BSCC
Sonoma County (2020-2022 inspection cycle)
Read the report at Sonoma County ↗
February 1, 2022
David Koch, Chief Probation Officer
Sonoma County Probation Department
370 Administration Drive
Santa Rosa, CA 95403
RE: SONOMA COUNTY JUVENILE HALL BSCC #7658
2020/2022 BIENNIAL INSPECTION PURSUANT TO WELFARE AND INSTITUTIONS
CODE SECTION 209 AND 885
Dear Chief Koch:
The 2020/2022 biennial inspection of the Sonoma County Probation Department’s
Juvenile Hall has been completed. A pre-inspection briefing was held on September 21,
2021 and the facility was inspected on January 10-13, 2022.
The complete Board of State and Community Corrections (BSCC) inspection report is
enclosed and consists of the following: this transmittal letter; a Title 15 Procedures
checklist, outlining applicable minimum standards for juvenile detention facilities; a
Physical Plant Evaluation, outlining applicable Title 24 minimum standards; and the Living
Area Space Evaluation (LASE), summarizing the physical plant configuration and
outlining the rated capacity for 140 youth.
Please refer to the Title 15 Procedures checklist for a summary of all relevant minimum
standards, indication of compliance or noncompliance, and information that was used to
determine compliance.
Mandatory Local Inspections
In addition to the biennial inspection, Title 15, section 1313 and its authorizing statute
also require local inspections conducted by the following local authorities:
• county building inspector or person designated by the Board of Supervisors
• fire authority having jurisdiction
• local health officer
• county Superintendent of Schools
• Juvenile Court
• Juvenile Justice Commission.
Results of those inspections are considered a part of this report. The dates of the local
inspections may be found in the accompanying Procedures Checklist.
Chief Koch
Page 2
February 1, 2022
Scope of the Inspection
The inspection consisted of a review of the Sonoma County Policy and Procedure
Manual1, a site visit to review operations, physical plant and relevant documentation, and
interviews with administration, facility staff, youth and collaborative partners. During the
inspection, we evaluated consistency between policy and practices.
We also note the Probation Camp is currently unoccupied but included in some measures
of this report to acknowledge continued local inspections and foreseeable opportunities
for Secure Track youth.
Inspection Results
Operations
The inspection process includes substantial reviews of incident reports, grievances,
admission and classification reports, case plans and counseling notes, and disciplinary
reports and findings to ensure compliance with Title 15 Regulations and to ensure
procedures and processes are consistent with your policies.
We found operations remain consistent and compliant, and there are no policy related
concerns at the facility. We did note the agency places significant emphasis on managing
high risk incidents and youth behavior, with an audit process in place to review staff
response. This was evident in our review of safety checks, use of force, use of restraints,
discipline due process and grievance reports. The factual narratives, clear timelines and
youth involvement in the process was fair and inclusive of all required elements.
Education
The agency has made comprehensive changes in order to meet the needs of youth while
in custody. Post-secondary opportunities and fulfilling graduation requirements are at the
forefront with all education staff. Youth eligible for the program are able to enroll in Santa
Rosa Community College, and work on the increasing participation in vocational
education at the facility. The Sonoma County Office of Education and probation staff
work in sync to promote a positive education experience, evidenced in the Education
Evaluation and submitted school and classroom schedules.
Programming
The facility houses pre-and post- adjudicated youth resulting in short term incarceration,
as well as the new programming for youth committed to Secure Track. The facility
provides an array of services to meet the youth’s individual needs, based on their case
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.
7658 Sonoma JH LTR 20-22
Chief Koch
Page 3
February 1, 2022
plans and independent objectives. The structured programs and unstructured recreation
activities are facilitated mostly by probation staff. It is the hope that outside volunteers
will soon return to assist with the numerous programming options available to youth.
Sonoma County has a comprehensive Assessment Plan process which is timely from
admission, followed by frequent enhancements, modifications and referrals to the agency
identified as the facilitator of service. Juvenile Corrections staff meet with the youth
frequently, developing an individualized, practical and coordinated approach to effect
needed change. The youth participate in programs to address the behaviors identified at
admission to target identified risks and needs.
Title 15, CCR Minimum Standards
Upon final review of all documentation, there are no outstanding items of noncompliance
with Title 15 at the on-site inspection. No corrective action is required at this time.
Title 24, CCR Physical Plant
There were no changes made to the physical plant and your rated capacity remains at
140 youth, 120 for detention and 20 for Secure Track. Although there are no regulations
specific for this new population, we did interview youth in the program and reviewed the
plan for Sonoma County youth committed to the program. Please see the Physical Plant
Evaluation for more information.
There are no outstanding items of noncompliance with Title 24 minimum standards.
Training
According to the most recent Standards and Training for Corrections audit, the Sonoma
County Probation Department is in compliance with all relevant regulations and mandates
and mitigating circumstances if applicable.
Juvenile Justice and Delinquency Prevention Act (JJDPA) Compliance Monitoring
We reviewed documentation for the facility and found no violations of the JJDPA. Please
refer to Title 15 Procedures checklist for detailed information.
We are pleased with the operational aspects of the Sonoma County Juvenile Hall and
look forward to youth being able to complete their program when the Probation Camp
resumes occupation of the facility. We would again like to thank you and compliment
your staff for their dedication, thoroughness and responsiveness during the inspection.
This concludes the 2020/2022 biennial inspection report. I am available to assist as
needed and happy to provide technical assistance when requested. I look forward to
continuing to work together. Please do not hesitate to email me at
Elizabeth.Gong@bscc.ca.gov or call (916) 704-2503 if you have any questions.
7658 Sonoma JH LTR 20-22
Chief Koch
Page 4
February 1, 2022
Sincerely,
Elizabeth Gong
Field Representative
Facilities Standards and Operations Division
Enclosures
cc:
Presiding Judge, Juvenile Court, Sonoma County*
Chair, Juvenile Justice Commission, Sonoma County*
Chair, Board of Supervisors, Sonoma County*
County Administrator, Sonoma County*
Vanessa Fuchs, Assistant Chief Probation Officer
Marty Mitchell, Division Director I
*Copies of full inspection are available online at www.bscc.ca.gov.
7658 Sonoma JH LTR 20-22
JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS
Board of State and Community Corrections
PROCEDURES CHECKLIST1
BSCC Code: 7658 7660
FACILITY NAME: Sonoma County Juvenile Hall FACILITY TYPE: JH
Sonoma County Probation Camp Camp
We note the Probation Camp became unoccupied on December 31, 2020. The
attached checklist, except for required Local Inspections while unoccupied,
refer to the JH Program.
PERSON(S) INTERVIEWED: Vanessa Fuchs, Deputy Chief Probation Officer; Marty Mitchell, Division Director II,
Juvenile Hall; Dan Flamson, Division Director I, Juvenile Hall; Kilee Wilson, Division Director I, JH; Melissa Segura,
Division Director I, Probation Camp; Dawn Kemp, Administrative Assistant, JH; Kristen Vela, Program Manager, Sonoma
County Health Services (Medical and Mental Health); LaDonna Pigoni, Chef, JH; Greg Hallihan, Chef, PC (JH); Victor
Gonzales, Welding Instructor, PC (JH); John Porter, Woodshop Instructor, PC (JH); Cliff Scheuter, Principal, Sonoma County
Office of Education; Youth: Sebastian, age 21 (SYTF); Leah, age 16; Joe, age 17 (SYTF); Jose, age 20.
FIELD REPRESENTATIVE: Elizabeth Gong DATE: January 10-13, 2022
TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS
1313 COUNTY INSPECTION AND
EVALUATION OF BUILDING AND GROUNDS JH: 1.1.4, 7-B
On an annual basis, or as otherwise required by law, each These sections articulate the Director is
juvenile facility administrator shall obtain a documented responsible to ensure the following
inspection and evaluation from the following: inspections are current. Although not
currently occupied by youth, the Probation
Camp continues all Fire, Building and PH
inspections, and a few others not required, to
ensure they can re-occupy the facility for
SYTF youth later in their program.
1
This document is intended for use as a tool during the inspection process; this worksheet may not contain each Title 15 regulation that is
required. Additionally, many regulations on this worksheet are SUMMARIES of the regulation; the text on this worksheet may not
contain the entire text of the actual regulation. Please refer to the complete California Code of Regulations, Title 15, Minimum Standards
for Local Facilities, Division 1, Chapter 1, Subchapter 5 for the complete list and text of regulations.
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(A) County building inspection by agency designated by
the Board of Supervisors to approve building safety; JH
2019: December 10, 2019
2020: November 2020
2021: January 11, 2022*
PC
2019: December 12, 2019
2020: August 13, 2020
☐ 2021: January 11, 2022*
☒ ☐
*The 2020 Inspection for JH was completed
in November 2020; however, the agency did
not complete a report. A memo was
provided by Sonoma General Services, Isaac
Gentry, indicated it was completed with no
deficiencies. The 2021 Inspections were
delayed until January 2022, while we were
on site, due to Covid.
(B) Fire authority having jurisdiction, including a fire
clearance as required by Health and Safety Code JH
Section 13146.1 (a) and (b); 2020: October 29, 2020
2021: September 1, 2021
☐ ☐
☒
PC
2019: December 9, 2019
2021: March 15, 2021
(C) Local health officer, inspection in accordance with
Health and Safety Code Section 101045; JH
2020:
Environmental Health November 6, 2020
Medical/Mental Health December 9, 2020
Nutritional Health September 18, 2020
2021:
Environmental Health September 30, 2021
Medical/Mental Health October 7, 2021
Nutritional Health August 25, 2021
☐ ☐
☒
PC
2020:
Environmental Health September 24, 2020
Medical/Mental Health December 16, 2020
Nutritional Health September 18, 2020
2021:
Environmental Health September 16, 2021
Medical/Mental Health October 7, 2021
Nutritional Health August 25, 2021
7658 7660 Sonoma JH Camp 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019
TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS
(D) County superintendent of schools on the adequacy
of educational services and facilities as required in JH
Section 1370; 2020: May 20, 2020
2021: May 20, 2021
☐ ☐
☒
The 2020 and 2021 Education Evaluations
were conducted virtually by the Mendocino
Office of Education Director Tawny
Fernandez.
(E) Juvenile court as required by Section 209 of the
Welfare and Institutions Code JH
2020: January 7, 2020
2021: March 9, 2021/December 9, 2021
☐ ☐
☒
PC
2020: January 10, 2020
2021: March 11, 2021/December 10, 2021
(F) Juvenile Justice Commission as required by Section
229 of the Welfare and Institutions Code or JH:
Probation Commission as required by Section 240 of 2019: November 19, 2019
2021: December 28, 2021*
the Welfare and Institutions Code.
☐ ☐ PC
☒
2020: February 5, 2020
2021: May 17, 2021
*There was no inspection in 2020 due to
Covid.
1320 APPOINTMENT AND QUALIFICATIONS
BSCC Note: Compliance with this section is The elements of this regulation are addressed
determined by receipt of the Chief Probation Officer’s in a memorandum completed by Chief
Probation Officer (CPO) David Koch on
certification letter confirming that all elements of
September 21, 2021.
regulation are met.
(a) Appointment
☐ ☐
☒
In each juvenile facility there shall be a superintendent,
director or facility manager in charge of its program and
employees. Such superintendent, director, facility
manager and other employees of the facility shall be
appointed by the facility administrator pursuant to
applicable provisions of law.
(b) Employee Qualifications
Each facility shall:
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(1) recruit and hire employees who possess
knowledge, skills and abilities appropriate to
CPO Letter, #1
their job classification and duties in accordance ☒ ☐ ☐
with applicable civil service or merit system
rules;
(2) require a medical evaluation and physical
examination including tuberculosis screening
CPO Letter, #2
test and evaluation for immunity to contagious ☒ ☐ ☐
illnesses of childhood (i.e., diphtheria, rubeola,
rubella, and mumps);
(3) adhere to the minimum standards for the
selection and training requirements adopted by
☒ ☐ ☐ CPO Letter, #4
the Board pursuant to Section 6035 of the Penal
Code; and
(4) conduct a criminal records review, on each new
employee, and psychological examination in
☒ ☐ ☐ CPO Letter, #3 and 5
accordance with Section 1031 et seq. of the
Government Code.
(c) Contract personnel, volunteers, and other non-
employees of the facility, who may be present at the
3.3.14 Volunteer Program
facility, shall have such clearance and qualifications
as may be required by law, and their presence at the
facility shall be subject to the approval and control of
Volunteers are screened prior to spending
the facility manager.
time with youth; however, we note due to
☒ ☐ ☐
Covid many were not coming on site. The
agency has established a balance of
programming despite this and the
development of internal programming, with
dedicated staff and Supervisors, has provided
a consistent and equalized result.
1321 STAFFING
2.1.4 Staffing Requirements
Each juvenile facility shall:
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a) have an adequate number of personnel sufficient to
carry out the overall facility operation and its
2.1.4, 1-a
programming, to provide for safety and security of
youth and staff, and meet established standards and
regulations;
Juvenile Hall currently has 8 Supervisors and
59 youth supervision staff working 8 to 12-
hour shifts. The facility schedule provides
☒ ☐ ☐ for specific programming staff, which
alleviates some periods of youth supervision
staff having to do a myriad of operational
duties while providing a robust program for
youth. This works very well and is in line
with both the spirit and intent of servicing
youth in detention or commitment.
b) ensure that no required services shall be denied
because of insufficient numbers of staff on duty
☒ ☐ ☐ 2.1.4, 1-a
absent exigent circumstances;
c) have a sufficient number of supervisory level staff to
ensure adequate supervision of all staff members;
☒ ☐ ☐ 2.1.4, 1-b
d) have a clearly identified person on duty at all times
who is responsible for operations and activities and
2.1.4, 1-b, I
has completed the Juvenile Corrections Officer Core
☒ ☐ ☐
Course and PC 832 training; 2.1.4, 1-c
e) have at least one staff member present on each living
unit whenever there are youth in the living unit;
☒ ☐ ☐ 2.1.4, 1-f
f) have sufficient food service personnel relative to the
number and security of living units, including staff
2.1.4, 1-d
qualified and available to: plan menus meeting
nutritional requirements of youth; provide kitchen
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;
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g) have sufficient administrative, clerical, recreational,
medical, dental, mental health, building
2.1.4, 1-e
maintenance, transportation, control room, facility
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
continuous wide-awake supervision of youth,
2.1.4, 2
subject to temporary variations in staff assignments
☒ ☐ ☐
to meet special program needs. Staffing shall be in
compliance with a minimum youth-staff ratio for the
following facility types:
(1) Juvenile Halls (minimum youth-staff ratio)
(A) during the hours that youth are awake, one wide- 2.1.4, 2-a Staffing
awake youth supervision staff member on duty for
each 10 youth in detention;
☒ ☐ ☐ There is a minimum of two staff on duty in
each unit during waking hours, 3 when
programming staff are accounted for in the
ratio.
(B) during the hours that youth are confined to their
room for the purpose of sleeping, one wide-awake
☒ ☐ ☐ 2.1.4, 2-b
youth supervision staff member on duty for each
30 youth in detention;
(C) at least two wide-awake youth supervision staff
members on duty at all times, regardless of the
2.1.4, 1-h
number of youth in detention, unless an
☒ ☐ ☐
arrangement has been made for backup support 2.1.4, 2-c
services which allow for immediate response to
emergencies; and,
(D) at least one youth supervision staff member on duty
who is the same gender as youth housed in the ☒ ☐ ☐
2.1.4, 1-g
facility.
(E) personnel with primary responsibility for other
duties such as administration, supervision of
2.1.4, 1-e
personnel, academic or trade instruction, clerical, ☒ ☐ ☐
kitchen or maintenance shall not be classified as
youth supervision staff positions.
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(2) Special Purpose Juvenile Halls (minimum youth-
staff ratio)
☐ ☐ ☒
(A) during hours that youth are awake, one wide-awake
youth supervision staff member is on duty for each
10 youth in detention;
(B) during the hours that youth are confined to their room
for the purpose of sleeping, one wide-awake youth
☐ ☐ ☒
supervision staff member on duty for each 30 youth
in detention;
(C) at least two wide-awake youth supervision staff
members on duty at all times, regardless of the
number of youth in detention, unless an arrangement ☐ ☐ ☒
has been made for backup support services which
allow for immediate response to emergencies; and,
(D) at least one youth supervision staff member on duty
who is the same gender as youth housed in the ☐ ☐ ☒
facility.
(E) personnel with primary responsibility for other
duties such as administration, supervision of
personnel, academic or trade instruction, clerical, ☐ ☐ ☒
kitchen or maintenance shall not be classified as
youth supervision staff positions.
(3) Camps (minimum youth -staff ratio)
(A) during the hours that youth are awake, one wide- ☐ ☐ ☒
awake youth supervision staff member on duty for
each 15 youth in the camp population;
(B) during the hours that youth are confined to their
room for the purpose of sleeping, one wide-awake
☐ ☐ ☒
youth supervision staff member on duty for each 30
youth present in the facility;
(C) at least two wide-awake youth supervision staff
members on duty at all times, regardless of the
number of youth in residence, unless arrangements ☐ ☐ ☒
have been made for backup support services which
allow for immediate response to emergencies;
(D) at least one youth supervision staff member on duty
who is the same gender as youth housed in the ☐ ☐ ☒
facility;
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(E) in addition to the minimum staff to youth ratio
required in (h)(3)(A)-(B), consideration shall be
given to the size, design, and location of the camp;
types of youth committed to the camp; and the ☐ ☒
☐
function of the camp in determining the level of
supervision necessary to maintain the safety and
welfare of youth and staff;
(F) personnel with primary responsibility for other
duties such as administration, supervision of
personnel, academic or trade instruction, clerical, ☐ ☒
☐
farm, forestry, kitchen or maintenance shall not be
classified as youth supervision staff positions.
1322 YOUTH SUPERVISION STAFF
ORIENTATION AND TRAINING
2.2.1 Training Program
(a) Prior to assuming any responsibilities each youth
supervision staff member shall be properly oriented
Youth supervision staff are operationally
to their duties, including:
prepared for completing their responsibilities
due to a robust training curriculum including
a 5 Phased New Employee Orientation
Training Program:
Orientation 80 Hours
☒ ☐ ☐ Shadowing 80-160 Hours
Training Proficiency Testing
Scheduled Hours (Non-Core)
Scheduled Hours (Completed Core)
Staff complete a regimen of training
supervised by a senior Juvenile Correction
Counselor (JCC), who mentors them until
able to complete tasks on their own or with a
tenured JCC.
(1) youth supervision duties;
☒ ☐ ☐ 2.2.1, 4-D, i-a
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(2) scope of decisions they shall make;
☒ ☐ ☐ 2.2.1, 4-D, i-b
(3) the identity of their supervisor;
☒ ☐ ☐ 2.2.1, 4-D, i-c
(4) the identity of persons who are responsible to
them;
☒ ☐ ☐ 2.2.1, 4-D, i-d
(5) persons to contact for decisions that are beyond
their responsibility; and
☒ ☐ ☐ 2.2.1, 4-D, i-e
(6) ethical responsibilities.
☒ ☐ ☐ 2.2.1, 4-D, i-f
(b) Prior to assuming any responsibility for the
supervision of youth, each youth supervision staff
☒ ☐ ☐ 2.2.1, 4-E
member shall receive a minimum of 40 hours of
facility-specific orientation, including:
(1) individual and group supervision techniques;
☒ ☐ ☐ 2.2.1, 4-E, ii
(2) regulations and policies relating to discipline and
rights of youth pursuant to law and the
☒ ☐ ☐ 2.2.1, 4-E, iii
provisions of this chapter;
(3) basic health, sanitation and safety measures;
☒ ☐ ☐ 2.2.1, 4-E, iv
(4) suicide prevention and response to suicide
attempts
☒ ☐ ☐ 2.2.1, 4-E, v
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(5) policies regarding use of force, de-escalation
techniques, chemical agents, mechanical and
☒ ☐ ☐ 2.2.1, 4-E, vi
physical restraints;
(6) review of policies and procedures referencing
trauma and trauma-informed approaches;
☒ ☐ ☐ 2.2.1, 4-E, vii
(7) procedures to follow in the event of
emergencies;
☒ ☐ ☐ 2.2.1, 4-E, viii
(8) routine security measures, including facility
perimeter and grounds;
☒ ☐ ☐ 2.2.1, 4-E, ix
(9) crisis intervention and mental health referrals to
mental health services;
☒ ☐ ☐ 2.2.1, 4-E, x
(10) documentation; and
☒ ☐ ☐ 2.2.1, 4-E, xi
(11) fire/life safety training
☒ ☐ ☐ 2.2.1, 4-E, xii
(c) Prior to assuming sole supervision of youth, each
youth supervision staff member shall successfully
2.2.1, 4-F
complete the requirements of the Juvenile
Corrections Officer Core Course pursuant to Penal
Code Section 6035.
The agency typically sends new staff to
☒ ☐ ☐ Sacramento County for Core Training. This
has presented an obstacle because of Covid;
however, the agency is compliant with this
regulation despite scheduling new staff to
core.
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(d) Prior to exercising the powers of a peace officer
youth supervision staff shall successfully complete
☒ ☐ ☐ 2.2.1, 4-F, i
training pursuant to Section 830 et seq. of the Penal
Code.
1323 FIRE AND LIFE SAFETY
Whenever there is a youth in a juvenile facility, there 2.2.1, 4-E, xii
shall be at least one wide awake person on duty at all
☒ ☐ ☐
times who meets the training standards established by the
Board for general fire and life safety which relate All cored staff are trained in Fire and Life
specifically to the facility. Safety.
1324 POLICY AND PROCEDURES MANUAL
1.1.4, I-A, B and C Administrative
Responsibilities
All facility administrators shall develop, publish, and
implement a manual of written policies and procedures 1.1.5 Policy and Procedures Manual
that address, at a minimum, all regulations that are
applicable to the facility. Such a manual shall be made
☒ ☐ ☐
available to all employees, reviewed by all employees,
and shall be administratively reviewed at a minimum
every two years, and updated, as necessary. Those
records relating to the standards and requirements set
forth in these regulations shall be accessible to the Board
on request.
The manual shall include:
(a) table of organization, including channels of
communications and a description of job
☒ ☐ ☐ 1.1.5, 1-c through e
classifications;
(b) responsibility of the probation department, purpose
of programs, relationship to the juvenile court, the
1.1.1 Mission Statement
Juvenile Justice/Delinquency Prevention
Commission or Probation Committee, probation 1.1.2 Policy Statement
staff, school personnel and other agencies that are
1.1.7 JJC
involved in juvenile facility programs;
1.1.8 Roles and Relationships with other
☒ ☐ ☐
Agencies, Departments and Divisions.
Each of these policy sections identify the
role and responsibility of the agency and
staff reflected.
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(c) responsibilities of all employees;
1.1.5, 1-f
☒ ☐ ☐
2.1.1 JCC Roles and Responsibilities
(d) initial orientation and training program for
employees;
2.2.1 Training Sworn Staff
☒ ☐ ☐
2.2.1, G-I and ii Volunteers, Providers and
Support Staff Training and Orientation
(e) initial orientation, including safety and security
issues and anti-discrimination policies, for support
2.2.1, 4-G, ii
staff, contract employees, school, mental/behavioral ☒ ☐ ☐
health and medical staff, program providers and
volunteers;
(f) maintenance of record-keeping, statistics and
☒ ☐ ☐
communication system to ensure:
(1) efficient operation of the juvenile facility;
☐ ☐ ☐ 1.1.4 Policy Statement
(2) legal and proper care of youth;
☒ ☐ ☐ 1.1.6, 2
(3) maintenance of individual youth's records;
The County of Sonoma has a retention of
☒ ☐ ☐
youth records schedule.
(4) supply of information to the juvenile court and
those authorized by the court or by the law; and,
1.1.6, 2-D
☒ ☐ ☐
1.4, 2-d
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(5) release of information regarding youth.
1.1.6, 2-D
☒ ☐ ☐
1.4, 2-d
(g) ethical responsibilities;
☒ ☐ ☐ 2.1.2 Code of Conduct
(h) trauma-informed approaches;
☒ ☐ ☐ 3.3.21 Trauma Informed Approaches
(i) culturally responsive approaches;
☒ ☐ ☐ 3.3.21, I-A, v
(j) gender responsive approaches;
☒ ☐ ☐ 3.6.4, 1-A
(k) a non-discrimination provision that provides that all
youth within the facility shall have fair and equal
2.1.1, 2-A, vii
access to all available services, placement, care,
treatment, and benefits, and provides that no person
shall be subject to discrimination or harassment on
The NDP is posted in the living unites.
the basis of actual or perceived race, ethnic group
☒ ☐ ☐
identification, ancestry, national origin, immigration
status, color, religion, gender, sexual orientation,
gender identity, gender expression, mental or
physical disability, or HIV status, including
restrictive housing or classification decisions based
solely on any of the above mentioned categories;
(l) storage and maintenance requirements for any
chemical agents related security devices, and
☒ ☐ ☐ 3.4.15, 6-A through C
weapons and ammunition, where applicable;
(m) establishment of procedures for collection of Medi-
Cal eligibility information and enrollment of eligible
☒ ☐ ☐ 4.1.15
youth; and,
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(n) establishment of a policy that prohibits all forms of
sexual abuse, sexual assault and sexual harassment.
1.4.23 PREA Policy
The policy shall include an approach to preventing,
detecting and responding to such conduct and any ☒ ☐ ☐
retaliation for reporting such conduct, as well as a
provision for reporting such conduct by youth, staff
or a third party.
1325 FIRE SAFETY PLAN
5.1.9 Fire and Life Safety
The facility administrator shall consult with the local fire
department having jurisdiction over the facility, or with
It should be noted the JH has experienced
the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐
two evacuations to Solano County JH due to
which shall include, but not be limited to:
fires. The agency process and diligence in
ensuring youth safety is well documented in
the reports during each evacuation.
a) a fire prevention plan to be included as part of the
manual of policy and procedures;
☒ ☐ ☐ 5.1.9, 5 Responding to a Fire
b) monthly fire and life safety inspections by facility
staff with two- year retention of the inspection
☒ ☐ ☐ 5.1.9, 9-a
record;
c) fire prevention inspections as required by Health
and Safety Code Section 13146.1(a) and (b);
The last fire inspection was completed by the
☒ ☐ ☐ Santa Rosa Fire Department on September 1,
2021.
d) an evacuation plan;
☒ ☐ ☐ 5.1.9, 6 Evacuation Procedures
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e) documented fire drills not less than quarterly;
5.1.9, 2-b
We reviewed Fire Drills for 2020-2021 and
found the agency compliant with regulation
and their own policy, which is more
restrictive than T15, mostly due to Sonoma
☒ ☐ ☐ County’s experience with fires and
evacuation.
The drills are conducted at different times
and are documented in an Emergency Drill
Report, including comments by staff
conducting the drill with Supervisor review.
f) a written plan for the emergency housing of youth in
the case of fire; and,
☒ ☐ ☐ 5.1.9, 7 Emergency Housing
g) development of a fire suppression pre-plan in
cooperation with the local fire department.
☒ ☐ ☐ 5.1.9, 10 Fire Suppression Pre-Plan
1326 SECURITY REVIEW
Each facility administrator shall develop policies and 1.1.4, 3-A, I Security Review
procedures to annually review, evaluate, and document
security of the facility. The review and evaluation shall ☒ ☐ ☐
include internal and external security, including, but not
A Security Review was completed by
limited to, key control, equipment, and staff training.
Division Director II Marty Mitchell on
January 3, 2022.
1327 EMERGENCY PROCEDURES
The facility administrator shall develop facility-specific An Emergency Procedures Review
policies and procedures for emergencies that shall ☒ ☐ ☐ memorandum was completed by Division
include, but not be limited to: Director I Dan Flamson on January 3, 2022.
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(a) escape, disturbances, and the taking of hostages;
3.4.26 Escape; 3.4.27 Riot (Disturbance);
☒ ☐ ☐
3.4.28 Hostage Situation
(b) civil disturbance, active shooter and terrorist attack;
3.4.27 Riot
☒ ☐ ☐
3.4.32 Active Shooter/Terrorist Attack
(c) fire and natural disasters;
5.1.9 Fire and Life Safety
☒ ☐ ☐
5.1.11 Earthquake
(d) periodic testing of emergency equipment;
5.1.5, 4 AED Inspections
☒ ☐ ☐
5.1.9, 12 Fire Suppression Equipment and
Maintenance
(e) emergency evacuation of the facility; and
☒ ☐ ☐ 5.1.7 Emergency Evacuation Plan
(f) a program to provide all youth supervision staff
with an annual review of emergency procedures.
☒ ☐ ☐ 5.1.9, 2-a, i and ii Emergency Training
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1328 SAFETY CHECKS
The facility administrator shall develop and implement 3.1.12 Safety Checks; 3.1.12, 2-B, iii
policy and procedures that provide for direct visual (Random and Varied)
observation of youth at a minimum of every 15 minutes,
at random or varied intervals during hours when youth
are asleep or when youth are in their rooms, confined in We reviewed safety check “Round
holding cells or confined to their bed in a dormitory. Summaries” for the months of October and
Supervision is not replaced, but may be supplemented December 2021 for the units and handwritten
by, an audio/visual electronic surveillance system Intake/Special Watch checks. The checks
designed to detect overt, aggressive or assaultive occur at random intervals and the agency has
behavior and to summon aid in emergencies. All safety a good understanding that patterned checks
checks shall be documented with the actual time the are not acceptable. The Intake and Special
check is completed. Watch checks are signed off by a supervisor
and Director.
☒ ☐ ☐
We noted the Rounds Summary was not
operational and found the back up to the
system is paper ‘watch sheet’ checks. These
are also audited and reviewed by supervisors
and the Operations Director Dan Flamson.
The policy outlines a clear and regimented
system to audit safety checks, including an
audit each shift by the supervisor, with
follow up with staff to Administration for
late unit checks.
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1329 SUICIDE PREVENTION PLAN
3.3.20 Suicide Prevention Program
The facility administrator, in collaboration with the
healthcare and behavioral/mental health administrators,
shall plan and implement written policies and We reviewed the only two incident reports of
procedures which delineate a Suicide Prevention Plan. serious suicide attempts by one youth that
The plan shall consider the needs of youth experiencing has occurred this cycle. Staff clearly
past or current trauma. Suicide prevention responses documented the circumstances of the
shall be respectful and in the least invasive manner incident in the Incident Report, their
consistent with the level of suicide risk. The plan shall responses, other personnel responses and
include the following elements: specific timelines during and post incident.
Each incident involved staff having to cut the
sheet/towel from the youth’s neck, call 911
☒ ☐ ☐ and utilize their training to process and
operationally handle the youth and other
youth in the unit. This type of trauma is not
just for the youth but all involved. We were
advised one staff who was present for both
incidents remains on leave.
We noted the detail of notifications and
response of medical/mental health, as well as
required notifications to the Probation
Officer, guardian, Court, attorney and
Probation administration.
(a) Suicide prevention training as required in Section
1322, Youth Supervision Staff Orientation, and
☒ ☐ ☐ 3.3.10, 1-A
Training and the Juvenile Corrections Officer Core
Course.
(b) Screening, Identification Assessment and
Precautionary Protocols
3.3.20, 2-A
(1) All youth shall be screened for risk of ☒ ☐ ☐
suicide at intake and as needed during
detention.
(2) All youth supervision staff who perform
intake processes shall be trained in
☒ ☐ ☐ 3.3.20, 1-A
screening youth for risk of suicide.
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(3) All youth who have been identified during
the intake screening process to be at risk of
3.3.20, 2-B, I and ii
suicide shall be referred to
☒ ☐ ☐
behavioral/mental health staff for a suicide
risk assessment.
(4) Precautionary protocols shall be developed
to ensure the youth’s safety pending the
☒ ☐ ☐ 3.3.20, 3-G
behavioral/mental health assessment.
(c) Referral process to behavioral/mental health staff
for assessment and/or services.
☒ ☐ ☐ 3.3.20, 2-C
(d) Procedures for monitoring of youth identified at
risk for suicide.
☒ ☐ ☐ 3.3.20, 4 Monitoring
(e) Safety Interventions
(1) Procedures to address intervention 3.3.20, 3 Placing a Youth on Suicide Watch
☒ ☐ ☐
protocols for youth identified at risk for
suicide which may include, but are not
limited to:
A. Housing consideration
☒ ☐ ☐ 3.3.20, 5 Housing
B. Treatment strategies including
trauma-informed approaches
☒ ☐ ☐ 3.3.20, 3-E
(2) Procedures to instruct youth supervision
staff how to respond to youth who exhibit
☒ ☐ ☐ 3.3.20, 4
suicidal behaviors.
(f) Communication
(1) The intake process shall include
3.3.20, 2-A, i
communication with the arresting officer
☒ ☐ ☐
and family guardians regarding the youth’s
past or present suicidal ideations, behaviors
or attempts.
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(2) Procedures for clear and current
information sharing about youth at risk for
3.3.20, 3
suicide with youth supervision, healthcare,
and behavioral/mental health staff.
☒ ☐ ☐ The policy coordinates communication
amongst staff and MH via a logbook, with
responsibilities by all to document behaviors,
updates or changes to status.
(g) Debriefing of Critical Incidents Related to Suicides
or Attempts
6.1.11, 11-D, vii
(1) Process for administrative review of the ☒ ☐ ☐
circumstances and responses proceeding,
during and after the critical incident.
(2) Process for a debriefing event with affected
staff.
☒ ☐ ☐ 3.3.20, 10-G, iii
(3) Process for a debriefing event with affected
youth.
☒ ☐ ☐ 3.3.20, 10-G, iv
(h) Documentation
(1) Documentation processes shall be
3.3.20
developed to ensure compliance with this
regulation
☒ ☐ ☐
The documentation process is throughout
this policy, with specific requirements from
sworn and non-sworn (mental health) staff.
Youth identified at risk for suicide shall not be denied
the opportunity to participate in facility programs,
3.3.20, 3-D
services and activities which are available to other non-
suicidal youth, unless deemed necessary for the safety
☒ ☐ ☐
of the youth or security of the facility. Any deprivation
of programs, services or activities for youth at risk of
suicide shall be documented and approved by the
facility manager.
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1340 REPORTING OF LEGAL ACTIONS
Each facility shall submit to the Board a letter of ☒ ☐ ☐ 1.1.4, 4-A
notification on each legal action, pertaining to conditions
of confinement, filed against persons or legal entities
responsible for juvenile facility operation.
1341 DEATH AND SERIOUS ILLNESS OR
INJURY OF A YOUTH WHILE
5.1.14 Death or Serious Illness or Injury of
DETAINED
Youth in Custody
5.1.14, 3 Death of a Youth.
(1) Death of a Youth.
(a) The facility administrator, in cooperation with the
☒ ☐ ☐
health administrator and the behavioral/mental
health director, shall develop written policies and
procedures in the event of the death of a youth while
detained, which include notifications to necessary
parties, which may include the Juvenile Court, the
parent, guardian or person standing in loco parentis
and the youth’s attorney of record.
(b) The health administrator, in cooperation with the
facility administrator, shall develop written policies
5.1.14, 3-C
and procedures to assure there is a medical and
operational review of every in-custody death of a
youth. The review team shall include the facility ☒ ☐ ☐
administrator and/or facility manager, the health
administrator, the responsible physician and other
health care and supervision staff who are relevant
to the incident.
(c) The administrator of the facility shall provide to the
Board a copy of the report submitted to the Attorney
5.1.14, 3-A
General under Government Code Section 12525. A ☒ ☐ ☐
copy of the report shall be submitted to the Board
within 10 calendar days after the death.
(d) Upon receipt of a report of the death of a youth from
the administrator, the Board may within 30 calendar
The agency is aware of this regulation.
days inspect and evaluate the juvenile facility, jail,
lockup or court holding facility pursuant to the ☒ ☐ ☐
provisions of this subchapter. Any inquiry made by
the Board shall be limited to the standards and
requirements set forth in these regulations.
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(2) Serious Illness or Injury of Youth
(a) The facility administrator, in cooperation with the 5.1.14, 2 Serious Illness or Injury
health administrator, shall develop written policies
and procedures for the notification to necessary ☒ ☐ ☐
parties, which may include the Juvenile Court, the
parent, guardian or person standing in loco parentis
and the youth’s attorney of record in the case of a
serious illness or injury of a youth.
1342 POPULATION ACCOUNTING
Each juvenile facility shall submit required population ☒ ☐ ☐ 1.1.4, 5-A through C
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
When the number of youth detained in a living unit of a 1.1.4, 6-A
juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐
fifteen (15) calendar days in a month, the facility
administrator shall provide a crowding report to the
Board in a format provided by the Board.
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1350 ADMITTANCE PROCEDURES
4.1.1 Intake Policy Statement
The facility administrator shall develop and implement We reviewed admittance screening
written policies and procedures for admittance of youth documentation, which revealed a
that emphasize respectful and humane engagement with comprehensive process for admission via a
youth, and reflect that the admission process may be medical screening questionnaire, PC
traumatic to youth who may have already experienced Declaration, and Admission Booking Sheet.
trauma. Policies shall be trauma-informed, culturally Medical Screening information, the PACT
relevant, and responsive to the language and literacy Pre-Screen and the DRAI also elicit
needs of youth. In addition to the requirements of appropriate information to consider at
Sections 1324 and 1430 of these regulations: admission.
The initial medical screening tool boasts
mental health, physical health, past and
current abuses, and other information
☒ ☐ ☐
necessary for classification procedures for
the facility. This approach allows intake
staff to document the youths needs pending a
full mental health screen, as well as establish
an appropriate level of supervision pending
permanent placement in the living unit.
Intake staff complete the Intake/Orientation
Cover Page which includes information
regarding all required elements of
Orientation as well as medical and mental
health questions to solicit suicidal ideations
and/or medical limitations or past injury-
illness.
(a) the admittance process shall include:
(1) Access to two free phone calls within one hour
☒ ☐ ☐ 3.6.1, 3-A
of admittance in accordance with the provisions
of Welfare and Institution Code Section 627;
(2) Offer of a shower;
☒ ☐ ☐ 4.1.3, 1-F
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(3) Documented secure storage of personal
belongings;
☒ ☐ ☐ 4.1.4 Resident Property
(4) Offer of food upon arrival;
☒ ☐ ☐ 4.1.1, 1-B, v
(5) Screening for physical and behavioral health
and safety issues, intellectual or developmental
4.1.1, 1-G Intake Staff Screening
disabilities;
☒ ☐ ☐ 6.1.1, 10 Medical Screening
6.1.8, 4 Mental Health Screening
(6) Screening for physical and developmental
disabilities in accordance with Sections 1329,
☒ ☐ ☐ 3.1.9; 3.3.20; 6.1.1; 6.1.8
1413, and 1430 of these regulations;
(7) Contact with Regional Center for the
Developmentally Disabled for youth that are
3.3.6, 1-J, i
suspected of or identified as having a ☒ ☐ ☐
developmental disability, pursuant to Section
1413; and,
(8) Procedures consistent with Section 1352.5.
☒ ☐ ☐ 4.1.1, 1-G, i-b
(b) juvenile hall administrators shall establish written
criteria for detention that considers the least
4.1.1, 1-A, i-iii
restrictive environment.
☒ ☐ ☐
This identifies who is eligible for admission.
The DRAI and PACT Pre-Screen contribute
to the intake decision.
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(c) juvenile camps and post-dispositional programs in
juvenile halls shall develop policies and procedures
4.1.1, 6-B, i
that advise the youth of the estimated length of
☒ ☐ ☐
stay, inform them of program guidelines and
provide written screening criteria for inclusion and
exclusion from the program.
(d) juvenile halls shall develop policies and procedures
that advise any committed youth of the estimated ☒ ☐ ☐
4.1.1, 6-B, ii
length of his/her stay.
1350.5. SCREENING FOR THE RISK OF SEXUAL
ABUSE
4.1.1 Policy Statement
The facility administrator shall develop and implement
The Medical Screening Questionnaire elicits
written policies and procedures to reduce the risk of ☒ ☐ ☐
information self-reported by the youth at
sexual abuse by or upon youth. The policy shall require
admission addressing prior incidents of
facility staff to assess each youth within 72 hours of
sexual abuse or assault and the youths
admission based on the following information:
current assessment of returning home.
(a) Prior sexual victimization or abusiveness;
☒ ☐ ☐ 4.1.1, 1-G, i-b, (i)
(b) Gender nonconforming appearance or manner; or
identification as lesbian, gay or bisexual,
☒ ☐ ☐ 4.1.1, 1-G, i-b, (ii)
transgender, queer or intersex, and whether the
youth may, therefore, be vulnerable to sexual abuse;
(c) Current charges and offense history;
☒ ☐ ☐ 4.1.1, 1-G, i-b, (iii)
(d) Age;
☒ ☐ ☐ 4.1.1, 1-G, i-b, (iv)
(e) Level of emotional and cognitive development;
☒ ☐ ☐ 4.1.1, 1-G, i-b, (v)
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(f) Physical size and stature;
☒ ☐ ☐ 4.1.1, 1-G, i-b, (vi)
(g) Mental illness or mental disabilities;
☒ ☐ ☐ 4.1.1, 1-G, i-b, (vii)
(h) Intellectual or developmental disabilities;
☒ ☐ ☐ 4.1.1, 1-G, i-b, (viii)
(i) Physical disabilities;
☒ ☐ ☐ 4.1.1, 1-G, i-b, (ix)
(j) The youth’s perception of vulnerability; and,
☒ ☐ ☐ 4.1.1, 1-G, i-b, (x)
(k) Any other specific information about the individual
youth that may indicate heightened needs for
☒ ☐ ☐ 4.1.1, 1-G, i-b, (xi)
supervision, additional safety precautions, or
separation from certain other youth.
Staff shall ascertain this information through
conversations with the youth during the admittance
4.1.1 Policy Statement
process, medical and behavioral health screenings;
☒ ☐ ☐
during classification assessments; and by reviewing
court records, case files, facility behavioral records, and
other relevant documentation from the youth’s files.
The facility administrator shall implement appropriate
controls on the dissemination of information within the
4.1.1, 1-G, i-c
facility relative to responses received pursuant to this
☒ ☐ ☐
assessment in order to ensure that sensitive information
is not exploited to the youth’s detriment by staff or other
youth.
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1351 RELEASE PROCEDURES
The facility administrator shall develop and implement 4.2.1 Releases
written policies and procedures for release of youth
from custody which provide for:
The Probation staff assist facility staff with
release expectations in order to generate an
☒ ☐ ☐
efficient and timely process of youth re-
entry. Youth are matched to local services
and schools, and along with their
parent/guardian, are advised of
responsibilities post-release.
(a) verification of identity/release papers;
☒ ☐ ☐ 4.2.1, 2-C, i
(b) return of personal clothing and valuables;
☒ ☐ ☐ 4.2.1, 2-D and H
(c) notification to the youth's parents or guardian;
☒ ☐ ☐ 4.2.2 Notification of Parents
(d) notification to the facility health care provider in
accordance with Sections 1408 and 1437 of these
☒ ☐ ☐ 4.2.1, 2-C, vi
regulations, for coordination with outside agencies;
and,
(e) notification of school staff;
☒ ☐ ☐ 4.2.1, 2-C, vii
(f) notification of facility mental health personnel.
☒ ☐ ☐ 4.2.1, 2-C, vi
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The facility administrator shall develop and implement
policies and procedures for post-disposition youth to
4.2.1, 2-B
coordinate the provision of transitional and reentry
☒ ☐ ☐
services including, but not limited to, medical and
behavioral health, education, probation supervision and
community-based services.
The facility administrator shall develop and implement
written policies and procedures for the furlough of
☒ ☐ ☐ 4.2.1, 6
youth from custody.
1352 CLASSIFICATION
The facility administrator shall develop and implement 4.1.6 Classification
written policies and procedures on classification of
youth for the purpose of determining housing placement
in the facility. The Movement, Program and Classification
History document allows staff to review past
Such procedures shall:
information and/or enter current
classification criteria to determine the best
☒ ☐ ☐ placement in the facility and unit for
incoming youth. The Classification policy
dictates how a youth’s classification is
changed and how often it is reviewed. We
reviewed numerous classification reviews
and documents articulating reasons for a
change or review, including a chrono of
incidents while in detention.
(a) provide for the safety of the youth, other youth,
facility staff, and the public by placing youth in the
4.1.6, 1-A
appropriate, least restrictive housing and program
☒ ☐ ☐
settings. Housing assignments shall consider the
need for single, double or dormitory assignment or
location within the dormitory;
(b) consider facility populations and physical design of
the facility;
☒ ☐ ☐ 4.1.6, 1-A
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(c) provide that a youth shall be classified upon
admittance to the facility; classification factors
4.1.6, 1-B, i-xi
shall include, but not be limited to: age, maturity,
sophistication, emotional stability, program needs, ☒ ☐ ☐
legal status, public safety considerations,
medical/mental health considerations, gender and
gender identity of the youth;
(d) provide for periodic classification reviews,
including provisions that consider the level of
4.1.6, 2 Classifications Changes and
supervision and the youth's behavior while in ☒ ☐ ☐
Reviews
custody; and,
(e) provide that facility staff shall not separate youth
from the general population or assign youth to a
4.1.6, 1-D
single occupancy room based solely on the youth's
actual or perceived race, ethnic group
identification, ancestry, national origin, color,
religion, gender, sexual orientation, gender identity, ☒ ☐ ☐
gender expression, mental or physical disability, or
HIV status. This section does not prohibit staff from
placing youth in a single occupancy room at the
youth's specific request or in accordance with Title
15 regulations regarding separation.
(f) facility staff shall not consider lesbian, gay,
bisexual, transgender, questioning or intersex
☒ ☐ ☐ 4.1.6, 1-G, i
identification or status as an indicator of likelihood
of being sexually abusive.
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1352.5 TRANSGENDER AND INTERSEX YOUTH.
The facility administrator shall develop written policies 4.1.6, 1-B, iv
and procedures ensuring respectful and equitable
treatment of transgender and intersex youth. The
policies shall provide that: The agency has a Transgender Preference
Form completed at admission and modified
☒ ☐ ☐ anytime at the request of a youth. The form
articulates the youth’s preference for
housing, search and pronoun. Additionally,
the Medical Intake Questionnaire illicit
responses regarding the youth’s gender
identity and orientation, both self-reported.
(a) Facility staff shall respect every youth’s gender
identity and shall refer to the youth by the youth’s
4.1.6, 1-C, ii
preferred name and gender pronoun, regardless of
the youth’s legal name. Facilities may prohibit the ☒ ☐ ☐
use of gang or slang names or names that otherwise
compromise facility operations as determined by
the facility manager or designee, and shall
document any decision made on this basis.
(b) Facility staff shall permit youth to dress and present
themselves in a manner consistent with their gender
☒ ☐ ☐ 4.1.6, 1-G, viii
identity and shall provide youth with the
institution’s clothing and undergarments consistent
with their gender identity.
(c) Facility staff shall house youth in the unit or room
that best meets their individual needs and promotes
4.1.6, 1-E
their safety and well-being. Staff may not
automatically house youth according to their
external anatomy and shall document the reasons ☒ ☐ ☐
for any decision to house youth in a unit that does
not match their gender identity. In making a
housing decision, staff shall consider the youth’s
preferences, as well as any recommendations from
the youth’s health or behavioral health provider.
(d) Facility administrators shall ensure that transgender
and intersex youth have access to medical and
☒ ☐ ☐ 4.1.6, 1-G, iii
behavioral health providers qualified to provide
care and treatment to transgender and intersex
youth.
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(e) Consistent with the facility’s reasonable and
necessary security considerations and physical
4.1.6, 1-G, vii
plant, facility staff shall make every effort to ensure ☒ ☐ ☐
the safety and privacy of transgender and intersex
youth when the youth are using the bathroom or
shower, or dressing or undressing.
Facility staff shall not conduct physical searches of any
youth for the purpose of determining the youth’s
3.4.9, 2
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.
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1353 ORIENTATION
The facility administrator shall develop and implement 3.3.2 Orientation Program
written policies and procedures to orient a youth prior
3.3.2, 2-A and B
to placement in a living area. Both written and verbal
information shall be provided and supplemented with 3.3.2. 1-B, ii Resident Handbook
video orientation if feasible. Provision shall be made to
provide accessible orientation information to all
detained youth including those with disabilities, limited
Staff provide orientation to the youth prior to
literacy, or English language learners. Orientation shall
movement to the housing unit. The JCC
include information that addresses:
staff reviews all T15 criteria, facility rules
and expectations, and other facility
information. The staff completes an
Orientation Worksheet, which the youth
signs acknowledging they have been
provided a verbal and written orientation, as
well as indicating an understanding of the
program and rules.
☒ ☐ ☐
We reviewed the Orientation Worksheet and
found youth are advised of all Title 15
elements before placement in the living unit.
The Orientation process continues in the
living unit for the more detailed day to day
operation and program components. Youth
learn the Level system, how to advance in
the program, and the opportunities for
participation or removal from incentivized
opportunities.
We reviewed a copy of the Orientation
Handbook and noted inclusion of all
elements required in regulation. We
provided technical assistance suggesting
these elements be part of policy.
(a) facility rules including contraband and searches and
disciplinary procedures;
☒ ☐ ☐ 3.3.2, 2-A
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(b) facility’s system of positive behavior interventions
and supports, including behavior expectations,
3.3.2. 1-B, ii
incentives that youth will receive for complying ☒ ☐ ☐
with facility rules, and consequences that may
result when youth violate the rules of the facility;
(c) age appropriate information that explains the
facility’s policy prohibiting sexual abuse and sexual
1.4.23 Department PREA Policy
harassment and how to report incidents or
☒ ☐ ☐
suspicions of sexual abuse or sexual harassment; 3.3.2. 1-B, ii
(d) identification of key staff and their roles;
2.1.1
☒ ☐ ☐
3.3.2. 1-B, ii
(e) the existence of the grievance procedure, the steps
that must be taken to use it, the youth’s right to be
3.5.4
free of retaliation for reporting a grievance, and the
☒ ☐ ☐
name of the person or position designated to resolve 3.3.2. 1-B, ii
the issue;
(f) access to legal services and information on the court
process;
3.6.1
☒ ☐ ☐
3.3.2. 1-B, ii
(g) access to routine and emergency health and mental
health care;
6.1.1
☒ ☐ ☐
3.3.2. 1-B, ii
(h) access to education, religious services, and
recreational activities;
3.3.5
3.6.4
☒ ☐ ☐
3.6.5
3.3.2. 1-B, ii
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(i) housing assignments;
4.1.6
☒ ☐ ☐
3.3.2. 1-B, ii
(j) opportunity for personal hygiene and daily showers
including the availability of personal care items
3.2.1
☒ ☐ ☐ 3.2.2
33.2. 1-B, ii
(k) rules and access to correspondence, visits and
telephone use;
3.3.16
3.6.2
☒ ☐ ☐
3.6.3
3.3.2. 1-B, ii
(l) availability of reading materials, programming, and
other activities;
3.3.13
☒ ☐ ☐ 3.6.4
3.3.2. 1-B, ii
(m) facility policies on the use of force, use of restraints,
chemical agents and room confinement;
3.4.13
3.4.14
☒ ☐ ☐ 3.4.15
3.5.5
3.3.2. 1-B, ii
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(n) immigration legal services;
3.6.13
☒ ☐ ☐ 3.2. 1-B, ii
(o) emergencies including evacuation procedures;
5.1.7
☒ ☐ ☐
3.3.2. 1-B, ii
(p) non-discrimination policy and the right to be free
from physical, verbal or sexual abuse and
1.4.23
harassment by other youth and staff;
☒ ☐ ☐
3.3.2. 1-B, ii
(q) availability of services and programs in a language
other than English if appropriate;
4.1.1, 4
☒ ☐ ☐
3.3.2. 1-B, ii
(r) the process for requesting different housing,
education, programming and work assignments;
☒ ☐ ☐ 3.3.2. 1-B, ii - Resident Handbook
(s) a process for which parents/guardians receive
information regarding the youth’s stay in the
4.1.1, 5
facility that at a minimum includes answers to
☒ ☐ ☐
frequently asked questions and provides contact 3.3.2. 1-B, ii
information for the facility, medical, school and
mental health; and,
(t) a process by which youth may request access to
Title 15 Minimum Standards for Juvenile Facilities.
☒ ☐ ☐ 3.3.2. 1-B, ii - Resident Handbook
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1354 SEPARATION
3.3.7 Separation
The facility administrator shall develop and implement 3.5.2 (Discipline)
written policies and procedures that address:
The agency policy for separation is
compliant with regulation and includes the
mandatory ‘not in room’ language. Youth
can be moved to a table or general location
away form the group for pre-discipline
behaviors or upon removal of Room
Confinement.
The JH Special Program is used with youth
☒ ☐ ☐
that need a Behavior Intervention Plan to
address triggers for adverse behavior. The
Plan includes opportunities for a Time Out
(not in room) as a precursor for triggers or
when the youth acknowledges he is being
provoked or potentially defiant. The form
prompts modifications to programming,
acceptance of alternative programming and
must be approved by a Director.
We provided technical assistance to take the
words ‘time out’ away from the separation
language used by staff in the units and in the
Orientation Handbook.
(a) separation of youth for reasons that include, but are
not be limited to, medical and mental health
☒ ☐ ☐ 3.3.7, 1-B
conditions, assaultive behavior, disciplinary
consequences and protective custody.
(b) consideration of positive youth development and
trauma-informed care.
☒ ☐ ☐ 3.3.7, 1-C
(c) separated youth shall not be denied normal
privileges available at the facility, except when
☒ ☐ ☐ 3.3.7, 1-D
necessary to accomplish the objective of separation.
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(d) when the objective of the separation is discipline,
Title 15 Section 1390 shall apply.
☒ ☐ ☐ 3.5.2, 1-G
(e) when separation results in room confinement, the
separation shall occur in accordance with Welfare
☒ ☐ ☐ 3.5.5 Room Confinement
and Institutions Code Section 208.3 and
Section1354.5 of these regulations.
(f) policies and procedures shall ensure a daily review
of separated youth to determine if separation
☒ ☐ ☐ 3.3.7, 1-D, 1
remains necessary.
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1354.5 ROOM CONFINEMENT
(a) The facility administrator shall develop and 3.5.5 Placing Youth in Locked Rooms (RC)
implement written policies and procedures
addressing the confinement of youth in their room
that are consistent with Welfare and Institutions We reviewed the Room Confinement Log
Code Section 208.3. The placement of a youth in for 2021 and found 37 youth were placed in
room confinement shall be accomplished in room confinement for more than 4 hours. Of
accordance with the following guidelines: the 37, five youth accounted for 19 incidents
of room confinement. We found 21 youth
were in RC for less than an hour, 8 of which
were 30 minutes or less.
We reviewed 15 of the incidents and found
the agency is compliant with regulation and
☒ ☐ ☐
their own policy. The ‘In Room Tracking
Form’ articulates the reason for RC, the less
restrictive alternatives used or inability to use
lesser options; and the accompanying
discipline process initiated by the violation
of the rules articulated in the incident report.
Of the incidents we read, almost half were
released from RC status into a Special
Program as an integration into group
activities slowly, based on the seriousness of
their behavior (all but one were assaults).
The others were compliant with directives
and ready to meet the responsibilities of
joining unit activities.
(1) Room confinement shall not be used before
other, less restrictive, options have been
3.5.5, 1-B
attempted and exhausted, unless attempting ☒ ☐ ☐
those options poses a threat to the safety or
security of any youth or staff.
(2) Room confinement shall not be used for the
purposes of punishment, coercion,
☒ ☐ ☐ 3.5.5, 1-A
convenience, or retaliation by staff.
(3) Room confinement shall not be used to the
extent that it compromises the mental and
☒ ☐ ☐ 3.5.5, 1-C
physical health of the youth.
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(b) A youth may be held up to four hours in room
confinement. After the youth has been held in room
☒ ☐ ☐
confinement for a period of four hours, staff shall
do one or more of the following:
(1) Return the youth to general population.
☒ ☐ ☐ 3.5.5, 3-E, i
(2) Consult with mental health or medical staff.
☒ ☐ ☐ 3.5.5, 3-E, ii
(3) Develop an individualized plan that includes
the goals and objectives to be met in order to
☒ ☐ ☐ 3.5.5, 3-E, iii
reintegrate the youth to general population.
(4) If room confinement must be extended beyond
☒ ☐ ☐
four hours, staff shall do each of the following:
(A) Document the reasons for room
confinement and the basis for the
3.5.5, 3-F, i
extension, the date and time the youth was
☒ ☐ ☐
first placed in room confinement, and when
he or she is eventually released from room
confinement.
(B) Develop an individualized plan that
includes the goals and objectives to be met
☒ ☐ ☐ 3.5.5, 3-F, ii
in order to integrate the youth to general
population.
(C) Obtain documented authorization by the
facility superintendent or his or her
☒ ☐ ☐ 3.5.5, 3-F, iii
designee every four hours thereafter.
(5) This section is not intended to limit the use of
single-person rooms or cells for the housing of
☒ ☐ ☐ 3.5.5, 4-A and E
youth in juvenile facilities and does not apply
to normal sleeping hours.
(6) This section does not apply to youth or wards
in court holding facilities or adult facilities.
☒ ☐ ☐ 3.5.5, 4-B
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(7) Nothing in this section shall be construed to
conflict with any law providing greater or ☒ ☐ ☐
additional protections to youth.
(8) This section does not apply during an
extraordinary emergency circumstance that
3.5.5, 4-C
requires a significant departure from normal
institutional operations, including a natural
disaster or facility-wide threat that poses an
☒ ☐ ☐
imminent and substantial risk of harm to
multiple staff or youth. This exception shall
apply for the shortest amount of time needed to
address this imminent and substantial risk of
harm.
(9) This section does not apply when a youth is
placed in a locked cell or sleeping room to treat
3.5.5, 4-D
and protect against the spread of a
communicable disease for the shortest amount
of time required to reduce the risk of infection,
with the written approval of a licensed
physician or nurse practitioner, when the youth
is not required to be in an infirmary for an ☒ ☐ ☐
illness. Additionally, this section does not
apply when a youth is placed in a locked cell or
sleeping room for required extended care after
medical treatment with the written approval of
a licensed physician or nurse practitioner, when
the youth is not required to be in an infirmary
for illness.
1355 INSTITUTIONAL ASSESSMENT AND
PLAN
3.3.6 Case Plans and Assessments
☒ ☐ ☐
The facility administrator shall develop and implement
written policies and procedures for assessment and case
planning.
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(a) Assessment:
The assessment is based on information collected
3.3.6, 1-B, I and ii
during the admission process with periodic review,
which includes the youth's risk factors, needs and
strengths including, but not limited to,
We reviewed initial and re-assessments via
identification of substance abuse history,
Noble’s Positive Achievement Change Tool
educational, vocational, counseling, behavioral
(PACT) case plans and found them to be
health, consideration of known history of trauma,
individualized, articulating the youths
and family strengths and needs.
demonstrated risks and needs.
☒ ☐ ☐
The process for review and updating the plan
is systematic and inclusive of all elements to
identify and meet the youth’s needs. The JH
program allows for opportunities through
staff programming, mental health groups and
counseling (including Alcohol and Drug
counseling), and family engagement. The
re-assessments promote stability, allowing
youth to work on attainable goals for
community re-entry.
(b) Institutional Case Plan:
(1) A case plan shall be developed for each youth
3.3.6, 1-A
held for at least 30 days or more and created
within 40 days of admission. PC: 4.4, 1-A, ii; 4.4, 1-B
We reviewed Resident Case Plans and found
the facility staff use the PACT Assessment
☒ ☐ ☐
and available resources to direct services to
youth while in detention. The plans are
independent, resourceful and provide a clear
track of addressing the needs of youth which
may have led to their incarceration by
focusing on those behaviors identified during
the intake process.
(2) The institutional plan shall include, but not be
☒ ☐ ☐
limited to, written documentation that provides:
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(A) objectives and time frame for the resolution
of problems identified in the assessment;
☒ ☐ ☐ 3.3.6, 1-D
(B) a plan for meeting the objectives that
includes a description of program resources
☒ ☐ ☐ 3.3.6, 1-E
needed and individuals responsible for
assuring that the plan is implemented;
(3) periodic evaluation of progress towards meeting
the objectives, including periodic review and
3.3.6, 1-A, i
discussion of the plan with the youth;
☒ ☐ ☐
The case plan is updated every 90 days.
(4) a transition plan, the contents of which shall be
subject to existing resources, shall be developed
☒ ☐ ☐ 3.3.6, 2-B, iv
for post dispositional youth in accordance with
Section 1351; and,
(5) in as much as possible and if appropriate, the
plan, including the transition plan, shall be
3.3.6, 1-F, i
developed with input from the family, ☒ ☐ ☐
supportive adults, youth, and Regional Center
for the Developmentally Disabled.
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1356 COUNSELING AND CASEWORK
SERVICES
3.3.6 Case Planning
The facility administrator shall develop and implement
6.1.10 Counseling Services
written policies and procedures ensuring the availability
of appropriate counseling and casework services for all
youth. Policies and procedures shall ensure:
The policy for this regulation is the detention
aspect of case planning with youth based on
a more independent assessment of needs
while in detention, versus the Case Plan
developed in coordination of what led to the
youth’s incarceration and needs to re-
integrate with family. This dual approach, in
solidarity with one another, only increase the
☒ ☐ ☐
youth’s opportunities to be successful while
detained and prosper upon release.
We reviewed the Resident Case Plans and
chrono’ s of counseling by facility staff,
noting the agency takes the original case plan
and directs services via assignments to
programs. The notes and referral to services,
accompanied by completion information
provides youth with a progress sheet of their
expected participation and predicted
outcomes.
(a) youth will receive assistance with needs or concerns 3.3.6, 1-K, I
that may arise;
☒ ☐ ☐ 6.1.10, 4-b
(b) youth will receive assistance in requesting contact
with parents, other supportive adults, attorney,
☒ ☐ ☐ JH; 3.3.6, 1-K, ii
clergy, probation officer, or other public official;
and,
(c) youth will be provided access to available resources
to meet the youth’s needs.
JH; 3.3.6, 1-K, iii
☒ ☐ ☐
6.1.10, 4-a
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1357 USE OF FORCE
The facility administrator, in cooperation with the 3.4.13 Use of Force (UF)
responsible physician, shall develop and implement
written policies and procedures for the use of force,
which may include chemical agents. Force shall never We reviewed the Use of Force tracking
be applied as punishment, discipline, retaliation or forms for 2021, which include 28 UF
treatment. incidents, 16 of which involved OC Spray.
Of the 28, 17 were assaults to youth, four to
(a) At a minimum, each facility shall develop policies
staff and 2 were youth involved in a serious
and procedures which:
suicide attempt. The agency tracks potential
or avoided UF incidents of which there were
51 in 2021. These incidents involved Group
Disturbances and Inappropriate/Unusual
Behavior.
In reviewing UF incident reports, we found
the agency details the circumstances leading
☒ ☐ ☐ to the force, outlining other options available
but not used for a specific reason. It is
important to note the avoided UF incident
report details as well. Staff’s use of de-
escalation techniques and verbal counseling
is articulated well. The incidents and
documentation were compliant with
regulation and policy.
While on-site, staff participated in Non-
Violent Crisis Intervention training, with the
curriculum from CPI. This training
promotes the use of techniques to avoid and
UF or UR incidents. The agency currently
does a great job in avoiding force, as noted
by the data above, and this new training sill
support and advance this premise.
(1) restricts the use of force to that which is deemed
reasonable and necessary, as defined in Section
☒ ☐ ☐ 3.4.13, 2-A
1302 to ensure the safety and security of youth,
staff, others and the facility.
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(2) outline the force options available to staff
including both physical and non-physical
☒ ☐ ☐ 3.4.13, 2-A, i-iv
options and define when those force options are
appropriate.
(3) describe force options or techniques that are
expressly prohibited by the facility.
☒ ☐ ☐ 3.4.13, 3-A, i-iii
(4) describe the requirements of staff to report any
inappropriate use of force, and to take
☒ ☐ ☐ 3.4.13, 4-A
affirmative action to immediately stop it.
(5) define a standardized reporting format that
includes time period and procedure for
3.4.13, 4-A, i-vii
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
☒ ☐ ☐
supervisory and or management staff, which
include procedures for debriefing a particular
incident with staff and/or youth for the purposes
of training as well as mitigating the effects of
trauma that may have been experienced by staff
and /or the youth involved.
(6) Include an administrative review and a system
for investigating unreasonable use of force.
3.4.13, 4-C
☒ ☐ ☐
3.4.13, 4-E
(7) define the role, notification, and follow-up
procedures required after use of force incidents
3.4.13, 4-B Medical and MH Notification;
for medical, mental health staff and parents or ☒ ☐ ☐
3.4.13, 4-D. I Parent/Guardian Notification
legal guardians.
(8) describe the limitations of use of force on
pregnant youth in accordance with Penal Code
☒ ☐ ☐ 3.1.13, 3-A
Section 6030(f) and Welfare and Institutions
Code Section 222.
(b) Facilities that authorize chemical agents as a force
☒ ☐ ☐
option shall include policies and procedures that:
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(1) identify who is approved to carry and/or utilize
chemical agents in the facility and the type, size
3.4.13, 2-A, iii
and the approved method of deployment for
those chemical agents. ☒ ☐ ☐ 3.4.15, 1-A and B
3.4.15, 5-A through C
(2) mandate that chemical agents only be used when
there is an imminent threat to the youth’s safety
3.4.13, 2-A, iii
or the safety of others and only when de- ☒ ☐ ☐
escalation efforts have been unsuccessful or are 3.4.15, 4-A
not reasonably possible.
(3) outline the facility’s approved methods and
timelines for decontamination from chemical
3.4.13, 2-A, iii-a
agents. This shall include that youth who have
☒ ☐ ☐
been exposed to chemical agents shall not be left 3.4.15, 7-A, i-xii
unattended until that youth is fully
decontaminated or is no longer suffering the
effects of the chemical agent.
(4) define the role, notification, and follow-up
procedures required after use of force incidents
3.4.13, 4-B Medical and MH Notification;
involving chemical agents for medical, mental ☒ ☐ ☐
3.4.13, 4-D. I Parent/Guardian Notification
health staff and parents or legal guardians.
(5) provide for the documentation of each incident
of use of chemical agents, including the reasons
3.4.13, 2-A, iii-a
for which it was used, efforts to de-escalate
prior to use, youth and staff involved, the date, ☒ ☐ ☐ 3.4.15, 9-A, i-vi
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
3.4.13, 1 UF Training
regular training in use of force and chemical agents
☒ ☐ ☐
when appropriate that address: 3.4.15, 1-A OC Training
(1) known medical and behavioral health
conditions that would contraindicate certain
3.4.13, 1-A
types of force; ☒ ☐ ☐
3.4.15, 4-A, i-c and ii
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(2) acceptable chemical agents and the methods of
application.
3.4.13, 1-A
☒ ☐ ☐
3.4.15, 5-A through C
(3) signs or symptoms that should result in
immediate referral to medical or behavioral
☒ ☐ ☐ 3.4.13, 1-A
health.
(4) instruction on the Constitutional Limitations of
Use of Force.
☒ ☐ ☐ 3.4.13, 1-A
(5) physical training force options that may require .
the use of perishable skills.
☒ ☐ ☐ 3.4.13, 1-A
(6) timelines the facility uses to define regular
training.
☒ ☐ ☐ 3.4.13, 1-A
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1358 USE OF PHYSICAL RESTRAINTS
The facility administrator, in cooperation with the 3.4.14 Use of Restraints (UR)
responsible physician and mental health director, shall
develop and implement written policies and procedures
for the use of restraint devices. Restraint devices We reviewed the only two incidents of use of
include any devices which immobilize a youth's restraints (WRAP) for 2021and found each
compliant with regulation and policy. The
extremities and/or prevent the youth from being
circumstances of each involved youth whose
ambulatory.
response to an incident created a serious
safety risk and medical/mental health
response.
The first incident was the result of a youth
being unhappy after a conversation with his
Probation Officer. The youth’s anger
prompted him to run to the upper tier of his
unit and climb over the ledge as if to jump.
Staff were eventually able to de-escalate the
immediate threat and pull the youth over the
rail. The youth continued active resistance,
was ultimately placed in the WRAP and
transported to the hospital for clearance after
☒ ☐ ☐ refusing to cooperate with a medical
assessment. Multiple staff continually
counseled the youth to deescalate. The
documentation was clear and articulated the
incident well. Processes, protection and a
trauma focused plan showed all efforts to
diffuse the situation and revealed adherence
to regulation.
The second incident involved a youth
becoming combative and violent after a
Court hearing in the room used for Zoom
hearings. The youth, angry due to the
situation, pulled the laptop and placed it
outside the room door before he began
throwing all the furniture around the room,
endangering himself. Staff intervened due to
the youths continued combative behavior
while banging his head. Staff placed the
youth in the Wrap. He refused medical
assessment and was transported to the
hospital.
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Physical restraints may be used only for those youth
who present an immediate danger to themselves or
3.4.14, 2-A, I and ii
others, who exhibit behavior which results in the
destruction of property, or reveals the intent to cause
☒ ☐ ☐
self-inflicted physical harm. Physical restraints should
be utilized only when it appears less restrictive
alternatives would be ineffective in controlling the
youth’s behavior.
In no case shall restraints be used as punishment or
discipline, or as a substitute for treatment. The use of
3.4.14, 5-A and B
restraint devices that attach a youth to a wall, floor or
other fixture, including a restraint chair, or through 3.1.13, 3-A (Pregnant Youth)
affixing of hands and feet together behind the back ☒ ☐ ☐
3.4.14, 2-A, iv (Pregnant Youth)
(hogtying) is prohibited. The use of restraints on
pregnant youth is limited in accordance with Penal Code
Section 6030(f) and Welfare and Institutions Code
Section 222.
The provisions of this section do not apply to the use of
handcuffs, shackles or other restraint devices when used
3.4.14 Policy Statement
to restrain youth for movement or transportation within
☒ ☐ ☐
the facility. Movement within the facility shall be
governed by Section 1358.5, Use of Restraint Devices
for Movement Within the Facility.
Youth shall be placed in restraints only with the approval
of the facility manager or designee. The facility manager
3.4.14, 2-A
may delegate authority to place a youth in restraints to a
☒ ☐ ☐
physician. Reasons for continued retention in restraints 3.4.14, Procedure 4-D
shall be reviewed and documented at a minimum of
every hour.
A medical opinion on the safety of placement and
retention shall be secured as soon as possible, but no later
3.4.14, Procedure 4-D
than two hours from the time of placement. The youth ☒ ☐ ☐
shall be medically cleared for continued retention at least
every three hours thereafter.
A mental health consultation shall be secured as soon as
possible, but in no case longer than four hours from the
☒ ☐ ☐ 3.4.14, Procedure 4-E
time of placement, to assess the need for mental health
treatment.
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Continuous direct visual supervision shall be conducted
to ensure that the restraints are properly employed, and
3.4.14, Procedure 4-B
to ensure the safety and well-being of the youth.
☒ ☐ ☐
Observations of the youth's behavior and any staff
interventions shall be documented at least every 15
minutes, with actual time of the documentation recorded.
In addition to the requirements above, policies and
procedures shall address:
(a) documentation of the circumstances leading to an
application of restraints.
☒ ☐ ☐ 3.4.14, Procedure 6
(b) known medical conditions that would
contraindicate certain restraint devices and/or
☒ ☐ ☐ 3.4.14, Procedure 3
techniques.
(c) acceptable restraint devices. ,
☒ ☐ ☐ 3.4.14, 1-A, I and ii
(d) signs or symptoms which should result in
immediate medical/mental health referral.
☒ ☐ ☐ 3.4.14, Procedure 3-C
(e) availability of cardiopulmonary resuscitation
equipment.
☒ ☐ ☐ 3.4.14, Procedure 3-D
(f) protective housing of restrained youth. While in
restraint devices, all youth shall be housed alone or
3.4.14, Procedure 4-A
in a specified housing area for restrained youth ☒ ☐ ☐
which makes provision to protect the youth from
abuse.
(g) provision for hydration and sanitation needs.
☒ ☐ ☐ 3.4.14, Procedure 4-A
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(h) exercising of extremities.
☒ ☐ ☐ 3.4.14, Procedure 5-A
1358.5 USE OF RESTRAINT DEVICES FOR
MOVEMENT AND TRANSPORTATION WITHIN
3.4.21, 2
THE FACILITY.
The Facility Administrator, in cooperation with the There were 26 use of restraint incidents for
responsible physician and behavioral/mental health movement of a youth to their room or to
director, shall develop and implement written policies Intake in 2021. This is significantly reduced
and procedures for the use of restraint devices when the from the 85 incidents noted last cycle. We
purpose is for movement or transportation within the reviewed fifteen incident reports involving
facility that shall include the following: UF and eleven involved transporting the
youth in restraints, each articulated in the
☒ ☐ ☐
report with justification for the need to apply
restraints. Each were compliant with
regulation and policy.
While on-site, staff were participating in a
new training, Non-Violent Crisis
Intervention, to promote avoiding using
force or restraints, even for movement of
youth.
(a) identification of acceptable restraint devices, staff
approved to utilize restraint devices and the
☒ ☐ ☐ 3.4.21, 2-B, i-iii
required training.
(b) the circumstances leading to the application of
restraints must be documented.
☒ ☐ ☐ 3.4.21, 5-A
(c) an individual assessment of the need to apply
restraints for movement or transportation that
3.4.21, 3-B
includes consideration of less restrictive
alternatives, consideration of a youth’s known ☒ ☐ ☐
medical or mental health conditions, trauma
informed approaches, and a process for
documentation and supervisor review and approval.
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(d) consideration of safety and security of the facility,
with a clearly defined expectation that restraint
3.4.21, 4-A
devices shall not be used for the purposes of
☒ ☐ ☐
discipline or retaliation. 3.4.21, 8 and 9
(e) the use of restraints on pregnant youth is limited in
accordance with Penal Code Section6030(f) and
☒ ☐ ☐ 3.4.21, 4-B
Welfare and Institutions Code Section 222.
1359 SAFETY ROOM PROCEDURES
(a) The facility administrator, and where applicable, in There is no safety room at JH, however there
cooperation with the responsible physician, shall is a Special Management Room for housing
develop and implement written policies and youth needing closer supervision as it is next
procedures governing the use of safety rooms, as to the staff counter.
described in Title 24, Part 2, Section 1230.1.13. The
room shall be used to hold only those youth who ☐ ☐ ☒
present an immediate danger to themselves or
others, who exhibit behavior which results in the
destruction of property, or reveals the intent to
cause self-inflicted physical harm. A safety room
shall not be used for punishment or discipline, or as
a substitute for treatment. Policies and procedures
shall:
(1) include provisions for administration of
necessary nutrition and fluids, access to a toilet, ☐ ☐ ☒
and suitable clothing to provide for privacy;
(2) provide for approval of the facility manager, or
designee, before a youth is placed into a safety ☐ ☐ ☒
room;
(3) provide for continuous direct visual supervision
and documentation of the youth's behavior and
☐ ☐ ☒
any staff interventions every 15 minutes, with
actual time recorded;
(4) provide that the youth shall be evaluated by the
☐ ☐ ☒
facility manager, or designee, every four hours;
(5) provide for immediate medical assessment,
where appropriate, or an assessment at the next ☐ ☐ ☒
daily sick call; and,
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(6) provide a process for documenting the reason for
placement, including attempts to use less
☐ ☐ ☒
restrictive means of control, and decisions to
continue and end placement.
(b) The placement of a youth in the safety room shall be
☐ ☐ ☒
accomplished in accordance with the following:
(1) safety room shall not be used before other less
restrictive options have been attempted and
exhausted, unless attempting those options poses ☐ ☐ ☒
a threat to the safety or security of any youth or
staff.
(2) safety room shall not be used for the purposes of
punishment, coercion, convenience, or ☐ ☐ ☒
retaliation by staff.
(3) safety room shall not be used to the extent that it
compromises the mental and physical health of ☐ ☐ ☒
the youth.
(c) A youth may be held up to four hours in the safety
room. After the youth has been held in the safety
☐ ☐ ☒
room for a period of four hours, staff shall do one
or more of the following:
(1) return the youth to general population. ☐ ☐ ☒
(2) consult with mental health or medical staff, ☐ ☐ ☒
(3) develop an individualized plan that includes the
☐ ☐ ☒
goals and objectives to be met in order to
reintegrate the youth to general population.
(d) If confinement in the safety room must be extended
beyond four hours, staff shall develop an
individualized plan that includes the requirements
☐ ☐ ☒
of Section 1354.5 and the goals and objectives to be
met in order to integrate the youth to general
population.
1360 SEARCHES
The facility administrator shall develop and implement
☒ ☐ ☐
written policies and procedures governing the search of
youth, the facility, and visitors. Policies and procedures
shall provide that:
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(a) Searches shall be conducted to ensure the safety and
security of the facility, public, visitors, youth, and
3.4.8 Facility Searches
staff.
3.4.9 Searches of Residents
3.4.12 Perimeter Checks
The agency conducts random facility, unit
☒ ☐ ☐
and room searches to ensure no contraband is
available to youth, especially given their new
and older population. In terms of perimeter
security, facility administrators and staff
conduct workarounds of the perimeter as
well as unannounced ‘rounds’ to provide a
presence in the living units.
(b) Searches shall be conducted in a manner that
preserves the privacy and dignity of the person
3.4.9, 1-D
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
searches shall comply with Penal Code Section
3.4.9, 4-B
4030.
☒ ☐ ☐
3.4.9, 5
(d) Physical body cavity searches shall only be
conducted by a medical professional.
3.4.9, I-A
☒ ☐ ☐
3.4.9, 9
(e) Any youth held after a detention hearing shall only
be strip searched with prior approval of a supervisor
3.4.9, 3-B, ii
when there is reasonable suspicion based on
☒ ☐ ☐
specific and articulable facts to believe that youth is
concealing contraband. The reasonable suspicion
shall be documented.
(f) Searches of transgender and intersex youth shall
comply with Section 1352.5.
☒ ☐ ☐ 3.4.9, 2
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(g) Cross-gender pat-down searches and strip searches
are prohibited except in exigent circumstances or
3.4.9, 1-A
when conducted by a medical professional. Such ☒ ☐ ☐
searches must be justified and documented in
writing.
1361 GRIEVANCE PROCEDURE
The facility administrator shall develop and implement 3.5.4 Grievance Procedure-Residents
written policies and procedures whereby any youth may
appeal and have resolved grievances relating to any
condition of confinement, including but not limited to We reviewed the Grievance logs for 2021
health care services, classification decisions, program and found 65 filed, 10 of which from one
participation, telephone, mail or visiting procedures, youth and 17 for “unfair” point loss. Each
food, clothing, bedding, mistreatment, harassment or exceeded regulation and in all 15 we
violations of the nondiscrimination policy. There shall reviewed, were received and resolved within
be no time limit on filing grievances. Policies and one day. We note this is substantially
procedures shall include provisions whereby the facility ☒ ☐ ☐ reduced from last cycle by more than 75
manager ensures: percent.
The form prompts staff to exercise all
procedural aspects in policy and requires the
youth to sign at each stage of the process.
This promotes dialogue with the youth and in
almost all instances, an understanding of the
outcome.
(a) a grievance form and instructions for registering a
grievance, which includes provisions for the youth
☒ ☐ ☐ 3.5.4, 2-B and C
to have free access to the form;
(b) the youth shall have the option to confidentially file
the grievance or to deliver the form to any youth
☒ ☐ ☐ 3.5.4, 1-D
supervision staff working in the facility;
(c) resolution of the grievance at the lowest appropriate
staff level;
☒ ☐ ☐ 3.5.4, 3-B, i
(d) provision for a prompt review and initial response
to grievances within three (3) business days,
☒ ☐ ☐ 3.5.4, 3-B, iv
grievances that relate to health and safety issues
must be addressed immediately;
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(1) The youth may elect to be present to explain
his/her version of the grievance to a person not
☒ ☐ ☐ 3.5.4, 3-C, iii
directly involved in the circumstances which
led to the grievance.
(2) Provision for a staff representative approved by
the facility administrator to assist the youth.
☒ ☐ ☐ 3.5.4, 3-B, iii
(e) provision for a written response to the grievance
which includes the reasons for the decisions;
☒ ☐ ☐ 3.5.4, 3-B, v-c, i-(a)
(f) a system which provides that any appeal of a
grievance shall be heard by a person not directly
☒ ☐ ☐ 3.5.4, 3-D
involved in the circumstances which led to the
grievance;
(g) resolution of the grievance must occur within ten
(10) business days unless circumstances dictate a
☒ ☐ ☐ 3.5.4, 3-D, i-a
longer time frame. The youth shall be notified of
any delay; and,
(h) the policy shall provide multiple internal and
external methods to report sexual abuse and sexual
2.1.17 and 18
harassment.
☒ ☐ ☐
3.5.4, 4
Whether or not associated with a grievance, concerns of
parents, guardians, staff or other parties shall be
☒ ☐ ☐ 1.1.9-2 Citizen Complaint
addressed and documented in accordance with written
policies and procedures within a specified timeframe.
1362 REPORTING OF INCIDENTS
A written report of all incidents which result in physical 3.4.20 Incident Reports
harm, use of force, serious threat of physical harm, or
death of an employee, youth or other person(s) shall be ☒ ☐ ☐
maintained. Such written record shall be prepared by the
staff and submitted to the facility manager by the end of
the shift, unless additional time is necessary and
authorized by the facility manager or designee.
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1363 USE OF REASONABLE FORCE TO
COLLECT DNA SPECIMENS, SAMPLES,
3.4.25 DNA Sample Collection
IMPRESSIONS
(a) Pursuant to Penal Code Section 298.1 authorized
law enforcement, custodial, or corrections The facility does not use force to collect
personnel including peace officers, may employ ☐ ☐ ☒ DNA samples.
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
reasonable force” shall be defined as the force
that an objective, trained and competent
correctional employee, faced with similar facts ☐ ☐ ☒
and circumstances, would consider necessary
and reasonable to gain compliance with this
section.
(2) The use of reasonable force shall be preceded by
efforts to secure voluntary compliance. Efforts
to secure voluntary compliance shall be
documented and include an advisement of the ☐ ☐ ☒
legal obligation to provide the requisite
specimen, sample or impression and the
consequences of refusal.
(b) The force shall not be used without the prior written
authorization of the supervising officer on duty.
The authorization shall include information that
☐ ☐ ☒
reflects the fact that the offender was asked to
provide the requisite specimen, sample, or
impression and refused.
(1) If the use of reasonable force includes a cell
extraction, the extraction shall be videotaped.
Video shall be directed at the cell extraction
event. The videotape shall be retained by the
☐ ☐ ☒
agency for the length of time required by
statute. Notwithstanding the use of the video as
evidence in a court proceeding, the tape shall be
retained administratively.
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1370 EDUCATION PROGRAM
(a) School Programs 3.3.5, 9 School Program
The County Board of Education shall provide for the
administration and operation of juvenile court schools in
The Sonoma County Office of Education
conjunction with the Chief Probation Officer, or designee
operates the Deforest Hamilton High School
pursuant to applicable State laws. The school and facility
within the facility. Services include a full
administrators shall develop and implement written
curriculum as required by the California
policy and procedures to ensure communication and
Office of Education with supplemental
coordination between educators and probation staff.
instruction for GED and Special Education
Culturally responsive and trauma-informed approaches
needs.
should be applied when providing instruction. Education
staff should collaborate with the facility administrator to
use technology to facilitate learning and ensure safe
technology practices. The facility administrator shall ☒ ☐ ☐ In terms of Career Technical programming,
youth are provided EDOVO tablets which
request an annual review of each required element of the
include some aspects of technical education;
program by the Superintendent of Schools, and a report
Chromebooks; Santa Rosa Junior College;
or review checklist on compliance, deficiencies, and
Adult Education; OSHA Certifications;
corrective action needed to achieve compliance with this
Culinary Arts; Computer Science; Red
section. Such a review, when conducted, cannot be
Cross-First Aid; CNC Coding Applications;
delegated to the principal or any other staff of any
and Adobe/Microsoft Certification.
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
The facility school program shall comply with the State 3.3.5, 9
Education Code and County Board of Education policies,
all applicable federal education statutes and regulations
and provide for an annual evaluation of the educational
program offerings. As stated in the 2009 California
☒ ☐ ☐
Standards for the Teaching Profession, teachers shall
establish and maintain learning environments that are
physically, emotionally, and intellectually safe. Youth
shall be provided a rigorous, quality educational program
that responds to the different learning styles and abilities
of students and prepares them for high school graduation,
career entry, and post-secondary education.
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All youth shall be treated equally, and the education
program shall be free from discriminatory action. Staff
3.3.5, 9-D
shall refer to transgender, intersex and gender- ☒ ☐ ☐
nonconforming youth by their preferred name and
gender.
(1) The course of study shall comply with the State
Education Code and include, but not be limited
☒ ☐ ☐ 3.3.5, 9-E
to, courses required for high school graduation.
(2) Information and preparation for the High School
Equivalency Test as approved by the California
☒ ☐ ☐ 3.3.5, 9-F
Department of Education shall be made
available to eligible youth.
(3) Youth shall be informed of post-secondary
education and vocational opportunities.
☒ ☐ ☐ 3.3.5, 9-G
(4) Administration of the High School Equivalency
Tests as approved by the California Department
☒ ☐ ☐ 3.3.5, 9-H
of Education, shall be made available when
possible.
(5) Supplemental instruction shall be afforded to
youth who do not demonstrate sufficient
☒ ☐ ☐ 3.3.5, 9-I
progress towards grade level standards.
(6) The minimum school day shall be consistent with
State Education Code Requirements for juvenile
3.3.5, 9-J
court schools. The facility administrator, in
conjunction with education staff, must ensure
that operational procedures do not interfere with ☒ ☐ ☐
the time afforded for the minimum instructional
day. Absences, time out of class or educational
instruction, both excused and unexcused, shall
be documented.
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(7) Education shall be provided to all youth
regardless of classification, housing, security
3.3.5, 9-K
status, disciplinary or separation status,
including room confinement, except when
providing education poses an immediate threat ☒ ☐ ☐
to the safety of self or others. Education
includes, but is not limited to, related services as
provided in a youth’s Section 504 Plan or
Individualized Education Program (IEP).
(c) School Discipline
(1) Positive behavior management will be 3.3.5, 2-A
implemented to reduce the need for disciplinary ☒ ☐ ☐
action in the school setting and be integrated into
the facility's overall behavioral management
plan and security system.
(2) School staff shall be advised of administrative
decisions made by probation staff that may
☒ ☐ ☐ 3.3.5, 2-E
affect the educational programming of students.
(3) Except as otherwise provided by the State
Education Code, expulsion/suspension from
3.3.5, 5-A
school shall be imposed only when other means
of correction fails to bring about proper conduct. 3.3.5, 5-B, iii
School staff shall follow the appropriate due
process safeguards as set forth in the State ☒ ☐ ☐
Education Code including the rights of students
with special needs. School staff shall document
the other means of correction used prior to
imposing expulsion/ suspension if an
expulsion/suspension is ultimately imposed.
(4) The facility administrator, in conjunction with
education staff will develop policies and
3.3.5, 9-B
procedures that address the rights of any student ☒ ☐ ☐
who has continuing difficulty completing a
school day.
(d) Provisions for Special Populations
3.3.5, 9-L
(1) State and federal laws and regulations shall be
observed for all individuals with disabilities or
suspected disabilities. This includes but is not ☒ ☐ ☐
limited to child find, assessment, continuum of
alternative placements, manifestation
determination reviews, and implementation of
Section 504 Plans and Individualized Education
Programs.
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(2) Youth identified as English Learners (EL) shall
be afforded an educational program that
☒ ☐ ☐ 3.3.5, 9-M
addresses their language needs pursuant to all
applicable state and federal laws and regulations
governing programs for EL students.
(e) Educational Screening and Admission
☒ ☐ ☐ 3.3.5, 9-N
(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;
☒ ☐ ☐ 3.3.5, 9-N, i
(B) Home Language Survey and the results of
the State Test used for English language
☒ ☐ ☐ 3.3.5, 9-N, ii
proficiency;
(C) Needs and services of special populations as
defined by the State Education Code,
☒ ☐ ☐ 3.3.5, 9-N, ii
including but not limited to, students with
special needs.
(D) Discipline problems.
☒ ☐ ☐ 3.3.5, 9-N, iv
(2) Youth will be immediately enrolled in school.
Educational staff shall conduct an assessment to
☒ ☐ ☐ 3.3.5, 1-E
determine the youth's general academic
functioning levels to enable placement in core
curriculum courses.
(3) After admission to the facility, a preliminary
education plan shall be developed for each youth
☒ ☐ ☐ 3.3.5, 1-E
within five school days.
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(4) Upon enrollment, education staff shall comply
with the State Education Code and request the
3.3.5, 9-Q
youth's records from his/her prior school(s),
including, but not limited to, transcripts,
Individual Education Program (IEP), 504 Plan,
☒ ☐ ☐
state language assessment scores, immunization
records, exit grades, and partial credits. Upon
receipt of the transcripts, the youth's educational
plan shall be reviewed with the youth and
modified as needed. Youth should be informed
of the credits they need to graduate.
(f) Educational Reporting
3.3.5, 9-R
(1) The complete facility educational record of the ☒ ☐ ☐
youth shall be forwarded to the next educational
placement in accordance with the State
Education Code.
(2) The County Superintendent of Schools shall
provide appropriate credit (full or partial) for
☒ ☐ ☐ 3.3.5, 9-S
course work completed while in juvenile court
school in accordance with the State Education
Code.
(g) Transition and Re-Entry Planning
3.3.5, 9-T
(1) The Superintendent of Schools and the Chief
Probation Officer or designee, shall develop
policies and procedures to meet the transition ☒ ☐ ☐
needs of youth, including the development of an
education transition plan, in accordance with the
State Education Code and in alignment with
Title 15, Minimum Standards for Juvenile
Facilities, Section 1355.
(h) Post-Secondary Education Opportunities
3.3.5, 9-U
(1) The school and facility administrator should,
whenever possible, collaborate with local post- ☒ ☐ ☐
secondary education providers to facilitate
access to educational and vocational
opportunities for youth that considers the use of
technology to implement these programs.
1371 PROGRAMS, RECREATION, AND
EXERCISE.
3.6.4 Programs, Recreation and Exercise
The facility administrator shall develop and implement ☒ ☐ ☐
written policies and procedures for programs,
recreation, and exercise for all youth. The intent is to
minimize the amount of time youth are in their rooms
or their bed area.
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Juvenile facilities shall provide the opportunity for
programs, recreation, and exercise a minimum of three
3.6.4, 1-H
hours a day during the week and five hours a day each
☒ ☐ ☐
Saturday, Sunday or other non-school days, of which
one hour shall be an outdoor activity, weather
permitting.
A youth’s participation in programs, recreation, and
exercise may be suspended only upon a written finding
3.6.4, 2-A
by the administrator/manager or designee that a youth ☒ ☐ ☐
represents a threat to the safety and security of the
facility.
Such program, recreation, and exercise schedule shall
be posted in the living units.
☐ ☐ ☐ 3.3.15 Program and Activities Schedule
There will be a written annual review of the programs,
recreation, and exercise by the responsible agency to
A Program Review memo was completed by
ensure content offered is current, consistent, and
☒ ☐ ☐ Division Director Kilee Wilson on
relevant to the population.
December 1, 2021.
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(a) Programs. All youth shall be provided with the
opportunity for at least one hour of daily
3.6.4, 1-E
programming to include, but not be limited to,
trauma focused, cognitive, evidence-based, best
practice interventions that are culturally relevant and
The agency provides the following programs
linguistically appropriate, or pro-social interventions
for youth in custody:
and activities designed to reduce recidivism. These
programs should be based on the youth’s individual
needs as required by Sections 1355 and 1356. Such
programs may be provided under the direction of the Aggression Replacement Training; Beat
Chief Probation Officer or the County Office of Within; Boys and Girls Club – REACH;
Education and can be administered by county Boys Council; Drug and Alcohol Education;
partners such as mental health agencies, community FFT; Art Program; Arts and Crafts Program;
based organizations, faith-based organizations or Fitness/Running Program; Girl Scouts; Girls
Probation staff. Circle; Girls Moving On; Healthy
Relationships-Tolerance Diversity; Trauma
Programs may include but are not limited to:
Counseling; Interactive Journaling;
Mindfulness; My Strength; NA; Book Club;
☒ ☐ ☐ Spiritual Advisors; and, Teen Assault
Prevention.
The above programs are facilitated by
outside volunteers, agency partners and staff.
The programs are matched to the youths
identified needs and monitored by the
Program staff, an internal group of JCC and
supervisors that closely monitor and
document progress and participation. The
Program schedule is full and allows all youth
access to any program that can respond to
their assessment focused program.
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(1) Cognitive Behavior Interventions;
(2) Management of Stress and Trauma; 3.6.4, 1-E, i-xvii
(3) Anger Management;
(4) Conflict Resolution;
(5) Juvenile Justice System;
(6) Trauma-related interventions;
(7) Victim Awareness;
(8) Self-Improvement;
(9) Parenting Skills and support;
☒ ☐ ☐
(10) Tolerance and Diversity;
(11) Healing Informed Approaches;
(12) Interventions by Credible Messengers;
(13) Gender Specific Programming;
(14) Art, creative writing, or self-expression;
(15) CPR and First Aid training;
(16) Restorative Justice or Civic Engagement;
(17) Career and leadership opportunities; and,
(18) Other topics suitable to the youth population.
(b) Recreation. All youth shall be provided the
opportunity for at least one hour of daily access to
3.6.4, 1-H
unscheduled activities such as leisure reading, letter
☒ ☐ ☐
writing, and entertainment. Activities shall be
supervised and include orientation and may include
coaching of youth.
(c) Exercise. All youth shall be provided with the
opportunity for at least one hour of large muscle
☒ ☐ ☐ 3.6.4, 1-H, i
activity each day.
The administrator/manager may suspend, for a period not
to exceed 24 hours, access to recreation and programs.
☒ ☐ ☐ 3.6.4, 2-A
The administrator/manager shall document the reasons
why suspension of recreation and programs occurs.
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1372 RELIGIOUS PROGRAM
The facility administrator shall provide access to 3.6.5 Religious Programs
religious services and/or religious counseling at least
once each week. Attendance shall be voluntary. A youth
☒ ☐ ☐
shall be allowed to participate in an activity outside of
their room if he/she elects not to participate in religious
programs.
Religious programs shall provide for:
(a) opportunity for religious services and practices;
☒ ☐ ☐ 3.6.5, 1-e
(b) availability of clergy; and,
☒ ☐ ☐ 3.6.5, 1-e and g
(c) availability of religious diets.
☒ ☐ ☐ 3.6.5, 1-k
1373 WORK PROGRAM
The facility administrator shall develop policies and 3.1.2 Housing Unit Cleaning Schedule
procedures regarding the fair and consistent assignment
3.1.2, 1-B and C
of youth to work programs. Work assigned to a youth
shall be meaningful, constructive and related to
vocational training or increasing a youth's sense of
responsibility. Work programs shall not be imposed as a ☒ ☐ ☐ There are no formal work programs in the
facility; however, the new Secure Track
disciplinary measure
Youth may become involved in formal
assignments as the program progresses and a
more secure kitchen and laundry access is
completed.
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1374 VISITING
The facility administrator shall develop and implement 3.3.16 Visiting
written policies and procedures for visiting, that include
provisions for special visits. Youth shall be allowed to
receive visits by parents, guardians or persons standing All youth are allowed two 1 hour visits each
☒ ☐ ☐
in loco parentis, and children of youth. Other family week, one weeknight and one weekend. The
members, such as grandparents and siblings, and visiting schedule allows for access outside of
supportive adults, may be allowed to visit with the posted unit opportunities.
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
the limitations necessary to maintain order and security.
3.3.16, 1-A, i-iii
Visitation shall not be denied solely based on the visitor’s
criminal history. The staff shall determine in each case, 3.3.16, 1-C
whether the visitor’s criminal history represents a risk to ☒ ☐ ☐
the safety of youth or staff in the facility. Any denial of
visitation or limitation on visitations shall be
communicated to the youth, person denied and facility
administrator.
Opportunity for visitation shall be a minimum of two .
hours per week. Visits may be supervised, but
3.3.16, 1-A and B
conversations shall not be monitored unless there is a
☒ ☐ ☐
security or safety need. 3.3.16, 2-F
Provisions for special visits, in addition to the two-hour
minimum and/or outside of the regular visiting hours,
3.3.16, 3
shall be accommodated as necessary and within the
discretion of the facility administrator or designee.
☒ ☐ ☐
Family therapy and professional visits shall be
accommodated outside the provisions of this regulation.
Facilities may provide visitation opportunities outside of
normal visiting hours to accommodate special visits.
The facility may provide access to technology as an
alternative, but not as a replacement, to in-person
☒ ☐ ☐ 3.3.16, 3-F
visiting.
1375 CORRESPONDENCE
The facility administrator shall develop and implement ☒ ☐ ☐ 3.6.3 Mail
written policies and procedures for correspondence
which provide that:
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(a) there is no limitation on the volume of mail that youth
may send or receive;
☒ ☐ ☐ 3.6.3, 1-C
(b) youth may send two letters per week postage free;
3.6.3, 1-C, 1
☒ ☐ ☐
The facility allows 7 postage free letters each
week.
(c) youth may correspond confidentially with state and
federal courts, any member of the State Bar or holder
3.6.3, 4 Legal Mail
of public office, and the Board; however, authorized
☒ ☐ ☐
facility staff may open and inspect such mail only to
search for contraband and in the presence of the
youth; and,
(d) incoming and outgoing mail, other than that described
in (c), may be read by staff only when there is
☒ ☐ ☐ 3.6.3, 1-B, ii
reasonable cause to believe facility safety and
security, public safety, or youth safety is jeopardized.
1376 TELEPHONE ACCESS
3.6.2 Access to Phones
The administrator of each juvenile facility shall develop ☒ ☐ ☐
and implement written policies and procedures to
provide youth with access to telephone communications.
1377 ACCESS TO LEGAL SERVICES
JH: 3.6.1 Access to Legal Services
☒ ☐ ☐
The facility administrator shall develop written
procedures to ensure the right of youth to have access to
the courts and legal services. Such access shall include:
(a) access, upon request by the youth, to licensed
attorneys and their authorized representatives;
☒ ☐ ☐ 3.6.1, 1-A
(b) provision for confidential consultation with
attorneys; and,
☒ ☐ ☐ 3.6.1, 4-B
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(c) unlimited postage free, legal correspondence and
cost-free telephone access as appropriate.
☒ ☐ ☐ 3.6.1, 5
1390 DISCIPLINE
The facility administrator shall develop and implement 3.5.2 Discipline
written policies and procedures for the discipline of
youth that shall promote acceptable behavior; including
the use of positive behavior interventions and supports. ☒ ☐ ☐
Discipline shall be imposed at the least restrictive level
which promotes the desired behavior and shall not
include corporal punishment, group punishment,
physical or psychological degradation. Deprivation of
the following is not permitted:
(a) bed and bedding;
☒ ☐ ☐ 3.5.2, 1-G, i
(b) daily shower, access to drinking fountain, toilet and
personal hygiene items, and clean clothing;
☒ ☐ ☐ 3.5.2, 1-G, ii-v
(c) full nutrition;
☒ ☐ ☐ 3.5.2, 1-G, vi
(d) contact with parent or attorney;
☒ ☐ ☐ 3.5.2, 1-G, vii
(e) exercise;
☒ ☐ ☐ 3.5.2, 1-G, viii
(f) medical services and counseling;
☒ ☐ ☐ 3.5.2, 1-G, ix
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(g) religious services;
☒ ☐ ☐ 3.5.2, 1-G, x
(h) clean and sanitary living conditions;
☒ ☐ ☐ 3.5.2, 1-G, xi
(i) the right to send and receive mail;
☒ ☐ ☐ 3.5.2, 1-G, xii
(j) education; and,
☒ ☐ ☐ 3.5.2, 1-G, xiii
(k) rehabilitative programming.
☒ ☐ ☐ 3.5.2, 1-G, xiv
The facility administrator shall establish rules of conduct
and disciplinary penalties to guide the conduct of youth.
3.5.1 Resident Rules and Behavioral
Such rules and penalties shall include both major
Expectations
violations and minor violations, be stated simply and
☒ ☐ ☐
affirmatively, and be made available to all youth. 3.5.2, 2-A (Major), B (Medium) and C
Provision shall be made to provide accessible (Minor)
information to youth with disabilities, limited English
proficiency, or limited literacy.
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1391 DISCIPLINE PROCESS
The facility administrator shall develop and implement 3.5.3 Due Process
written policies and procedures for the administration
of discipline which shall include, but not be limited to:
There were 21 incidents involving Due
Process in 2021. We read each incident Due
Process filing and found the process within
regulations in terms of process and
timeliness. The notice of intended discipline
was within the sanction ‘matrix’ established
by the agency and involved all aspects of
youth involvement.
☒ ☐ ☐
The agency Behavior Management System is
clear and guides the youth to understand
what a sanction is likely to be based on their
actions. Staff review video to ensure the
appropriate response is delegated based on
the observed behavior, youth representation
and staff incident report.
Most incidents were handled at the
supervisor level review and included youth
acknowledgement.
(a) designation of personnel authorized to impose
discipline for violation of rules;
☒ ☐ ☐ 3.5.2, 1-H
(b) prohibiting discipline to be delegated to any youth;
☒ ☐ ☐ 3.5.2, 1-H, i
(c) definition of major and minor rule violations and
their consequences, and due process requirements;
☒ ☐ ☐ 3.5.2, 2-A and B
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(d) trauma-informed approaches and positive behavior
interventions;
☒ ☐ ☐ 3.5.2, 1-F
(e) minor rule violations may be handled informally by
counseling, advising the youth of expected conduct
3.5.2, 3-B, iii-c
imposing a minor consequence. Discipline shall be
☒ ☐ ☐
accompanied by written documentation and a 3.5.2, 1-E
policy of review and appeal to a supervisor; and,
(f) major rule violations and the discipline process
☒ ☐ ☐
shall be documented and require the following:
(1) written notice of violation prior to a hearing;
☒ ☐ ☐ 3.5.3, 1-B, 1
(2) accommodations provided to youth with
disabilities, limited literacy, and English
☒ ☐ ☐ 3.5.3, 1-B, ii
language learners;
(3) hearing by a person who is not a party to the
incident;
☒ ☐ ☐ 3.5.3, 1-B, iii
(4) opportunity for the youth to be heard, present
evidence and testimony;
☒ ☐ ☐ 3.5.3, 1-B, iv
(5) provision for youth to be assisted by staff in the
hearing process;
☒ ☐ ☐ 3.5.3, 1-B, v
(6) provision for administrative review.
☒ ☐ ☐ 3.5.3, 1-B, vi
(g) violations that result in a removal from camp or
commitment program, but not a return to court, will
☐ ☐ ☒
follow the due process provisions in subsection (e)
above.
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1410 MANAGEMENT OF COMMUNICABLE
DISEASES.
Sonoma County Probation Department
Juvenile Health Care Services Policy
The health administrator/responsible physician, in
(SCPD-JHCS) J310: Communicable
cooperation with the facility administrator and the local
Diseases
health officer, shall develop written policies and
procedures to address the identification, treatment,
control and follow-up management of communicable The facility policies align with California
diseases. The policies and procedures shall address, but ☒ ☐ ☐ Code of Regulations Title 15, Article 8;
not be limited to: California Code of Regulations Title 17;
Health and Safety Code 199.99: Infection
Control and Communicable Disease Policy;
California Medical Association Standard J
310; American Academy of Pediatrics: The
1994 Red Book: and, The Control of
Communicable Disease Manual-APHA.
(a) Intake health screening procedures;
SCPD-JHCS Procedure 1-A: Intake
Screening
This policy identifies the process to screen
and conduct appraisals on new admissions.
Sonoma County Juvenile Institutions Health
Program: Youth Entering the Facility
Memo/8-3-2020
☒ ☐ ☐
This memorandum outlines the admission
process for Intake, Security and Supervisory
staff to include PPE and that the initial
questionnaire for all admissions be
conducted in the Sally Port prior to entry
inside the facility. Youth will be provided a
mask and be housed in a negative pressure
room for the first 14 days of admission.
JHC staff have outlined a process for meals,
programming, hygiene, and direction for
any time a youth is out of their room.
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(b) Identification of relevant symptoms;
SCPD-JHCS Procedure 1-A: Intake
Screening
Sonoma County Juvenile Institutions Health
Program: Youth Entering the Facility
Memo/8-3-2020
☒ ☐ ☐
Sonoma County Juvenile Institutions
COVID-19 Testing Protocol
This directive outlines the testing strategy
for new and detained youth.
(c) Referral for medical evaluation;
SCPD-JHCS Procedure 1-B: Health
Appraisal
☒ ☐ ☐ This policy directs a health appraisal of all
youth within 96 hours of detention. Due to
COVID-19, the appraisal is completed at
intake based on the responses to the Health
Questionnaire.
(d) Treatment responsibilities during detention;
SCPD-JHCS Procedure II: Treatment
This policy outlines the JHCS staff to
provide directed treatment based on CDC
☒ ☐ ☐
and PH guidelines. Staff must develop an
Individual Treatment Plan to include
treatment, dosage, duration of treatment,
and laboratory specimens. The plan must be
forwarded to the Public Health Officer.
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(e) Coordination with public and private community-
based resources for follow-up treatment;
SCPD-JHCS Procedure 1-VI: Transfer of
Resident and VII: Release to Home
☒ ☐ ☐
Both policies outline the notification and
communication with all persons involved in
the youths care as well as the Public Health
notification and follow up needs.
(f) Applicable reporting requirements; and,
SCPD-JHCS Procedure 1-III: Notification
This policy directs JHCS staff to notify the
☒ ☐ ☐
Public Health Officer and the Supervisor of
the Communicable Disease Control Unit of
each reported or verified Communicable
Disease of any listed disease.
(g) Strategies for handling disease outbreaks.
SCPD-JHCS Procedure 1-IV: Plan for
Segregation
This policy outlines that upon identification
of an active, infectious communicable
disease that the youth be segregated until
medically cleared by JHCS staff.
☒ ☐ ☐ Sonoma County Juvenile Institutions Health
Program: Youth Entering the Facility
Memo/8-3-2020
Sonoma County Juvenile Institutions
COVID-19 Testing Protocol
This directive outlines the testing strategy
for new and detained youth.
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The policies and procedures shall be updated as
necessary to reflect communicable disease priorities
The agency has a specific and detailed
identified by the local health officer and currently
operational procedure to identify and house
recommended public health interventions.
all youth. The precautions of isolation in a
negative pressure room pending a 14-day
☒ ☐ ☐ quarantine provide protection for youth and
staff. The agency has a training protocol for
PPE for youth and staff. All policies are in
coordination with current local PH
guidance.
1433 REQUESTS FOR HEALTH CARE
SERVICES (EXCERPT)
6.1.1 Medical Services
The health administrator, in cooperation with the Resident Handbook P 9
facility administrator, shall develop policy and ☒ ☐ ☐
procedures to establish a daily routine for youth to
convey requests for emergency and non-emergency
medical, dental and behavioral/mental health care
services.
1480 STANDARD FACILTY CLOTHING ISSUE
4.1.3 Initial Shower, Clothing and Bedding
The youth’s personal clothing, undergarments and
Issue
footwear may be substituted for the institutional
☒ ☐ ☐
clothing and footwear specified in this regulation. The
facility has the primary responsibility to provide
clothing and footwear. Clothing provisions shall ensure
that:
(a) Clothing is clean, reasonably fitted, durable, easily
laundered, in good repair, and free of holes and
3.2.3, 1-A
tears.
☒ ☐ ☐
4.1.3 Policy Statement
(b) The standard issue of climatically suitable clothing
☒ ☐ ☐
for youth shall consist of but not be limited to:
(1) Socks and serviceable footwear;
3.2.3, 4
☒ ☐ ☐
4.1.3, 2-A, i-a
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(2) Outer garments;
☒ ☐ ☐ 3.2.3, 1-A, ii-d
(3) New non-disposable underwear which shall
remain with the youth throughout their stay,
☒ ☐ ☐ 4.1.3, 2-A, i-a
and;
(4) Undergarments, that are freshly laundered and
free of stains, including tee shirts and bras.
☒ ☐ ☐ 4.1.3, 2-A, i-a
(c) Clothing is laundered at the temperature required by
local ordinances for the commercial laundries and
7.2.2, 1-A, i Laundry Operations
dried completely in a mechanical dryer or other ☐ ☐ ☐
laundry method approved by the local health
officer.
(d) Suitable clothing is issued to pregnant youth.
☒ ☐ ☐ 3.2.3, 1-C
1482 CLOTHING EXCHANGE
3.2.3, 2
The facility administrator shall develop and implement
written policies and site-specific procedures for the
cleaning and scheduled exchange of clothing. Unless
☒ ☐ ☐
work, climatic conditions, or illness necessitates more
frequent exchange, outer garments, except for footwear,
shall be exchanged at least once each week. Tee shirts,
bras, and underwear shall be exchanged daily; youth
shall receive their own underwear back at exchange.
1484 CONTROL OF VERMIN IN YOUTH’S
PERSONAL CLOTHING
4.1.3, 2-K
There shall be written policies and site-specific 4.1.4, 4
procedures developed and implemented by the facility
☒ ☐ ☐
administrator to control the contamination and/or
spread of vermin and ecto-parasites in all youth’s
personal clothing. Infested clothing shall be cleaned or
stored in a closed container so as to eradicate or stop the
spread of the vermin.
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1485 ISSUE OF PERSONAL CARE ITEMS
3.2.2 Personal Hygiene
There shall be written policies and site-specific
procedures developed and implemented by the facility Resident Handbook P11
administrator for the availability of personal hygiene
items. Each female youth shall be provided with
☒ ☐ ☐
sanitary napkins, panty liners and tampons as requested.
Youth are provided with a Hygiene Bag at
Each youth to be held over 24 hours shall be provided
intake which contains a toothbrush,
with the following personal care items;
toothpaste, comb and soap. The other items
are available to youth as requested.
(a) Toothbrush;
☒ ☐ ☐ 3.2.2, 1-B, i
(b) Toothpaste;
☒ ☐ ☐ 3.2.2, 1-B, i
(c) Soap;
☒ ☐ ☐ 3.2.2, 1-B, i
(d) Comb;
☒ ☐ ☐ 3.2.2, 1-B, i
(e) Shaving implements;
☒ ☐ ☐ 3.2.4 Shaving
(f) Deodorant;
☒ ☐ ☐ 3.2.2, 1-E
(g) Lotion;
☒ ☐ ☐ 3.2.2, 1-E
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(h) Shampoo; and,
☒ ☐ ☐ 3.2.2, 1-E
(i) Post-shower conditioning hair products.
☒ ☐ ☐ 3.2.2, 1-E
Youth shall not be required to share any personal care
items listed in items (a) through (d). Liquid soap
3.2.2
provided through a common dispenser is permitted.
Youth shall not share disposable razors. Double edged 3.2.4
safety razors, electric razors, and other shaving
☒ ☐ ☐
instruments capable of breaking the skin, when shared
among youth, shall be disinfected between individual
uses by the method prescribed by the State Board of
Barbering and Cosmetology in Sections 979 and 980,
Chapter 9, Title 16, California Code of Regulations.
1486 PERSONAL HYGIENE
3.2.2 Personal Hygiene
There shall be written policies and site specific
procedures developed and implemented by the facility
administrator for showering/bathing and brushing of ☒ ☐ ☐
teeth. Youth shall be permitted to shower/bathe up on
assignment to a housing unit and on a daily basis
thereafter and given an opportunity to brush their teeth
after each meal.
1487 SHAVING
3.2.4 Shaving
Youth shall have access to a razor daily, unless their
appearance must be maintained for reasons of
identification in Court. All youth shall have equal ☒ ☐ ☐
opportunity to shave face and body hair. The facility
administrator may suspend this requirement in relation
to youth who are considered to be a danger to
themselves or others.
1488 HAIR CARE SERVICES (Excerpt)
3.2.5 Hair Care Services
Hair care services shall be available in all juvenile
facilities. Youth shall receive hair care services ☒ ☐ ☐
monthly. Equipment shall be cleaned and disinfected
after each haircut or procedure, by a method approved
by the State Board of Barbering and Cosmetology.
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1500 STANDARD BEDDING AND LINEN ISSUE
3.2.3, 2 Laundry Roll Process
Clean laundered, suitable bedding and linens, in good
☒ ☐ ☐
repair, shall be provided for each youth entering a living 4.1.3 Initial Shower, Clothing and Bedding
area who is expected to remain overnight, shall include, Issue
but not be limited to:
(a) One mattress or mattress-pillow combination which
meets the requirements of Section 1502 of these ☒ ☐ ☐
4.1.3, 3-A, iii
regulations;
(b) One pillow and a pillow case unless provided for in
(a) above;
☒ ☐ ☐ 4.1.3, 3-A, iii
(c) One mattress cover and a sheet or two sheets;
☒ ☐ ☐ 4.1.3, 3-A, i
(d) One towel; and,
☒ ☐ ☐ 3.2.3, 1-D
(e) One blanket or more, up on request
☒ ☐ ☐ 4.1.3, 3-A, ii
1501 BEDDING LINEN EXCHANGE
3.2.3, 3 Bedding Exchange
The facility administrator shall develop and implement
site specific written policies and procedures for the
scheduled exchange of laundered bedding and linen ☒ ☐ ☐
issued to each youth housed. Washable items such as
sheets, mattress covers, pillow cases and towels shall be
exchanged for clean replacement at least once each
week.
The covering blanket shall be cleaned or laundered once
a month.
☒ ☐ ☐ 3.2.3, 3-B
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1510 FACILITY SANITATION, SAFETY AND
MAINTENANCE
2.1.1, 2-A, xiii JCC Roles and
Responsibilities
The facility administrator shall develop and implement
written policies and site-specific procedures for the 3.1.2, 1-E, iii Unit Cleaning Schedule
maintenance of an acceptable level of cleanliness, repair
7.3.1, 1-A Work Orders
and safety throughout the facility. The plan shall
provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐
equipment, including restraint devices, and physical
plant maintenance and inspections to identify and
correct unsanitary or unsafe conditions or work
practices in a timely manner. The use of chemicals shall
be done in accordance to the product label and Safety
Data Sheet which may include the use of Personal
Protection Equipment (PPE).
7658 7660 Sonoma JH Camp 20-22 - 81 - J453 JUV PRO-Eff. 01-01-2019
REVIEW OF NON REGULATORY REQUIREMENTS
GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS
JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only)
The programs/services identified on the JPCF – Camp
Allocation Eligibility Form are being provided at the
☒ ☐ ☐
facility. (Refer to the JPCF Program Agreement,
Attachment B)
208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE
FACILITY
The facility houses Juvenile Court Wards 19 years of
☒ ☐ ☐
age and older.
The facility has been approved to hold persons under
☒ ☐ ☐
the juvenile court who are ages 19 through 21.
The facility continues to comply with the requirements
of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐
the facility) as outlined in the county’s application.
JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA)
WIC 206 SEPARATE FACILITIES FOR WIC
300 MINORS
Dependent or neglected minors who are defined under ☐ ☐ ☒
Section 300 of the Welfare and Institutions Code Violation
(WIC) are held only in non-secure, separate and
segregated facilities.
DETENTION OF STATUS OFFENDERS (WIC
601) AND FEDERAL MINORS
☐ ☒ ☐
Status Offenders (WIC 601) are held in the facility.
Status Offenders (WIC 601) are kept separate from
☐ ☐ ☒
Juvenile Delinquents (WIC 602)? (WIC 207[d]).
Violation
Federal Minors (ICE Holds or ORR Contract) are held
☐ ☒ ☐
in the facility.
If yes to the above, the Monthly Report on the
Detention of Status Offenders/Federal Minors is ☐ ☐ ☒
submitted to the BSCC.
WIC 208 SEPARATION OF MINORS AND
ADULT INMATES (JJDPA 42 USC
5633, Sec 223, State Plans (a)[12])
Are adult inmates held in the facility? (When a person ☐ ☒ ☐
in detention is proceeding through the adult court,
AND that person is 18 years of age or older that
person is an adult inmate.)
If adult inmates are held, they are appropriately
☐ ☐ ☒
separated from minors. Violation
7658 7660 Sonoma JH Camp 20-22 - 82 - J453 JUV PRO-Eff. 01-01-2019
Adult inmates from an adult facility (e.g. inmate
workers or “Scared Straight” programs) are not allowed
☐ ☐ ☒
in the facility in a manner that allows contact with Violation
minors.
7658 7660 Sonoma JH Camp 20-22 - 2 - 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; 2009; 2014; 2018
BSCC Code: 7658
FACILITY NAME: Sonoma County Juvenile Hall FACILITY TYPE: JH
4/98: 2001: 2003: 2009: 2014: 2018:
APPLICABLE REGULATIONS (Check All That Apply):
X
FIELD REPRESENTATIVE: DATE:
TITLE 24 SECTION YES NO N/A COMMENTS
1230.1.1 Reception/intake admission.
In each juvenile hall, space used for the reception of youth X
pending admission to juvenile hall shall have the following
space and equipment:
1. Weapons lockers as specified in Section 1230.2.9; X
2. A secure room for the confinement of youth pending
admission to juvenile hall as specified in Section 1230.1.2;
In each juvenile hall, camp and ranch, space used for the X
reception of youth pending admission to these facilities shall
have the following space and equipment:
3. Access to a shower; X
4. A secure vault or storage space for youth, valuables; X
5. Telephone accessible to youth; and X
6. Access to hot and cold running water for staff use. X
1230.1.2 Locked holding room.
X
A locked holding room shall:
1. Contain a minimum of 15 square feet of floor area per
X
youth;
2. Provide no less than 45 square feet of floor space and have
X
a clear ceiling height of 8 feet or more;
3. Contain seating to accommodate all youth as specified in
X
Section 1230.2.8;
4. Be equipped with a toilet, wash basin, mirror and drinking
fountain unless as specified in Section 1230.2, unless a
X
procedure is in effect to give the youth access to a toilet,
wash basin and drinking fountain;
5. Maximize visual supervision of youth by staff; and X
7658 Sonoma JH PHY 20-22 - 1 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
6. Have an outward swinging or lateral sliding door.
X
1230.1.3 Natural light.
Outer-facing exterior windows where youth’s privacy is not
at risk shall be provided in locked sleeping rooms, single
occupancy sleeping rooms, double occupancy sleeping
rooms, dormitories and dayrooms. Natural light may be
X
provided by, but is not limited to, skylights or windows in
dayrooms, windows in adjacent exterior exercise areas, and
in sleeping rooms and/or dormitories.
1230.1.4 Corridors
X
Corridors in living areas shall be at least eight feet wide.
1230.1.5 Living unit.
A living unit shall be a self-contained unit containing locked
sleeping rooms, single and double occupancy sleeping X
rooms, or dormitories, dayroom space, toilet, wash basins,
drinking fountains and showers commensurate to the
number of youth housed.
A living unit shall not be divided in a way that hinders direct
access, supervision, immediate intervention or other action
X
if needed. In juvenile halls, the number of youth housed in a
living unit shall not exceed 30.
1230.1.6 Locked sleeping rooms.
Locked sleeping rooms shall be equipped with an individual X
or combination toilet, wash basin, mirror and drinking
fountain.
Doors to locked sleeping rooms shall swing outward or slide
X
laterally.
1230.1.7 Single occupancy sleeping rooms. Units 1-6 include observation rooms that would
meet the requirements of single occupancy rooms,
Single occupancy sleeping rooms shall provide the X however, are not included int eh rated capacity.
following:
1. A minimum of 70 square feet of floor area;
2. A minimum ceiling height of eight feet; and, X
3. The door into this room shall swing outward or slide
laterally and be provided with a view panel, a minimum of X
144 square inches, constructed of security glazing.
7658 Sonoma JH PHY 20-22 - 2 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
4. Contain a bed as specified in 1230.2.5. X
1230.1.8 Double occupancy sleeping rooms.
Double occupancy sleeping rooms shall provide the X
following:
1. A minimum of 100 square feet of floor area;
2. A minimum clear ceiling height of 8 feet and a
X
minimum width of 7 feet; and,
3. The door into this room shall swing outward or slide
laterally and be provided with a view panel, a minimum of X
144 square inches, constructed of security glazing.
4. Contain a bed as specified in 1230.2.5. X
1230.1.9 Dormitories Unit 7 is a dormitory but is used presently as
incentive space.
Dormitories shall provide the following:
1. A minimum of 50 square feet of floor area per youth X
with the minimum size of a dormitory being 200 square
feet of floor area and a minimum 8-foot clear ceiling
height;
2. Designed for no fewer than four youth; X
3. Dormitories in juvenile halls shall be designed for no
X
more than 30 youth;
4. Camps shall conform to Items 1 and 2. X
1230.1.10 Dayrooms
Dayrooms shall contain 35 square feet of floor area per X
youth, contain tables and seating to accommodate the
maximum numbers of youth allowed access at a given time.
Access must be provided to toilets, wash basins, drinking
X
fountains and showers as specified in Section 1230.2.
1230.1.11 Physical activity and recreation areas. The indoor/outdoor rec space for Units 1-4 is
approx. 1840 sq. ft. Units 5-6 recreation space is
Indoor/outdoor physical activity and recreation areas shall approx. 672 sq. ft. Unit 7 has a large recreation
be designed as follows: space, approximately 14,694 sq. ft. There is also a
1. Minimum indoor outdoor recreation space for facility large field area, including an outdoor track, used
X
capacity: 40 or less is 9,000 square feet; 41-274 is 225 by all youth as scheduled.
square feet per youth up to 61,650 square feet; 275 or
more is 61,650 square feet, plus 145 square feet for each
youth beyond 274 [up to a maximum of 87,120 square
feet]
1.1 At least one quarter of the dedicated indoor/outdoor
X
space shall be a paved or like surface.
1.2 The required recreation area shall contain no single
X
dimension less than 40 feet.
2. A portion of the dedicated space for physical activity
and recreation shall be out-of-doors and be sufficient size
and equipped in such a manner to allow compliance with X
Title 15, Section 1371, which requires at least one hour per
day of outdoor activity for each detained youth.
3. Lighting of outdoor recreation areas shall be provided
X
to allow for evening activities and to provide security.
4. Access must be provided to a toilet, wash basin and
X
drinking fountain as specified in Section 1230.2.
7658 Sonoma JH PHY 20-22 - 3 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
1230.1.12 Academic classrooms. There is one classroom adjacent to each unit.
X
There shall be a dedicated classroom space for every
juvenile in every facility.
The primary purpose for the academic classroom shall be
X
for education.
Each academic classroom shall contain a minimum of 160
square feet of floor space for the teacher’s desk and work
X
area and a minimum of 28 square feet of floor space per
minor.
A communication system shall be provided in each
X
classroom to allow for immediate response to emergencies.
The classroom shall be designed for a maximum of 20
X
minors.
There shall be space available in every juvenile facility that
may be used for specialized, one-on-one or small group X
educational purposes.
1230.1.13 Safety room. There is no safety room at this facility.
A safety room shall: X
1. Contain a minimum of 48 square feet of floor area and
a minimum clear ceiling height of 8 feet;
2. Be limited to one youth; X
3. Be padded as specified in Section 1230.2.7; X
4. Provide one or more vertical view panels constructed of
security glazing. These view panels shall be no more than 4
X
inches wide nor less than 24 inches long, which shall
provide a view of the entire room;
5. Provide an audio monitoring system as specified in
X
Section 1230.1.22;
6. Contain a flushing ring toilet, capable of accepting solid
waste, mounted flush with the floor, the controls for which X
must be located outside of the room;
7. Be equipped with a variable intensity, security-type
X
lighting fixture with controls located outside the room;
8. Any wall or ceiling-mounted devices must be designed
X
to prohibit access to the youth occupant; and,
9. Provide a food pass with lockable shutter, no more than
4 inches high, and located between 26 inches and 32 inches X
as measured from the bottom of the food pass to the floor.
1230.1.14 Medical examination room. There are two medical exam rooms which serve
Units 1-4 and are 324 sq. ft each. Units 5-6 share
There must be a minimum of one suitably equipped medical one medical exam room which is 175 sq. ft. Unit
examination room in every juvenile facility. 7 has one medical exam room which is 200 sq. ft.
X
(including dedicated toilet areas).
The medical screening space is in the intake area
and not considered an examination room.
Medical examination rooms shall provide the following:
X
1. Space for carrying out routine medical examinations
and emergency care and used for no other purpose;
2. Privacy for youth; X
3. Lockable storage space for medical supplies; X
7658 Sonoma JH PHY 20-22 - 4 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
4. Not less than 144 square feet of floor space with no
X
single dimension less than 7 feet;
5. Hot and cold running water; X
6. Smooth, nonporous, washable surface; X
7. A medical exam table; and, X
8. Adequate lighting. X
1230.1.15 Pharmaceutical storage.
Provide lockable storage space for medical supplies and X
pharmaceutical preparations as specified by Title 15,
Section 1438.
1230.1.16 Dining areas. The youth dine in the dayroom of their living unit.
Dining areas in juvenile facilities shall contain a minimum X
of 15 square feet of floor space and sufficient tables and
seating for each person being fed.
Persons being fed include youth, staff and visitors. X
Dining areas shall not contain toilets or showers in the same
X
room without appropriate visual barrier.
1230.1.17 Visiting space.
Space shall be provided in all juvenile facilities for in-person X
visiting which shall be unobstructed by barriers such as, but
not limited to, security glazing for mesh.
1230.1.18 Institutional storage.
One or more storage rooms shall be provided to X
accommodate a minimum of 80 cubic feet of storage space
per minor.
Items to be stored shall be institutional clothing, bedding,
X
supplies and activity equipment.
1230.1.19 Personal storage.
Each youth in a juvenile facility shall be provided with a X
minimum of 9 cubic feet of secure storage space for personal
clothing and belongings.
1230.1.20 Safety equipment storage.
In all juvenile facilities, a secure area shall be provided for
X
the storage of safety equipment, such as fire extinguishers,
self-contained breathing apparatus, wire and bar cutters,
emergency lights, etc.
1230.1.21 Janitorial closet.
In all juvenile facilities, at least one securely lockable
X
janitorial closet, containing a mop sink and sufficient area
for the storage of cleaning implements, must be provided
within a security area of the facility.
1230.1.22 Audio monitoring system.
In safety rooms, locked holding rooms, locked sleeping
X
rooms, single and double occupancy rooms and dormitories,
there must be an audio monitoring system capable of
actuation by the minor that alerts personnel.
7658 Sonoma JH PHY 20-22 - 5 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
1230.1.23 Emergency power.
There shall be a source of emergency power in all juvenile
facilities capable of providing minimal lighting in all living
X
units, activities areas, corridors, stairs and central control
points, and to maintain fire and life safety, security,
communications and alarm systems (Title 24, Part 2,
Chapter 27).
Such an emergency power source shall conform to the
requirements specified in Title, 24, Part 3, Article 700, X
California Electrical Code, California Code of Regulations.
1230.1.24 Confidential interview room.
X
Confidential interview rooms shall contain a minimum of 60
square feet of floor area.
In juvenile halls there shall be a minimum of one suitably
X
furnished interview room for each 30 youth.
In camps there shall be a minimum of one suitably furnished
X
interview room for each facility.
This interview room shall provide for confidential
X
consultations with youth.
1230.1.25 Special-purpose juvenile halls.
Special-purpose juvenile halls shall conform to all minimum X
standards for juvenile facilities contained in this section with
the following exceptions:
1. Physical activity and recreation areas as specified in
X
Section 1230.1.11;
2. Academic classrooms as specified in Section
X
1230.1.12;
3. Medical examination room as specified in Section
X
1230.1.14; and,
4. Dining areas as specified in Section 1230.1.16. X
1230.1.26 Court holding room for youth.
A court holding room shall: X
1. Contain a minimum of 10 square feet of floor area per
youth;
2. Be limited to no more than 16 youth; X
3. Provide no less than 40 square feet of floor area and
X
have a ceiling height of 8 feet or more;
4. Contain seating to accommodate all youth as specified
X
in Section 1230.2.8;
5. Contain a toilet, wash basin and drinking fountain as
X
specified in Section 1230.2;
6. Maximize visual supervision of youth by staff; and, X
7. A mirror of material appropriate to the level of security
X
shall be provided as specified in Section 1230.2.11.
1230.1.27 Programs and activity areas.
All juvenile facilities shall include adequate space for X
specific programs in addition to recreation and exercise
areas.
7658 Sonoma JH PHY 20-22 - 6 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
1230.2.1 Toilets/urinals.
All toilet areas shall provide privacy for the youth and help X
reduce the risk of voyeurism without mitigating staff’s
ability to supervise.
Toilets must be available in a ratio to youth as follows:
X
1. Juvenile halls 1:6;
2. Camps 1:10; and X
3. Locked holding rooms 1:8: X
One toilet and one urinal may be substituted for every 15
X
males.
1230.2.2 Wash basins.
In living units, wash basins must be available in a ratio to X
youth as follows:
1. Juvenile halls 1:6;
2. Camps 1:10; and X
3. Locked holding rooms 1:8: X
Wash basis must be provided with hot and cold or tempered
X
water.
1230.2.3 Drinking fountains.
X
In living areas and indoor and outdoor recreation areas,
drinking fountains must be accessible to youth and to staff.
1. The drinking fountain bubbler shall be on an angle
which prevents waste water from flowing over the drinking X
bubbler; and,
2. The water flow shall be actuated by a mechanical
X
means.
1230.2.4 Showers.
Shower areas shall provide privacy for the youth and help X
reduce the risk of voyeurism without mitigating staff’s
ability to supervise.
Showers shall be available to all youth on a ratio of at least
one shower or bathtub to every six youth. Showers shall be X
provided with tempered water.
1230.2.5 Beds.
X
Beds shall be at least 30 inches wide and 76 inches long and
be of the solid bottom type.
Beds shall be at least 12 inches off the floor and spaced no
X
less than 36 inches apart
Bunk beds must have no less than 33 inches vertically
X
between the solid bottoms.
In secure facilities, the bunks shall be securely anchored and
X
flushed against the floor and/or wall.
1230.2.6 Lighting.
Lighting in locked sleeping rooms, single occupancy rooms,
X
double occupancy rooms, dormitories, day rooms and
activity areas shall provide not less than 20 foot candles of
illumination at desk level.
7658 Sonoma JH PHY 20-22 - 7 - J456 PHY 98 01 03 09 14 18 dot
TITLE 24 SECTION YES NO N/A COMMENTS
Night lighting is required in these areas to provide for good
X
visibility for supervision and be conducive to sleep.
1230.2.7 Padding.
Padding in safety rooms, padding shall cover the entire X
floor, door, walls and everything on walls to a clear height
of eight feet.
Benches or platforms are not to be placed on the floor of this
X
room.
All padded rooms must be equipped with a tamper resistant
X
fire sprinkler as approved by the State Fire Marshal.
All padding must be:
X
1. Approved for use by the State Fire Marshal;
2. Nonporous to facilitate cleaning; X
3. At least 112 inch thick; X
4. Of a unitary or laminated construction to prevent its
X
destruction by teeth, hand tearing or small metal objects;
5. Firmly bonded to all padded surfaces to prevent tearing
X
or ripping; and,
6. Without any exposed seams susceptible to tearing or
X
ripping.
1230.2.8 Seating.
X
Seating shall be designed for the level of security.
When bench seating is used, 18 inches of bench is seating
X
for one person.
1230.2.9 Weapons lockers.
X
Weapons lockers are required in all secure juvenile facilities
and shall be located outside the secure area of the facility.
Weapons lockers shall be equipped with individual
X
compartments, each with an individual locking device.
1230.2.10 Security glazing.
Security glazing shall comply with the minimum
requirements of one of the following test standards:
X
American Society for Testing and Materials, ASTM F 1233-
98, Class III glass, or; California Department of Corrections,
CDC 860-94d, Class C glass or; H.P. White Laboratory,
Inc., HPW-TP-0500.02, Forced Entry Level III.
1230.2.11 Mirrors.
A mirror of a material appropriate to the level of security X
must be provided near each wash basin specified in these
regulations.
7658 Sonoma JH PHY 20-22 - 8 - J456 PHY 98 01 03 09 14 18 dot
JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS
LIVING AREA SPACE EVALUATION
Board of State and Community Corrections
BSCC Code: 7658
FACILITY: Sonoma County Juvenile Hall TYPE: JH RC: 140 (120 Detention and 20 SYTF)
FIELD REPRESENTATIVE: Elizabeth Gong DATE: January 12, 2022
ROOMS EACH ROOM
Unit Room Applicable # Each Room Total Size (L x W x H) or FIXTURES* COMMENTS
Designation Type Standards Rooms # Beds RC RC Square/Cubic Feet T U W F S
Intake Holding 2001 3 (5) (15) 11 X 7 1 1 1
Holding 2001 1 (5) (5) 11 X 7.8 1 1 1 Handicap accessible
Note: Ceiling height above 10'; 7' bench in each holding room; One shower in Intake.
Court Holding
Two adult court holding cells are adjacent to the court and under control of the Sonoma County Sheriff (BSCC #5665). A non-rated court staging area is under control of Sonoma
County Probation and noted in the Physical Plant Evaluation.
HOUSING UNITS 1 – 6
Unit 1 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4
Double 2001 8 2 2 16 105 sq. ft. 1 1 1
Spec. Use 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing.
Note: This unit is used for classroom instruction for Community College youth in the day room. The classroom is currently a Library.
Unit 2 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4
Double 2001 8 2 2 16 105 sq. ft. 1 1 1
Spec. Use 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing.
Unit 3 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4
Note: This unit is used for Covid Isolation.
Double 2001 8 2 2 16 105 sq. ft. 1 1 1
Spec. Use 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing.
*T = Toilets; U = Urinals; W = Washbasins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity.
7658 Sonoma JH LAS 20-22 - 1 - J460 LAS JUV.dot (03/01)
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
Note: This unit is used for agency training.
Unit 4 Single 2001 4 1 1 4 72 – 87 sq. ft. 1 1 1 4
Double 2001 8 2 2 16 105 sq. ft. 1 1 1
Spec. Use 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing.
Note: This unit houses female youth and younger/mental health male youth.
Unit 5 Single 2001 20 1 1 20 72 – 87 sq. ft. 1 1 1 4
Spec. Use 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing.
Note: This unit houses general population male youth.
Unit 6 Single 2001 20 1 1 20 72 – 87 sq. ft. 1 1 1 4
Spec. Use 2001 1 1 0 0 72 sq. ft 1 1 1 Observation room. Not used for housing.
Note: This unit hosed older youth and will become the SYTF population when a sufficient number are committed or transferred from other counties to merit its own program.
Note: There is one classroom suitable or 20 youth adjacent to each unit. Units 1-4 each have approximately 1,287 sq. ft. of dayroom space; Units 5-6 each have approximately
1,496 sq. ft. of dayroom space. There is recreation space adjacent to each unit and a large recreation area used as scheduled by all units
Unit 7 Dorm 2001 1 20 20 20 3,000 sq. ft. 4 4 1 4
Note: This unit is not used for housing and is occupied for Incentive space, scheduled by unit during the evening and weekend programming.
*T = Toilets; U = Urinals; W = Washbasins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity.
7658 Sonoma JH LAS 20-22 - 2 - J460 LAS JUV.dot (03/01)