower, access to drinking fountain, toilet and SMJH 4123, Section II, Page 4; Reviewed X personal hygiene items, and clean clothing; by SPO Monge on 9/14/21 (c) full nutrition; SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 (d) contact with parent or attorney; SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 (e) exercise; SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 (f) medical services and counseling; SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 (g) religious services; SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 (h) clean and sanitary living conditions; SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 (i) the right to send and receive mail; SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 (j) education; and, SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 (k) rehabilitative programming. SMJH 4123, Section II, Page 4; Reviewed X by SPO Monge on 9/14/21 The facility administrator shall establish rules of conduct SMJH 4123, Section IV, Page 6; Reviewed and disciplinary penalties to guide the conduct of youth. by SPO Monge on 9/14/21 Such rules and penalties shall include both major Youth Orientation Manual violations and minor violations, be stated simply and X 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. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1391 DISCIPLINE PROCESS SMJH Policy and Procedure Manual section 4123; Reviewed by SPO Monge on 9/14/21 The facility administrator shall develop and implement written policies and procedures for the administration We reviewed five (5) due process hearings of discipline which shall include, but not be limited to: X from the facility. Review of policy and procedures and documentation revealed compliance with this regulation. (a) designation of personnel authorized to impose SMJH 4123, Section III, Page 5; Reviewed X discipline for violation of rules; by SPO Monge on 9/14/21 (b) prohibiting discipline to be delegated to any youth; SMJH 4123, Section III, Page 5; Reviewed X by SPO Monge on 9/14/21 (c) definition of major and minor rule violations and SMJH 4123, Section IV, Pages 6-7; X their consequences, and due process requirements; Reviewed by SPO Monge on 9/14/21 (d) trauma-informed approaches and positive behavior SMJH 4123, Section III, Page 5; Reviewed X interventions; by SPO Monge on 9/14/21 (e) minor rule violations may be handled informally by SMJH 4123, Section IV, Page 8; Reviewed counseling, advising the youth of expected conduct by SPO Monge on 9/14/21 imposing a minor consequence. Discipline shall be X accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process SMJH 4123, Section III, Pages 5-6; shall be documented and require the following: Reviewed by SPO Monge on 9/14/21 X Review of documentation provided revealed compliance with this regulation. (1) written notice of violation prior to a hearing; SMJH 4123, Section VIII, Page 9; Reviewed X by SPO Monge on 9/14/21 (2) accommodations provided to youth with SMJH 4123, Section VIII, Page 10; disabilities, limited literacy, and English X Reviewed by SPO Monge on 9/14/21 language learners; (3) hearing by a person who is not a party to the SMJH 4123, Section VIII, Page 10; X incident; Reviewed by SPO Monge on 9/14/21 (4) opportunity for the youth to be heard, present SMJH 4123, Section VII, Pages 9-10; X evidence and testimony; Reviewed by SPO Monge on 9/14/21 (5) provision for youth to be assisted by staff in the SMJH 4123, Section VII, Page 10; Reviewed X hearing process; by SPO Monge on 9/14/21 (6) provision for administrative review. SMJH 4123 page 1; Reviewed by SPO X Monge on 9/14/211 (g) violations that result in a removal from camp or SMJH 4123, VIII, Page 11; Reviewed by commitment program, but not a return to court, will SPO Monge on 9/14/21 X follow the due process provisions in subsection (e) above. f 7574 Santa Barbara Santa Maria JH PRO 20-22 - 42 - 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 X NA 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 X age and older. The facility has been approved to hold persons under X 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 X 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 X Section 300 of the Welfare and Institutions Code (WIC) are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS X Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from X Juvenile Delinquents (WIC 602)? (WIC 207[d]). Federal Minors (ICE Holds or ORR Contract) are held X in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is X 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 X 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 X separated from minors. Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed X in the facility in a manner that allows contact with minors. 7574 Santa Barbara Santa Maria JH PRO 20-22 - 43 - 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: 7574 FACILITY NAME: Susan J. Gionfriddo Juvenile Justice Center (Santa Maria Juvenile Hall) FACILITY TYPE: JH (SMJH) APPLICABLE REGULATIONS (Check All That Apply): 4/98:  2001:  2003: OTHER: Units I & II Pre 1998 (Unit III) (Units IV-VI) FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: November 10, 2021 Comments: TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1)  Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of minors  pending admission to JH Provides access to a shower  Provides a secure vault or storage space for minor's  valuables Provides telephone access to minors  Provides staff access to hot and cold running water  Locked Holding Room (1.2) Five holding rooms in intake area.  Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area  Contains seating to accommodate all minors as specified in  these regulations 98: Provides access to a toilet, wash basin and drinking Youth will use toilet in search room. fountain as specified in these regulations 03: Be equipped with a toilet, wash basin and drinking  fountain unless a procedure is in effect to provide access Maximizes staff visual supervision  03: Outward swinging or lateral sliding door required  7574 Santa Barbara Santa Maria JH PHY 20-22 - 1 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Natural Light (1.3) Visual access to natural light is provided in locked sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms.  Corridors (1.4) Corridors in living areas are at least eight feet wide. 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  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 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 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 inches. 03: Outward swinging or lateral sliding door required  Double Occupancy Sleeping Rooms (1.8)  Minimum of 100 square feet floor area, a clear ceiling height of eight feet, and a minimum width of seven feet 7574 Santa Barbara Santa Maria JH PHY 20-22 - 2 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS 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 inches 03: Outward swinging or lateral sliding door required  Dormitories (1.9) In JHs and camps, there is a minimum of 50 square feet of floor area per minor, with a minimum dormitory size of  200 square feet and a minimum clear ceiling height of eight feet. In JHs and camps, dormitories are designed for no fewer  than four minors. 98: JH dormitories for detained minors are designed for no more than 15 minors (NA camps).  03: This subsection deleted, eliminating the 15 minor 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 30  minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10)  JH dayrooms contain 35 square feet of floor area per minor. Dayrooms in camps and SPJHs contain 30 square feet of  floor area per minor. All dayrooms provide access to toilets, wash basins, 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 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 For a RC of 140, a total of 31,500 sf is required. minimum of 9,000 square feet dedicated indoor- Existing Yard: 13,112 sf (103’10”x131’3” minus outdoor space, plus a field area. The field area 526 sf for access ramp) contains a minimum of one acre with a minimum  Units IV-VI Yards: 6256 each (68’x92’) 18,768 dimension of 100 feet. sf total 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- 13,112+18,768=31880 total sf outdoor space per minor, up to 61,650 feet. 7574 Santa Barbara Santa Maria JH PHY 20-22 - 3 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS 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.  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.  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 of a sufficient  size to comply with Title 15, § 1371. 01: The required recreation area has no single dimension  less than 40 feet. Outdoor recreation area lighting allows for evening activities and provides security.  Academic Classrooms (NA SPJH; 1.12)  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 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 area, and a  minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to emergencies.  Safety Room (1.13)  Provides a minimum of 63 square feet of floor space and a minimum clear ceiling height of eight feet Limited to one minor  Padded as specified in these regulations  There are one or more vertical view panels constructed of security glazing. Panels provide a 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 regulations  Access to a toilet, wash basin and drinking fountain is  provided. 03: Be equipped with a variable intensity security-type  lighting fixture, with controls outside the room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access.  7574 Santa Barbara Santa Maria JH PHY 20-22 - 4 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Medical Examination Room (NA SPJH; 1.14) 175 sf room in intake. There is a minimum of one suitably equipped medical  examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations that is  used for no other purpose; Privacy for minors;  Lockable storage for medical supplies;  Not less than 144 square feet floor space with no single  dimension less than seven feet; Hot and cold running water; and,  01: Smooth, non-porous, washable surfaces.  Pharmaceutical Storage (1.15) There is lockable storage space for medical supplies and  pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) Youth dine in living units. There is a minimum of 15 square feet floor space and  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 barrier.  Visiting Space (1.17)  Visiting space is provided. Institutional Storage (1.18) 3264 cu feet of linen storage in intake. There is a minimum of 80 cubic feet of storage space per  minor for institutional clothing, bedding, supplies and activity equipment, in one or more storage rooms. Personal Storage (1.19) 3492 cu feet of storage in intake + 4 rooms on each unit (99sf each). Each minor has a minimum of nine cubic feet of 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 apparatus, wire and bar cutters, emergency lights, etc. 7574 Santa Barbara Santa Maria JH PHY 20-22 - 5 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Janitor Closet (1.21) There is at least one securely lockable janitorial closet  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; 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 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) 4 in intake, all over 60 sf.  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 interview  room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp.  Court Holding Room for Minors (1.26)  Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors  Provides 40 square feet of floor area and a minimum clear  ceiling height of eight feet Contains seating to accommodate all minors  Contains a toilet, wash basin and drinking fountain as  specified in these regulations Maximizes staffs' visual supervision of minors No audio monitoring required in court holding  rooms. Juvenile Institutions Officer will be posted outside court holding rooms while youths are in rooms. 7574 Santa Barbara Santa Maria JH PHY 20-22 - 6 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS 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. 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 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) 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  waste water from flowing over the bubbler. Showers (2.4) Showers provide tempered water and are available 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.  Beds (2.5) 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 less than 36 inches apart.  Lighting (2.6) There is at least 20 foot-candles (216 1x) of 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 visibility and is conducive to sleep.  Padding (2.7) Padding in safety rooms covers the floor, door and 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 (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 surfaces; and, is  without exposed seams. 7574 Santa Barbara Santa Maria JH PHY 20-22 - 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 allowed for  each person. Weapons Locker (2.9) Weapons lockers are located outside the security 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.  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: 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.  (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.) 7574 Santa Barbara Santa Maria JH PHY 20-22 - 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: 7574 FACILITY: Susan J. Gionfriddo Juvenile Justice Center (Santa Maria Juvenile Hall) TYPE: JH RC: 140 (SMJH) FIELD REPRESENTATIVE: Craigus Thompson Sr. DATE: November 10, 2021 ROOMS EACH ROOM Each Room Total Size (L x W x H) FIXTURES* COMMENTS Unit Room Applicable # or Designation Type Standards Rooms # Beds RC RC Square/Cubic Feet T U W F S UNIT I 86 sf Dayroom with 3T, 3W,1F and 3 showers. 1-2 Single Pre 98 12 12 12 9'6"x6'9"=94 sq. ft. 1 1 1 Wet Rooms 21 Holding/ Pre 98 1 1 8'7"x6'2"=53 sq. ft. Dry – grandfathered in under CYA Sleeping UNIT II 368.83 sf Dayrooms with 2T, 2W, 1F and 2 showers. 137 sf Medical Room. 840 sf Classroom rated for 20 minors. 330.5 sf Dining Area. 74 sf Interview Room. 13-20 Single Pre 98 8 1 8 9'5"x6'9"=63 sq. ft 1 1 1 Wet Rooms 22 Holding/ 1 1 8'1"x6'1"=49 sq. ft. Dry – grandfathered in under CYA Sleeping UNIT III Single 4/98 10 1 1 10 11'3"x6'10"x9' 1 1 1 Five showers available on the unit. 76.5 sq. feet One Dayroom, 1,781 sf. Double 4/98 8 2 2 16 15'x7'x9' 1 1 1 100.5 sq. feet Double 4/98 2 2 2 4 11'4"x10'16"x9' 1 1 1 100.9 sq. feet Unit IV Single 2001 10 1 1 10 8’ x 9’4” x 8’10” 1 1 1 5 showers, 1 toilet and sink on unit. 2886 sf of 70 sf dayroom space. Double 2001 10 2 2 20 8” x 13’6” x 8’10” 1 1 1 2 Classrooms on unit: 104 sf 1) 776 sf (20 minors) 2) 666 sf (18 minors) Unit V Single 2001 10 1 1 10 8’x9’4”x8’10”= 1 1 1 5 showers, 1 toilet and sink on unit. 2886 sf of 70 sf dayroom space. Double 2001 10 2 2 20 8”x13’6”x8’10”= 1 1 1 2 Classrooms on unit: 104 sf 1) 776 sf (20 minors) 2) 666 sf (18 minors) Unit VI *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. 7574 Santa Barbara Santa Maria JH LASE 20-22 - 1 - Juv LAS.dot;BOC 460(1/6/97) ROOMS EACH ROOM Each Room Total Size (L x W x H) FIXTURES* COMMENTS Unit Room Applicable # or Designation Type Standards Rooms # Beds RC RC Square/Cubic Feet T U W F S Single 2001 10 1 1 10 8’x9’4”x8’10” 1 1 1 5 showers, 1 toilet and sink on unit. 2886 sf of =70 sf dayroom space. Double 2001 10 2 2 20 8”x13’6”x8’10”= 1 1 1 2 Classrooms on unit: 104 sf 1) 776 sf (20 minors) 2) 666 sf (18 minors) Intake I1 Holding 2001 1 - (2) (2) 7’4” x 12’9”=94sf 1 1 1 I2-I4 Holding 2001 3 - (3) (9) 6’ x 7’6”=45 sf Dry Rooms-Minors have access to toilet in search room. One shower located in intake. I5 & I6 Holding 2001 2 - (3) (6) 6’4” x 8’2”=52 sf Notes: R1-R4 are used for interviews, counseling and the MAYSI. They are not used for holding. Court Holding 910 CH 2001 1 - (2) (2) 7’2” x 8’7” x9’ 1 1 1 Holding Capacity for CH rooms are based on bench (middle) 62 sf measurements. Room 910 is accessible. CH-2 Room 909 is a non-rated “quiet room.” It is a dry 911 CH 2001 1 - (4) (4) 6’2” x 8’7”x 9’ 1 1 1 room with a bench with a window which looks into CH-3 59 sf the court room. 909 CH-3 Comments: *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. 7574 Santa Barbara Santa Maria JH LASE 20-22 - 2 - Juv LAS.dot;BOC 460(1/6/97)