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Trinity County (2018-2020 inspection cycle)

Board of State and Community Corrections · inspection-trinity-county-juvenile-hall-2018-2020 · Juvenile inspection · 2020-08-04 · Trinity County

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August 4, 2020 Tim Rodgers, Chief Probation Officer Trinity County Probation Department 333 Tom Bell Rd. Weaverville, CA 96083 RE: 2018 - 2020 BIENNIAL INSPECTION OF TRINITY PROBATION DEPARTMENT, WELFARE AND INSTITUTIONS CODE SECTION 209 AND 885; JUVENILE JUSTICE AND DELINQUENCY PREVENTION ACT Dear Chief Rodgers: On May 20, 2020, pursuant to Welfare and Institutions Code sections 209 and 885, BSCC staff completed the 2018/2020 Biennial Inspection of the Trinity County Special Purpose Juvenile Hall via a desk audit. To prepare for this inspection, statewide, regional trainings were held in advance of new regulatory expectations. These trainings were held in December 2018 to introduce and educate staff on the expectations of the new regulations and to provide technical assistance and direction. An onsite, pre inspection briefing was held April 30, 2019. This inspection was performed to determine compliance with the Minimum Standards for Local Detention Facilities as outlined in Titles 15 and 24, California Code of Regulations. In addition, BSCC staff conducted compliance monitoring pursuant to Welfare and Institutions Code Section 209(f) for the federal Juvenile Justice and Delinquency Prevention Act (JJDPA) for the separation requirements of juveniles from incarcerated adults. Due to the coronavirus pandemic and the issuance of statewide and local shelter‐in‐place orders, BSCC staff were prohibited from traveling and unable to complete on‐site inspections from March 16 through June 30, 2020, the end of the 2018/2020 biennial inspection cycle. BSCC staff conducted virtual inspections via desk audit of all facilities originally scheduled for inspection during this time. Desk audits are comprised of a comprehensive review of all applicable policies and procedures and documentation. BSCC staff intend to conduct comprehensive on‐site inspections of all local detention facilities as soon as travel restrictions are lifted. 1 BSCC does not review all of your policies and procedures. We do not “approve” your policies and procedures; nor do we review them for constitutional or legal issues. We recommend agencies seek review through their legal advisor, risk manager and other persons deemed appropriate. 7699 Trinity JH LTR 18-20 Chief Rodgers Trinity County P. 2 We reviewed your updated Policy and Procedures Manual1; all Local Inspections; annual reviews of Security and Emergency practices; and, documents and forms used by the agency. Limited samples of documentation specific to each regulation was requested and reviewed in the same manner as if on site were assessed to ensure compliance with regulation and policy. The BSCC inspection report consists of this transmittal letter and the attached Title 15 Procedures checklist. We are including the PHY and LASE for your information only; your staff indicated that there were no changes to the physical plant since the previous inspection. Compliance is indicated by policy and/or documentation review. Please refer to the Title 15 Procedures Checklist for a summary of all relevant minimum standards, indication of compliance or noncompliance, and information used to determine compliance. Mandatory Local Inspections In addition to the biennial inspection, Title 15, Section 1313 and its authorizing statute required local inspections conducted by the following authorities: County Building Inspection by agency designated by the Board of Supervisors; Fire authority having jurisdiction; Local health officer; Juvenile Court; and, Juvenile Justice Commission. Results of these inspections are considered as part of this report. The dates of the local inspections may be found in the Title 15 Procedures Checklist. Inspection Results Policy Review and Operations Our inspection process included a virtual desk audit of the agency’s policy and procedure manual to ensure consistency with regulatory requirements and to ensure that operations were consistent with policy. We requested and reviewed (when available) a sampling of agency documentation to include incident reports, grievances, admission and classification reports, case plans, unit and staff schedules and safety checks. We did not review documentation related to Suicide Watch, Room Confinement, Use of Force, Use of Restraints, Restraints for Movement within the Facility or Grievances as there were no documents associated with those areas during the cycle. The Trinity County Special Purpose Juvenile Hall program is unique in that it provides local detention services but more importantly provided a weekend commitment option for youth in Trinity County. The facility maintains a set program schedule, complete with all required Title 15 expectations appropriate for a detention or post detention commitment youth. Of interest is while the population of youth committed to the program has declined, the ability of staff to provide more one on one counseling and casework services to youth who are present has increased. Staff have had more opportunity to provide intensive, 7699 Trinity JH LTR 18-20 Chief Rodgers Trinity County P. 3 individualized services to the youth in their care. Unfortunately, as the cycle progressed, the decrease in youth was too great and the facility suspended operations in June 2020. The agency repurposed the facility into a day treatment model with the same programming, without the use of detention. Programming The agency offered programming that had been designed to address the specific needs of the population. Due to the remote location, Probation staff’s experience and expertise in the facilitation of the Forward-Thinking Program, the Victim Awareness program and the Vocational Readiness Life Skills have ensured that programming will occur whether the facilitators are able to make it to the facility or not. Other activities include both indoor and outdoor recreational activities at the facility and community service. Title 15, CCR Minimum Standards Upon review of requested items and policy, we offered technical assistance recommendations to your management team to provide clarity and enhance operations. Several procedures and policy matters were discussed and edited prior to the completion of this letter to ensure consistency with regulatory intent. Those efforts are appreciated, and we appreciate administration with their responsiveness to changes in regulation. The attached Procedures Checklist provides a detailed overview of the inspection findings. Upon final review of all documentation and in conclusion, there are no outstanding items of non-compliance with the Trinity County Special Purpose Juvenile Hall. Title 24, CCR Physical Plant There were no changes made to the physical plant and your rated capacity remains at 28. Training The most recent BSCC Standards and Training for Corrections audit reports that the Trinity County Probation Department is in compliance with all relevant regulations and mandates. Juvenile Justice and Delinquency Prevention Act Compliance Monitoring There have been no violations of JJDPA this inspection cycle and no areas of non- compliance. This concludes our 2018-2020 desk audit for the Trinity County Special Purpose Juvenile Hall. We certainly appreciate the work and dedication of Lance Floerke, Assistant Chief and Brigette Whittaker, Senior Lead. Their dedication to the program and the youth of Trinity County is admirable. 7699 Trinity JH LTR 18-20 Chief Rodgers Trinity County P. 4 We are available to assist as needed and are always happy to provide technical assistance when requested. We look forward to continuing to work together. Please do not hesitate to email me at lisa.southwell@bscc.ca.gov or call (916) 838-9132 if you have any questions. We continue to appreciate the dedication of staff noted in their documentation and of administration with their responsiveness to changes in regulation. Sincerely, Lisa Southwell Field Representative Facilities Standards and Operations Division Enclosures cc: Presiding Judge, Juvenile Court, Trinity County* Chair, Juvenile Justice Commission, Trinity County* Chair, Board of Supervisors, Trinity County* County Administrator, Trinity County* Lance Floerke, Assistant Chief, Trinity County Probation Department *Complete copies of this inspection re available upon request or online at www.bscc.ca.gov 7699 Trinity JH LTR 18-20 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7699 FACILITY NAME: FACILITY TYPE: Trinity Special Purpose Juvenile Hall PERSON(S) INTERVIEWED: Lance Floerke, Assistant Chief Probation Officer, Brigette Whittaker, Sr. Lead FIELD REPRESENTATIVE: DATE: Lisa Southwell May 20, 2020 Desk Audit TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by 2019 the Board of Supervisors to approve building safety; The building inspection was completed by ☒ ☐ ☐ Mike Webster, Building and Grounds Division Inspector on December 4, 2019. There were no areas of concern. (B) Fire authority having jurisdiction, including a fire Fire inspection report completed April 22, clearance as required by Health and Safety Code ☒ ☐ ☐ 2019. Fire clearance granted. Section 13146.1 (a) and (b); (C) Local health officer, inspection in accordance with 2018 Health and Safety Code Section 101045; Medical Mental Health: September 18, 2018 Environmental Health: December 14, 2018 Nutrition: Included in Sheriff’s Department ☒ ☐ ☐ report. 2019 Medical Mental Health: August 28, 2019 Environmental Health: September 25, 2019 Nutrition: October 4, 2019 There were no corrections necessary. (D) County superintendent of schools on the adequacy As a Special Purpose Juvenile Hall, the of educational services and facilities as required in ☐ ☐ ☒ facility does not include an educational Section 1370; program. This section is marked NA. 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. 7699 Trinity JH PRO 18-20 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (E) Juvenile court as required by Section 209 of the 2018 Welfare and Institutions Code The facility was inspected by the Honorable Michael Harper on February 27, 2018 and ☒ ☐ ☐ on March 15, 2019. Judge Harper found the facility to be suitable to house youth (F) Juvenile Justice Commission as required by Section The Juvenile Justice Commission conducts 229 of the Welfare and Institutions Code or annual inspections of all detention facilities Probation Commission as required by Section 240 of that house youth. the Welfare and Institutions Code. ☒ ☐ ☐ 2019 The facility was inspected on October 4, 2019 by Commissioner Terry Lee. The Commission Chair found the facility to be within minimum standards and suitable for the confinement of minors. 1320 APPOINTMENT AND QUALIFICATIONS 901: Appointment and Qualifications- BSCC Note: Compliance with this section is Article 3 Training, Personnel and determined by receipt of the Chief Probation Officer’s Management certification letter confirming that all elements of 901.2(a): regulation are met. (a) Appointment ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, A letter, dated August 6, 2018 and director or facility manager in charge of its program and September 30, 2019, was received from Chief Probation Officer Rogers certifying employees. Such superintendent, director, facility all appointments of staff are pursuant to the manager and other employees of the facility shall be applicable laws, all staff present at the appointed by the facility administrator pursuant to facility meet all required qualifications and applicable provisions of law. clearances and all non-employees have been appropriately cleared. (b) Employee Qualifications Each facility shall: (1) recruit and hire employees who possess knowledge, 901.2(b)1: skills and abilities appropriate to their job ☒ ☐ ☐ classification and duties in accordance with applicable civil service or merit system rules; (2) require a medical evaluation and physical 901.2(b)2: examination including tuberculosis screening test ☒ ☐ ☐ and evaluation for immunity to contagious illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection 901.2(b)7: and training requirements adopted by the Board ☒ ☐ ☐ pursuant to Section 6035 of the Penal Code; and 7699 Trinity JH PRO 18-20 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) conduct a criminal records review, on each new 901.2(b)3: employee, and psychological examination in ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- 901.2(b)6: employees of the facility, who may be present at the facility, shall have such clearance and qualifications Probation completes clearances on all ☒ ☐ ☐ persons entering the building. as may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 1321 STAFFING 902: Staffing-Article 3 Training, Personnel and Management Each juvenile facility shall: a) have an adequate number of personnel sufficient to 902.2(a): carry out the overall facility operation and its Facility population fluctuated over the cycle programming, to provide for safety and security of and as such staffing fluctuated as well. youth and staff, and meet established standards and Generally, the facility operated from Friday regulations; afternoon through Monday morning however, in September 2019, hours were ☒ ☐ ☐ scaled back until Sunday at 8PM. By December 2019, youth were not staying overnight and ultimately, the facility suspended detention and commitment operations in June 2020. We noted there was always adequate staffing with at least 2 staff on duty at all times. b) ensure that no required services shall be denied 902.2(a): ☒ ☐ ☐ because of insufficient numbers of staff on duty absent exigent circumstances; c) have a sufficient number of supervisory level staff to 902.2(d and e): ensure adequate supervision of all staff members; There are supervisors or Officers in Charge at all times. Both day and night shifts consist of a lead staff, generally a senior officer and a child supervision staff. If staffing is short or there is an issue, it is ☒ ☐ ☐ not uncommon for the Superintendent or the Chief to cover if needed. On “non-site days,” there is on call staff that will respond to the facility if called by Law Enforcement to address detention issues or that will report to the building to take custody of a youth and transport to the contract county. 7699 Trinity JH PRO 18-20 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS d) have a clearly identified person on duty at all times 902.2(e): who is responsible for operations and activities and The senior most staff is always designated as ☒ ☐ ☐ has completed the Juvenile Corrections Officer Core the shift leader and will have completed Course and PC 832 training; CORE and PC832. e) have at least one staff member present on each living 902.2(g)c: ☒ ☐ ☐ unit whenever there are youth in the living unit; f) have sufficient food service personnel relative to the 902.2(c): number and security of living units, including staff The Trinity County Sheriff’s Department qualified and available to: plan menus meeting prepares all meals for the Juvenile Hall. nutritional requirements of youth; provide kitchen The TCSO is inspected to ensure there are ☒ ☐ ☐ supervision; direct food preparation and servings; qualified staff available to plan the menus to conduct related training programs for culinary staff; meet the nutritional requirements of the and maintain necessary records; or, a facility may youth and to meet the expectations of the serve food that meets nutritional standards prepared regulation. by an outside source; g) have sufficient administrative, clerical, recreational, 902.2(b): medical, dental, mental health, building 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 902.2(b) and 902.2(g)c: continuous wide-awake supervision of youth, subject to temporary variations in staff assignments ☒ ☐ ☐ to meet special program needs. Staffing shall be in compliance with a minimum youth-staff ratio for the following facility types: (1) Juvenile Halls (minimum youth-staff ratio) The facility is not a Juvenile Hall (A) during the hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an ☐ ☐ ☒ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility. 7699 Trinity JH PRO 18-20 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (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. (2) Special Purpose Juvenile Halls (minimum youth- 902.2(g)a: 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 902.2(g)b: 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 902.2(g)c: 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 902.2(g)d: ☒ ☐ ☐ who is the same gender as youth housed in the facility. (E) personnel with primary responsibility for other 902.2(g)f: duties such as administration, supervision of ☒ ☐ ☐ personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be classified as youth supervision staff positions. (3) Camps (minimum youth -staff ratio) The facility is not a camp. (A) during the hours that youth are awake, one wide- ☐ ☐ ☒ awake youth supervision staff member on duty for each 15 youth in the camp population; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake ☐ ☐ ☒ youth supervision staff member on duty for each 30 youth present in the facility; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the ☐ ☐ ☒ number of youth in residence, unless arrangements have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty ☐ ☐ ☒ who is the same gender as youth housed in the facility; 7699 Trinity JH PRO 18-20 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be given to the size, design, and location of the camp; types of youth committed to the camp; and the ☐ ☐ ☒ function of the camp in determining the level of supervision necessary to maintain the safety and welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ farm, forestry, kitchen or maintenance shall not be classified as youth supervision staff positions. 1322 YOUTH SUPERVISION STAFF 904: Child Supervision Staff Training- ORIENTATION AND TRAINING Article 3 Training, Personnel and (a) Prior to assuming any responsibilities each youth ☒ ☐ ☐ Management supervision staff member shall be properly oriented to their duties, including: 904.2(d): (1) youth supervision duties; ☒ ☐ ☐ 904.2(d): (2) scope of decisions they shall make; ☒ ☐ ☐ 904.2(d):1 (3) the identity of their supervisor; ☒ ☐ ☐ 904.2(d)2: (4) the identity of persons who are responsible to 904.2(d)3: ☒ ☐ ☐ them; (5) persons to contact for decisions that are beyond 904.2(d)4: ☒ ☐ ☐ their responsibility; and (6) ethical responsibilities. ☒ ☐ ☐ 904.2(d)5: (b) Prior to assuming any responsibility for the 904.2(e): supervision of youth, each youth supervision staff ☒ ☐ ☐ member shall receive a minimum of 40 hours of facility-specific orientation, including: (1) individual and group supervision techniques; ☒ ☐ ☐ 904.2(e)1: (2) regulations and policies relating to discipline and 904.2(e)2: rights of youth pursuant to law and the ☒ ☐ ☐ provisions of this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ 904.2(e)3: (4) suicide prevention and response to suicide 904.2(e)6: ☒ ☐ ☐ attempts (5) policies regarding use of force, de-escalation 904.2(e)4: techniques, chemical agents, mechanical and ☒ ☐ ☐ physical restraints; (6) review of policies and procedures referencing 904.2(e)2: ☒ ☐ ☐ trauma and trauma-informed approaches; (7) procedures to follow in the event of 904.2(e)5: ☒ ☐ ☐ emergencies; (8) routine security measures, including facility 904.2(e)8: ☒ ☐ ☐ perimeter and grounds; 7699 Trinity JH PRO 18-20 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (9) crisis intervention and mental health referrals to 904.2(e)10: ☒ ☐ ☐ mental health services; (10) documentation; and ☒ ☐ ☐ 904.2(e)9: (11) fire/life safety training ☒ ☐ ☐ 904.2(e)14: (c) Prior to assuming sole supervision of youth, each 904.2(c): youth supervision staff member shall successfully complete the requirements of the Juvenile ☒ ☐ ☐ Corrections Officer Core Course pursuant to Penal Code Section 6035. (d) Prior to exercising the powers of a peace officer 904.2(c): youth supervision staff shall successfully complete ☒ ☐ ☐ training pursuant to Section 830 et seq. of the Penal Code. 1323 FIRE AND LIFE SAFETY 908: Fire and Life Safety-Article 3 Training, Personnel and Management Whenever there is a youth in a juvenile facility, there shall be at least one wide awake person on duty at all ☒ ☐ ☐ 908.2(a) times who meets the training standards established by the Board for general fire and life safety which relate specifically to the facility. 1324 POLICV AND PROCEDURES MANUAL Facility provided their policy and procedure All facility administrators shall develop, publish, and manual for our review. The manual was last implement a manual of written policies and procedures fully reviewed and updated in October 2019. that address, at a minimum, all regulations that are Additional updates were provided in May applicable to the facility. Such a manual shall be made 2020 and June 2020 based on our review and available to all employees, reviewed by all employees, the need to be consistent and compliant with and shall be administratively reviewed at a minimum regulatory expectations. every two years, and updated, as necessary. Those records relating to the standards and requirements set It should be noted that the agency’s recent forth in these regulations shall be accessible to the Board updates impacted the existing cites that had on request. already been documented by BSCC, therefore ☒ ☐ ☐ The manual shall include: current policy and procedure may have different reference numbers than cited in this report. The BSCC has confirmed that current policies and procedures exist specific to required regulations; however, we were unable to verify all updated reference number cites and will do so at subsequent inspection. The agency manual is provided to staff electronically for their review. 7699 Trinity JH PRO 18-20 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) table of organization, including channels of • 900: Administration-Article 3 communications and a description of job Training, Personnel and classifications; Management • 905: Senior Juvenile Hall Correctional Officer Job Description-Article 3 Training ☒ ☐ ☐ Personnel and Management • 906: Juvenile Hall Correctional Officer Job Description-Article 3 Training Personnel and Management • 907: Transportation Officer Job Description-Article 3 Training Personnel and Management (b) purpose of programs, relationship to the juvenile • Mission Statement court, the Juvenile Justice/Delinquency Prevention • Code of Ethics Commission or Probation Committee, probation • 900: Administration-Article 3 staff, school personnel and other agencies that are ☒ ☐ ☐ Training, Personnel and involved in juvenile facility programs; Management • 949: Programs, Recreation and Activities (c) responsibilities of all employees; The manual provides policy and procedure ☒ ☐ ☐ for staff responsibilities. (d) initial orientation and training program for 904: Child Supervision Staff Training- employees; Article 3 Training, Personnel and ☒ ☐ ☐ Management Training for child supervision staff. (e) initial orientation, including safety and security 909.2(e)5: Policy and Procedures Manual- issues and anti-discrimination policies, for support Article 3 Training, Personnel and ☒ ☐ ☐ staff, contract employees, school, mental/behavioral Management health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and 921: Logbook communication system to ensure: The facility logbook is the permanent record ☒ ☐ ☐ of the day to day happening at the juvenile hall and is a permanent record of all activities and events. (1) efficient operation of the juvenile facility; 921: Logbook The facility logbook is the permanent record ☒ ☐ ☐ of the day to day happening at the juvenile hall and is a permanent record of all activities and events. 7699 Trinity JH PRO 18-20 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) legal and proper care of youth; 905: Senior Juvenile Hall Correctional Officer Job Description ☒ ☐ ☐ 906: Juvenile Hall Counselor Job Description (3) maintenance of individual youth's records; 922: Youth’s File Folder ☒ ☐ ☐ Facility maintains all written and published information on the youth in this folder at the JH. (4) supply of information to the juvenile court and 922: Youth’s File Folder those authorized by the court or by the law; and, ☒ ☐ ☐ Facility maintains all written and published information on the youth in this folder at the JH. (5) release of information regarding youth. ☒ ☐ ☐ 927: Release of Information (g) ethical responsibilities; Probation Code of Ethics ☒ ☐ ☐ 909.2(e)7: and Procedures Manual- Article 3 Training, Personnel and Management (h) trauma-informed approaches; 909.2(e)8: and Procedures Manual- Article 3 ☒ ☐ ☐ Training, Personnel and Management (i) culturally responsive approaches; 909.2(e)9: and Procedures Manual- Article 3 ☒ ☐ ☐ Training, Personnel and Management (j) gender responsive approaches; 909.2(e)10: and Procedures Manual- Article ☒ ☐ ☐ 3 Training, Personnel and Management (k) a non-discrimination provision that provides that all 909.2(e)11: and Procedures Manual- Article youth within the facility shall have fair and equal 3 Training, Personnel and Management access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on the basis of actual or perceived race, ethnic group ☒ ☐ ☐ identification, ancestry, national origin, immigration status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any 909.2(e)5: and Procedures Manual- Article 3 chemical agents related security devices, and Training, Personnel and Management weapons and ammunition, where applicable; ☒ ☐ ☐ The facility does not allow weapons or ammunition in the facility in any location. (m) establishment of procedures for collection of Medi- 931.3(a)(5)a: Orientation - Article 5 Cal eligibility information and enrollment of eligible Classification and Separation youth; and, ☒ ☐ ☐ Juvenile Deputy Probation Officers assist the families with Medi-Cal enrollments. 7699 Trinity JH PRO 18-20 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (n) establishment of a that prohibits all forms of sexual 1006.1: Zero Tolerance of Sexual Abuse and abuse, sexual assault and sexual harassment. The Sexual Harassment shall include an approach to preventing, detecting 1017: Youth Education and responding to such conduct and any retaliation ☐ ☐ ☐ for reporting such conduct, as well as a provision for During intake, youth receive an orientation reporting such conduct by youth, staff or a third explaining zero tolerance in an age- party. appropriate manner and how to report any incident. 1325 FIRE SAFETY PLAN 910: Fire Safety Plan - Article 3 Training, The facility administrator shall consult with the local fire Personnel and Management department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety ☒ ☐ ☐ Facility administrator annually consults with which shall include, but not be limited to: the Weaverville Fire District Fire Chief Todd Corbett. Chief Corbett approved the plan for the 2019/2020 year as written. a) a fire prevention plan to be included as part of the 910.2(e) ☒ ☐ ☐ manual of and procedures; b) monthly fire and life safety inspections by facility 910.2(b) staff with two- year retention of the inspection We reviewed all fire inspections provided for record; the full 2018-2020 cycle. Fire prevention inspections were completed except for a few ☒ ☐ ☐ over the course of the 2-year cycle. All subsequent inspections were completed as required and it is deemed that this issue was corrected. c) fire prevention inspections as required by Health Fire inspection report completed April 22, ☒ ☐ ☐ and Safety Code Section 13146.1(a) and (b); 2019. Fire clearance granted. d) an evacuation plan; ☒ ☐ ☐ 1056.2: Fire - Emergency Procedures e) documented fire drills not less than quarterly; 910.2(d) We reviewed all fire drills provided for the full 2018-2020 cycle. Fire drills were not ☒ ☐ ☐ completed as required in that there was a gap in which a quarterly drill was missed. All subsequent drills were completed as required and it is deemed that this issue was corrected. f) a written plan for the emergency housing of youth in 1056.3(f): Fire - Emergency Procedures the case of fire; and, Facility has relationships established with Shasta, Tehama and Del Norte County ☒ ☐ ☐ Probation Departments in the event of an emergency. Decisions will be made based on fire location, number of youth to be housed and availability of bed space. g) development of a fire suppression pre-plan In The Fire Suppression Preplan is developed ☒ ☐ ☐ cooperation with the local fire department. with the Weaverville Fire Department. 7699 Trinity JH PRO 18-20 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1326 SECURITY REVIEW 911: Security Review-Article 3 Training, Personnel and Management Each facility administrator shall develop policies and procedures to annually review, evaluate, and document 911.2 security of the facility. The review and evaluation shall include internal and external security, including, but not Security Reviews were completed for both limited to, key control, equipment, and staff training. ☒ ☐ ☐ 2018 and 2019 Security review was completed for 2018 on December 5, 2018. Security review was completed for 2019 on December 4, 2019 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific policies and procedures for emergencies that shall include, but not be limited to: (a) escape, disturbances, and the taking of hostages; 915: Article 3 Training, Personnel and Management 1054: Escape Procedures- Emergency ☒ ☐ ☐ Procedures 1059: Riots and Civil Disturbance- Emergency Procedures (b) civil disturbance, active shooter and terrorist attack; 1059: Riots and Civil Disturbance- ☒ ☐ ☐ Emergency Procedures 1065: Active Shooter or Terrorist Attack (c) fire and natural disasters; 1052: Earthquake- Emergency Procedures ☒ ☐ ☐ 1056: Fire- Emergency Procedures 1057: Flood- Emergency Procedures (d) periodic testing of emergency equipment; 1058: Power Outage- Emergency Procedures ☒ ☐ ☐ The generator is set to automatically test itself weekly to ensure proper functioning. (e) emergency evacuation of the facility; and ☒ ☐ ☐ 1055: Evacuation-Emergency Procedures (f) a program to provide all youth supervision staff 944.2: Security Procedures with an annual review of emergency procedures. Staff complete their annual review by taking ☒ ☐ ☐ an online 25 questions test. All staff completed this review. Facility manager provided documentation of results. 7699 Trinity JH PRO 18-20 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1328 SAFETY CHECKS 919: Population Accounting-Article 4 Records and Public Information The facility administrator shall develop and implement and procedures that provide for direct visual 919.4: observation of youth at a minimum of every 15 minutes, Facility manager stated he reviews all safety at random or varied intervals during hours when youth checks from the previous weekend. If there are asleep or when youth are in their rooms, confined in are any variances, supplemental training will holding cells or confined to their bed in a dormitory. occur as appropriate. There is no formal Supervision is not replaced, but may be supplemented process of documenting these reviews. by, an audio/visual electronic surveillance system ☒ ☐ ☐ designed to detect overt, aggressive or assaultive We reviewed various pages of a random behavior and to summon aid in emergencies. All safety sampling of safety checks provided. It was checks shall be documented with the actual time the noted that youth are not in their rooms for check is completed. the majority of the day and are in their rooms primarily during sleeping hours. Checks were completed as required by regulation and by policy. 1329 SUICIDE PREVENTION PLAN 916: Suicide Prevention Plan - Article 3 The facility administrator, In collaboration with the Training, Personnel and Management healthcare and behavioral/mental health administrators, shall plan and implement written policies and procedures which delineate a Suicide Prevention Plan. A small sampling of Suicide Watch incident reports were requested but none provided as The plan shall consider the needs of youth experiencing ☒ ☐ ☐ the facility had no youth placed on Suicide past or current trauma. Watch. Suicide prevention responses shall be respectful and in the least invasive manner consistent with the level of suicide risk. The plan shall include the following elements: (a) Suicide prevention training as required in 916.4.1: Training in Suicide Prevention Section 1322, Youth Supervision Staff Staff receive initial training in orientation, in Orientation, and Training and the Juvenile ☒ ☐ ☐ Corrections Officer Core Course. CORE for those that attend and in annual training thereafter to ensure retention of suicide prevention procedures. 7699 Trinity JH PRO 18-20 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and 916.4.2: Assessment Precautionary Protocols (1) All youth shall be screened for risk of 916.4.2(a): Intake Screening suicide at intake and as needed during All youth are screened with the MAYSI at detention. entry. If youth report for a weekend commit, ☒ ☐ ☐ they are re-assessed prior to admission at each subsequent stay. 916.4.2(b): Continuous Screening Staff remain alert to changes in a youth’s moods or effect during detention. (2) All youth supervision staff who perform 916.4.1(a): Training in Suicide Prevention intake processes shall be trained in ☒ ☐ ☐ All staff are trained in all aspects of suicide screening youth for risk of suicide. prevention. (3) All youth who have been identified during 916.4.2: Assessment the intake screening process to be at risk of ☒ ☐ ☐ suicide shall be referred to behavioral/mental health staff for a suicide risk assessment. (4) Precautionary protocols shall be developed 916.4.4: Placing a Youth on Suicide Risk or to ensure the youth’s safety pending the Watch behavioral/mental health assessment. ☒ ☐ ☐ Any staff may put a youth on suicide risk or suicide watch. Staff notify the facility lead and make the appropriate notifications. (c) Referral process to behavioral/mental health 916.4.4: Placing a Youth on Suicide Risk or staff for assessment and/or services. Watch If a youth if placed on Suicide Risk, an incident report is completed by the JCO and forwarded to the Youth’s Probation Officer for follow up. A copy of the incident report will also be forwarded to the facility Superintendent for tracking purposed and to ensure proper response and follow through. ☒ ☐ ☐ If a youth is placed on Suicide Watch, staff immediately contact Trinity County Behavior Health Services and require a crisis evaluation of the youth. All calls are logged and approved by the facility lead or Senior officer. Only a mental health clinician can remove a youth from suicide watch or suicide risk status. Staff must follow all directions as received. 7699 Trinity JH PRO 18-20 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Procedures for monitoring of youth identified 916.4.5: Minimum Guidelines for at risk for suicide. Classification/Housing of Youth on Suicide Risk or Watch. 916.4.6: Minimum Guidelines for Supervision of Youth on Suicide Risk or Suicide Watch ☒ ☐ ☐ Youth are kept out of their rooms. If they are in their rooms and awake, they are placed on 10-minute checks, in their room asleep, 15 minutes and in their room with their window covered for dressing or using the restroom, 5 minutes (but will also be in a safety gown). (e) Safety Interventions 916.4.7: Interventions (1) Procedures to address intervention protocols for youth identified at risk for ☒ ☐ ☐ suicide which may include, but are not limited to: A. Housing consideration 916.4.5: Minimum Guidelines for Classification/Housing of Youth on Suicide Risk or Watch. ☒ ☐ ☐ Youth must complete the MAYSI before they are placed in General Population. Youth on SR or SW may be housed in the unit, as close to the intake hallway as possible. B. Treatment strategies including 916.4.7: Interventions ☒ ☐ ☐ trauma-informed approaches (2) Procedures to instruct youth supervision 916: Suicide Prevention Plan - Article 3 staff how to respond to youth who exhibit ☒ ☐ ☐ Training, Personnel and Management suicidal behaviors. (f) Communication 916.4.3(a): Communication (1) The intake process shall include communication with the arresting officer ☒ ☐ ☐ and family guardians regarding the youth’s past or present suicidal ideations, behaviors or attempts. (2) Procedures for clear and current 916.4.3(d): Communication information sharing about youth at risk for ☒ ☐ ☐ suicide with youth supervision, healthcare, and behavioral/mental health staff. (g) Debriefing of Critical Incidents Related to 916.4.11: Critical Incident Debriefing Suicides or Attempts (Administration) ☒ ☐ ☐ (1) Process for administrative review of the circumstances and responses proceeding, during and after the critical incident. 7699 Trinity JH PRO 18-20 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Process for a debriefing event with affected 916.4.10(a-d): Critical Incident Debriefing staff. (Staff, Youth, Facility Partners) ☒ ☐ ☐ (3) Process for a debriefing event with affected 916.4.10(a-d): Critical Incident Debriefing youth. ☒ ☐ ☐ (Staff, Youth, Facility Partners) (h) Documentation 916.4.9: Documentation and Notifications (1) Documentation processes shall be ☒ ☐ ☐ developed to ensure compliance with this regulation Youth identified at risk for suicide shall not be denied 916.4.6: Minimum Guidelines for the opportunity to participate in facility programs, Supervision of Youth on Suicide Risk or services and activities which are available to other non- Suicide Watch suicidal youth, unless deemed necessary for the safety ☒ ☐ ☐ of the youth or security of the facility. Any deprivation of programs, services or activities for youth at risk of suicide shall be documented and approved by the facility manager. 1340 REPORTING OF LEGAL ACTIONS 917: Reporting of Legal Action - Article 4 Records and Public Information Each facility shall submit to the Board a letter of ☒ ☐ ☐ 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 918: Death of a Youth While Detained- INJURY OF A YOUTH WHILE Article 4 Records and Public Information DETAINED (1) Death of a Youth. (a) The facility administrator, In cooperation with the health administrator and the behavioral/mental ☒ ☐ ☐ health director, shall develop written policies and procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, In cooperation with the 918.2(i): Death of a Youth While Detained- facility administrator, shall develop written policies Article 4 Records and Public Information 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. 7699 Trinity JH PRO 18-20 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) The administrator of the facility shall provide to the 918.2(f): Death of a Youth While Detained- Board a copy of the report submitted to the Attorney Article 4 Records and Public Information 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 918.2(g): Death of a Youth While Detained- the administrator, the Board may within 30 calendar Article 4 Records and Public Information days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth 918.2 (c): Death of a Youth While Detained- (a) The facility administrator, In cooperation with the Article 4 Records and Public Information 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 919.2: Population Accounting -Article 4 Records and Public Information Each juvenile facility shall submit required population ☒ ☐ ☐ 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 920: Juvenile Facility Capacity- Article 4 Records and Public Information When the number of youth detained in a living unit of a juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ The rated capacity of the facility is 28. fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 1350 ADMITTANCE PROCEDURES 928: Admission Procedures-Article 5 The facility administrator shall develop and implement Classification and Separation written policies and procedures for admittance of youth that emphasize respectful and humane engagement with 928.1: Purpose youth, and reflect that the admission process may be ☒ ☐ ☐ traumatic to youth who may have already experienced A small sampling of admission documents trauma. Policies shall be trauma-informed, culturally were requested. All packets were complete relevant, and responsive to the language and literacy and consistent with the required needs of youth. In addition to the requirements of documentation. Sections 1324 and 1430 of these regulations: (a) the admittance process shall include: 928.2(g) (1) Access to two free phone calls within one hour ☒ ☐ ☐ of admittance in accordance with the provisions One call to parent, one call to an attorney and of Welfare and Institution Code Section 627; one call to an employer. (2) Offer of a shower; ☒ ☐ ☐ 928.3(a)13 7699 Trinity JH PRO 18-20 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Documented secure storage of personal 928.3(a)12 ☒ ☐ ☐ belongings; (4) Offer of food upon arrival; ☒ ☐ ☐ 928.3(a)9 (5) Screening for physical and behavioral health 928.3(a)(7)a ☒ ☐ ☐ and safety issues, intellectual or developmental disabilities; (6) Screening for physical and developmental 928.3(a)(7)b ☒ ☐ ☐ disabilities in accordance with Sections 1329, 1418, and 1430 of these regulations; (7) Contact with Regional Center for the 928.3(a)(7)a Developmentally Disabled for youth that are ☒ ☐ ☐ suspected of or identified as having a developmental disability, pursuant to Section 1418; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ 928.2(h) (b) juvenile hall administrators shall establish written 928.2(a) criteria for detention that considers the least restrictive environment. Youth are assessed using the DRAI- ☒ ☐ ☐ Detention Risk Assessment Inventory to assist the Deputy Probation Officer in determining the least restrictive environment that meets the youth’s needs. (c) juvenile camps and post-dispositional programs in 928 juvenile halls shall develop policies and procedures that advise the youth of the estimated length of ☐ ☐ ☐ stay, inform them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures 928.3(a)19 that advise any committed youth of the estimated ☒ ☐ ☐ length of his/her stay. 1350.5. SCREENING FOR THE RISK OF SEXUAL 1020.1(a) ABUSE The facility administrator shall develop and implement At inspection it was noted that the facility written policies and procedures to reduce the risk of used the MAYSI and their Medical sexual abuse by or upon youth. The shall require Screening Form which includes questions facility staff to assess each youth within 72 hours of specific to Screen for sexual abuse admission based on the following information. vulnerability. Technical Assistance provided that the MAYSI is not a Sexual Abuse ☒ ☐ ☐ screening tool or best practice and provided information as to what agency should be utilizing. Agency corrected this and by the writing of this report, had corrected and have modified their screening form to be more inclusive for future admissions and screenings. 7699 Trinity JH PRO 18-20 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ 1020.1(c)1 (b) Gender nonconforming appearance or manner; 1020.1(c)2 or identification as lesbian, gay or bisexual, transgender, queer or intersex, and whether the ☒ ☐ ☐ youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ 1020.1(c)3 (d) Age; ☒ ☐ ☐ 1020.1(c)4 (e) Level of emotional and cognitive development; ☒ ☐ ☐ 1020.1(c)5 (f) Physical size and stature; ☒ ☐ ☐ 1020.1(c)6 (g) Mental illness or mental disabilities; ☒ ☐ ☐ 1020.1(c)7 (h) Intellectual or developmental disabilities; ☒ ☐ ☐ 1020.1(c)8 (i) Physical disabilities; ☒ ☐ ☐ 1020.1(c)9 (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ 1020.1(c)10 (k) Any other specific information about the 1020.1(c)11 individual youth that may indicate heightened ☒ ☐ ☐ needs for supervision, additional safety precautions, or separation from certain other youth. Staff shall ascertain this information through 1020.1(d) conversations with the youth during the admittance 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 1020.1(e) controls on the dissemination of information within the facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES 929: Release Procedures-Article 5 Classification and Separation. The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for release of youth from custody which provide for: (a) verification of identity/release papers; ☒ ☐ ☐ 929.2(a)(6)(a) (b) return of personal clothing and valuables; ☒ ☐ ☐ 929.2(a)(6)(l) (c) notification to the youth's parents or guardian; ☒ ☐ ☐ 929.2(a)(6)(c) (d) notification to the facility health care provider in 929.2(a)(6)(c) accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ 929.2(a)(6)(i) (f) notification of facility mental health personnel. ☒ ☐ ☐ 929.2(a)(6)(c) 7699 Trinity JH PRO 18-20 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall develop and implement 929.2(a)(6)(b) policies and procedures for post-disposition youth to coordinate the provision of transitional and reentry For post dispositional youth, this occurs well ☒ ☐ ☐ services including, but not limited to, medical and in advance and prior to the youth completing behavioral health, education, probation supervision and his or her program. community-based services. The facility administrator shall develop and implement 929.2(b): Temporary Release written policies and procedures for the furlough of While not used often due to the type and ☒ ☐ ☐ youth from custody. length of program provided, the facility conducts short term releases or furloughs. 1352 CLASSIFICATION 930: Classification-Article 5 Classification and Separation The facility administrator shall develop and implement written policies and procedures on classification of ☒ ☐ ☐ youth for the purpose of determining housing placement in the facility. Such procedures shall: (a) provide for the safety of the youth, other youth, 930.2(a and b) facility staff, and the public by placing youth in the appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of 930.2(a) ☒ ☐ ☐ the facility; (c) provide that a youth shall be classified upon 930.2(b)1-4 admittance to the facility; classification factors 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, 930.2(f and g) including provisions that consider the level of ☒ ☐ ☐ supervision and the youth's behavior while in custody; and, (e) provide that facility staff shall not separate youth 930.2(h) from the general population or assign youth to a single occupancy room based solely on the youth's actual or perceived race, ethnic group identification, ancestry, national origin, color, religion, gender, sexual orientation, gender identity, ☒ ☐ ☐ gender expression, mental or physical disability, or HIV status. This section does not prohibit staff from placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. 7699 Trinity JH PRO 18-20 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) facility staff shall not consider lesbian, gay, 930.2(b)(2)(a) bisexual, transgender, questioning or intersex ☒ ☐ ☐ identification or status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. 1063.Transgender and Intersex Youth The facility administrator shall develop written policies 1063.1: ☒ ☐ ☐ and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The policies shall provide that: (a) Facility staff shall respect every youth’s gender 1063.2(a) identity and shall refer to the youth by the youth’s preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the ☒ ☐ ☐ 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 1063.2(b) themselves in a manner consistent with their gender ☒ ☐ ☐ identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room 1063.2(c) that best meets their individual needs and promotes their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons ☒ ☐ ☐ for any decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender 1063.2(d) and intersex youth have access to medical and ☒ ☐ ☐ behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and 1063.2(e) necessary security considerations and physical 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. 7699 Trinity JH PRO 18-20 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Facility staff shall not conduct physical searches of any 1063.2(f) youth for the purpose of determining the youth’s ☒ ☐ ☐ anatomical sex. Whenever feasible, the facility shall respect the youth’s preference regarding the gender of the staff member who conducts any search of the youth. 1353 ORIENTATION 931: Orientation-Article 5 Classification and Separation The facility administrator shall develop and implement written policies and procedures to orient a youth prior Orientation occurs upon receiving the youth to placement in a living area. Both written and verbal into the facility. Orientation is conducted information shall be provided and supplemented with orally, and written material is provided to ☒ ☐ ☐ video orientation if feasible. Provision shall be made to enhance the process but is never given in provide accessible orientation information to all place of an interactive process. In the event detained youth including those with disabilities, limited that a youth needs an interpreter, the Human literacy, or English language learners. Orientation shall Response Network will provide staff if a include information that addresses: youth does not speak English, if they are illiterate, or impaired. (a) facility rules including contraband and searches and 931.3(a)(2)(a) ☒ ☐ ☐ disciplinary procedures; (b) facility’s system of positive behavior interventions 931.3(a)(2)(b) and supports, including behavior expectations, incentives that youth will receive for complying ☒ ☐ ☐ with facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the 931.3(a)(2)(c) facility’s prohibiting sexual abuse and sexual ☒ ☐ ☐ harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ 931.3(a)(2)(d) (e) the existence of the grievance procedure, the steps 931.3(a)(2)(e) that must be taken to use it, the youth’s right to be free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue; (f) access to legal services and information on the court 931.3(a)(2)(f and l) ☒ ☐ ☐ process; (g) access to routine and emergency health and mental 931.3(a)(2)(g) health care; ☒ ☐ ☐ (h) access to education, religious services, and 931.3(a)(2)(h) recreational activities; 931.3(a)(2)(j) ☒ ☐ ☐ (i) housing assignments; 931.3(a)(2)(m) ☒ ☐ ☐ (j) opportunity for personal hygiene and daily showers 931.3(a)(2)(n) ☒ ☐ ☐ including the availability of personal care items 7699 Trinity JH PRO 18-20 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) rules and access to correspondence, visits and 931.3(a)(2)(p) ☒ ☐ ☐ telephone use; (l) availability of reading materials, programming, and 931.3(a)(2)(q) ☒ ☐ ☐ other activities; 931.3(a)(2)(r) ☒ ☐ ☐ 931.3(a)(2)(s) (m) immigration legal services; 931.3(a)(2)(f) ☒ ☐ ☐ (n) emergencies including evacuation procedures; 931.3(a)(2)(t) ☒ ☐ ☐ (o) non-discrimination and the right to be free from 931.3(a)(2)(u) physical, verbal or sexual abuse and harassment by ☒ ☐ ☐ other youth and staff; (p) availability of services and programs in a language 931.3(a)(2)(v) ☒ ☐ ☐ other than English if appropriate; (q) the process for requesting different housing, 931.3(a)(2)(n) ☒ ☐ ☐ education, programming and work assignments; (r) a process for which parents/guardians receive 931.3(a)(5)(c) information regarding the youth’s stay in the facility that at a minimum includes answers to ☒ ☐ ☐ frequently asked questions and provides contact information for the facility, medical, school and mental health; and, (s) a process by which youth may request access to 931.3(a)(2)(w) ☒ ☐ ☐ Title 15 Minimum Standards for Juvenile Facilities. 1354 SEPARATION 933: Separation-Article 5 Classification and The facility administrator shall develop and implement ☒ ☐ ☐ Separation written policies and procedures that address: (a) separation of youth for reasons that include, but are 933.2(a) not be limited to, medical and mental health ☒ ☐ ☐ conditions, assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and 933.2(b) ☒ ☐ ☐ trauma-informed care. (c) separated youth shall not be denied normal 933.2(a) privileges available at the facility, except when ☒ ☐ ☐ necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, 933.2(c) ☒ ☐ ☐ Title 15 Section 1390 shall apply. (e) when separation results in room confinement, the 933.2(g) separation shall occur in accordance with Welfare ☒ ☐ ☐ and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review 933.2(h) of separated youth to determine if separation ☒ ☐ ☐ remains necessary. 7699 Trinity JH PRO 18-20 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354.5 ROOM CONFINEMENT 1064: Room Confinement 1064.1 (a) The facility administrator shall develop and implement written policies and procedures A small sampling of room confinement addressing the confinement of youth in their room incident reports was requested but only 1 that are consistent with Welfare and Institutions was provided and the date was prior to the Code Section 208.3. The placement of a youth in new regulations taking effect. room confinement shall be accomplished in accordance with the following guidelines: Per both the facility supervisor and the ☒ ☐ ☒ facility administrator, room confinement is not used. Technical assistance provided discussing references found in paperwork or in other areas regarding room time specific to disciplinary purpose. We suggest that all areas are reviewed, and all references are removed so there is no confusion. These areas appear to have been missed in the revision process. (1) Room confinement shall not be used before 1064.3(a)(1) 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) Room confinement shall not be used for the 1064.3(a) (2) ☒ ☐ ☐ purposes of punishment, coercion, convenience, or retaliation by staff. (3) Room confinement shall not be used to the 1064.3(a) (3) extent that it compromises the mental and ☒ ☐ ☐ physical health of the youth. (b) A youth may be held up to four hours in room 1064.3(b) 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. ☒ ☐ ☐ 1064.3(b)(1) (2) Consult with mental health or medical staff. ☒ ☐ ☐ 1064.3(b)(2) (3) Develop an individualized plan that includes 1064.3(b)(3) the goals and objectives to be met in order to ☒ ☐ ☐ reintegrate the youth to general population. (4) If room confinement must be extended beyond 1064.3(c) ☒ ☐ ☐ four hours, staff shall do each of the following: (A) Document the reasons for room 1064.3(c)(1) confinement and the basis for the extension, the date and time the youth was ☒ ☐ ☐ first placed in room confinement, and when he or she is eventually released from room confinement. 7699 Trinity JH PRO 18-20 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) Develop an individualized plan that 1064.3(c)(2) includes the goals and objectives to be met ☒ ☐ ☐ in order to integrate the youth to general population. (C) Obtain documented authorization by the 1064.3(c)(3) facility superintendent or his or her ☒ ☐ ☐ designee every four hours thereafter. (5) This section is not intended to limit the use of 1064.3(d) single-person rooms or cells for the housing of ☒ ☒ ☐ youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards 1064.3(e) ☒ ☐ ☐ in court holding facilities or adult facilities. (7) Nothing in this section shall be construed to 1064.3(f) conflict with any law providing greater or ☒ ☐ ☐ additional protections to youth. (8) This section does not apply during an 1064.3(g) extraordinary emergency circumstance that requires a significant departure from normal institutional operations, including a natural disaster or facility-wide threat that poses an ☒ ☐ ☐ imminent and substantial risk of harm to multiple staff or youth. This exception shall apply for the shortest amount of time needed to address this imminent and substantial risk of harm. (9) This section does not apply when a youth is 1064.3(h) placed in a locked cell or sleeping room to treat and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth ☒ ☐ ☐ is not required to be in an infirmary for an illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND 935: Institutional Assessment and Plan- PLAN Article 5 Classification and Separation ☒ ☐ ☐ The facility administrator shall develop and implement written policies and procedures for assessment and case planning. 7699 Trinity JH PRO 18-20 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Assessment: 935.2: The assessment is based on information collected We found program attendance to have during the admission process with periodic review, significantly decreased over the cycle. which includes the youth's risk factors, needs and ☒ ☐ ☐ Youth who may have spent significant time strengths including, but not limited to, in the program in the past spent limited time identification of substance abuse history, in the program, with the facility ultimately educational, vocational, counseling, behavioral closing. health, consideration of known history of trauma, and family strengths and needs. (b) Institutional Case Plan: 935.2(c ): Intuitional Case Plan (1) A case plan shall be developed for each youth ☒ ☐ ☐ held for at least 30 days or more and created within 40 days of admission. (2) The institutional plan shall include, but not be 935.2(c): Institutional Case Plan ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution 935.2(c)(A): Institutional Case Plan ☒ ☐ ☐ of problems identified in the assessment; (B) a plan for meeting the objectives that 935.2(c)(B): Institutional Case Plan includes a description of program resources ☒ ☐ ☐ needed and individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting 935.3: ☒ ☐ ☐ the objectives, including periodic review and discussion of the plan with the youth; (4) a transition plan, the contents of which shall be 935.4: subject to existing resources, shall be developed ☒ ☐ ☐ for post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the 935.5: plan, including the transition plan, shall be ☒ ☐ ☐ developed with input from the family, supportive adults, youth, and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK 937: Counseling Services- Article 5 SERVICES Classification and Separation The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures ensuring the availability of appropriate counseling and casework services for all youth. Policies and procedures shall ensure: (a) youth will receive assistance with needs or concerns ☒ ☐ ☐ 937 that may arise; (b) youth will receive assistance in requesting contact 937.3: with parents, other supportive adults, attorney, ☒ ☐ ☐ clergy, probation officer, or other public official; and, (c) youth will be provided access to available resources ☒ ☐ ☐ 937.2 to meet the youth’s needs. 7699 Trinity JH PRO 18-20 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1357 USE OF FORCE 939: Use of Force The facility administrator, In cooperation with the A small sampling of Use of Force incident responsible physician, shall develop and implement reports was requested but none provided as written policies and procedures for the use of force, the facility had no use of force incidents. ☒ ☒ ☐ which may include chemical agents. Force shall never be applied as punishment, discipline, retaliation or treatment. (a) At a minimum, each facility shall develop policies and procedures which: (1) restricts the use of force to that which is deemed 939.1: Purpose and Scope reasonable and necessary, as defined in Section ☒ ☐ ☐ 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff 939.9.1: Force Options including both physical and non-physical ☒ ☐ ☐ options and define when those force options are appropriate. (3) describe force options or techniques that are 939.9(b): Force Options expressly prohibited by the facility. Choke holds, tasers, batons/Billy clubs, or any other lethal weapons, any force that ☒ ☐ ☐ restricts the youth breathing, or cuts of blood circulation are restricted from being used. No lethal weapons of any kind will be allowed inside the facility. (4) describe the requirements of staff to report any 939.6: Duty to Intercede ☒ ☐ ☐ inappropriate use of force, and to take affirmative action to immediately stop it.939.6 (5) define a standardized reporting format that 939.15: Documentation of Use of Force includes time period and procedure for Incidents documenting and reporting the use of force, 939.15.1: Use of Force Report 939.16: Use of Force Incident Review Team including reporting requirements of 939.16.1: Incident Debrief 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 939.16: Use of Force Incident Review Team for investigating unreasonable use of force. ☒ ☒ ☐ Each Use of Force Report is subject to the Use of Force Review Team review. 7699 Trinity JH PRO 18-20 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) define the role, notification, and follow-up 939.13: Medical Attention In Use of Force procedures required after use of force incidents ☒ ☐ ☐ Incidents, Notification, Follow -Up for medical, mental health staff and parents or legal guardians. (8) describe the limitations of use of force on 939.12.1: Pregnant Youth pregnant youth in accordance with Penal Code ☒ ☐ ☐ 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: (1) identify who is approved to carry and/or utilize 939.11: Use of Pepper Spray or Other Non- chemical agents in the facility and the type, size Lethal Weapons ☒ ☐ ☐ and the approved method of deployment for Only on duty officers may carry those chemical agents. departmentally issued OC. (2) mandate that chemical agents only be used when 939.11: Use of Pepper Spray or Other Non- there is an imminent threat to the youth’s safety Lethal Weapons ☒ ☐ ☐ or the safety of others and only when de- escalation efforts have been unsuccessful or are not reasonably possible. (3) outline the facility’s approved methods and 939.14: Decontamination After a Use of timelines for decontamination from chemical Force Incident agents. This shall include that youth who have ☐ ☐ ☐ Youth is offered a shower, clean clothes and been exposed to chemical agents shall not be left to decontaminate until he/she no longer feels unattended until that youth is fully the effects of the spray. The youth is not left decontaminated or is no longer suffering the alone until the process is completed. effects of the chemical agent. (4) define the role, notification, and follow-up 939.13: Medical Attention In Use of Force procedures required after use of force incidents ☒ ☐ ☐ Incidents, Notification, Follow -Up involving chemical agents for medical, mental health staff and parents or legal guardians. (5) provide for the documentation of each incident 939.15: Documentation of Use of Force of use of chemical agents, including the reasons Incidents 939.15.1: Use of Force Report for which it was used, efforts to de-escalate 939.16: Use of Force Incident Review Team ☒ ☐ ☐ prior to use, youth and staff involved, the date, time and location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure 939.19: 939.19(e): Training in Use of Force which require that agencies provide initial and ☒ ☐ ☐ regular training in use of force and chemical agents when appropriate that address: (1) known medical and behavioral health 939.19(g): Training in Use of Force, conditions that would contraindicate certain ☒ ☐ ☐ Confrontation Avoidance Techniques, OC types of force; Spray, forced Cell Movement 7699 Trinity JH PRO 18-20 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) acceptable chemical agents and the methods of 939.1: Training in Use of Force ☒ ☐ ☐ application. (3) signs or symptoms that should result in 939.19(i): Training in Use of Force, immediate referral to medical or behavioral ☒ ☐ ☐ Confrontation Avoidance Techniques, OC health. Spray, forced Cell Movement (4) instruction on the Constitutional Limitations of 939.19(e): Training in Use of Force, Use of Force. ☒ ☐ ☐ Confrontation Avoidance Techniques, OC Spray, forced Cell Movement (5) physical training force options that may require ☒ ☐ ☐ 939.19: Training in Use of Force the use of perishable skills. (6) timelines the facility uses to define regular ☒ ☐ ☐ 939.19: Training in Use of Force training. 1358 USE OF PHYSICAL RESTRAINTS 940: Use of Physical Restraints-Article 5 Classification and Separation The facility administrator, In cooperation with the responsible physician and mental health director, shall 940.2(a) develop and implement written policies and procedures ☒ ☐ ☐ A small sampling of Use of Restraint for the use of restraint devices. Restraint devices incident reports was requested but none include any devices which immobilize a youth's provided as the facility had no use of extremities and/or prevent the youth from being Restraint incidents to report. ambulatory. Physical restraints may be used only for those youth 940.2(a) who present an immediate danger to themselves or 940.2(b) 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 940.2(c) discipline, or as a substitute for treatment. The use of restraint devices that attach a youth to a wall, floor or other fixture, including a restraint chair, or through ☒ ☐ ☐ affixing of hands and feet together behind the back (hogtying) is prohibited. The use of restraints on pregnant youth is limited in accordance with Penal Code Section 6030(f) and Welfare and Institutions Code Section 222. The provisions of this section do not apply to the use of 940.1 handcuffs, shackles or other restraint devices when used to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. 7699 Trinity JH PRO 18-20 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Youth shall be placed in restraints only with the approval 940.2(f) of the facility manager or designee. The facility manager 940.3(b) may delegate authority to place a youth in restraints to a ☒ ☐ ☐ physician. Reasons for continued retention in restraints shall be reviewed and documented at a minimum of every hour. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no later ☒ ☐ ☐ 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 940.3(d) possible, but in no case longer than four hours from the ☒ ☐ ☐ time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted 940.3(f) to ensure that the restraints are properly employed, and 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 940.2b ☒ ☐ ☐ application of restraints. (b) known medical conditions that would 940.3(g) contraindicate certain restraint devices and/or ☒ ☐ ☐ techniques. (c) acceptable restraint devices. ☒ ☐ ☐ 940.2(c) (d) signs or symptoms which should result in 940.3(4)(d) ☒ ☐ ☐ immediate medical/mental health referral. (e) availability of cardiopulmonary resuscitation 940.3(4)(a) ☒ ☐ ☐ equipment. (f) protective housing of restrained youth. While in 940.3(e) restraint devices, all youth shall be housed alone or in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ 940.3(a)(4)(e) (h) exercising of extremities. ☒ ☐ ☐ 940.2(g) 7699 Trinity JH PRO 18-20 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358.5 USE OF RESTRAINT DEVICES FOR 1066: Use of Restraint Devices Within the MOVEMENT AND TRANSPORTATION WITHIN Facility THE FACILITY. A small sampling of Use of Restraint The Facility Administrator, In cooperation with the Devices for Movement and Transportation ☒ ☐ ☐ responsible physician and behavioral/mental health Within the Facility was requested but none director, shall develop and implement written policies provided as the facility had no incident or and procedures for the use of restraint devices when the situation that would require restraints to be purpose is for movement or transportation within the applied. facility that shall include the following: (a) identification of acceptable restraint devices, staff 1066.2(2) approved to utilize restraint devices and the ☒ ☐ ☐ The only allowable device is handcuffs. required training. (b) the circumstances leading to the application of 1066.2(3) restraints must be documented. ☒ ☐ ☐ (c) an individual assessment of the need to apply 1066.2(4) restraints for movement or transportation that Agency will only handcuff all youth in includes consideration of less restrictive ☒ ☐ ☐ exigent circumstances after considering less alternatives, consideration of a youth’s known restrictive alternatives. medical or mental health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, 1066.2(5) with a clearly defined expectation that restraint ☒ ☐ ☐ devices shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in 1066.2(6) accordance with Penal Code Section6030(f) and ☒ ☐ ☐ Welfare and Institutions Code Section 222. 1359 SAFETY ROOM PROCEDURES 934: Use of Safety room- Article 5 Classification and Separation (a) The facility administrator, and where applicable, In 934.2 cooperation with the responsible physician, shall There have been no safety cell placements develop and implement written policies and this cycle. procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☒ ☐ ☐ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: 7699 Trinity JH PRO 18-20 - 30 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) include provisions for administration of 934.3: necessary nutrition and fluids, access to a toilet, Youth will remain in their own clothes and suitable clothing to provide for privacy; ☒ ☐ ☐ unless they are suicidal and are then given a suicide gown to wear. (2) provide for approval of the facility manager, or 934.3: designee, before a youth is placed into a safety ☒ ☐ ☐ Staff must receive approval from the shift room; lead or from administrative personnel to place youth in the safety cell. (3) provide for continuous direct visual supervision 934.3: 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 934.3: facility manager, or designee, every four hours; ☒ ☐ ☐ (5) provide for immediate medical assessment, 934.3: where appropriate, or an assessment at the next ☒ ☐ ☐ daily sick call; and, (6) provide a process for documenting the reason for 934.3: 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 934.3 accomplished in accordance with the following: Safety Room Placements and Room ☒ ☐ ☐ Confinement (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. ☒ ☐ ☐ 7699 Trinity JH PRO 18-20 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (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 941: Searches- Article The facility administrator shall develop and implement No searches were necessary that required an ☒ ☐ ☐ written policies and procedures governing the search of incident report. youth, the facility, and visitors. Policies and procedures shall provide that: (a) Searches shall be conducted to ensure the safety and 941.1 ☒ ☐ ☐ security of the facility, public, visitors, youth, and staff. (b) Searches shall be conducted in a manner that 941.1 preserves the privacy and dignity of the person 941.2 ☒ ☐ ☐ being searched and shall not be conducted for harassment or as a form of discipline or punishment. (c) Strip searches and visual or physical body cavity 941.3(d)-Visual Search searches shall comply with Penal Code Section ☒ ☐ ☐ 941.3(e)-Physical Body Cavity Search 4030. (d) Physical body cavity searches shall only be 941.3(e)-Physical Body Cavity Search conducted by a medical professional. ☒ ☐ ☐ (e) Any youth held after a detention hearing shall only 941.4(b)(2) be strip searched with prior approval of a supervisor when there is reasonable suspicion based on ☒ ☐ ☐ specific and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall 941.2 ☒ ☐ ☐ comply with Section 1352.5. (g) Cross-gender pat-down searches and strip searches 941.3(b) and (d are prohibited except in exigent circumstances or ☒ ☐ ☐ when conducted by a medical professional. Such searches must be justified and documented in writing. 7699 Trinity JH PRO 18-20 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1361 GRIEVANCE PROCEDURE 942: Grievance The facility administrator shall develop and implement 942.2(a) written policies and procedures whereby any youth may A small sampling of grievances was appeal and have resolved grievances relating to any requested but none provided as the facility condition of confinement, including but not limited to had no grievances filed. health care services, classification decisions, program ☒ ☐ ☐ participation, telephone, mail or visiting procedures, food, clothing, bedding, mistreatment, harassment or violations of the nondiscrimination . There shall be no time limit on filing grievances. Policies and procedures shall include provisions whereby the facility manager ensures: (a) a grievance form and instructions for registering a 942.2(a)1 ☒ ☐ ☐ grievance, which includes provisions for the youth to have free access to the form; (b) the youth shall have the option to confidentially file 942.2(a)5 ☒ ☐ ☐ the grievance or to deliver the form to any youth supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate 942.2(a)5 ☒ ☐ ☐ staff level; (d) provision for a prompt review and initial response 942.2(a)2 to grievances within three (3) business days, 942.2(a)3 ☒ ☐ ☐ grievances that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain 942.2(a)8 his/her version of the grievance to a person not ☒ ☐ ☐ directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by 942.2(a)4 ☒ ☐ ☐ the facility administrator to assist the youth. (e) provision for a written response to the grievance 942.2(a)6 ☒ ☐ ☐ which includes the reasons for the decisions; (f) a system which provides that any appeal of a 942.2(a)8 grievance shall be heard by a person not directly ☒ ☐ ☐ involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten 942.3(f)3 (10) business days unless circumstances dictate a ☒ ☐ ☐ longer time frame. The youth shall be notified of any delay; and, (h) the shall provide multiple internal and external 942.3(b) ☒ ☐ ☐ methods to report sexual abuse and sexual harassment. Whether or not associated with a grievance, concerns of 942.3(g) parents, guardians, staff or other parties shall be ☒ ☐ ☐ addressed and documented in accordance with written policies and procedures within a specified timeframe. 7699 Trinity JH PRO 18-20 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1362 REPORTING OF INCIDENTS 943: Reporting of Incidents-Article 5 Classification and Separation A written report of all incidents which result in physical 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. 1363 USE OF REASONABLE FORCE TO 947: Collection of DNA Specimens, COLLECT DNA SPECIMENS, SAMPLES, Samples, Impressions, - Article 5 IMPRESSIONS Classification and Separation (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections personnel including peace officers, may employ ☒ ☐ ☒ 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 947: Collection of DNA Specimens, reasonable force” shall be defined as the force that Samples, Impressions, - Article 5 an objective, trained and competent correctional Classification and Separation ☒ ☐ ☐ 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 947: Collection of DNA Specimens, efforts to secure voluntary compliance. Efforts to Samples, Impressions, - Article 5 secure voluntary compliance shall be documented Classification and Separation ☒ ☐ ☐ 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 947: Collection of DNA Specimens, authorization of the supervising officer on duty. Samples, Impressions, - Article 5 The authorization shall include information that Classification and Separation ☒ ☐ ☐ 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 947: Collection of DNA Specimens, extraction, the extraction shall be videotaped. Samples, Impressions, - Article 5 Video shall be directed at the cell extraction Classification and Separation 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. 7699 Trinity JH PRO 18-20 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM As a special purpose JH, the facility does not have an education program in place. As part (a) School Programs of the program, youth who spend weekends The County Board of Education shall provide for the in the facility bring their homework with administration and operation of juvenile court them to complete over the weekend. schools in conjunction with the Chief Probation Officer, or designee pursuant to applicable State laws. The school and facility administrators shall develop and implement written and procedures to ensure communication and coordination between educators and probation staff. Culturally responsive and trauma-informed approaches should be applied when providing instruction. Education staff should collaborate with the facility administrator to use technology to facilitate learning and ensure safe ☐ ☐ ☒ technology practices. The facility administrator shall request an annual review of each required element of the program by the Superintendent of Schools, and a report or review checklist on compliance, deficiencies, and corrective action needed to achieve compliance with this section. Such a review, when conducted, cannot be delegated to the principal or any other staff of any juvenile court school site. The Superintendent of Schools shall conduct this review in conjunction with a qualified outside agency or individual. Upon receipt of the review, the facility administrator or designee shall review each item with the Superintendent of Schools and shall take whatever corrective action is necessary to address each deficiency and to fully protect the educational interests of all youth in the facility. (b) Required Elements The facility school program shall comply with the State Education Code and County Board of Education policies, all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California Standards for the ☐ ☐ ☒ Teaching Profession, teachers shall establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. 7699 Trinity JH PRO 18-20 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS All youth shall be treated equally, and the education program shall be free from discriminatory action. ☐ ☐ ☒ Staff shall refer to transgender, intersex and gender- nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State ☐ ☐ ☒ Education Code and include, but not be limited to, courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☐ ☐ ☒ Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education ☐ ☐ ☒ and vocational opportunities. (4) Administration of the High School Equivalency Tests ☐ ☐ ☒ as approved by the California Department of Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth ☐ ☐ ☒ who do not demonstrate sufficient progress towards grade level standards. (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile court schools. The facility administrator, in conjunction with education staff, must ensure that ☐ ☐ ☒ operational procedures do not interfere with the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless of classification, housing, security status, disciplinary or separation status, including room confinement, except when providing education poses an ☐ ☐ ☒ immediate threat to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline (1) Positive behavior management will be implemented to reduce the need for disciplinary action in the ☐ ☐ ☒ school setting and be integrated into the facility's overall behavioral management plan and security system. 7699 Trinity JH PRO 18-20 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) School staff shall be advised of administrative decisions made by probation staff that may affect the ☐ ☐ ☒ educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set ☐ ☐ ☒ forth in the State Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and procedures ☐ ☐ ☒ that address the rights of any student who has continuing difficulty completing a school day. (d) Provisions for Special Populations (1) State and federal laws and regulations shall be observed for all individuals with disabilities or ☐ ☐ ☒ suspected disabilities. This includes but is not limited to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that addresses their ☐ ☐ ☒ language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission ☐ ☐ ☒ (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; ☐ ☐ ☒ (B) Home Language Survey and the results of the State ☐ ☐ ☒ Test used for English language proficiency; (C) Needs and services of special populations as defined ☐ ☐ ☒ by the State Education Code, including but not limited to, students with special needs. (D) Discipline problems. ☐ ☐ ☒ 7699 Trinity JH PRO 18-20 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to ☐ ☐ ☒ 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 within five school days. (4) Upon enrollment, education staff shall comply with the State Education Code and request the youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, state language assessment ☐ ☐ ☒ 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 ☐ ☐ ☒ (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 course work ☐ ☐ ☒ completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies ☐ ☐ ☒ and procedures to meet the transition needs of youth, including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities (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 949: Programs, Recreation and Exercise- EXERCISE. Article 6 Programs and Activities 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. 7699 Trinity JH PRO 18-20 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Juvenile facilities shall provide the opportunity for 949.2(f)1 programs, recreation, and exercise a minimum of three hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and 949.2(F)4 exercise may be suspended only upon a written finding ☒ ☐ ☐ by the administrator/manager or designee that a youth represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall 949.1 be posted in the living units. Unable to verify that schedules are posted in ☒ ☐ ☐ the day room; however, the schedule was provided for our review. There will be a written annual review of the programs, 949.2(a) recreation, and exercise by the responsible agency to Programs are provided in collaboration with ensure content offered is current, consistent, and other agencies at the direction of the relevant to the population. Probation Department. Probation has historically taken the lead in program ☒ ☐ ☐ facilitation due to the hours and location of the program. Chief Rogers completed the annual review of the Forward-Thinking Program, the Victim Awareness and the Vocational Readiness Life skills Program. (a) Programs. All youth shall be provided with the 949.2(c) opportunity for at least one hour of daily 949.2(d) programming to include, but not be limited to, 949.2(f)1 trauma focused, cognitive, evidence-based, best 30 days of facility activity logs reviewed. practice interventions that are culturally relevant and Documentation reviewed shows that linguistically appropriate, or pro-social interventions programs are being offered daily and youth and activities designed to reduce recidivism. These participating in the programs offered. 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 Chief Probation Officer or the County Office of Education and can be administered by county partners such as mental health agencies, community- based organizations, faith-based organizations or Probation staff. Programs may include but are not limited to: 7699 Trinity JH PRO 18-20 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Cognitive Behavior Interventions; (2) Management of Stress and Trauma; (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the 949.2(f)1 opportunity for at least one hour of daily access to 30 days of facility activity logs reviewed. unscheduled activities such as leisure reading, letter Documentation reviewed shows that writing, and entertainment. Activities shall be ☒ ☐ ☐ recreation is being offered daily and youth supervised and include orientation and may include are participating in the recreational activities coaching of youth. offered. (c) Exercise. All youth shall be provided with the 949.2(f)1 opportunity for at least one hour of large muscle 30 days of facility activity logs reviewed. activity each day. Documentation reviewed shows that Large Muscle Exercise is being offered daily but that in most cases, youth are declining to participate. This does not impact their ☒ ☐ ☐ schedule; they participate in either additional programming or additional recreational activities as an alternative if they choose not to participate. It should be noted that the days I reviewed were in the winter November 2019 and January 2020 so this may have impacted the decision also. The administrator/manager may suspend, for a period not 949.2(f)4 to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7699 Trinity JH PRO 18-20 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1372 RELIGIOUS PROGRAM 950 Religious Programs- Article 6 Programs and Activities The facility administrator shall provide access to religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; 950.3(e) Due to the number of youth and availability of program resources, church services operate differently than a traditional juvenile hall. ☒ ☐ ☐ There is dedicated time allocated in the facility program for religious services. If youth wish to participate, the facility reaches out to the volunteers to come and provide services. (b) availability of clergy; and, 950.3(a) A youth may ask for a pastor or clergy to ☒ ☐ ☐ visit. This request is also shared with the youth’s parent or guardian for confirmation. (c) availability of religious diets. ☒ ☐ ☐ 950.3(f) 1373 WORK PROGRAM 951: Work Program- Article 6 Programs and Activities The facility administrator shall develop policies and procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth ☒ ☐ ☐ shall be meaningful, constructive and related to vocational training or increasing a youth's sense of responsibility. Work programs shall not be imposed as a disciplinary measure. 1374 VISITING 952: Visiting- Article 6 Programs and Activities The facility administrator shall develop and implement written policies and procedures for visiting, that include 952.2(a) provisions for special visits. Youth shall be allowed to Visiting is scheduled for however, due to the receive visits by parents, guardians or persons standing ☒ ☐ ☐ short-term program, it is rare that a parent in loco parentis, and children of youth. Other family will visit. If a parent wishes to visit, they can members, such as grandparents and siblings, and schedule in advance. supportive adults, may be allowed to visit with the approval of the facility administrator or designee, and in conjunction with the youth’s case plan or in the best interest of the youth. 7699 Trinity JH PRO 18-20 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS All visits shall occur at reasonable times, subject only to 952.2(f) the limitations necessary to maintain order and security. Visitation shall not be denied solely based on the visitor’s criminal history. The staff shall determine in each case, ☒ ☐ ☐ 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 952.2(b) hours per week. Visits may be supervised, but ☒ ☐ ☐ 952.2(f) conversations shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour 952.5(a) minimum and/or outside of the regular visiting hours, shall be accommodated as necessary and within the discretion of the facility administrator or designee. ☒ ☐ ☐ Family therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an 952.2(g) ☒ ☐ ☐ alternative, but not as a replacement, to in-person visiting. 1375 CORRESPONDENCE 953: Correspondence-Article 6 Programs and Activities The facility administrator shall develop and implement ☒ ☐ ☐ written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth 953.2(a) may send or receive; ☒ ☐ ☐ There is no limitation on the volume of mail that youth may send or receive. (b) youth may send two letters per week postage free; 953.2(a) ☒ ☐ ☐ Youth may send 7 letters a week postage paid. (c) youth may correspond confidentially with state and 953.2(b) federal courts, any member of the State Bar or holder of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described 953.2(c) in (c), may be read by staff only when there is ☒ ☐ ☐ reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 7699 Trinity JH PRO 18-20 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1376 TELEPHONE ACCESS 954: Telephone access- Article 6 Programs and Activities 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 955: Access to Legal Services- Article 6 programs and Activities 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 955.2(a) ☒ ☐ ☐ attorneys and their authorized representatives; (b) provision for confidential consultation with 955. (c) ☒ ☐ ☐ attorneys; and, (c) unlimited postage free, legal correspondence and 955.2(a) ☒ ☐ ☐ cost-free telephone access as appropriate. 1390 DISCIPLINE 961: Discipline- Article 7 Discipline The facility administrator shall develop and implement 961.2(a)1-4 written policies and procedures for the discipline of 961.2(b)1 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; ☒ ☐ ☐ 961.2(b)(2)a (b) daily shower, access to drinking fountain, toilet and 961.2(b)(2)b ☒ ☐ ☐ personal hygiene items, and clean clothing; (c) full nutrition; ☒ ☐ ☐ 961.2(b)(2)c (d) contact with parent or attorney; ☒ ☐ ☐ 961.2(b)(2)d (e) exercise; ☒ ☐ ☐ 961.2(b)(2)e (f) medical services and counseling; ☒ ☐ ☐ 961.2(b)(2)f (g) religious services; ☒ ☐ ☐ 961.2(b)(2)g (h) clean and sanitary living conditions; ☒ ☐ ☐ 961.2(b)(2)h (i) the right to send and receive mail; ☒ ☐ ☐ 961.2(b)(2)i (j) education; and, ☒ ☐ ☐ 961.2(b)(2)j (k) rehabilitative programming. ☒ ☐ ☐ 961.2(b)(2)k 7699 Trinity JH PRO 18-20 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall establish rules of conduct 961 (e) and (f) and disciplinary penalties to guide the conduct of youth. Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS 962: Discipline Due Process-s Article 7 Discipline The facility administrator shall develop and implement written policies and procedures for the administration A small sampling of discipline due process of discipline which shall include, but not be limited to: incident reports was requested and reviewed ☒ ☐ ☐ and we found them to be well documented and addressed in a timely manner. The consequences given were consistent with the behavior. (a) designation of personnel authorized to impose 962.1 ☒ ☐ ☐ discipline for violation of rules; (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ 962.2(d) (c) definition of major and minor rule violations and 961 (e) and (f) ☒ ☐ ☐ their consequences, and due process requirements; 962.2(b) and (c) (d) trauma-informed approaches and positive behavior 962.2(e) ☒ ☐ ☐ interventions; (e) minor rule violations may be handled informally by 962.2(c) counseling, advising the youth of expected conduct imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a of review and appeal to a supervisor; and, (f) major rule violations and the discipline process 962.2(a) ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; ☒ ☐ ☐ 962.2(a)1 (2) accommodations provided to youth with 962.3(b) disabilities, limited literacy, and English ☒ ☐ ☐ language learners; (3) hearing by a person who is not a party to the 962.2(a)2 ☒ ☐ ☐ incident; (4) opportunity for the youth to be heard, present 962.2(a)3 ☒ ☐ ☐ evidence and testimony; (5) provision for youth to be assisted by staff in the 962.2(a)4 ☒ ☐ ☐ hearing process; (6) provision for administrative review. ☒ ☐ ☐ 962.2(a)5 (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. 7699 Trinity JH PRO 18-20 - 44 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☐ ☐ ☒ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☐ ☐ ☒ age and older. The facility has been approved to hold persons under ☐ ☐ ☒ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☐ ☐ ☒ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS ☐Vio Dependent or neglected minors who are defined under ☒ latio ☐ Section 300 of the Welfare and Institutions Code n (WIC) are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐Vio Juvenile Delinquents (WIC 602)? (WIC 207[d]). ☒ latio ☐ n Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐Vio separated from minors. ☐ latio ☒ n 7699 Trinity JH PRO 18-20 - 45 - J453 JUV PRO-Eff. 01-01-2019 Adult inmates from an adult facility (e.g. inmate ☐Vi workers or “Scared Straight” programs) are not allowed ☐ olati ☒ in the facility in a manner that allows contact with on minors. 7699 Trinity JH PRO 18-20 - 2 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State & Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003 BSCC Code: 7699 FACILITY NAME: Trinity County Special Purpose FACILITY TYPE: JH (Formally Trinity County Juvenile Hall and Camp) APPLICABLE REGULATIONS (Check All That Apply): 4/98: X 2001: 2003: OTHER: FIELD REPRESENTATIVE: Lisa Southwell DATE: May 20,2020 Completed by Desk Audit TITLE 24 SECTION YES NO N/A COMMENTS Reception/Intake Admission (JH; 1.1) ✓ Contains a weapons locker as specified in these regulations Contains a secure room for the confinement of minors ✓ pending admission to JH Provides access to a shower ✓ Provides a secure vault or storage space for minor's ✓ valuables Provides telephone access to minors ✓ Provides staff access to hot and cold running water ✓ Locked Holding Room (1.2) Contains toilet and sink combo unit. ✓ Contains a minimum of 15 square feet of floor area per minor Provides no less than 45 square feet of floor area ✓ Contains seating to accommodate all minors as specified in ✓ these regulations 98: Provides access to a toilet, wash basin and drinking fountain as specified in these regulations ✓ 03: Be equipped with a toilet, wash basin and drinking fountain unless a procedure is in effect to provide access Maximizes staff visual supervision ✓ 03: Outward swinging or lateral sliding door required ✓ Natural Light (1.3) Visual access to natural light is provided in locked sleeping rooms, single and double occupancy sleeping rooms, dormitories and dayrooms. ✓ 7699 Trinity JH PHY 18-20 - 1 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Corridors (1.4) Corridors in living areas are at least eight feet wide. When ✓ doors are staggered or if rooms are located only on one side, corridors may be at least six feet wide. Living Unit (JH; 1.5) JH living units do not exceed 30 minors and contain ✓ sleeping areas and plumbing fixtures, commensurate with the number of minors housed. Locked Sleeping Rooms (1.6) 98: Have a toilet, wash basin and drinking fountain unless a procedure is in effect to provide other access to these ✓ fixtures 03: Toilet, wash basin and drinking fountain required in locked sleeping rooms Single Occupancy Sleeping Rooms (1.7) 98: Minimum of 63 square feet of floor area and a clear ✓ ceiling height of eight feet 03: Minimum of 70 square feet of floor area and a clear ceiling height of eight feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ✓ 01: View panel size changed to a minimum of 144 inches. 03: Outward swinging or lateral sliding door required ✓ Double Occupancy Sleeping Rooms (1.8) ✓ Minimum of 100 square feet floor area, a clear ceiling height of eight feet, and a minimum width of seven feet 98: A door view panel is constructed of security glazing and is a maximum of 144 square inches. ✓ 01: View panel size changed to a minimum of 144 inches 03: Outward swinging or lateral sliding door required ✓ Dormitories (1.9) In JHs and camps, there is a minimum of 50 square feet of ✓ floor area per minor, with a minimum dormitory size of 200 square feet and a minimum clear ceiling height of eight feet. In JHs and camps, dormitories are designed for no fewer ✓ than four minors. 7699 Trinity JH PHY 18-20 - 2 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS 98: JH dormitories for detained minors are designed for no more than 15 minors (NA camps). ✓ 03: This subsection deleted, eliminating the 15 minor limitation. (See below.) 98: JH dormitories for court commitments are designed for no more than 30 minors (NA Camps). 03: No JH dormitory can be designed for more than 30 ✓ minors (regardless of whether it is for court commitments or other detained minors). Dayrooms (1.10) ✓ JH dayrooms contain 35 square feet of floor area per minor. Dayrooms in camps and SPJHs contain 30 square feet of ✓ floor area per minor. All dayrooms provide access to toilets, wash basins, drinking fountains and showers. ✓ Physical Activity and Recreation Spaces (NA SPJH; There is a field where youth can play football, 1.11) wiffleball, catch frisbee, soccer and basket ball 98: Facilities with a capacity of less than 41 minors have a ✓ minimum of 9,000 square feet dedicated indoor- outdoor space. 01: Facilities with a capacity of 40 minors or less have a minimum of 9,000 square feet dedicated indoor- outdoor space. 98: Facilities with a capacity of 41 to 100 minors have a minimum of 9,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum ✓ dimension of 100 feet. 01: Facilities with a capacity of 41-274 minors have a minimum of 225 square feet of dedicated indoor- outdoor space per minor, up to 61,650 feet. 98: Facilities with a capacity over 100 minors have a minimum of 18,000 square feet dedicated indoor- outdoor space, plus a field area. The field area contains a minimum of one acre with a minimum dimension of 100 feet. ✓ 01: Facilities with a capacity of 275 or more minors have 61,650 square feet dedicated indoor-outdoor space, plus 145 square feet for each minor beyond 274 (up to a maximum of 87,120 square feet). 98: At least one half of the dedicated indoor-outdoor space is a paved or "like" surface. ✓ 01: Changed from one-half to one-quarter of the space A portion of the dedicated physical activity and recreation ✓ space is out-of-doors, and is equipped and of a sufficient size to comply with Title 15, § 1371. 01: The required recreation area has no single dimension ✓ less than 40 feet. 7699 Trinity JH PHY 18-20 - 3 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Outdoor recreation area lighting allows for evening activities and provides security. ✓ Academic Classrooms (NA SPJH; 1.12) NA Effective Cycle 2014-2016 ✓ Classrooms are designed for a maximum of 20 minors. There is a minimum of one classroom in each facility 2001: Dedicated classroom space is available for every ✓ juvenile in the facility. The primary purpose for the academic classroom is for education. Each classroom contains a minimum of 160 square feet of ✓ floor space for the teacher's desk and work area, and a minimum of 28 square feet floor space per minor. There is a communication system in each classroom that allows for immediate response to emergencies. ✓ Safety Room (1.13) ✓ Provides a minimum of 63 square feet of floor space and a minimum clear ceiling height of eight feet Limited to one minor ✓ Padded as specified in these regulations ✓ There are one or more vertical view panels constructed of security glazing. Panels provide a view of the entire room ✓ and are no more than four inches wide and at least 24 inches long. Audio monitoring system as specified in these regulations ✓ Access to a toilet, wash basin and drinking fountain is ✓ provided. 03: Be equipped with a variable intensity security-type ✓ lighting fixture, with controls outside the room 03: Any wall- or ceiling-mounted devices are designed to prohibit the occupant’s access. ✓ Medical Examination Room (NA SPJH; 1.14) ✓ There is a minimum of one suitably equipped medical examination room in every juvenile facility. The examination room provides the following: Space for routine and emergency examinations that is ✓ used for no other purpose; Privacy for minors; ✓ Lockable storage for medical supplies; ✓ Not less than 144 square feet floor space with no single ✓ dimension less than seven feet; Hot and cold running water; and, ✓ 01: Smooth, non-porous, washable surfaces. ✓ 7699 Trinity JH PHY 18-20 - 4 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Pharmaceutical Storage (1.15) There is lockable storage space for medical supplies and ✓ pharmaceutical preparations as specified by Title 15 § 1438. Dining Areas (NA SPJH; 1.16) Dining in dayroom. ✓ There is a minimum of 15 square feet floor space and sufficient tables and seating for each person being fed (including minors, staff and visitors). Dining areas do not contain toilets or showers in the same room, unless there is an appropriate visual barrier. ✓ Visiting Space (1.17) ✓ Visiting space is provided. Institutional Storage (1.18) There is a minimum of 80 cubic feet of storage space per ✓ minor for institutional clothing, bedding, supplies and activity equipment, in one or more storage rooms. Personal Storage (1.19) ✓ Each minor has a minimum of nine cubic feet of secure storage space for personal clothing and belongings. Safety Equipment Storage (1.20) There is a secure area for storing safety equipment, such as ✓ fire extinguishers, self-contained breathing apparatus, wire and bar cutters, emergency lights, etc. Janitor Closet (1.21) There is at least one securely lockable janitorial closet ✓ containing a mop sink and sufficient area for storing cleaning implements within the security area. Audio Monitoring System (1.22) There is an audio monitoring system capable of actuation by the minor to alert staff in: safety rooms; locked holding ✓ rooms, locked sleeping rooms; single and double occupancy sleeping rooms and dormitories of JHs and in locked sleeping rooms and single occupancy rooms of secure camps. 7699 Trinity JH PHY 18-20 - 5 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Emergency Power (1.23) There is an emergency power source capable of providing minimal lighting in all living units, activity areas, corridors, stairs, and central control points, to maintain fire ✓ and life safety, security, communications and alarm systems. The power source conforms to the requirements specified in Title 24, Part 3, Article 700, California Electrical Code (CCR). Confidential Interview Room (1.24) ✓ Contain a minimum of 60 square feet of floor area and provide for confidential consultation with minors There is a minimum of one suitably furnished interview ✓ room for each 30 minors in JHs. There is a minimum of one suitably furnished interview room in each camp. ✓ Court Holding Room for Minors (1.26) ✓ Contains a minimum of 10 square feet of floor area per minor Limited to no more than 16 minors ✓ Provides 40 square feet of floor area and a minimum clear ✓ ceiling height of eight feet Contains seating to accommodate all minors ✓ Contains a toilet, wash basin and drinking fountain as ✓ specified in these regulations Maximizes staffs' visual supervision of minors ✓ Toilets/Urinals (2.1) Toilets are available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked holding rooms. One ✓ toilet and one urinal may be substituted for every 15 boys. Toilet areas provide modesty for the minors without mitigating staff’s ability to supervise. Wash basins (2.2) Wash basins must provide hot and cold or tempered water ✓ and be available on living units in a ratio of 1:6 in JH; 1:10 in camps; and, 1:8 in locked sleeping rooms. Drinking Fountains (2.3) ✓ Drinking fountains are accessible to minors and staff in living areas and indoor-outdoor recreation areas. 7699 Trinity JH PHY 18-20 - 6 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS 01: The drinking fountain bubbler is activated by mechanical means and is at an angle that prevents ✓ waste water from flowing over the bubbler. Showers (2.4) ✓ Showers provide tempered water and are available on living units at a ratio of at least one shower or bathtub to every six minors. Shower areas provide for inmate privacy without mitigating staff's ability to supervise. ✓ Beds (2.5) ✓ Beds are at least 30 inches wide and 76 long and are of a pan-bottom type or constructed of concrete. Beds are at least 12 inches of the floor and spaced no less than 36 inches apart. ✓ Lighting (2.6) There is at least 20 foot-candles (216 1x) of illumination at ✓ desk level in locked sleeping rooms, single and double occupancy rooms, dormitories, dayrooms and activity areas. Night lighting in the above areas provides good visibility and is conducive to sleep. ✓ Padding (2.7) Padding in safety rooms covers the floor, door and walls to ✓ a clear height of eight feet. Benches or platforms are not placed on the floor of safety rooms. Padded rooms are equipped with a tamper-resistant fire ✓ sprinkler as approved by the State Fire Marshal (SFM). The padding is approved by the SFM and is: non-porous; at least one-half inch thick; of a unitary or laminated construction; firmly bonded to all padded surfaces; and, is ✓ without exposed seams. Seating (2.8) Seating is designed for the level of security. When bench ✓ seating is used, 18 inches of bench seating is allowed for each person. Weapons Locker (2.9) Weapons lockers are located outside the security perimeter ✓ of the facility. (Personnel do not bring any weapon into the security area.) Lockers are equipped with individual compartments, each with their own locking device. ✓ Assess for New Construction/Remodel or Repair: 7699 Trinity JH PHY 18-20 - 7 - J456 PHY 98 01 03.dot (8/05) TITLE 24 SECTION YES NO N/A COMMENTS Security Glazing (2.10) (Added in 2003) (Note to inspector: This will typically be assessed from specifications provided at plan review.) Security glazing complies with the minimum requirements ✓ of one of the following test standards: American Society for Testing and Materials, ASTM F 1233-98, Class III glass; California Department of Corrections, CDC 860- 94d, Class C glass; or, H. P. White Laboratory, Inc., HPW- TP-0500.02, Forced Entry Level III. Design Requirements (201(c)6) Design requirements as specified in Title 24, Part 1, 201(c)6 are met. ✓ (Note to inspector: See regulation for specific requirements. Note areas of non-compliance that are applicable to the facility type and construction date in the "comments" section.) 7699 Trinity JH PHY 18-20 - 8 - J456 PHY 98 01 03.dot (8/05) JUVENILE HALLS, SPECIAL PURPOSE HALLS AND CAMPS LIVING AREA SPACE EVALUATION Board of State & Community Corrections Inspection BSCC Code: 7699 FACILITY: Trinity County Special Purpose TYPE: JH RC: 28 FIELD REPRESENTATIVE: Lisa Southwell DATE: May 20, 2020 Completed by Desk Audit ROOMS EACH ROOM Each Room FIXTURES* COMMENTS Unit Applicable # Total Size (L x W x H) or Room Type Designation Standards Rooms RC Square/Cubic Feet # Beds RC T U W F S Intake Restroom 1 1 1 1 Accessible intake area. Holding 1998 1 0 4 (4) 8.8 x 8.8 1 1 1 Seating 76" or used for one special watch housing. Safety 1998 1 0 1 (1) 8.0 x 7.8 1 One in-floor toilet in safety room. Special Purpose Juvenile Hall Housing Dayroom 1998 1 2270 square feet 1 4 One shower handicap accessible 2 lower – 2 upper. One room-lower level handicap accessible. All rooms Double 1998 12 2 2 24 9 x 14 1 1 1 100+ square feet. Dorm 1998 1 4 4 4 222.5 sq. ft 1 1 1 1 6 rooms Upstairs, 6 room Downstairs, 1 Dorm room =4 Total LASE 28 Historical NA 2014-2016 Cycle Notes: Removed from Joint LASE when Facility reopened as a SPJH. Camp Double 1 2 2 2 Dorm 1998 1 4 4 4 222.5 sq. ft 1 1 1 1 Two double bunks. Note: Placement in the dormitory is based on classification factors. Minors in the camp program may be placed here or in the double rooms. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7699 Trinity SPJH LASE 18-20.docx - 1 - J460 LAS JUV.dot (03/01) Classroom1 1998 1 (20) 20.8 x 36 Classroom 1998 2 10 x 12 Smaller additional educational space. Medical 1998 1 12 x 12 Plus additional adjacent room for storage. Exam Note: The camp was operational on July 1, 2005 and is co-located within the juvenile hall. RC=28 Total 1 The facility was constructed under the 1998 Title 24 minimum standards that require a minimum of one academic classroom for each juvenile facility. Thus, is not required to comply with the later more restrictive 2001 standards that require a dedicated academic classroom space for every juvenile in every facility. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. 7699 Trinity SPJH LASE 18-20.docx - 2 - J460 LAS JUV.dot (03/01)