Tuolumne County, Mother Lode Regional and Steps to Success (2020-2022 inspection cycle)

May 13, 2022 Dan Hawks, Chief Probation Officer Tuolumne County Probation Department 465 So. Washington Street Sonora, CA 95370 RE: TUOLUMNE COUNTY MOTHER LODE REGIONAL JUVENILE DETENTION FACILITY #7716 AND STEPS TO SUCCESS #7718 2020/2022 BIENNIAL INSPECTION PURSUANT TO WELFARE AND INSTITUTIONS CODE SECTION 209 AND 885 Dear Chief Hawks: The 2020/2022 biennial inspection of the Tuolumne County Probation Department’s Mother Lode Regional Juvenile Detention Facility (MLRJDF) and Steps to Success (S2S) Programs has been completed. We note the S2S Program has five beds dedicated to the program in the solo living unit. A pre-inspection briefing was held on February 17, 2022 and the facility was inspected on May 2-5, 2022. The complete Board of State and Community Corrections (BSCC) inspection report is enclosed and consists of the following: this transmittal letter; a Title 15 Procedures checklist, outlining applicable minimum standards for juvenile detention facilities; a Physical Plant Evaluation, outlining applicable Title 24 minimum standards; and the Living Area Space Evaluation (LASE), summarizing the physical plant configuration and outlining the rated capacity of the facility at 30 beds. Please refer to the Title 15 Procedures checklist for a summary of all relevant minimum standards, indication of compliance or noncompliance, and information that was used to determine compliance. MANDATORY LOCAL INSPECTIONS In addition to the biennial inspection, Title 15, section 1313 and its authorizing statute also require local inspections conducted by the following local authorities: • county building inspector or person designated by the Board of Supervisors • fire authority having jurisdiction • local health officer • county Superintendent of Schools • Juvenile Court • Juvenile Justice Commission. Results of those inspections are considered a part of this report. The dates of the local inspections may be found in the accompanying Procedures Checklist. Dan Hawks Chief Probation Officer Page 2 Although the Tuolumne County Grand Jury is not a required inspection, we found their report detailed a comprehensive assessment of the facility, providing a local perspective of the treatment for youth. The Grand Jury found that the MLRJDF ‘provides an exceptional and positive environment for detained youths that has reduced recidivism and fostered rehabilitation through their trauma-informed services and a focus on respectful, responsible, and safe behavioral goals.’ Scope of the Inspection The inspection consisted of a review of the Tuolumne County MLRJDF Policy and Procedure Manual1, a site visit to review operations, physical plant and relevant documentation, and interviews with administration, facility staff, youth and collaborative partners. During the inspection, we evaluated consistency between policy and practices. BSCC INSPECTION RESULTS Title 15, CCR Minimum Standards Operations The inspection process includes substantial reviews of incident reports, grievances, admission and classification reports, case plans and counseling notes, and disciplinary reports and findings to ensure compliance with Title 15 Regulations and to ensure procedures and process are consistent with your policies. We found operations remain consistent and compliant, and there are no policy related concerns. We note the agency places significant emphasis on managing high risk incidents and youth behavior, with an audit process in place to review staff response. This was evident in our review of safety checks, room confinement and separation, use of force, use of restraints, discipline due process, and grievance reports. The factual narratives, clear timelines, and youth involvement in the process was fair and inclusive of all required elements. Education The agency has a comprehensive education component for youth, allowing an enhanced classroom setting, dual enrollment for youth in both high school classes and enrollment in Columbia College, and a comprehensive program for graduates to work in the community with the Mother Lode Job Training program, including Forestry, Construction, and job placement. These post-secondary opportunities and the efforts to fulfil graduation requirements are at the forefront with education staff. The Tuolumne County Office of Education and probation staff work together to promote a positive education experience, evidenced in the Annual Education Evaluation and submitted school and classroom schedules. 1 BSCC reviews only those policy and procedures required by, and applicable to, Title 15, CCR. BSCC staff do not “approve” policies and procedures or assess them for constitutional or legal issues. Agencies should seek review through their legal advisor, risk manager, and other persons deemed appropriate for such evaluation. 7716 7718 Tuolumne JDF and Steps to Success JH Camp LTR 20-22 Dan Hawks Chief Probation Officer Page 3 Programming The facility houses pre-and post- adjudicated youth resulting in short term incarceration, as well as long term commitments to Steps to Success. The facility provides an array of services to meet the youth’s individual needs, based on their case plans and independent objectives. The structured programs and unstructured recreation activities are facilitated mostly by probation and education staff. We are impressed with the involvement of school staff. The teacher works with a transitional specialist for college enrollment and facilitates a Social and Emotional Learning Group one time a week. They have also brought in Drum Circle, a new program. The Alternative Education Administrator, the former Superintendent, facilitates a Public Safety curriculum one time each week as well. Tuolumne County has a comprehensive Assessment Plan process which is timely from admission, followed by frequent enhancements, modifications and referrals to the agency identified as the facilitator of service. Your staff meet with the youth frequently, developing an individualized, practical and coordinated approach to effect needed change. The youth participate in programs to address the behaviors identified at admission to target identified risks and needs. We continue to be disappointed in the lack of Behavior Health Services as they are non-existent on site with only crisis response. You were able to contract with an intern who is on site two days a week to provide Seeking Safety and limited individual counseling; however, she leaves in June. Your Assistant Chief Probation Officer is a licensed clinician and able to step in when necessary, but this is not sufficient in terms of your youth population and their needs. We urge you to solicit a clinician or mental health specialist as soon as possible. The County has contracted services that are not being delivered. We also suggest you review your medical service hours, currently 5 hours a day, four days a week. We suggest you review for a few hours in the morning and an evening med pass LVN to meet the assessment needs of your population and relieve corrections staff from administering medication each evening and the three days in the morning when there is no RN on duty. The nursing staff from the jail across the street are available when needed. Upon final review of all documentation, there are no outstanding items of noncompliance with Title 15 at the Tuolumne County MLRJDF or Steps to Success Programs. No corrective action is required at this time. Title 24, CCR Physical Plant There were no changes made to the physical plant and your rated capacity remains at 30, 25 for detention and 5 for Steps to Success. At the time of the inspection, there were 11 youth in detention and 3 in Steps to Success. Please see the Physical Plant Evaluation for more information. There are no outstanding items of noncompliance with Title 24 minimum standards. Training According to the most recent Standards and Training for Corrections audit, Tuolumne County Probation Department is in compliance with all relevant regulations and mandates and mitigating circumstances if applicable. 7716 7718 Tuolumne JDF and Steps to Success JH Camp LTR 20-22 Dan Hawks Chief Probation Officer Page 4 Juvenile Justice and Delinquency Prevention Act (JJDPA) Compliance Monitoring There have been no violations of JJDPA this inspection cycle and no areas of noncompliance were noted. Please refer to Title 15 Procedures checklist for detailed information. -- We are impressed with the operations and programming at the Tuolumne County Mother Lode Regional Juvenile Detention Facility and Steps to Success Program. We would again like to thank you and compliment Assistant Chief Annie Hockett and Supervisor Christine Schulze, as well as their team, for their dedication, thoroughness and responsiveness. They worked hard to meet regulation requirements and were engaged in the process. They are doing an outstanding job in caring for the youth in their care. This concludes the 2020-2022 biennial inspection report. I am available to assist as needed and happy to provide technical assistance when requested. I look forward to continuing to work together. Please do not hesitate to email me at Elizabeth.gong@bscc.ca.gov or call (916) 704- 2503 if you have any questions. Sincerely, Elizabeth Gong Field Representative Facilities Standards and Operations Division Enclosures cc: Presiding Judge, Juvenile Court, Tuolumne County* Chair, Juvenile Justice Commission, Tuolumne County* Chair, Board of Supervisors, Tuolumne County* County Administrator, Tuolumne County* Annie Hockett, Assistant Chief Probation Officer/Superintendent *Copies of full inspection are available upon request or are available online at www.bscc.ca.gov. 7716 7718 Tuolumne JDF and Steps to Success JH Camp LTR 20-22 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS Board of State and Community Corrections PROCEDURES CHECKLIST1 BSCC Code: 7716 7718 FACILITY NAME: MLRJCDF FACILITY TYPE: JH/Camp Mother Lode Regional Juvenile Corrections Detention Facility – JH Steps to Success - Camp PERSON(S) INTERVIEWED: Dan Hawks, Chief Probation Officer; Annie Hockett, Assistant Chief Probation Officer and Facility Superintendent; Christine Schultz, Supervising Juvenile Corrections Officer (JCO); Maggie Plow, Senior JCO; Ashley Champeaux, Teacher Gold Ridge School; Monique Gezell, Wellpath Health Services Administrator (Jail/Juvenile Facility); Pam Orebaugh, Behavior Health Intern, Portland University; Youth: Jaidden, age 17; Emily, age 16; Chaiden, age 18; Blake, age 18. FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 2-5, 2022 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1313 COUNTY INSPECTION AND EVALUATION OF BUILDING AND GROUNDS On an annual basis, or as otherwise required by law, each juvenile facility administrator shall obtain a documented inspection and evaluation from the following: (A) County building inspection by agency designated by the Board of Supervisors to approve building safety; 2020: April 15, 2020 (Corrected 12-12-2020) 2021: October 13, 2021 (Corrected February 8, 2022) We note the corrections for 2021 were ☒ ☐ ☐ related to sealing and repairing cracked concrete, rusting exterior doors and a water leak. The 2020 corrections related to door thresholds, roof flashing, ceiling sealing, stairway sealing and re-routing a water line on the roof. All corrections were completed by County Maintenance. 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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 1 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (B) Fire authority having jurisdiction, including a fire clearance as required by Health and Safety Code ☒ ☐ ☐ 2020: September 3, 2020 Section 13146.1 (a) and (b); 2022: September 24, 2021 (C) Local health officer, inspection in accordance with Health and Safety Code Section 101045; 2020: Environmental Health October 20, 2020 Medical/Mental Health October 20, 2020 Nutritional Health October 26 and November 24, 2020 2021: Environmental Health December 23, 2021 Medical/Mental Health December 17, 2021 Nutritional Health December 7 and 22, 2021; ☒ ☐ ☐ February 15, 2022 It is noted the agency had issues with their Nutritional Inspections for 2020 and 2021 relating to Medical Diets. Food is prepared by the jail adjacent to the facility and the Diet Manual was not on-site for review. Both years had the remedy when the jail met with the Tuolumne County Public Health agency. (D) County superintendent of schools on the adequacy of educational services and facilities as required in 2020: July 1, 2020 Section 1370; 2021: August 11, 2021 ☒ ☐ ☐ The Education Evaluation(s) were completed by the Superintendent of Calaveras County Office of Education. (E) Juvenile court as required by Section 209 of the Welfare and Institutions Code ☒ ☐ ☐ 2020: April 20, 2020 2021: May 27, 2021 (F) Juvenile Justice Commission as required by Section 229 of the Welfare and Institutions Code or ☒ ☐ ☐ 2021: February 25, 2021 Probation Commission as required by Section 240 of 2022: January 25 and February 25, 2022 the Welfare and Institutions Code. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 2 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1320 APPOINTMENT AND QUALIFICATIONS BSCC Note: Compliance with this section is The elements of this regulation are addressed determined by receipt of the Chief Probation Officer’s in a memorandum completed on February 15, 2022, by Chief Probation Officer Dan certification letter confirming that all elements of Hawks. regulation are met. (a) Appointment Section III, Number 1, I-A ☒ ☐ ☐ In each juvenile facility there shall be a superintendent, director or facility manager in charge of its program and employees. Such superintendent, director, facility manager and other employees of the facility shall be appointed by the facility administrator pursuant to applicable provisions of law. (b) Employee Qualifications Each facility shall: Section III, Number 1, II (1) recruit and hire employees who possess knowledge, skills and abilities appropriate to Section III, Number 1, II-1 their job classification and duties in accordance ☒ ☐ ☐ with applicable civil service or merit system rules; (2) require a medical evaluation and physical examination including tuberculosis screening Section III, Number 1, II-2 test and evaluation for immunity to contagious ☒ ☐ ☐ illnesses of childhood (i.e., diphtheria, rubeola, rubella, and mumps); (3) adhere to the minimum standards for the selection and training requirements adopted by ☒ ☐ ☐ Section III, Number 1, II-3 the Board pursuant to Section 6035 of the Penal Code; and (4) conduct a criminal records review, on each new employee, and psychological examination in Section III, Number 1, II-4 ☒ ☐ ☐ accordance with Section 1031 et seq. of the Government Code. (c) Contract personnel, volunteers, and other non- employees of the facility, who may be present at the Section III, Number 1, II-5 facility, shall have such clearance and qualifications ☒ ☐ ☐ as may be required by law, and their presence at the facility shall be subject to the approval and control of the facility manager. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 3 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1321 STAFFING Section III, Number 2 Each juvenile facility shall: a) have an adequate number of personnel sufficient to carry out the overall facility operation and its Section III, Number 2, I-A programming, to provide for safety and security of youth and staff, and meet established standards and regulations; The facility has self-capped their population at 20 youth, applying a staffing ratio of 1:8. In our review of staffing, we found a few incidents where the third staff was required to continue to meet staffing per PREA at this ratio. ☒ ☐ ☐ The facility currently has 2 Supervising Juvenile Corrections Officers (JCO), one of which is on medical leave. There are 3 Senior JCO’s and 9-line JCO staff, with one other staff in background. They are requesting an additional position due to needed coverage for training, illness and time off. Currently, our review did not reveal any issues with staffing. b) ensure that no required services shall be denied because of insufficient numbers of staff on duty ☒ ☐ ☐ Section III, Number 2, I-A absent exigent circumstances; c) have a sufficient number of supervisory level staff to ensure adequate supervision of all staff members; ☒ ☐ ☐ Section III, Number 2, I-B d) have a clearly identified person on duty at all times who is responsible for operations and activities and Section III, Number 2, I-C has completed the Juvenile Corrections Officer Core Course and PC 832 training; ☒ ☐ ☐ There is a Supervisor or Senior JCO/ designated lead JCO on duty and in charge of the facility when the Superintendent is not on duty. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 4 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS e) have at least one staff member present on each living unit whenever there are youth in the living unit; ☒ ☐ ☐ Section III, Number 2, I-D f) have sufficient food service personnel relative to the number and security of living units, including staff Section III, Number 2, I-E qualified and available to: plan menus meeting nutritional requirements of youth; provide kitchen supervision; direct food preparation and servings; ☒ ☐ ☐ Meals are provided by Summit Foods conduct related training programs for culinary staff; through the Tuolumne County Jail and and maintain necessary records; or, a facility may served by serve-safe certified JCO staff serve food that meets nutritional standards prepared and/or youth. by an outside source; g) have sufficient administrative, clerical, recreational, medical, dental, mental health, building Section III, Number 2, I-F maintenance, transportation, control room, facility security and other support staff for the efficient ☒ ☐ ☐ management of the facility, and to ensure that youth Support staff and ancillary personnel are not supervision staff shall not be diverted from part of youth supervision staff. supervising youth; and, h) assign sufficient youth supervision staff to provide continuous wide-awake supervision of youth, Section III, Number 2, I-G 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 The facility has made the decision to staff at following facility types: a 1:8 ratio. (1) Juvenile Halls (minimum youth-staff ratio) (A) during the hours that youth are awake, one wide- Section III, Number 2, I-H awake youth supervision staff member on duty for each 10 youth in detention; ☒ ☐ ☐ The facility staffs the facility at 1:8 during waking hours. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake Section III, Number 2, I-I youth supervision staff member on duty for each 30 youth in detention; ☒ ☐ ☐ The facility staffs the facility at a 1:16 ratio during sleeping hours. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 5 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Section III, Number 2, J number of youth in detention, unless an ☒ ☐ ☐ arrangement has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☒ ☐ ☐ Section III, Number 2, I-K facility. (E) personnel with primary responsibility for other duties such as administration, supervision of Section III, Number 2, I-F personnel, academic or trade instruction, clerical, kitchen or maintenance shall not be classified as ☒ ☐ ☐ youth supervision staff positions. Only JCO staff assigned to the living units supervise youth in detention. (2) Special Purpose Juvenile Halls (minimum youth- staff ratio) ☐ ☐ ☒ (A) during hours that youth are awake, one wide-awake youth supervision staff member is on duty for each 10 youth in detention; (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake youth ☐ ☐ ☒ supervision staff member on duty for each 30 youth in detention; (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the number of youth in detention, unless an arrangement ☐ ☐ ☒ has been made for backup support services which allow for immediate response to emergencies; and, (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☐ ☐ ☒ facility. (E) personnel with primary responsibility for other duties such as administration, supervision of personnel, academic or trade instruction, clerical, ☐ ☐ ☒ kitchen or maintenance shall not be classified as youth supervision staff positions. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 6 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Camps (minimum youth -staff ratio) (A) during the hours that youth are awake, one wide- Section III, Number 2, I-H awake youth supervision staff member on duty for each 15 youth in the camp population; ☒ ☐ ☐ The facility staffs the facility at 1:8 during waking hours. (B) during the hours that youth are confined to their room for the purpose of sleeping, one wide-awake Section III, Number 2, I-I youth supervision staff member on duty for each 30 youth present in the facility; ☒ ☐ ☐ The facility staffs the facility at a 1:16 ratio during sleeping hours. (C) at least two wide-awake youth supervision staff members on duty at all times, regardless of the Section III, Number 2, J number of youth in residence, unless arrangements ☒ ☐ ☐ have been made for backup support services which allow for immediate response to emergencies; (D) at least one youth supervision staff member on duty who is the same gender as youth housed in the ☒ ☐ ☐ Section III, Number 2, I-K facility; (E) in addition to the minimum staff to youth ratio required in (h)(3)(A)-(B), consideration shall be The facility has dedicated five beds within given to the size, design, and location of the camp; the JH unit as Camp beds for the Steps to types of youth committed to the camp; and the function of the camp in determining the level of ☒ ☐ ☐ Success Program. The physical plant is within the more restrictive staffing ratios supervision necessary to maintain the safety and established by policy, 1:8. welfare of youth and staff; (F) personnel with primary responsibility for other duties such as administration, supervision of Section III, Number 2, I-F personnel, academic or trade instruction, clerical, farm, forestry, kitchen or maintenance shall not be ☒ ☐ ☐ classified as youth supervision staff positions. Only JCO staff assigned to the living units supervise youth in detention. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 7 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1322 YOUTH SUPERVISION STAFF ORIENTATION AND TRAINING Section III, Number 4, Procedure I-A through D (a) Prior to assuming any responsibilities each youth supervision staff member shall be properly oriented to their duties, including: A Training Checklist Sign-Off is completed by the staff and trainer, taking a minimum of 3 weeks to ensure staff are ready for youth supervision duties. Some training checklists provided had additional training segments or scheduled days for certain topic areas. ☒ ☐ ☐ The facility administration has made training staff and ancillary personnel a priority and exceeds regulation in terms of ensuring all persons working with and/or supervising youth are aware of their role and responsibilities. We reviewed the training checklists for all current staff and noted an extensive and detailed process to meet policy and T15 requirements. (1) youth supervision duties; ☒ ☐ ☐ Section III, Number 4, Procedure I-B, 1 (2) scope of decisions they shall make; ☒ ☐ ☐ Section III, Number 4, Procedure I-B, 2 (3) the identity of their supervisor; ☒ ☐ ☐ Section III, Number 4, Procedure I-B, 3 (4) the identity of persons who are responsible to them; ☒ ☐ ☐ Section III, Number 4, Procedure I-B, 4 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 8 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (5) persons to contact for decisions that are beyond their responsibility; and ☒ ☐ ☐ Section III, Number 4, Procedure I-B, 5 (6) ethical responsibilities. ☒ ☐ ☐ Section III, Number 4, Procedure I-B, 6 (b) Prior to assuming any responsibility for the supervision of youth, each youth supervision staff Section III, Number 4, I-A member shall receive a minimum of 40 hours of facility-specific orientation, including: The facility has adopted a significant staff orientation which includes internal training ☒ ☐ ☐ by a ‘Field Training Officer’ mentoring and training new staff in all facets of facility operations. The trainer and staff initial a checklist after each component, including many areas which exceed T15 requirements. (1) individual and group supervision techniques; ☒ ☐ ☐ Section III, Number 4, Procedure I-C, 2 (2) regulations and policies relating to discipline and rights of youth pursuant to law and the ☒ ☐ ☐ Section III, Number 4, Procedure I-C, 3 provisions of this chapter; (3) basic health, sanitation and safety measures; ☒ ☐ ☐ Section III, Number 4, Procedure I-C, 8 (4) suicide prevention and response to suicide attempts ☒ ☐ ☐ Section III, Number 4, Procedure I-C, 9 (5) policies regarding use of force, de-escalation techniques, chemical agents, mechanical and ☒ ☐ ☐ Section III, Number 4, Procedure I-C, 4 physical restraints; (6) review of policies and procedures referencing trauma and trauma-informed approaches; ☒ ☐ ☐ Section III, Number 4, Procedure I-C, 5 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 9 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (7) procedures to follow in the event of emergencies; Section III, Number 4, Procedure I-C, ☒ ☐ ☐ 6 and 7 (8) routine security measures, including facility perimeter and grounds; ☒ ☐ ☐ Section III, Number 4, Procedure I-C, 13 (9) crisis intervention and mental health referrals to mental health services; Section III, Number 4, Procedure I-C, 9 and 10 We note the agency provides significant ☒ ☐ ☐ training regarding mental health emergencies as there are currently no BH services on site. This is an issue the agency is working with the County on as it creates significant liability due to the youth population and incidents of self-harm reported this cycle. (10) documentation; and ☒ ☐ ☐ Section III, Number 4, Procedure I-C, 11 (11) fire/life safety training ☒ ☐ ☐ Section III, Number 4, Procedure I-C, 12 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 10 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Prior to assuming sole supervision of youth, each youth supervision staff member shall successfully Section III, Number 4, I-B complete the requirements of the Juvenile Corrections Officer Core Course pursuant to Penal Code Section 6035. Of the current Senior and line JCO’s, all 12 are core trained. The agency has one vacancy with a hopeful new hire in background. Based on noted need, observed with overtime and use of DPO/Aide for ☒ ☐ ☐ assistance, the agency is requesting an additional JCO position. There are three extra-help staff, including one aide, and two DPO staff that assist in covering necessary shifts. Each of these staff are core-trained. (d) Prior to exercising the powers of a peace officer youth supervision staff shall successfully complete Section III, Number 4, I-C training pursuant to Section 830 et seq. of the Penal Code. ☒ ☐ ☐ All 12 youth supervision staff have completed PC 830. 1323 FIRE AND LIFE SAFETY Whenever there is a youth in a juvenile facility, there Section III, Number 22, I-A shall be at least one wide awake person on duty at all times who meets the training standards established by the ☒ ☐ ☐ Board for general fire and life safety which relate All cored youth supervision staff received specifically to the facility. Fire and Life Safety training in JCO Core. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 11 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1324 POLICY AND PROCEDURES MANUAL Section III, Number 23, I All facility administrators shall develop, publish, and implement a manual of written policies and procedures The facility Policy and Procedure Manual that address, at a minimum, all regulations that are was last reviewed in March 2022. Facility applicable to the facility. Such a manual shall be made ☒ ☐ ☐ staff are required to read the manual each available to all employees, reviewed by all employees, year, signing a document kept in their and shall be administratively reviewed at a minimum personnel file to verify compliance for this every two years, and updated, as necessary. Those policy requirement. records relating to the standards and requirements set forth in these regulations shall be accessible to the Board on request. The manual shall include: (a) table of organization, including channels of communications and a description of job ☒ ☐ ☐ Section III, Number 23, II-B, 1 classifications; (b) responsibility of the probation department, purpose of programs, relationship to the juvenile court, the Section III, Number 23, II-B, 2 Juvenile Justice/Delinquency Prevention ☒ ☐ ☐ Commission or Probation Committee, probation staff, school personnel and other agencies that are involved in juvenile facility programs; (c) responsibilities of all employees; ☒ ☐ ☐ Section III, Number 23, II-B, 3 (d) initial orientation and training program for employees; ☒ ☐ ☐ Section III, Number 23, II-B, 4 (e) initial orientation, including safety and security issues and anti-discrimination policies, for support Section III, Number 23, II-B, 5 staff, contract employees, school, mental/behavioral ☒ ☐ ☐ health and medical staff, program providers and volunteers; (f) maintenance of record-keeping, statistics and communication system to ensure: ☒ ☐ ☐ Section III, Number 23, II-B, 6 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 12 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) efficient operation of the juvenile facility; ☒ ☐ ☐ Section III, Number 23, II-B, 6-a (2) legal and proper care of youth; ☒ ☐ ☐ Section III, Number 23, II-B, 6-b (3) maintenance of individual youth's records; ☒ ☐ ☐ Section III, Number 23, II-B, 6-c (4) supply of information to the juvenile court and those authorized by the court or by the law; and, ☒ ☐ ☐ Section III, Number 23, II-B, 6-d (5) release of information regarding youth. ☒ ☐ ☐ Section III, Number 23, II-B, 6-e (g) ethical responsibilities; ☒ ☐ ☐ Section III, Number 23, II-B, 6-f (h) trauma-informed approaches; ☒ ☐ ☐ Section III, Number 23, II-B, 7 (i) culturally responsive approaches; ☒ ☐ ☐ Section III, Number 23, II-B, 8 (j) gender responsive approaches; ☒ ☐ ☐ Section III, Number 23, II-B, 9 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 13 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (k) a non-discrimination provision that provides that all youth within the facility shall have fair and equal Section III, Number 23, II-B, 10 access to all available services, placement, care, treatment, and benefits, and provides that no person shall be subject to discrimination or harassment on The Non-Discrimination Policy is described the basis of actual or perceived race, ethnic group ☒ ☐ ☐ in the Youth Handbook and in the processes identification, ancestry, national origin, immigration of admission, classification and due process. status, color, religion, gender, sexual orientation, gender identity, gender expression, mental or physical disability, or HIV status, including restrictive housing or classification decisions based solely on any of the above mentioned categories; (l) storage and maintenance requirements for any chemical agents related security devices, and Section III, Number 23, II-B, 11 weapons and ammunition, where applicable; ☒ ☐ ☐ Section III, Number 22, IV-A, 8 (m) establishment of procedures for collection of Medi- Cal eligibility information and enrollment of eligible ☒ ☐ ☐ Section III, Number 23, II-B, 12 youth; and, (n) establishment of a policy that prohibits all forms of sexual abuse, sexual assault and sexual harassment. Section III, Number 23, II-B, 13 The policy shall include an approach to preventing, detecting and responding to such conduct and any retaliation for reporting such conduct, as well as a ☒ ☐ ☐ The facility has a comprehensive PREA provision for reporting such conduct by youth, staff policy, including staffing the facility at 1:8 or a third party. and 1:16 based on a self-imposed cap of population. 1325 FIRE SAFETY PLAN Section III, Number 22 The facility administrator shall consult with the local fire ☒ ☐ ☐ department having jurisdiction over the facility, or with the State Fire Marshal, in developing a plan for fire safety which shall include, but not be limited to: a) a fire prevention plan to be included as part of the manual of policy and procedures; ☒ ☐ ☐ Section III, Number 22, IV-A, 1 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 14 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS b) monthly fire and life safety inspections by facility staff with two- year retention of the inspection Section III, Number 22, IV-A, 2 record; The facility has an assigned safety officer that conducts these inspections monthly. We reviewed all the monthly inspections from July 2020 to April 2022. The form and inspection process for recording deficiencies or need for repair are well documented and ☒ ☐ ☐ addressed by maintenance if necessary. One item of concern, which is being addressed via SB 823 Infrastructure monies is the stairway leading outside from the upper tier. There is the need for more secure fencing in this area. It currently has a temporary fix while awaiting installation of more permanent and secure fencing. c) fire prevention inspections as required by Health and Safety Code Section 13146.1(a) and (b); ☒ ☐ ☐ Section III, Number 22, IV-A, 3 d) an evacuation plan; ☒ ☐ ☐ Section III, Number 22, IV-A, 4 e) documented fire drills not less than quarterly; Section III, Number 22, IV-A, 5 We reviewed fire drills from July 2020 to April 2022. We provided technical ☒ ☐ ☐ assistance to conduct drills more often than regulation requires due to the facility’s physical plant and potential for a fire very nearby. The facility has been close to evacuation on two occasions since it was opened in 2017. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 15 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS f) a written plan for the emergency housing of youth in the case of fire; and, Section III, Number 22, IV-A, 6 Section III, Number 22, IX-C, 1-c ☒ ☐ ☐ The facility has an agreement, signed in August 2019 and in effect until December 2022, for Stanislaus County Probation to accept all youth detained in the event of an emergency. g) development of a fire suppression pre-plan in cooperation with the local fire department. ☒ ☐ ☐ Section III, Number 22, IV-A, 7 1326 SECURITY REVIEW Each facility administrator shall develop policies and Section III, Number 24 procedures to annually review, evaluate, and document Section III, Number 33 Security Procedures security of the facility. The review and evaluation shall include internal and external security, including, but not Section III, Number 34 Key Control limited to, key control, equipment, and staff training. Section III, Number 22, III-E Annual Review A Security Review memo was completed by Assistant Chief Probation Officer/Facility Superintendent Annie Hockett on April 15, ☒ ☐ ☐ 2022, outlining the security practices and needs for the facility. It is the intention to address the most current issues, the need to better secure the stairwell leading outside form the upper tier and updating cameras, with the SB 823 Infrastructure Grant dollars. As the facility is a SB 81 funded project, this needs to be approved via CDCR and the State Public Works Board. Approval is pending. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 16 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1327 EMERGENCY PROCEDURES The facility administrator shall develop facility-specific Section III, Number 22 policies and procedures for emergencies that shall include, but not be limited to: ☒ ☐ ☐ An emergency procedure memo was completed by Assistant Chief Probation Officer/Facility Superintendent Annie Hockett on March 1, 2022. (a) escape, disturbances, and the taking of hostages; Section III, Number 25 Hostages Section III, Number 26 Escapes ☒ ☐ ☐ Section III, Number 32 Firearms in the Facility (b) civil disturbance, active shooter and terrorist attack; Section III, Number 22, X Civil Disturbance, Active Shooter, Terrorist Attack ☒ ☐ ☐ Section III, Number 28 Bomb Threat Section III, Number 30 Riot Control (c) fire and natural disasters; Section III, Number 22 Section III, Number 27 Hazard Mat ☒ ☐ ☐ Response Section III, Number 22, VIII Earthquake Section III, Number 22, IX Flood (d) periodic testing of emergency equipment; ☒ ☐ ☐ Section III, Number 29 Power Failure 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 17 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) emergency evacuation of the facility; and Section III, Number 22, IV-A, 4 ☒ ☐ ☐ Section III, Number 22, XI Evacuation (f) a program to provide all youth supervision staff with an annual review of emergency procedures. Section III, Number 22, IV-C Initial Orientation ☒ ☐ ☐ Facility staff are required to read the facility policy manual each year, which outline all Emergency Procedures in all situations. 1328 SAFETY CHECKS The facility administrator shall develop and implement Section III, Number 31 Safety Checks policy and procedures that provide for direct visual observation of youth at a minimum of every 15 minutes, at random or varied intervals during hours when youth The facility uses the pipe to electronically are asleep or when youth are in their rooms, confined in record safety checks of youth in while in holding cells or confined to their bed in a dormitory. their room. The system allows for Supervision is not replaced, but may be supplemented deactivation when youth are “all out” and no by, an audio/visual electronic surveillance system check is needed. If there is a late check, designed to detect overt, aggressive or assaultive facility administration is notified; and staff behavior and to summon aid in emergencies. All safety are required to make an entry in the unit log checks shall be documented with the actual time the the reason for the late check. ☒ ☐ ☐ check is completed. We reviewed safety checks for the months of February through April 2022. We found some late checks, however, they were infrequent and did not represent a pattern. Notes verify staff were involved in unit activities or otherwise occupied and missed the timing of the check. The audit process in place is effective and any consistent patterns are handled administratively, per policy. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 18 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1329 SUICIDE PREVENTION PLAN Section III, Number 36 The facility administrator, in collaboration with the healthcare and behavioral/mental health administrators, shall plan and implement written policies and The Suicide Prevention Plan and policy are a procedures which delineate a Suicide Prevention Plan. collaboration with WellPath and Tuolumne The plan shall consider the needs of youth experiencing County Behavioral Health, which includes past or current trauma. Suicide prevention responses very specific roles and responsibilities for shall be respectful and in the least invasive manner medical, behavior health and probation consistent with the level of suicide risk. The plan shall facility staff. include the following elements: The facility policy and annual training in suicide prevention is comprehensive and inclusive of all elements in regulation. The agency has had difficulty in getting an on- site clinician since the last clinician left over 6 months ago. Currently, they have an intern ☒ ☐ ☐ coming in twice a week. Based on this and the obvious need for services, the agency plans, with the support of the Tuolumne County Juvenile Justice Coordinating Council, go out to bid for services specific tot eh facility. There have been no suicide attempts this cycle, however, there have been 22 incidents to place a youth on safety watch status due to ideation or suicidal gestures. Behavior Health was responsive when on site but the agency has had to utilize enhanced supervision and their own facility Superintendent, who is a licensed Clinician, to diffuse and address immediate behaviors since the BH Clinician left last July (2021). (a) Suicide prevention training as required in Section 1322, Youth Supervision Staff Orientation, and ☒ ☐ ☐ Section III, Number 36, Procedure I-B Training and the Juvenile Corrections Officer Core Course. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 19 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Screening, Identification Assessment and Precautionary Protocols Section III, Number 36, Procedure I-C and D (1) All youth shall be screened for risk of suicide at intake and as needed during detention. The facility uses the MAYSI prior to housing youth at intake, which assesses the youth’s likeliness to have suicidal behaviors or ideations while in detention. The tool provides a caution or warning status which places a youth, per policy, on a special watch pending review and being seen by Behavior Health. The agency also has adapted the SAFE-T Assessment to identify certain suicide behaviors, which is implemented by Behavior Health. ☒ ☐ ☐ Behavior Health has not been on-site since July 2021. There have been numerous conversations without a commitment to bring a clinician back to the facility. Currently, the ACPO/Superintendent Annie Hockett fills in necessary gaps as a necessity due to TCBH not providing required services. Finally, the agency has an intern 2 half days each week to provide individual counseling and Seeking Safety groups, however, she is leaving in June. The agency is almost forced to secure their own BH service as the county does not and has not moved forward to meet this requirement. (2) All youth supervision staff who perform intake processes shall be trained in Section III, Number 36, Procedure I-B screening youth for risk of suicide. ☒ ☐ ☐ The agency provides eight hours of initial training and an annual 2-hour refresher training for all youth supervision staff. (3) All youth who have been identified during the intake screening process to be at risk of Section III, Number 36, Procedure I-D suicide shall be referred to ☒ ☐ ☐ behavioral/mental health staff for a suicide risk assessment. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 20 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Precautionary protocols shall be developed to ensure the youth’s safety pending the Section III, Number 36, Procedure II behavioral/mental health assessment. ☒ ☐ ☐ Youth are placed on a Safety Watch pending review or being seen by a BH or MH person. (c) Referral process to behavioral/mental health staff for assessment and/or services. Section III, Number 36, Procedure II-A and ☒ ☐ ☐ B (d) Procedures for monitoring of youth identified at risk for suicide. Section III, Number 36, Procedure II ☒ ☐ ☐ The facility pro-actively provides direct visual supervision of all youth who are identified as a risk of actively attempting or verbally discussing suicide. (e) Safety Interventions (1) Procedures to address intervention Section III, Number 36, Procedure II-C ☒ ☐ ☐ protocols for youth identified at risk for suicide which may include, but are not limited to: A. Housing consideration Section III, Number 36, Procedure II-C, 1-3 ☒ ☐ ☐ The facility has a comprehensive suicide risk/needs assessment as well as the MAYSI Screening tool utilized for each intake. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 21 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS B. Treatment strategies including trauma-informed approaches Section III, Number 36, Procedure III-G The facility provides treatment strategies based on a training curriculum and policy, ☒ ☐ ☐ which references how staff address and supervise youth at risk, defined by the assessment. Because BH provides no services, youth must be taken to the hospital for crisis and immediate service needs. (2) Procedures to instruct youth supervision staff how to respond to youth who exhibit Section III, Number 36, Procedure II-D suicidal behaviors. Each of the seven incidents identified with suicide ideation or behaviors reviewed revealed compliance with regulation and ☒ ☐ ☐ policy, as well as a vested interest in helping the youth. The forms, process and administrative involvement/review is debriefed and used as a training tool for staff. Facility staff are very aware of the risk and responses of suicidal behavior. (f) Communication (1) The intake process shall include Section III, Number 36, Procedure I-C and E communication with the arresting officer and family guardians regarding the youth’s past or present suicidal ideations, behaviors ☒ ☐ ☐ The admission forms include several or attempts. referenced areas that include communication with the officer and family. (2) Procedures for clear and current information sharing about youth at risk for ☒ ☐ ☐ Section III, Number 36, Procedure I-E suicide with youth supervision, healthcare, and behavioral/mental health staff. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 22 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Debriefing of Critical Incidents Related to Suicides or Attempts Section III, Number 26, Procedure III-H (1) Process for administrative review of the ☒ ☐ ☐ circumstances and responses proceeding, during and after the critical incident. (2) Process for a debriefing event with affected staff. ☒ ☐ ☐ Section III, Number 36, Procedure III-G (3) Process for a debriefing event with affected youth. ☒ ☐ ☐ Section III, Number 36, Procedure III-G (h) Documentation (1) Documentation processes shall be ☒ ☐ ☐ Section III, Number 36, Procedure III-F developed to ensure compliance with this regulation Youth identified at risk for suicide shall not be denied the opportunity to participate in facility programs, Section III, Number 36, Procedure II-G and I services and activities which are available to other non- suicidal youth, unless deemed necessary for the safety of the youth or security of the facility. Any deprivation ☒ ☐ ☐ The facility staff work within policy to of programs, services or activities for youth at risk of suicide shall be documented and approved by the identify the youths specific housing needs, facility manager. programming elements and engagement with other youth. 1340 REPORTING OF LEGAL ACTIONS Each facility shall submit to the Board a letter of Section IV, Number 1 notification on each legal action, pertaining to conditions of confinement, filed against persons or legal entities responsible for juvenile facility operation. ☒ ☐ ☐ There are no pending legal actions against the Tuolumne County Motherlode Regional Juvenile Detention Facility. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 23 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1341 DEATH AND SERIOUS ILLNESS OR INJURY OF A YOUTH WHILE Section IV, Number 3, I-F DETAINED Section IV, Number 3, I-A (1) Death of a Youth. (a) The facility administrator, in cooperation with the ☒ ☐ ☐ health administrator and the behavioral/mental health director, shall develop written policies and procedures in the event of the death of a youth while detained, which include notifications to necessary parties, which may include the Juvenile Court, the parent, guardian or person standing in loco parentis and the youth’s attorney of record. (b) The health administrator, in cooperation with the facility administrator, shall develop written policies Section IV, Number 3, I-B and C and procedures to assure there is a medical and operational review of every in-custody death of a youth. The review team shall include the facility ☒ ☐ ☐ administrator and/or facility manager, the health administrator, the responsible physician and other health care and supervision staff who are relevant to the incident. (c) The administrator of the facility shall provide to the Board a copy of the report submitted to the Attorney Section IV, Number 3, I-D General under Government Code Section 12525. A ☒ ☐ ☐ copy of the report shall be submitted to the Board within 10 calendar days after the death. (d) Upon receipt of a report of the death of a youth from the administrator, the Board may within 30 calendar Section IV, Number 3, I-E days inspect and evaluate the juvenile facility, jail, lockup or court holding facility pursuant to the ☒ ☐ ☐ provisions of this subchapter. Any inquiry made by the Board shall be limited to the standards and requirements set forth in these regulations. (2) Serious Illness or Injury of Youth (a) The facility administrator, in cooperation with the Section IV, Number 3, I-H 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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 24 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1342 POPULATION ACCOUNTING Each juvenile facility shall submit required population ☒ ☐ ☐ Section IV, Number 4 and profile survey reports to the Board within 10 working days after the end of each reporting period, in a format to be provided by the Board. 1343 JUVENILE FACILITY CAPACITY When the number of youth detained in a living unit of a Section IV, Number 5 juvenile facility exceeds its rated capacity for more than ☒ ☐ ☐ fifteen (15) calendar days in a month, the facility administrator shall provide a crowding report to the Board in a format provided by the Board. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 25 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1350 ADMITTANCE PROCEDURES Section V, Number 1 Purpose The facility administrator shall develop and implement Section V, Number 1-C written policies and procedures for admittance of youth that emphasize respectful and humane engagement with youth, and reflect that the admission process may be The intake process for youth is defined traumatic to youth who may have already experienced strategically in policy and includes a “Intake trauma. Policies shall be trauma-informed, culturally Checklist” to ensure all procedural elements relevant, and responsive to the language and literacy are met. The facility only accepts youth needs of youth. In addition to the requirements of identified with risks to community safety or Sections 1324 and 1430 of these regulations: themselves, as screened from the Detention Risk Assessment Instrument (DRAI), the MAYSI and an internal risk/needs screening tool. Other processes related to Covid, Classification, Orientation and facility expectations are detailed for youth upon ☒ ☐ ☐ entry as well as to capture necessary information for the proper placement. Each packet we reviewed included the checklist, ensuring all aspects f admission are met; the Covid Screening form; the Intake health Screening; Property Inventory; the Youth Strengthening Admissions Assessment (Trauma, emotional, risks and needs); PREA Acknowledgement; Language and Gender Preference Forms; Admission Report; Consent for Medical Treatment; Covid Vaccine report; Dental Permission Slip; and MAYSI/DRAI Assessments. The process is comprehensive and inclusive of information to assist staff and agency partners for youth care while in custody. (a) the admittance process shall include: (1) Access to two free phone calls within one hour ☒ ☐ ☐ Section V, Number 1, Procedure I-S of admittance in accordance with the provisions of Welfare and Institution Code Section 627; 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 26 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (2) Offer of a shower; ☒ ☐ ☐ Section V, Number 1, Procedure I-M (3) Documented secure storage of personal belongings; Section V, Number 1, Procedure I-L ☒ ☐ ☐ Section V, Number IV (4) Offer of food upon arrival; ☒ ☐ ☐ Section V, Number 1, Procedure I-M (5) Screening for physical and behavioral health and safety issues, intellectual or developmental ☒ ☐ ☐ Section V, Number I-F disabilities; (6) Screening for physical and developmental disabilities in accordance with Sections 1329, ☒ ☐ ☐ Section V, Number I-C 1413, and 1430 of these regulations; (7) Contact with Regional Center for the Developmentally Disabled for youth that are Section V, Number 1, I-D suspected of or identified as having a ☒ ☐ ☐ developmental disability, pursuant to Section 1413; and, (8) Procedures consistent with Section 1352.5. ☒ ☐ ☐ Section V, Number 6 (b) juvenile hall administrators shall establish written criteria for detention that considers the least Section V, Number 1, Procedure I-III restrictive environment. ☒ ☐ ☐ The facility has specific criteria for detention, absent extenuating circumstances causing an override or Court order. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 27 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) juvenile camps and post-dispositional programs in juvenile halls shall develop policies and procedures Section V, Number I-N that advise the youth of the estimated length of ☒ ☐ ☐ stay, inform them of program guidelines and provide written screening criteria for inclusion and exclusion from the program. (d) juvenile halls shall develop policies and procedures that advise any committed youth of the estimated ☒ ☐ ☐ Section V, Number I-N length of his/her stay. 1350.5. SCREENING FOR THE RISK OF SEXUAL ABUSE Section V, Number 6 The facility administrator shall develop and implement The facility developed a tool, the Youth written policies and procedures to reduce the risk of ☒ ☐ ☐ Strengthening Admissions Assessment, sexual abuse by or upon youth. The policy shall require within their classification screening facility staff to assess each youth within 72 hours of instrument to address youth who are admission based on the following information: potential perpetrators or victims of sexual assault or abuse. (a) Prior sexual victimization or abusiveness; ☒ ☐ ☐ Section V, Number 6, Procedure I-B (b) Gender nonconforming appearance or manner; or identification as lesbian, gay or bisexual, ☒ ☐ ☐ Section V, Number 6, Procedure I-B transgender, queer or intersex, and whether the youth may, therefore, be vulnerable to sexual abuse; (c) Current charges and offense history; ☒ ☐ ☐ Section V, Number 6, Procedure I-B (d) Age; ☒ ☐ ☐ Section V, Number 6, Procedure I-B (e) Level of emotional and cognitive development; ☒ ☐ ☐ Section V, Number 6, Procedure I-B 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 28 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (f) Physical size and stature; ☒ ☐ ☐ Section V, Number 6, Procedure I-B (g) Mental illness or mental disabilities; ☒ ☐ ☐ Section V, Number 6, Procedure I-B (h) Intellectual or developmental disabilities; ☒ ☐ ☐ Section V, Number 6, Procedure I-B (i) Physical disabilities; ☒ ☐ ☐ Section V, Number 6, Procedure I-B (j) The youth’s perception of vulnerability; and, ☒ ☐ ☐ Section V, Number 6, Procedure I-B (k) Any other specific information about the individual youth that may indicate heightened needs for The Classification/Youth Housing Screening supervision, additional safety precautions, or tool, and the Youth Strengthening separation from certain other youth. Admissions Assessment, were developed in ☒ ☐ ☐ coordination with BH to establish and identify information which could or would assist in all safety elements. Staff shall ascertain this information through conversations with the youth during the admittance Section V, Number 6, Procedure I-A process, medical and behavioral health screenings; during classification assessments; and by reviewing court records, case files, facility behavioral records, and ☒ ☐ ☐ The admission risk/needs assessment is used other relevant documentation from the youth’s files. to assist in classification of all admitted youth. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 29 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The facility administrator shall implement appropriate controls on the dissemination of information within the Section V, Number 6, Policy I-B facility relative to responses received pursuant to this ☒ ☐ ☐ assessment in order to ensure that sensitive information is not exploited to the youth’s detriment by staff or other youth. 1351 RELEASE PROCEDURES The facility administrator shall develop and implement Section V, Number 7 written policies and procedures for release of youth from custody which provide for: Prior to release and during the youth’s stay, the facility has weekly Multi-Disciplinary ☒ ☐ ☐ Team meetings with medical and teaching staff. The goal is to set a plan for the youths stay and more importantly, for transitioning back to the community. The meetings occur weekly for detention and commitment youth. (a) verification of identity/release papers; ☒ ☐ ☐ Section V, Number 7, Procedure I-A (b) return of personal clothing and valuables; ☒ ☐ ☐ Section V, Number 7, Procedure I-F (c) notification to the youth's parents or guardian; ☒ ☐ ☐ Section V, Number 7, Procedure I-D (d) notification to the facility health care provider in accordance with Sections 1408 and 1437 of these ☒ ☐ ☐ Section V, Number 7, Procedure I-C regulations, for coordination with outside agencies; and, (e) notification of school staff; ☒ ☐ ☐ Section V, Number 7, Procedure I-H (f) notification of facility mental health personnel. ☒ ☐ ☐ Section V, Number 7, Procedure I-G 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 30 - 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 policies and procedures for post-disposition youth to Section V, Number 7, Procedure I-A coordinate the provision of transitional and reentry ☒ ☐ ☐ services including, but not limited to, medical and behavioral health, education, probation supervision and community-based services. The facility administrator shall develop and implement written policies and procedures for the furlough of The facility does not furlough youth from youth from custody. ☒ ☐ ☐ custody. 1352 CLASSIFICATION The facility administrator shall develop and implement Section V, Number 9 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, facility staff, and the public by placing youth in the Section V, Number 9, I-A appropriate, least restrictive housing and program ☒ ☐ ☐ settings. Housing assignments shall consider the need for single, double or dormitory assignment or location within the dormitory; (b) consider facility populations and physical design of the facility; ☒ ☐ ☐ Section V, Number 9, I-A (c) provide that a youth shall be classified upon admittance to the facility; classification factors Section V, Number 9, I-B and C-1 through shall include, but not be limited to: age, maturity, 12 sophistication, emotional stability, program needs, legal status, public safety considerations, medical/mental health considerations, gender and The Classification/Youth Housing Screening gender identity of the youth; tool and the Youth Strengthening ☒ ☐ ☐ Admissions Assessment were developed in coordination with BH to establish and identify information which could or would assist in the most appropriate classification and room assignment, as well as all other safety elements. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 31 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) provide for periodic classification reviews, including provisions that consider the level of Section V, Number 9, I-E supervision and the youth's behavior while in custody; and, ☒ ☐ ☐ The reviews occur weekly. (e) provide that facility staff shall not separate youth from the general population or assign youth to a Section V, Number 9, I-F 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, ☒ ☐ ☐ Staff have the ability to override or determine particular housing needs based on gender expression, mental or physical disability, or the overall circumstances from the numerous HIV status. This section does not prohibit staff from admission and classification screening tools. placing youth in a single occupancy room at the youth's specific request or in accordance with Title 15 regulations regarding separation. (f) facility staff shall not consider lesbian, gay, bisexual, transgender, questioning or intersex ☒ ☐ ☐ Section V, Number 9, I-G identification or status as an indicator of likelihood of being sexually abusive. 1352.5 TRANSGENDER AND INTERSEX YOUTH. The facility administrator shall develop written policies Section V, Number 10 and procedures ensuring respectful and equitable treatment of transgender and intersex youth. The policies shall provide that: The facility developed a gender preference form which includes staff having a conversation with youth at admission and a ☒ ☐ ☐ signature after the gender preferences are identified to ensure responsiveness to their requested preferences as it relates to search, housing and clothing. This is also communicated to ancillary staff to have consistent gender references. (a) Facility staff shall respect every youth’s gender identity and shall refer to the youth by the youth’s Section V, Number 10, Procedure I-A preferred name and gender pronoun, regardless of the youth’s legal name. Facilities may prohibit the ☒ ☐ ☐ use of gang or slang names or names that otherwise compromise facility operations as determined by the facility manager or designee, and shall document any decision made on this basis. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 32 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Facility staff shall permit youth to dress and present themselves in a manner consistent with their gender ☒ ☐ ☐ Section V, Number 10, Procedure I-B identity and shall provide youth with the institution’s clothing and undergarments consistent with their gender identity. (c) Facility staff shall house youth in the unit or room that best meets their individual needs and promotes Section V, Number 10, Procedure I-C their safety and well-being. Staff may not automatically house youth according to their external anatomy and shall document the reasons ☒ ☐ ☐ for any decision to house youth in a unit that does not match their gender identity. In making a housing decision, staff shall consider the youth’s preferences, as well as any recommendations from the youth’s health or behavioral health provider. (d) Facility administrators shall ensure that transgender and intersex youth have access to medical and ☒ ☐ ☐ Section V, Number 10, Procedure I-D behavioral health providers qualified to provide care and treatment to transgender and intersex youth. (e) Consistent with the facility’s reasonable and necessary security considerations and physical Section V, Number 10, Procedure I-E plant, facility staff shall make every effort to ensure ☒ ☐ ☐ the safety and privacy of transgender and intersex youth when the youth are using the bathroom or shower, or dressing or undressing. Facility staff shall not conduct physical searches of any youth for the purpose of determining the youth’s Section V, Number 10, Procedure I-F and G 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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 33 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1353 ORIENTATION The facility administrator shall develop and implement Section V, Number 11, I-a, D and E written policies and procedures to orient a youth prior Section V, Number 10, Procedure I-D, to placement in a living area. Both written and verbal information shall be provided and supplemented with 1 and 2 video orientation if feasible. Provision shall be made to provide accessible orientation information to all detained youth including those with disabilities, limited Youth are provided with a Handbook literacy, or English language learners. Orientation shall containing all elements of this regulation and include information that addresses: a PREA Pamphlet. We reviewed the handbook and found its presentation straightforward and in language easy for ☒ ☐ ☐ youth to understand. This approach provides an operational understanding for youth expectations, rights and how to address any identified needs that may arise during their stay. In interviews with youth, each demonstrated an understanding of the information in the handbook and their ability to ask staff questions regarding their stay. (a) facility rules including contraband and searches and disciplinary procedures; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 1 (b) facility’s system of positive behavior interventions and supports, including behavior expectations, Section V, Number 10, Procedure I-B, 2 incentives that youth will receive for complying ☒ ☐ ☐ with facility rules, and consequences that may result when youth violate the rules of the facility; (c) age appropriate information that explains the facility’s policy prohibiting sexual abuse and sexual ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 3 harassment and how to report incidents or suspicions of sexual abuse or sexual harassment; (d) identification of key staff and their roles; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 4 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 34 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) the existence of the grievance procedure, the steps that must be taken to use it, the youth’s right to be Section V, Number 10, Procedure I-B, 5 free of retaliation for reporting a grievance, and the ☒ ☐ ☐ name of the person or position designated to resolve the issue; (f) access to legal services and information on the court process; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 6 (g) access to routine and emergency health and mental health care; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 7 (h) access to education, religious services, and recreational activities; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 8 (i) housing assignments; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 9 (j) opportunity for personal hygiene and daily showers including the availability of personal care items ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 10 (k) rules and access to correspondence, visits and telephone use; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 11 (l) availability of reading materials, programming, and other activities; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 12 (m) facility policies on the use of force, use of restraints, chemical agents and room confinement; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 13 (n) immigration legal services; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 14 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 35 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (o) emergencies including evacuation procedures; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 15 (p) non-discrimination policy and the right to be free from physical, verbal or sexual abuse and ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 21 harassment by other youth and staff; (q) availability of services and programs in a language other than English if appropriate; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 16 (r) the process for requesting different housing, education, programming and work assignments; ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 18 (s) a process for which parents/guardians receive information regarding the youth’s stay in the Section V, Number 10, Procedure I-B, 17 facility that at a minimum includes answers to ☒ ☐ ☐ frequently asked questions and provides contact information for the facility, medical, school and mental health; and, (t) a process by which youth may request access to Title 15 Minimum Standards for Juvenile Facilities. ☒ ☐ ☐ Section V, Number 10, Procedure I-B, 19 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 36 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354 SEPARATION Section V, Number 13 The facility administrator shall develop and implement written policies and procedures that address: We reviewed 11 of the 21 Separation incidents from July 2020 to April 2022. The agency documents behavior separation in an Activity Report or Incident Report, prompting staff to document the reason for and efforts to return the youth to programming. Youth go to the library (second classroom not in use and in the unit), to reflect on the behavior resulting on the separation. Staff had been completing Due Process and ☒ ☐ ☐ reintegration plans for these types of separation, more than required by regulation in almost all incidents as the behaviors did not rise to a Major Rule violation. We provided technical assistance to utilize the CICO (Check in, Check out) Daily Point Sheet to document incidents that result in behavior separation but not a violation of a major rule. The form allows for points (0-2) based on the Positive Behavior and Supports (PBIS) model for respectful, responsible and safe behaviors. This form is completed for each youth daily and would allow for the recording of incidents that do not represent the PBIS model. (a) separation of youth for reasons that include, but are not be limited to, medical and mental health ☒ ☐ ☐ Section V, Number 13, I-A, 1-6 conditions, assaultive behavior, disciplinary consequences and protective custody. (b) consideration of positive youth development and trauma-informed care. ☒ ☐ ☐ Section V, Number 13, I-C 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 37 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) separated youth shall not be denied normal privileges available at the facility, except when ☒ ☐ ☐ Section V, Number 13, I-B and E necessary to accomplish the objective of separation. (d) when the objective of the separation is discipline, Title 15 Section 1390 shall apply. Section V, Number 13, I Disciplinary Separation The facility makes good use of the space in the single unit facility for separation, using the not occupied classroom allowing full ☒ ☐ ☐ visual of the youth while in the separated location. This space allows youth a cool down period to reflect on the behaviors that necessitated a separation but not to the level of room confinement. The process is working and accomplishing the goal in regulation, despite their physical plant. (e) when separation results in room confinement, the separation shall occur in accordance with Welfare ☒ ☐ ☐ Section V, Number 13, Procedure I-E and Institutions Code Section 208.3 and Section1354.5 of these regulations. (f) policies and procedures shall ensure a daily review of separated youth to determine if separation The facility only separates youth for short remains necessary. periods of time to re-focus behavior. The agency only uses this tool when they ☒ ☐ ☐ have exhausted every verbal counseling attempt. The youth are evaluated regularly and returned to normal programming in most cases, less than an hour after separation began. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 38 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1354.5 ROOM CONFINEMENT (a) The facility administrator shall develop and Section V, Number 14 implement written policies and procedures addressing the confinement of youth in their room that are consistent with Welfare and Institutions The facility has had 33 incidents of RC from Code Section 208.3. The placement of a youth in July 2020 through April 2022. Eleven of the room confinement shall be accomplished in incidents involved youth on youth aggression accordance with the following guidelines: or extreme defiance causing a safety or security risk. Twenty-two incidents involved the need for safety watch status due to self- harm or ideation. We provided technical assistance to ensure staff documented all efforts to reintegrate and follow the form prompts. Incident report documentation for the reason of room ☒ ☐ ☐ confinement was clear but the follow up revealed some complacency in recording timelines on the form. It is important to note, however, the agency completes a classification form which detailed the incident more clearly and met the criteria required in regulations. All youth on RC status beyond 4 hours (3) received all T15 requirements and were within regulation/policy. We note the absence of BH services at the facility creates a void when it fomes to RC and any incident involving the need for mental health interventions. (1) Room confinement shall not be used before other, less restrictive, options have been Section V, Number 14, I-A attempted and exhausted, unless attempting ☒ ☐ ☐ those options poses a threat to the safety or Section VII, Number 1, Procedure II-A security of any youth or staff. (2) Room confinement shall not be used for the purposes of punishment, coercion, ☒ ☐ ☐ Section V, Number 14, I-B convenience, or retaliation by staff. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 39 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) Room confinement shall not be used to the extent that it compromises the mental and Section V, Number 14, I-C physical health of the youth. ☒ ☐ ☐ Section VII, Number 1, Procedure II-B (b) A youth may be held up to four hours in room confinement. After the youth has been held in room ☒ ☐ ☐ Section VII, Number 1, Procedure II-C confinement for a period of four hours, staff shall do one or more of the following: (1) Return the youth to general population. Section V, Number 14, I-E, 1 ☒ ☐ ☐ Section VII, Number 1, Procedure II-D, 1 (2) Consult with mental health or medical staff. Section V, Number 14, I-E, 3 ☒ ☐ ☐ Section VII, Number 1, Procedure II-D, 2 (3) Develop an individualized plan that includes the goals and objectives to be met in order to Section V, Number 14, I-E, 6 reintegrate the youth to general population. Section VII, Number 1, Procedure II-D, 3 ☒ ☐ ☐ As soon as a youth is placed on RC, an individual plan form is developed with the youth and attempts to follow through are made. (4) If room confinement must be extended beyond four hours, staff shall do each of the following: Section VII, Number 1, Procedure II-D, 4 ☒ ☐ ☐ Each component is addressed in policy and documentation review included the elements required to extend. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 40 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (A) Document the reasons for room confinement and the basis for the Section V, Number 14, I-E, 2 extension, the date and time the youth was ☒ ☐ ☐ first placed in room confinement, and when he or she is eventually released from room confinement. (B) Develop an individualized plan that includes the goals and objectives to be met ☒ ☐ ☐ Section V, Number 14, I-E, 6 in order to integrate the youth to general population. (C) Obtain documented authorization by the facility superintendent or his or her ☒ ☐ ☐ Section V, Number 14, I-E, 5 designee every four hours thereafter. (5) This section is not intended to limit the use of single-person rooms or cells for the housing of ☒ ☐ ☐ Section V, Number 14, I-I youth in juvenile facilities and does not apply to normal sleeping hours. (6) This section does not apply to youth or wards in court holding facilities or adult facilities. ☒ ☐ ☐ Section V, Number 14, I-J (7) Nothing in this section shall be construed to conflict with any law providing greater or ☒ ☐ ☐ Section V, Number 14 Policy Statement additional protections to youth. (8) This section does not apply during an extraordinary emergency circumstance that Section V, Number 14, I-K 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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 41 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (9) This section does not apply when a youth is placed in a locked cell or sleeping room to treat Section V, Number 14, I-L and protect against the spread of a communicable disease for the shortest amount of time required to reduce the risk of infection, with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for an ☒ ☐ ☐ illness. Additionally, this section does not apply when a youth is placed in a locked cell or sleeping room for required extended care after medical treatment with the written approval of a licensed physician or nurse practitioner, when the youth is not required to be in an infirmary for illness. 1355 INSTITUTIONAL ASSESSMENT AND PLAN Section V, Number 16 ☒ ☐ ☐ The facility administrator shall develop and implement written policies and procedures for assessment and case planning. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 42 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) Assessment: The assessment is based on information collected Section V, Number 16, Policy I-A during the admission process with periodic review, which includes the youth's risk factors, needs and strengths including, but not limited to, We reviewed IAP’s for every youth in identification of substance abuse history, custody while on site. The agency has educational, vocational, counseling, behavioral initial, updated, 3-month, 6-month and health, consideration of known history of trauma, Change in Treatment plans which focus on and family strengths and needs. the transition and re-entry planning for youth. Our review included examples of each type of plan and followed individual youth through their stay. The plans focus on a Youth Strength and Needs Assessment, which is incorporates information from the following areas: Emotional/Behavioral Health; Cognitive Development and Functioning; Social Development and Functioning; Physical ☒ ☐ ☐ Health/Disabilities; Education; Trauma/Resiliency; Family Relationships; Alcohol/Drugs; Prior/Current Offense; Adult Relationships; and, any other information which impacts a youths strengths or needs. Treatment Plan is developed based on responses to the Assessment, which is scored, to identify the top three needs and strengths. We found each assessment to be detailed and informative, as well as individualized to each youth. The process is inclusive of required elements and documented at timelines which exceed their policy and regulation. Staff work within the plan to provide reachable and attainable goals, both for in custody treatment and upon release into the community. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 43 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Institutional Case Plan: (1) A case plan shall be developed for each youth Section V, Number 16, Policy I-B held for at least 30 days or more and created within 40 days of admission. ☒ ☐ ☐ IAP’s are completed at 14 days or sooner, with follow up assessments at the 3-month, 6-month, 9-month, 12-month and transition planning timelines. (2) The institutional plan shall include, but not be ☒ ☐ ☐ limited to, written documentation that provides: (A) objectives and time frame for the resolution of problems identified in the assessment; ☒ ☐ ☐ Section V, Number 16, II-A (B) a plan for meeting the objectives that includes a description of program resources ☒ ☐ ☐ Section V, Number 16, II-B, 1-3 needed and individuals responsible for assuring that the plan is implemented; (3) periodic evaluation of progress towards meeting the objectives, including periodic review and ☒ ☐ ☐ Section V, Number 16, II-C discussion of the plan with the youth; (4) a transition plan, the contents of which shall be subject to existing resources, shall be developed ☒ ☐ ☐ Section V, Number 16, II-D for post dispositional youth in accordance with Section 1351; and, (5) in as much as possible and if appropriate, the plan, including the transition plan, shall be Section V, Number 16, II-E developed with input from the family, ☒ ☐ ☐ supportive adults, youth, and Regional Center for the Developmentally Disabled. 1356 COUNSELING AND CASEWORK SERVICES Section V, Number 16, V-A The facility administrator shall develop and implement written policies and procedures ensuring the availability of appropriate counseling and casework services for all Facility staff document behavior, both youth. Policies and procedures shall ensure: ☒ ☐ ☐ positive and negative, in the youths ‘Check in, Check out’ (CICO) Daily Point sheets. This identifies their behavior each shift, as well as their participation in all T15 requirements. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 44 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (a) youth will receive assistance with needs or concerns that may arise; ☒ ☐ ☐ Section V, Number 16, V-A, 1 (b) youth will receive assistance in requesting contact with parents, other supportive adults, attorney, ☒ ☐ ☐ Section V, Number 16, V-A, 2 clergy, probation officer, or other public official; and, (c) youth will be provided access to available resources to meet the youth’s needs. ☒ ☐ ☐ Section V, Number 16, V-A, 3 1357 USE OF FORCE The facility administrator, in cooperation with the Section V, Number 17 responsible physician, shall develop and implement Section V, Number 17, II-B, 5 written policies and procedures for the use of force, which may include chemical agents. Force shall never be applied as punishment, discipline, retaliation or We reviewed incidents of force from the 47 treatment. which were documented from July 2020 (a) At a minimum, each facility shall develop policies through April 2022. The reports provided and procedures which: clear and relevant information based on the narrative and necessary documentation for force related behavior, including Due Process, Room Confinement (if appropriate), Separation, and response from agency partners. Five of the incident reports we reviewed involved the threat of self-harm ☒ ☐ ☐ and required immediate intervention. The others were unit disturbances or assaultive behavior from youth. Three of the incidents involved the use of OC Spray and 38 youth were restrained following a UF incident for movement to their room or intake holding. Senior and supervisory staff review and debrief incidents along with involved staff and the superintendent. Documentation and forms were complete and articulate in terms of all necessary requirements. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 45 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) restricts the use of force to that which is deemed reasonable and necessary, as defined in Section ☒ ☐ ☐ Section V, Number 17, I-B 1302 to ensure the safety and security of youth, staff, others and the facility. (2) outline the force options available to staff including both physical and non-physical Section V, Number 17, V-A, 1-6 ☒ ☐ ☐ options and define when those force options are appropriate. (3) describe force options or techniques that are expressly prohibited by the facility. ☒ ☐ ☐ Section V, Number 17, V-B, 1-8 (4) describe the requirements of staff to report any inappropriate use of force, and to take ☒ ☐ ☐ Section V, Number 17, II-B, 7 affirmative action to immediately stop it. (5) define a standardized reporting format that includes time period and procedure for Section V, Number 17, V documenting and reporting the use of force, including reporting requirements of management and line staff and procedures for reviewing and tracking use of force incidents by ☒ ☐ ☐ supervisory and or management staff, which include procedures for debriefing a particular incident with staff and/or youth for the purposes of training as well as mitigating the effects of trauma that may have been experienced by staff and /or the youth involved. (6) Include an administrative review and a system for investigating unreasonable use of force. ☒ ☐ ☐ Section V, Number 17, V-C (7) define the role, notification, and follow-up procedures required after use of force incidents ☒ ☐ ☐ Section V, Number 17, VI-A, B and C for medical, mental health staff and parents or legal guardians. (8) describe the limitations of use of force on pregnant youth in accordance with Penal Code ☒ ☐ ☐ Section V, Number 17, III 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: ☒ ☐ ☐ Section V, Number 18 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 46 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) identify who is approved to carry and/or utilize chemical agents in the facility and the type, size Section V, Number 18, I-A and the approved method of deployment for those chemical agents. ☒ ☐ ☐ Only senior staff are permitted to carry OC spray in the facility. It is important to note there have been three chemical spray incidents since the facility opened. (2) mandate that chemical agents only be used when there is an imminent threat to the youth’s safety ☒ ☐ ☐ Section V, Number 18, I-B 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 timelines for decontamination from chemical Section V, Number 18, Use I-F agents. This shall include that youth who have ☒ ☐ ☐ been exposed to chemical agents shall not be left Section V, Number 18, Use I-H, 5 and 6 unattended until that youth is fully Section V, Number 18, Use I-I, 1 through 8 decontaminated or is no longer suffering the effects of the chemical agent. (4) define the role, notification, and follow-up procedures required after use of force incidents Section V, Number 18, Use I-E (CFMG) involving chemical agents for medical, mental health staff and parents or legal guardians. ☒ ☐ ☐ Section V, Number 18, Use I-F (BH and parent/legal guardian) (5) provide for the documentation of each incident of use of chemical agents, including the reasons Section V, Number 18, Use I-G, 1-5 for which it was used, efforts to de-escalate prior to use, youth and staff involved, the date, ☒ ☐ ☐ time and location of use, decontamination procedures applied and identification of any injuries sustained as a result of such use. (c) Facilities shall develop policies and procedure which require that agencies provide initial and Section V, Number 17, IV regular training in use of force and chemical agents when appropriate that address: ☒ ☐ ☐ Senior staff are only authorized to carry OC Spray. Staff are trained annually by certified STC Instructor. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 47 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) known medical and behavioral health conditions that would contraindicate certain ☒ ☐ ☐ Section V, Number 17, IV-B, 6 types of force; (2) acceptable chemical agents and the methods of application. ☒ ☐ ☐ Section V, Number 17, IV-B, 2 (3) signs or symptoms that should result in ☒ ☐ ☐ immediate referral to medical or behavioral Section V, Number 17, IV-B, 7 health. (4) instruction on the Constitutional Limitations of Use of Force. Section V, Number 18, I-B ☒ ☐ ☐ This is part of the training curriculum for Use of Force. (5) physical training force options that may require the use of perishable skills. ☒ ☐ ☐ Section V, Number 17, IV-B (6) timelines the facility uses to define regular training. ☒ ☐ ☐ Section V, Number 17, IV-B 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 48 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1358 USE OF PHYSICAL RESTRAINTS The facility administrator, in cooperation with the Section V, Number 19 and 20 responsible physician and mental health director, shall develop and implement written policies and procedures for the use of restraint devices. Restraint devices The facility has the WRAP as a restraint with include any devices which immobilize a youth's very specific limitations on its use. extremities and/or prevent the youth from being ambulatory. We reviewed all 8 Use of Restraint (UR) incidents that have occurred since July 2020. Each were well documented, had the authorizations required by regulation and, given the facts documented in the incident reports, were deemed appropriate UR ☒ ☐ ☐ responses. Of the 8, five incidents involved the use of the WRAP due to the threat of self-harm (1 youth) and three were for assaultive youth who remained defiant and resistive after movement to the intake area. One of the five WRAP incidents was for 1 hour and 6 minutes, the others for less than 30 minutes. The incidents involving handcuffs and/or leg restraints, staff documented removal at 10, 13 and 15 minutes. Physical restraints may be used only for those youth who present an immediate danger to themselves or Section V, Number 19, Policy I-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 discipline, or as a substitute for treatment. The use of Section V, Number 19, Policy I-F, Q, R and restraint devices that attach a youth to a wall, floor or S 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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 49 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The provisions of this section do not apply to the use of handcuffs, shackles or other restraint devices when used Section V, Number 19, Policy I-C to restrain youth for movement or transportation within ☒ ☐ ☐ the facility. Movement within the facility shall be governed by Section 1358.5, Use of Restraint Devices for Movement Within the Facility. Youth shall be placed in restraints only with the approval of the facility manager or designee. The facility manager Section V, Number 19, Policy I-B, V and W 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 ☒ ☐ ☐ Senior JCO are designated to approve every hour. placement of restraints in the absence of the facility Superintendent. The WRAP must have Superintendent approval. A medical opinion on the safety of placement and retention shall be secured as soon as possible, but no later Section V, Number 19, Policy I-J than two hours from the time of placement. The youth ☒ ☐ ☐ shall be medically cleared for continued retention at least every three hours thereafter. A mental health consultation shall be secured as soon as possible, but in no case longer than four hours from the ☒ ☐ ☐ Section V, Number 19, Policy I-K time of placement, to assess the need for mental health treatment. Continuous direct visual supervision shall be conducted to ensure that the restraints are properly employed, and Section V, Number 19, Policy I-N and to ensure the safety and well-being of the youth. ☒ ☐ ☐ Procedure I-B and J Observations of the youth's behavior and any staff interventions shall be documented at least every 15 minutes, with actual time of the documentation recorded. In addition to the requirements above, policies and procedures shall address: (a) documentation of the circumstances leading to an application of restraints. ☒ ☐ ☐ Section V, Number 19, Procedure I-M (b) known medical conditions that would contraindicate certain restraint devices and/or ☒ ☐ ☐ Section V, Number 19, Policy I-M techniques. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 50 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) acceptable restraint devices. ☒ ☐ ☐ Section V, Number 19, Policy I-B (d) signs or symptoms which should result in immediate medical/mental health referral. ☒ ☐ ☐ Section V, Number 19, Procedure I-J (e) availability of cardiopulmonary resuscitation equipment. ☒ ☐ ☐ Section V, Number 19, Procedure I-D (f) protective housing of restrained youth. While in restraint devices, all youth shall be housed alone or Section V, Number 19, Policy I-H in a specified housing area for restrained youth ☒ ☐ ☐ which makes provision to protect the youth from abuse. (g) provision for hydration and sanitation needs. ☒ ☐ ☐ Section V, Number 19, Policy I-H (h) exercising of extremities. ☒ ☐ ☐ Section V, Number 19, Policy I-H 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 51 - 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 MOVEMENT AND TRANSPORTATION WITHIN Section V, Number 21 THE FACILITY. The Facility Administrator, in cooperation with the ☒ ☐ ☐ Staff are trained to use control holds at escort responsible physician and behavioral/mental health and must get authorization to use other force director, shall develop and implement written policies for movement. There were 38 incidents of and procedures for the use of restraint devices when the restraint use for movement of a youth to their purpose is for movement or transportation within the room after a UF incident, or to a holding facility that shall include the following: room in intake. (a) identification of acceptable restraint devices, staff approved to utilize restraint devices and the Section V, Number 19, Policy I-B required training. ☒ ☐ ☐ Staff are trained annually by certified STC Instructor. (b) the circumstances leading to the application of restraints must be documented. ☒ ☐ ☐ Section V, Number 21, Procedure A (c) an individual assessment of the need to apply restraints for movement or transportation that Section V, Number 21, Procedure B includes consideration of less restrictive alternatives, consideration of a youth’s known ☒ ☐ ☐ medical or mental health conditions, trauma informed approaches, and a process for documentation and supervisor review and approval. (d) consideration of safety and security of the facility, with a clearly defined expectation that restraint ☒ ☐ ☐ Section V, Number 21 Procedure C devices shall not be used for the purposes of discipline or retaliation. (e) the use of restraints on pregnant youth is limited in accordance with Penal Code Section6030(f) and ☒ ☐ ☐ Section V, Number 21 Procedure D Welfare and Institutions Code Section 222. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 52 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1359 SAFETY ROOM PROCEDURES (a) The facility administrator, and where applicable, in The facility does not have a Safety Room. cooperation with the responsible physician, shall develop and implement written policies and procedures governing the use of safety rooms, as described in Title 24, Part 2, Section 1230.1.13. The room shall be used to hold only those youth who ☐ ☐ ☒ present an immediate danger to themselves or others, who exhibit behavior which results in the destruction of property, or reveals the intent to cause self-inflicted physical harm. A safety room shall not be used for punishment or discipline, or as a substitute for treatment. Policies and procedures shall: (1) include provisions for administration of necessary nutrition and fluids, access to a toilet, ☐ ☐ ☒ and suitable clothing to provide for privacy; (2) provide for approval of the facility manager, or designee, before a youth is placed into a safety ☐ ☐ ☒ room; (3) provide for continuous direct visual supervision and documentation of the youth's behavior and ☐ ☐ ☒ any staff interventions every 15 minutes, with actual time recorded; (4) provide that the youth shall be evaluated by the ☐ ☐ ☒ facility manager, or designee, every four hours; (5) provide for immediate medical assessment, where appropriate, or an assessment at the next ☐ ☐ ☒ daily sick call; and, (6) provide a process for documenting the reason for placement, including attempts to use less ☐ ☐ ☒ restrictive means of control, and decisions to continue and end placement. (b) The placement of a youth in the safety room shall be ☐ ☐ ☒ accomplished in accordance with the following: (1) safety room shall not be used before other less restrictive options have been attempted and exhausted, unless attempting those options poses ☐ ☐ ☒ a threat to the safety or security of any youth or staff. (2) safety room shall not be used for the purposes of punishment, coercion, convenience, or ☐ ☐ ☒ retaliation by staff. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 53 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (3) safety room shall not be used to the extent that it compromises the mental and physical health of ☐ ☐ ☒ the youth. (c) A youth may be held up to four hours in the safety room. After the youth has been held in the safety ☐ ☐ ☒ room for a period of four hours, staff shall do one or more of the following: (1) return the youth to general population. ☐ ☐ ☒ (2) consult with mental health or medical staff, ☐ ☐ ☒ (3) develop an individualized plan that includes the ☐ ☐ ☒ goals and objectives to be met in order to reintegrate the youth to general population. (d) If confinement in the safety room must be extended beyond four hours, staff shall develop an individualized plan that includes the requirements ☐ ☐ ☒ of Section 1354.5 and the goals and objectives to be met in order to integrate the youth to general population. 1360 SEARCHES , The facility administrator shall develop and implement Section V, Number 23 written policies and procedures governing the search of youth, the facility, and visitors. Policies and procedures ☒ ☐ ☐ Section V, Number 23, Procedure IX Room Section V, Number 23, Procedure X Facility shall provide that: Section V, Number 23, Procedure XI Visitor (a) Searches shall be conducted to ensure the safety and security of the facility, public, visitors, youth, and ☒ ☐ ☐ Section V, Number 23, Policy I-A and B staff. (b) Searches shall be conducted in a manner that preserves the privacy and dignity of the person Section V, Number 23, Policy I-C being searched and shall not be conducted for ☒ ☐ ☐ harassment or as a form of discipline or punishment. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 54 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Strip searches and visual or physical body cavity searches shall comply with Penal Code Section Section V, Number 23, Policy I-D 4030. There have been 3 strip searches since the facility opened in 2017, one this cycle. That incident involved youth telling staff a female ☒ ☐ ☐ youth gave another youth a pill under his door. Staff reviewed video and saw the incident occur, subsequently conducting a strip search to ensure no other medication was on their person. It should be noted staff found the pill passed under the door. (d) Physical body cavity searches shall only be conducted by a medical professional. ☒ ☐ ☐ Section V, Number 23, Policy I-E (e) Any youth held after a detention hearing shall only be strip searched with prior approval of a supervisor Section V, Number 23, Procedure II, III, IV when there is reasonable suspicion based on ☒ ☐ ☐ specific and articulable facts to believe that youth is concealing contraband. The reasonable suspicion shall be documented. (f) Searches of transgender and intersex youth shall comply with Section 1352.5. ☒ ☐ ☐ Section V, Number 23, Procedure V-D (g) Cross-gender pat-down searches and strip searches are prohibited except in exigent circumstances or Section V, Number 23, Policy I-J and K when conducted by a medical professional. Such ☒ ☐ ☐ searches must be justified and documented in writing. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 55 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1361 GRIEVANCE PROCEDURE The facility administrator shall develop and implement Section V, Number 30 written policies and procedures whereby any youth may appeal and have resolved grievances relating to any condition of confinement, including but not limited to The facility has had 29 grievances filed since health care services, classification decisions, program July 2020, 28 of which were resolved by participation, telephone, mail or visiting procedures, staff and 1 was upheld on appeal by the food, clothing, bedding, mistreatment, harassment or Superintendent. violations of the nondiscrimination policy. There shall be no time limit on filing grievances. Policies and ☒ ☐ ☐ procedures shall include provisions whereby the facility Youth interviewed seemed to understand the manager ensures: process and felt rules and sanctions, as well as mechanisms to address daily behavior, were fair. The forms are step by step based and compliant with policy and regulation. (a) a grievance form and instructions for registering a grievance, which includes provisions for the youth ☒ ☐ ☐ Section V, Number 30, Policy I-A and B to have free access to the form; (b) the youth shall have the option to confidentially file the grievance or to deliver the form to any youth ☒ ☐ ☐ Section V, Number 30, Policy I-D supervision staff working in the facility; (c) resolution of the grievance at the lowest appropriate staff level; ☒ ☐ ☐ Section V, Number 30, Policy I-F (d) provision for a prompt review and initial response to grievances within three (3) business days, ☒ ☐ ☐ Section V, Number 30, Procedure I-C grievances that relate to health and safety issues must be addressed immediately; (1) The youth may elect to be present to explain his/her version of the grievance to a person not ☒ ☐ ☐ Section V, Number 30, Procedure I-D directly involved in the circumstances which led to the grievance. (2) Provision for a staff representative approved by the facility administrator to assist the youth. ☒ ☐ ☐ Section V, Number 30, Policy I-C 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 56 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) provision for a written response to the grievance which includes the reasons for the decisions; ☒ ☐ ☐ Section V, Number 30, Policy I-F (f) a system which provides that any appeal of a grievance shall be heard by a person not directly ☒ ☐ ☐ Section V, Number 30, Procedure I-F and G involved in the circumstances which led to the grievance; (g) resolution of the grievance must occur within ten (10) business days unless circumstances dictate a ☒ ☐ ☐ Section V, Number 30, Procedure I-H longer time frame. The youth shall be notified of any delay; and, (h) the policy shall provide multiple internal and external methods to report sexual abuse and sexual Section V, Number 30, Procedure I-G harassment. ☒ ☐ ☐ through J Whether or not associated with a grievance, concerns of parents, guardians, staff or other parties shall be ☒ ☐ ☐ Section V, Number 30, Procedure I-N addressed and documented in accordance with written policies and procedures within a specified timeframe. 1362 REPORTING OF INCIDENTS A written report of all incidents which result in physical Section V, Number 32 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 COLLECT DNA SPECIMENS, SAMPLES, Section V, Number 33, Procedure III-A IMPRESSIONS (a) Pursuant to Penal Code Section 298.1 authorized law enforcement, custodial, or corrections The facility has not had to use force to personnel including peace officers, may employ ☒ ☐ ☐ collect DNA since they opened in 2017. 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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 57 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) For the purpose of this section, the “use of reasonable force” shall be defined as the force Section V, Number 33, Procedure III-B that an objective, trained and competent correctional employee, faced with similar facts ☒ ☐ ☐ and circumstances, would consider necessary and reasonable to gain compliance with this section. (2) The use of reasonable force shall be preceded by efforts to secure voluntary compliance. Efforts Section V, Number 33, Procedure III-B to secure voluntary compliance shall be documented and include an advisement of the ☒ ☐ ☐ legal obligation to provide the requisite specimen, sample or impression and the consequences of refusal. (b) The force shall not be used without the prior written authorization of the supervising officer on duty. Section V, Number 33, Procedure III-C The authorization shall include information that reflects the fact that the offender was asked to ☒ ☐ ☐ provide the requisite specimen, sample, or Requires authorization from the Facility impression and refused. Superintendent. (1) If the use of reasonable force includes a cell extraction, the extraction shall be videotaped. Section V, Number 33, Procedure IV-A and Video shall be directed at the cell extraction B 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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 58 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1370 EDUCATION PROGRAM (a) School Programs Section VI, Number 1, Policy II-A The County Board of Education shall provide for the administration and operation of juvenile court schools in The Tuolumne County Superintendent of conjunction with the Chief Probation Officer, or designee Schools provides educational and vocational pursuant to applicable State laws. The school and facility opportunities via the Gold Ridge School administrators shall develop and implement written onsite, online college through Columbia policy and procedures to ensure communication and Community College and vocational coordination between educators and probation staff. opportunities through the Motherlode Job Culturally responsive and trauma-informed approaches Training for Tuolumne County. A should be applied when providing instruction. Education Transition Specialist assists with youth staff should collaborate with the facility administrator to exiting the facility and returning to schools use technology to facilitate learning and ensure safe in the community as well as with enrollment technology practices. The facility administrator shall in Columbia College, a community college request an annual review of each required element of the nearby. It is noted youth eligible for Dual program by the Superintendent of Schools, and a report enrollment are attending online classes at the or review checklist on compliance, deficiencies, and college as well. 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 The TCSOS offers a complete and juvenile court school site. The Superintendent of Schools ☒ ☐ ☐ comprehensive curriculum, including shall conduct this review in conjunction with a qualified culinary food handler’s certification, DMV outside agency or individual. Upon receipt of the review, licenses for eligible youth, gardening and the facility administrator or designee shall review each personal reading goals (Book Club) and item with the Superintendent of Schools and shall take teaching a full HS curriculum. Additionally, whatever corrective action is necessary to address each for those youth with an active IEP, they are deficiency and to fully protect the educational interests able to receive services via a counselor in of all youth in the facility. addition to specialized instruction. TCSOS provides a Psychologist one time per week to work with the sex offender population. The SOS received WASC Accreditation this year as well. The on-site teacher, Ashley Chambeaux, is engaged in the classroom and works individually with youth to grow their education portfolio. The program is 270 minutes each day except for every Wednesday has a late start to allow Ms. Chambeaux to participate in MDT meetings. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 59 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) Required Elements The facility school program shall comply with the State Section VI, Number 1, Policy III-A through Education Code and County Board of Education policies, E all applicable federal education statutes and regulations and provide for an annual evaluation of the educational program offerings. As stated in the 2009 California ☒ ☐ ☐ Standards for the Teaching Profession, teachers shall establish and maintain learning environments that are physically, emotionally, and intellectually safe. Youth shall be provided a rigorous, quality educational program that responds to the different learning styles and abilities of students and prepares them for high school graduation, career entry, and post-secondary education. All youth shall be treated equally, and the education program shall be free from discriminatory action. Staff Section VI, Number 1, Policy III-F shall refer to transgender, intersex and gender- ☒ ☐ ☐ nonconforming youth by their preferred name and gender. (1) The course of study shall comply with the State Education Code and include, but not be limited ☒ ☐ ☐ Section VI, Number 1, Policy III-A to, courses required for high school graduation. (2) Information and preparation for the High School Equivalency Test as approved by the California ☒ ☐ ☐ Section VI, Number 1, Policy III-I Department of Education shall be made available to eligible youth. (3) Youth shall be informed of post-secondary education and vocational opportunities. ☒ ☐ ☐ Section VI, Number 1, Policy III-J (4) Administration of the High School Equivalency Tests as approved by the California Department ☒ ☐ ☐ Section VI, Number 1, Policy III-K of Education, shall be made available when possible. (5) Supplemental instruction shall be afforded to youth who do not demonstrate sufficient ☒ ☐ ☐ Section VI, Number 1, Policy III-L progress towards grade level standards. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 60 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (6) The minimum school day shall be consistent with State Education Code Requirements for juvenile Section VI, Number 1, Policy III-G court schools. The facility administrator, in conjunction with education staff, must ensure that operational procedures do not interfere with ☒ ☐ ☐ the time afforded for the minimum instructional day. Absences, time out of class or educational instruction, both excused and unexcused, shall be documented. (7) Education shall be provided to all youth regardless of classification, housing, security Section VI, Number 1, Policy III-O status, disciplinary or separation status, including room confinement, except when providing education poses an immediate threat ☒ ☐ ☐ to the safety of self or others. Education includes, but is not limited to, related services as provided in a youth’s Section 504 Plan or Individualized Education Program (IEP). (c) School Discipline (1) Positive behavior management will be Section VI, Number 1, Policy IV-A implemented to reduce the need for disciplinary ☒ ☐ ☐ action in the school setting and be integrated into the facility's overall behavioral management plan and security system. (2) School staff shall be advised of administrative decisions made by probation staff that may ☒ ☐ ☐ Section VI, Number 1, Policy IV-B affect the educational programming of students. (3) Except as otherwise provided by the State Education Code, expulsion/suspension from Section VI, Number 1, Policy IV-C school shall be imposed only when other means of correction fails to bring about proper conduct. School staff shall follow the appropriate due process safeguards as set forth in the State ☒ ☐ ☐ Education Code including the rights of students with special needs. School staff shall document the other means of correction used prior to imposing expulsion/ suspension if an expulsion/suspension is ultimately imposed. (4) The facility administrator, in conjunction with education staff will develop policies and Section VI, Number 1, Policy IV-D procedures that address the rights of any student ☒ ☐ ☐ who has continuing difficulty completing a school day. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 61 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) Provisions for Special Populations Section VI, Number 1, Policy V-A (1) State and federal laws and regulations shall be observed for all individuals with disabilities or suspected disabilities. This includes but is not ☒ ☐ ☐ limited to child find, assessment, continuum of alternative placements, manifestation determination reviews, and implementation of Section 504 Plans and Individualized Education Programs. (2) Youth identified as English Learners (EL) shall be afforded an educational program that ☒ ☐ ☐ Section VI, Number 1, Policy V-B addresses their language needs pursuant to all applicable state and federal laws and regulations governing programs for EL students. (e) Educational Screening and Admission ☒ ☐ ☐ Section VI, Number 1, Policy VI-A (1) Youth shall be interviewed after admittance and a record maintained that documents a youth's educational history, including but not limited to: (A) School progress/school history; ☒ ☐ ☐ Section VI, Number 1, Policy VI-A, 1 (B) Home Language Survey and the results of the State Test used for English language ☒ ☐ ☐ Section VI, Number 1, Policy VI-A, 2 proficiency; (C) Needs and services of special populations as defined by the State Education Code, ☒ ☐ ☐ Section VI, Number 1, Policy VI-A, 3 including but not limited to, students with special needs. (D) Discipline problems. ☒ ☐ ☐ Section VI, Number 1, Policy VI-A, 4 (2) Youth will be immediately enrolled in school. Educational staff shall conduct an assessment to ☒ ☐ ☐ Section VI, Number 1, Policy VI-B determine the youth's general academic functioning levels to enable placement in core curriculum courses. (3) After admission to the facility, a preliminary education plan shall be developed for each youth ☒ ☐ ☐ Section VI, Number 1, Policy VI-C within five school days. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 62 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (4) Upon enrollment, education staff shall comply with the State Education Code and request the Section VI, Number 1, Policy VI-D youth's records from his/her prior school(s), including, but not limited to, transcripts, Individual Education Program (IEP), 504 Plan, ☒ ☐ ☐ state language assessment scores, immunization records, exit grades, and partial credits. Upon receipt of the transcripts, the youth's educational plan shall be reviewed with the youth and modified as needed. Youth should be informed of the credits they need to graduate. (f) Educational Reporting Section VI, Number 1, Policy VII-A (1) The complete facility educational record of the ☒ ☐ ☐ youth shall be forwarded to the next educational placement in accordance with the State Education Code. (2) The County Superintendent of Schools shall provide appropriate credit (full or partial) for ☒ ☐ ☐ Section VI, Number 1, Policy VII-B course work completed while in juvenile court school in accordance with the State Education Code. (g) Transition and Re-Entry Planning Section VI, Number 1, Policy VIII-A (1) The Superintendent of Schools and the Chief Probation Officer or designee, shall develop policies and procedures to meet the transition ☒ ☐ ☐ needs of youth, including the development of an education transition plan, in accordance with the State Education Code and in alignment with Title 15, Minimum Standards for Juvenile Facilities, Section 1355. (h) Post-Secondary Education Opportunities Section VI, Number 1, Policy IX-A (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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 63 - J453 JUV PRO-Eff. 01-01-2019 1371 PROGRAMS, RECREATION, AND EXERCISE. Section VI, Number 3, Policy I-A The facility administrator shall develop and implement written policies and procedures for programs, The facility is program heavy and provides recreation, and exercise for all youth. The intent is to services based on EBP Training and minimize the amount of time youth are in their rooms Education including: Individual Cognitive or their bed area. Behavior Therapy; Aggression Replacement Training (ART); Interactive Journaling; Boys Council; Girls Circle; Parenting Education; Independent Living Skills; Sewing; Drum Circle; CPR/First Aide Training; Art; Creative Writing; Independent Living - resume construction (career and leadership opportunities); and gardening/agriculture opportunities through 4-H. The agency was just awarded a grant through 4-H to develop a Meditation Pond and Hydroponic Garden. Also, they are trying to start a Bee Program. TCBH provided individual/group counseling and participated in MDT and case treatment ☒ ☐ ☐ plans, however, they have not been on site since July 2021. The agency has worked with Portland College to have a BH intern come in 2 days each week and provide limited individual counseling and Seeking Safety group therapy. The ACPO/Superintendent of the facility, Annie Hockett, is a licensed Clinician and supervises the intern hours. She also responds to crisis events at the facility. This absence of geographic Behavior Health Services is a hinderance at least to facility operations and the facility mission. While on-site, there were several youth with significant and demanding mental health concerns that are addressed by trips to the hospital, counsel by the ACPO/Superintendent or the intern. Neither options being utilized are congruent with the intent of regulation and no fault of the facility. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 64 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS This is not acceptable to facility administration and has been a point of contention with the Juvenile Justice Commission and Juvenile Justice Coordinating Council. This failure has resulted in the agency likely having to go out to bid to secure services required by T15. Juvenile facilities shall provide the opportunity for programs, recreation, and exercise a minimum of three Section VI, Number 3, Policy I-B and C hours a day during the week and five hours a day each ☒ ☐ ☐ Saturday, Sunday or other non-school days, of which one hour shall be an outdoor activity, weather permitting. A youth’s participation in programs, recreation, and exercise may be suspended only upon a written finding Section VI, Number 3, Policy I-D by the administrator/manager or designee that a youth ☒ ☐ ☐ represents a threat to the safety and security of the facility. Such program, recreation, and exercise schedule shall be posted in the living units. ☒ ☐ ☐ Section VI, Number 3, Policy I-E There will be a written annual review of the programs, recreation, and exercise by the responsible agency to ☒ ☐ ☐ Section VI, Number 3, Policy I-F ensure content offered is current, consistent, and relevant to the population. (a) Programs. All youth shall be provided with the opportunity for at least one hour of daily Section VI, Number 3, Policy I-G programming to include, but not be limited to, trauma focused, cognitive, evidence-based, best practice interventions that are culturally relevant and linguistically appropriate, or pro-social interventions and activities designed to reduce recidivism. These programs should be based on the youth’s individual needs as required by Sections 1355 and 1356. Such ☒ ☐ ☐ programs may be provided under the direction of the 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: 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 65 - 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; Section VI, Number 3, Policy I-G, 1 through 17 (3) Anger Management; (4) Conflict Resolution; (5) Juvenile Justice System; (6) Trauma-related interventions; (7) Victim Awareness; (8) Self-Improvement; (9) Parenting Skills and support; ☒ ☐ ☐ (10) Tolerance and Diversity; (11) Healing Informed Approaches; (12) Interventions by Credible Messengers; (13) Gender Specific Programming; (14) Art, creative writing, or self-expression; (15) CPR and First Aid training; (16) Restorative Justice or Civic Engagement; (17) Career and leadership opportunities; and, (18) Other topics suitable to the youth population. (b) Recreation. All youth shall be provided the opportunity for at least one hour of daily access to Section VI, Number 3, Policy I-H and K unscheduled activities such as leisure reading, letter ☒ ☐ ☐ writing, and entertainment. Activities shall be supervised and include orientation and may include coaching of youth. (c) Exercise. All youth shall be provided with the opportunity for at least one hour of large muscle ☒ ☐ ☐ Section VI, Number 3, Policy I-I activity each day. The administrator/manager may suspend, for a period not to exceed 24 hours, access to recreation and programs. ☒ ☐ ☐ Section VI, Number 3, Policy I-J The administrator/manager shall document the reasons why suspension of recreation and programs occurs. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 66 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1372 RELIGIOUS PROGRAM The facility administrator shall provide access to Section VI, Number 7, Policy I-C and D religious services and/or religious counseling at least once each week. Attendance shall be voluntary. A youth ☒ ☐ ☐ shall be allowed to participate in an activity outside of their room if he/she elects not to participate in religious programs. Religious programs shall provide for: (a) opportunity for religious services and practices; ☒ ☐ ☐ Section VI, Number 7, Policy I-A and B (b) availability of clergy; and, ☒ ☐ ☐ Section VI, Number 7, Policy I-B (c) availability of religious diets. ☒ ☐ ☐ Section VI, Number 7, Policy I-B 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 67 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1373 WORK PROGRAM The facility administrator shall develop policies and Section VI, Number 8 procedures regarding the fair and consistent assignment of youth to work programs. Work assigned to a youth shall be meaningful, constructive and related to On April 8, 2022, ACPO/Superintendent vocational training or increasing a youth's sense of Hockett completed a memo regarding the responsibility. Work programs shall not be imposed as a opportunities for youth to work in and out of disciplinary measure the secure facility perimeter. Youth in detention are responsible for daily chores of cleaning their room and the unit. Yard maintenance and classroom cleaning is completed by more senior youth who have ☒ ☐ ☐ reached a certain level in the facility with good behavior. Youth over 16 are able to receive their food handler’s certificate and they are responsible for serving the meals which come over from the jail. Lastly, youth committed to Steps to Success are able to work outside the facility perimeter to maintain the cleanliness of the building and grounds. 1374 VISITING The facility administrator shall develop and implement Section VI, Number 9, Policy I-A and B written policies and procedures for visiting, that include provisions for special visits. Youth shall be allowed to receive visits by parents, guardians or persons standing The facility is generous with allowing any in loco parentis, and children of youth. Other family ☒ ☐ ☐ person the opportunity to visit a youth that members, such as grandparents and siblings, and offers a positive impact on behavior, or supportive adults, may be allowed to visit with the influence for good transition. This includes approval of the facility administrator or designee, and in any family member or supportive adult, conjunction with the youth’s case plan or in the best generally working within the visitor’s interest of the youth. schedule if outside normal visiting hours. All visits shall occur at reasonable times, subject only to the limitations necessary to maintain order and security. Section VI, Number 9, Policy I-A and R 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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 68 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS Opportunity for visitation shall be a minimum of two hours per week. Visits may be supervised, but ☒ ☐ ☐ Section VI, Number 9, Policy I-E and G conversations shall not be monitored unless there is a security or safety need. Provisions for special visits, in addition to the two-hour minimum and/or outside of the regular visiting hours, Section VI, Number 9, Policy I-H and I shall be accommodated as necessary and within the discretion of the facility administrator or designee. ☒ ☐ ☐ Family therapy and professional visits shall be accommodated outside the provisions of this regulation. Facilities may provide visitation opportunities outside of normal visiting hours to accommodate special visits. The facility may provide access to technology as an alternative, but not as a replacement, to in-person ☒ ☐ ☐ Section VI, Number 9, Policy I-S visiting. 1375 CORRESPONDENCE The facility administrator shall develop and implement ☒ ☐ ☐ Section VI, Number 10 written policies and procedures for correspondence which provide that: (a) there is no limitation on the volume of mail that youth may send or receive; ☒ ☐ ☐ Section VI, Number 10, Policy I-A (b) youth may send two letters per week postage free; Section VI, Number 10, Policy I-B ☒ ☐ ☐ All youth mail is sent postage free. (c) youth may correspond confidentially with state and federal courts, any member of the State Bar or holder Section VI, Number 10, Policy I-C of public office, and the Board; however, authorized ☒ ☐ ☐ facility staff may open and inspect such mail only to search for contraband and in the presence of the youth; and, (d) incoming and outgoing mail, other than that described in (c), may be read by staff only when there is ☒ ☐ ☐ Section VI, Number 10, Policy I-F reasonable cause to believe facility safety and security, public safety, or youth safety is jeopardized. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 69 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1376 TELEPHONE ACCESS Section VI, Number 11 The administrator of each juvenile facility shall develop ☒ ☐ ☐ and implement written policies and procedures to provide youth with access to telephone communications. 1377 ACCESS TO LEGAL SERVICES Section VI, Number 12 ☒ ☐ ☐ The facility administrator shall develop written procedures to ensure the right of youth to have access to the courts and legal services. Such access shall include: (a) access, upon request by the youth, to licensed attorneys and their authorized representatives; ☒ ☐ ☐ Section VI, Number 12, Policy I-A (b) provision for confidential consultation with attorneys; and, ☒ ☐ ☐ Section VI, Number 12, Policy I-B (c) unlimited postage free, legal correspondence and cost-free telephone access as appropriate. ☒ ☐ ☐ Section VI, Number 12, Policy I-C 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 70 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1390 DISCIPLINE The facility administrator shall develop and implement Section VII, Number 1, Policy I-A and B written policies and procedures for the discipline of youth that shall promote acceptable behavior; including the use of positive behavior interventions and supports. The facilities rules and sanctions are clearly Discipline shall be imposed at the least restrictive level identified in many forms for all youth. The which promotes the desired behavior and shall not sanction matrix is rarely used, only for high- include corporal punishment, group punishment, risk behaviors and incidents which are rare. physical or psychological degradation. Deprivation of The PBIS model of respect, responsible and the following is not permitted: safe permeates throughout and youth are generally more interested in earning points for commissary, which is working. We were able to observe youth in unit activities and the classroom, as well as review the Daily Point sheets, and found staff generally respond to discipline issues by following the PBIS philosophy. This is evidenced by the lack of high-risk incidents ☒ ☐ ☐ and demonstrated in our interviews with youth. Staff continue to invest in conversations with youth and their de- escalation of incidents is shown by the separation of youth before an incident occurs. Staff promote positive decision choices, offering options and compromise, which allow a youth to see the benefits of good behavior. Accountability and teaching moments are principles used in the daily operations facility wide. We provided technical assistance to change their 3-level rule system, including Minor, Serious and Major Rules to just Minor and Major. The agency agreed it would be clearer for youth to understand and staff to hold accountable. (a) bed and bedding; ☒ ☐ ☐ Section VII, Number 1, Policy I-C,1 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 71 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (b) daily shower, access to drinking fountain, toilet and personal hygiene items, and clean clothing; ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 2 (c) full nutrition; ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 3 (d) contact with parent or attorney; ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 4 (e) exercise; ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 5 (f) medical services and counseling; ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 6 (g) religious services; ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 7 (h) clean and sanitary living conditions; ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 8 (i) the right to send and receive mail; ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 9 (j) education; and, ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 10 (k) rehabilitative programming. ☒ ☐ ☐ Section VII, Number 1, Policy I-C, 11 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 72 - 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 and disciplinary penalties to guide the conduct of youth. Section VII, Number 1, Policy I-E and F Such rules and penalties shall include both major violations and minor violations, be stated simply and ☒ ☐ ☐ affirmatively, and be made available to all youth. Provision shall be made to provide accessible information to youth with disabilities, limited English proficiency, or limited literacy. 1391 DISCIPLINE PROCESS The facility administrator shall develop and implement Section VII, Number 2 written policies and procedures for the administration of discipline which shall include, but not be limited to: We reviewed 17 the 49 DP incidents since July 2020 and found 14 were actual rule violations. Of those, 13 were accepted without hearing and one was appealed. The process and outcome were appropriate for the behavior and the documentation was ☒ ☐ ☐ clear. The facility continued to over-use DP for minor rule violations and separation incidents. We provided technical assistance to suggest the daily point sheet be the document to address minor rule violations and separation. (a) designation of personnel authorized to impose discipline for violation of rules; ☒ ☐ ☐ Section VII, Number 2, Procedure I-A (b) prohibiting discipline to be delegated to any youth; ☒ ☐ ☐ Section VII, Number 2, Policy I-F (c) definition of major and minor rule violations and their consequences, and due process requirements; Section VII, Number 1, Procedure IV-A ☒ ☐ ☐ through C 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 73 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (d) trauma-informed approaches and positive behavior interventions; ☒ ☐ ☐ Section VII, Number 2, Policy I-D (e) minor rule violations may be handled informally by counseling, advising the youth of expected conduct Section VII, Number 1, Procedure IV-A imposing a minor consequence. Discipline shall be ☒ ☐ ☐ accompanied by written documentation and a policy of review and appeal to a supervisor; and, (f) major rule violations and the discipline process ☒ ☐ ☐ shall be documented and require the following: (1) written notice of violation prior to a hearing; ☒ ☐ ☐ Section VII, Number 2, Procedure I-B (2) accommodations provided to youth with disabilities, limited literacy, and English ☒ ☐ ☐ Section VII, Number 2, Policy I-B language learners; (3) hearing by a person who is not a party to the incident; ☒ ☐ ☐ Section VII, Number 2, Procedure I-D (4) opportunity for the youth to be heard, present evidence and testimony; ☒ ☐ ☐ Section VII, Number 2, Procedure I-F (5) provision for youth to be assisted by staff in the hearing process; ☒ ☐ ☐ Section VII, Number 2, Procedure I-F (6) provision for administrative review. ☒ ☐ ☐ Section VII, Number 2, Procedure I-H (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. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 74 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1410 MANAGEMENT OF COMMUNICABLE DISEASES. Tuolumne County MLRJDF Section VIII, Number 1: Management of Communicable The health administrator/responsible physician, in Diseases cooperation with the facility administrator and the local ☒ ☐ ☐ health officer, shall develop written policies and procedures to address the identification, treatment, This is a comprehensive policy outlining the control and follow-up management of communicable agency response to communicable disease. diseases. The policies and procedures shall address, but not be limited to: (a) Intake health screening procedures; Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-A, 1 Intake Health screening procedures. MLRJDF COVID-19 Screening Form ☒ ☐ ☐ Wellpath Coronavirus Supplemental Screening Form Wellpath MLRJDF COVID-19 Outbreak Control Plan - Booking and Intake Procedures (b) Identification of relevant symptoms; Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-A, 2: Identification of Relevant Symptoms. MLRJDF COVID-19 Screening Form MLRJDF Daily COVID-19 Screening Form ☒ ☐ ☐ Wellpath Coronavirus Supplemental Screening Form Wellpath Patient Monitoring for Positive or Suspected COVID-19 Form Wellpath MLRJDF COVID-19 Outbreak Control Plan - Booking and Intake Procedure #2 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 75 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (c) Referral for medical evaluation; Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-A, 3: Referral for Medical Evaluation Wellpath MLRJDF COVID-19 Outbreak ☒ ☐ ☐ Control Plan - Booking and Intake Procedure #5 Wellpath Nursing Triage for Complaints related to COVID-19 (d) Treatment responsibilities during detention; Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-A, 4: Treatment Responsibilities during Detention Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-C ☒ ☐ ☐ This section provides for immunization, education and treatment in accordance with public health guidelines. Wellpath MLRJDF COVID-19 Outbreak Control Plan - General Quarantine Procedures 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 76 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (e) Coordination with public and private community- based resources for follow-up treatment; Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-A, 5: Coordination with Public and Private Community Based resources for follow-up treatment. Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-G This procedure mandates a public health referral upon discharge. ☒ ☐ ☐ Tuolumne County Public Health Referral Form Wellpath COVID-19 Discharge Instructions Wellpath COVID-19 Patient Education Wellpath COVID-19 Supplemental Discharge (f) Applicable reporting requirements; and, Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-A, 6: Applicable Reporting Requirements Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-G ☒ ☐ ☐ This procedure includes reporting all incidents of disease to the local public health agency. Wellpath MLRJDF COVID-19 Outbreak Control Plan - Communication #3 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 77 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Strategies for handling disease outbreaks. Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-A, 7: Strategies for Handling Disease Outbreaks ☒ ☐ ☐ Tuolumne County MLRJDF Section VIII, Number 1; Procedure I-E and H Wellpath MLRJDF COVID-19 Outbreak Control Plan The policies and procedures shall be updated as necessary to reflect communicable disease priorities The agency works closely with Wellpath identified by the local health officer and currently staff and the local public health agency to recommended public health interventions. ☒ ☐ ☐ ensure proper protocols and processes are in place to address all COVID-19 youth. 1433 REQUESTS FOR HEALTH CARE SERVICES (EXCERPT) Section VIII, Number 12, I-C The health administrator, in cooperation with the facility administrator, shall develop policy and ☒ ☐ ☐ procedures to establish a daily routine for youth to convey requests for emergency and non-emergency medical, dental and behavioral/mental health care services. 1480 STANDARD FACILTY CLOTHING ISSUE Section X, Number 1 The youth’s personal clothing, undergarments and footwear may be substituted for the institutional ☒ ☐ ☐ clothing and footwear specified in this regulation. The facility has the primary responsibility to provide clothing and footwear. Clothing provisions shall ensure that: (a) Clothing is clean, reasonably fitted, durable, easily laundered, in good repair, and free of holes and ☒ ☐ ☐ Section X, Number 1, I-B tears. (b) The standard issue of climatically suitable clothing for youth shall consist of but not be limited to: ☒ ☐ ☐ 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 78 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (1) Socks and serviceable footwear; ☒ ☐ ☐ Section X, Number 1, I-C, 1 (2) Outer garments; ☒ ☐ ☐ Section X, Number 1, I-C, 2 and 3 (3) New non-disposable underwear which shall remain with the youth throughout their stay, ☒ ☐ ☐ Section X, Number 1, I-C, 4 and; (4) Undergarments, that are freshly laundered and free of stains, including tee shirts and bras. ☒ ☐ ☐ Section X, Number 1, I-C, 5 (c) Clothing is laundered at the temperature required by local ordinances for the commercial laundries and Section X, Number 1, Procedure !-D dried completely in a mechanical dryer or other ☒ ☐ ☐ laundry method approved by the local health officer. (d) Suitable clothing is issued to pregnant youth. ☒ ☐ ☐ Section X, Number 1, I-C, 9 1482 CLOTHING EXCHANGE Section X, Number 1, Procedure I The facility administrator shall develop and implement written policies and site-specific procedures for the cleaning and scheduled exchange of clothing. Unless ☒ ☐ ☐ work, climatic conditions, or illness necessitates more frequent exchange, outer garments, except for footwear, shall be exchanged at least once each week. Tee shirts, bras, and underwear shall be exchanged daily; youth shall receive their own underwear back at exchange. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 79 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1484 CONTROL OF VERMIN IN YOUTH’S PERSONAL CLOTHING Section X, Number 2 There shall be written policies and site-specific procedures developed and implemented by the facility ☒ ☐ ☐ administrator to control the contamination and/or spread of vermin and ecto-parasites in all youth’s personal clothing. Infested clothing shall be cleaned or stored in a closed container so as to eradicate or stop the spread of the vermin. 1485 ISSUE OF PERSONAL CARE ITEMS Section X, Number 3, I-A There shall be written policies and site-specific procedures developed and implemented by the facility administrator for the availability of personal hygiene ☒ ☐ ☐ items. Each female youth shall be provided with sanitary napkins, panty liners and tampons as requested. Each youth to be held over 24 hours shall be provided with the following personal care items; (a) Toothbrush; ☒ ☐ ☐ Section X, Number 3, I-A (b) Toothpaste; ☒ ☐ ☐ Section X, Number 3, I-A (c) Soap; ☒ ☐ ☐ Section X, Number 3, I-A (d) Comb; ☒ ☐ ☐ Section X, Number 3, I-A (e) Shaving implements; ☒ ☐ ☐ Section X, Number 3, I-A (f) Deodorant; ☒ ☐ ☐ Section X, Number 3, I-A 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 80 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS (g) Lotion; ☒ ☐ ☐ Section X, Number 3, I-A (h) Shampoo; and, ☒ ☐ ☐ Section X, Number 3, I-A (i) Post-shower conditioning hair products. ☒ ☐ ☐ Section X, Number 3, I-A Youth shall not be required to share any personal care items listed in items (a) through (d). Liquid soap Section X, Number 3, I-A, E, and G provided through a common dispenser is permitted. Youth shall not share disposable razors. Double edged safety razors, electric razors, and other shaving ☒ ☐ ☐ instruments capable of breaking the skin, when shared among youth, shall be disinfected between individual uses by the method prescribed by the State Board of Barbering and Cosmetology in Sections 979 and 980, Chapter 9, Title 16, California Code of Regulations. 1486 PERSONAL HYGIENE Section X, Number 3, I-B and C There shall be written policies and site specific procedures developed and implemented by the facility administrator for showering/bathing and brushing of ☒ ☐ ☐ teeth. Youth shall be permitted to shower/bathe up on assignment to a housing unit and on a daily basis thereafter and given an opportunity to brush their teeth after each meal. 1487 SHAVING Section X, Number 3, Procedure IV Youth shall have access to a razor daily, unless their appearance must be maintained for reasons of identification in Court. All youth shall have equal ☒ ☐ ☐ opportunity to shave face and body hair. The facility administrator may suspend this requirement in relation to youth who are considered to be a danger to themselves or others. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 81 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS 1488 HAIR CARE SERVICES (Excerpt) Section X, Number 3, Procedure V Hair care services shall be available in all juvenile facilities. Youth shall receive hair care services ☒ ☐ ☐ monthly. Equipment shall be cleaned and disinfected after each haircut or procedure, by a method approved by the State Board of Barbering and Cosmetology. 1500 STANDARD BEDDING AND LINEN ISSUE Section XI, Number 1 Clean laundered, suitable bedding and linens, in good ☒ ☐ ☐ repair, shall be provided for each youth entering a living area who is expected to remain overnight, shall include, but not be limited to: (a) One mattress or mattress-pillow combination which meets the requirements of Section 1502 of these ☒ ☐ ☐ Section XI, Number 1, I-B, 1 regulations; (b) One pillow and a pillow case unless provided for in (a) above; ☒ ☐ ☐ Section XI, Number 1, I-B, 1 (c) One mattress cover and a sheet or two sheets; ☒ ☐ ☐ Section XI, Number 1, I-B, 2 (d) One towel; and, ☒ ☐ ☐ Section XI, Number 1, I-B, 4 (e) One blanket or more, up on request ☒ ☐ ☐ Section XI, Number 1, I-B, 3 1501 BEDDING LINEN EXCHANGE Section XI, Number 1, Procedure I The facility administrator shall develop and implement site specific written policies and procedures for the scheduled exchange of laundered bedding and linen ☒ ☐ ☐ issued to each youth housed. Washable items such as sheets, mattress covers, pillow cases and towels shall be exchanged for clean replacement at least once each week. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 82 - J453 JUV PRO-Eff. 01-01-2019 TITLE 15 SECTION YES NO N/A P/P REFERENCE - COMMENTS The covering blanket shall be cleaned or laundered once a month. ☒ ☐ ☐ Section XI, Number 1, Procedure I-E 1510 FACILITY SANITATION, SAFETY AND MAINTENANCE Section XII, Number 1 The facility administrator shall develop and implement written policies and site-specific procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. The plan shall provide for a regular schedule of housekeeping tasks, ☒ ☐ ☐ equipment, including restraint devices, and physical plant maintenance and inspections to identify and correct unsanitary or unsafe conditions or work practices in a timely manner. The use of chemicals shall be done in accordance to the product label and Safety Data Sheet which may include the use of Personal Protection Equipment (PPE). 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 83 - J453 JUV PRO-Eff. 01-01-2019 REVIEW OF NON REGULATORY REQUIREMENTS GRANT FUNDING OR CODE REFERENCE YES NO N/A P/P REFERENCE - COMMENTS JUVENILE PROBATION AND CAMPS FUNDING (JPCF) (Camps Only) The programs/services identified on the JPCF – Camp Allocation Eligibility Form are being provided at the ☒ ☐ ☐ facility. (Refer to the JPCF Program Agreement, Attachment B) 208.5 WIC CONTACT BETWEEN PERSONS UNDER THE JUVENILE COURT AGES 19- 20 AND MINORS IN THE FACILITY The facility houses Juvenile Court Wards 19 years of ☒ ☐ ☐ age and older. The facility has been approved to hold persons under ☒ ☐ ☐ the juvenile court who are ages 19 through 21. The facility continues to comply with the requirements of 208.5 WIC (programming, capacity and security of ☒ ☐ ☐ the facility) as outlined in the county’s application. JUVENILE JUSTICE DELINQUENCY PREVENTION ACT MONITORING (JJDPA) WIC 206 SEPARATE FACILITIES FOR WIC 300 MINORS Dependent or neglected minors who are defined under ☐ ☐ ☒ Section 300 of the Welfare and Institutions Code Violation (WIC) are held only in non-secure, separate and segregated facilities. DETENTION OF STATUS OFFENDERS (WIC 601) AND FEDERAL MINORS ☐ ☒ ☐ Status Offenders (WIC 601) are held in the facility. Status Offenders (WIC 601) are kept separate from ☐ ☐ ☒ Juvenile Delinquents (WIC 602)? (WIC 207[d]). Violation Federal Minors (ICE Holds or ORR Contract) are held ☐ ☒ ☐ in the facility. If yes to the above, the Monthly Report on the Detention of Status Offenders/Federal Minors is ☐ ☐ ☒ submitted to the BSCC. WIC 208 SEPARATION OF MINORS AND ADULT INMATES (JJDPA 42 USC 5633, Sec 223, State Plans (a)[12]) Are adult inmates held in the facility? (When a person ☐ ☒ ☐ in detention is proceeding through the adult court, AND that person is 18 years of age or older that person is an adult inmate.) If adult inmates are held, they are appropriately ☐ ☐ ☒ separated from minors. Violation Adult inmates from an adult facility (e.g. inmate workers or “Scared Straight” programs) are not allowed ☐ ☐ ☒ in the facility in a manner that allows contact with Violation minors. 7716 7718 Tuolumne JDF and Steps to Success JH Camp 20-22 - 84 - J453 JUV PRO-Eff. 01-01-2019 JUVENILE HALLS, SPECIAL PURPOSE JUVENILE HALLS AND CAMPS PHYSICAL PLANT EVALUATION Board of State and Community Corrections APPLICABLE TITLE 24 REGULATIONS: 4/98; 2001; 2003; 2009; 2014; 2018 BSCC Code: 7116 7118 FACILITY NAME: Tuolumne County Regional Mother Lode Juvenile Detention Facility and FACILITY TYPE: JH and Camp Steps to Success 4/98: 2001: 2003: 2009: 2014: 2018: APPLICABLE REGULATIONS (Check All That Apply): XX FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 4, 2022 TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.1 Reception/intake admission. In each juvenile hall, space used for the reception of youth pending admission to juvenile hall shall have the following space and equipment: 1. Weapons lockers as specified in Section 1230.2.9; X There are 10-gun lockers in the sally port. 2. A secure room for the confinement of youth pending admission to juvenile hall as specified in Section 1230.1.2; There are 3 holding rooms in the In each juvenile hall, camp and ranch, space used for the X intake/booking area, all with a toilet combo reception of youth pending admission to these facilities shall unit. have the following space and equipment: 3. Access to a shower; There is an Intake shower in booking area, X adjacent to the holding rooms and next to clothing storage and inventory. 4. A secure vault or storage space for youth, valuables; X 5. Telephone accessible to youth; and X 6. Access to hot and cold running water for staff use. X 1230.1.2 Locked holding room. There are 3 holding rooms in the A locked holding room shall: Intake/Booking area. 1. Contain a minimum of 15 square feet of floor area per X youth; 2. Provide no less than 45 square feet of floor space and have X a clear ceiling height of 8 feet or more; 3. Contain seating to accommodate all youth as specified in X Section 1230.2.8; 4. Be equipped with a toilet, wash basin, mirror and drinking fountain unless as specified in Section 1230.2, unless a X procedure is in effect to give the youth access to a toilet, wash basin and drinking fountain; 5. Maximize visual supervision of youth by staff; and X 6. Have an outward swinging or lateral sliding door. X 7116 7118 Tuolumne JDF and Steps to Success JH Camp 20-22 - 1 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.3 Natural light. Outer-facing exterior windows where youth’s privacy is not at risk shall be provided in locked sleeping rooms, single occupancy sleeping rooms, double occupancy sleeping X rooms, dormitories and dayrooms. Natural light may be provided by, but is not limited to, skylights or windows in dayrooms, windows in adjacent exterior exercise areas, and in sleeping rooms and/or dormitories. 1230.1.4 Corridors X Corridors in living areas shall be at least eight feet wide. 1230.1.5 Living unit. A living unit shall be a self-contained unit containing locked sleeping rooms, single and double occupancy sleeping X rooms, or dormitories, dayroom space, toilet, wash basins, drinking fountains and showers commensurate to the number of youth housed. A living unit shall not be divided in a way that hinders direct access, supervision, immediate intervention or other action X if needed. In juvenile halls, the number of youth housed in a living unit shall not exceed 30. 1230.1.6 Locked sleeping rooms. The individual rooms are in excess of Locked sleeping rooms shall be equipped with an individual X required space. or combination toilet, wash basin, mirror and drinking fountain. Doors to locked sleeping rooms shall swing outward or slide X laterally. 1230.1.7 Single occupancy sleeping rooms. The individual rooms are in excess of Single occupancy sleeping rooms shall provide the X required space. following: 1. A minimum of 70 square feet of floor area; 2. A minimum ceiling height of eight feet; and, X 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a minimum of X 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. X 1230.1.8 Double occupancy sleeping rooms. The double rooms are in excess of required Double occupancy sleeping rooms shall provide the X space. following: 1. A minimum of 100 square feet of floor area; 2. A minimum clear ceiling height of 8 feet and a X minimum width of 7 feet; and, 3. The door into this room shall swing outward or slide laterally and be provided with a view panel, a minimum of X 144 square inches, constructed of security glazing. 4. Contain a bed as specified in 1230.2.5. X 7116 7118 Tuolumne JDF and Steps to Success JH Camp 20-22 - 2 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.9 Dormitories Dormitories shall provide the following: 1. A minimum of 50 square feet of floor area per youth X with the minimum size of a dormitory being 200 square feet of floor area and a minimum 8-foot clear ceiling height; 2. Designed for no fewer than four youth; X 3. Dormitories in juvenile halls shall be designed for no X more than 30 youth; 4. Camps shall conform to Items 1 and 2. X 1230.1.10 Dayrooms The dayroom space exceeds minimum Dayrooms shall contain 35 square feet of floor area per X standards and the design promotes youth, contain tables and seating to accommodate the comfortable living and recreation space. maximum numbers of youth allowed access at a given time. Access must be provided to toilets, wash basins, drinking X fountains and showers as specified in Section 1230.2. 1230.1.11 Physical activity and recreation areas. Indoor and outdoor space exceeds minimum Indoor/outdoor physical activity and recreation areas shall standards for rated space. be designed as follows: 1. Minimum indoor outdoor recreation space for facility X capacity: 40 or less is 9,000 square feet; 41-274 is 225 square feet per youth up to 61,650 square feet; 275 or more is 61,650 square feet, plus 145 square feet for each youth beyond 274 [up to a maximum of 87,120 square feet] 1.1 At least one quarter of the dedicated indoor/outdoor space shall be a paved or like surface. There is a full basketball space in the X recreation space. 1.2 The required recreation area shall contain no single X dimension less than 40 feet. 2. A portion of the dedicated space for physical activity and recreation shall be out-of-doors and be sufficient size and equipped in such a manner to allow compliance with X Title 15, Section 1371, which requires at least one hour per day of outdoor activity for each detained youth. 3. Lighting of outdoor recreation areas shall be provided X to allow for evening activities and to provide security. 4. Access must be provided to a toilet, wash basin and drinking fountain as specified in Section 1230.2. There is a drinking fountain and sink X outdoors, youth needing to use the restroom are taken inside the facility. 1230.1.12 Academic classrooms. X There shall be a dedicated classroom space for every juvenile in every facility. The primary purpose for the academic classroom shall be X for education. 7116 7118 Tuolumne JDF and Steps to Success JH Camp 20-22 - 3 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Each academic classroom shall contain a minimum of 160 square feet of floor space for the teacher’s desk and work Each classroom is 693’ and exceeds area and a minimum of 28 square feet of floor space per minimum space requirements. The second minor. X classroom has been transformed into a library. A communication system shall be provided in each X classroom to allow for immediate response to emergencies. The classroom shall be designed for a maximum of 20 X minors. There shall be space available in every juvenile facility that may be used for specialized, one-on-one or small group X educational purposes. 1230.1.13 Safety room. There is no safety room at the facility. A safety room shall: X 1. Contain a minimum of 48 square feet of floor area and a minimum clear ceiling height of 8 feet; 2. Be limited to one youth; X 3. Be padded as specified in Section 1230.2.7; X 4. Provide one or more vertical view panels constructed of security glazing. These view panels shall be no more than 4 X inches wide nor less than 24 inches long, which shall provide a view of the entire room; 5. Provide an audio monitoring system as specified in X Section 1230.1.22; 6. Contain a flushing ring toilet, capable of accepting solid waste, mounted flush with the floor, the controls for which X must be located outside of the room; 7. Be equipped with a variable intensity, security-type X lighting fixture with controls located outside the room; 8. Any wall or ceiling-mounted devices must be designed X to prohibit access to the youth occupant; and, 9. Provide a food pass with lockable shutter, no more than 4 inches high, and located between 26 inches and 32 inches X as measured from the bottom of the food pass to the floor. 1230.1.14 Medical examination room. X There must be a minimum of one suitably equipped medical examination room in every juvenile facility. Medical examination rooms shall provide the following: X 1. Space for carrying out routine medical examinations and emergency care and used for no other purpose; 2. Privacy for youth; X 3. Lockable storage space for medical supplies; X 4. Not less than 144 square feet of floor space with no single dimension less than 7 feet; X The exam room is 9’ x 18’. 5. Hot and cold running water; X 6. Smooth, nonporous, washable surface; X 7. A medical exam table; and, X 7116 7118 Tuolumne JDF and Steps to Success JH Camp 20-22 - 4 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 8. Adequate lighting. X 1230.1.15 Pharmaceutical storage. There are 2 locked refrigerator/freezers and Provide lockable storage space for medical supplies and X numerous locking cabinets in the locked pharmaceutical preparations as specified by Title 15, Pharmacy. Section 1438. 1230.1.16 Dining areas. Youth consume meals in the dayroom space. Dining areas in juvenile facilities shall contain a minimum X of 15 square feet of floor space and sufficient tables and seating for each person being fed. Persons being fed include youth, staff and visitors. X Dining areas shall not contain toilets or showers in the same X room without appropriate visual barrier. 1230.1.17 Visiting space. Space shall be provided in all juvenile facilities for in-person X visiting which shall be unobstructed by barriers such as, but not limited to, security glazing for mesh. 1230.1.18 Institutional storage. Youth’s personal property is stored in a One or more storage rooms shall be provided to X sealed bag in the Property Storage room at accommodate a minimum of 80 cubic feet of storage space Intake. per minor. Items to be stored shall be institutional clothing, bedding, X supplies and activity equipment. 1230.1.19 Personal storage. There is sufficient storage for youth property, Each youth in a juvenile facility shall be provided with a X with vermin protocols in the same location. minimum of 9 cubic feet of secure storage space for personal clothing and belongings. 1230.1.20 Safety equipment storage. In all juvenile facilities, a secure area shall be provided for X the storage of safety equipment, such as fire extinguishers, self-contained breathing apparatus, wire and bar cutters, emergency lights, etc. 1230.1.21 Janitorial closet. In all juvenile facilities, at least one securely lockable X janitorial closet, containing a mop sink and sufficient area for the storage of cleaning implements, must be provided within a security area of the facility. 1230.1.22 Audio monitoring system. In safety rooms, locked holding rooms, locked sleeping X rooms, single and double occupancy rooms and dormitories, there must be an audio monitoring system capable of actuation by the minor that alerts personnel. 7116 7118 Tuolumne JDF and Steps to Success JH Camp 20-22 - 5 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.1.23 Emergency power. There shall be a source of emergency power in all juvenile facilities capable of providing minimal lighting in all living X units, activities areas, corridors, stairs and central control points, and to maintain fire and life safety, security, communications and alarm systems (Title 24, Part 2, Chapter 27). Such an emergency power source shall conform to the requirements specified in Title, 24, Part 3, Article 700, X California Electrical Code, California Code of Regulations. 1230.1.24 Confidential interview room. There are 3 separate interview rooms in the Confidential interview rooms shall contain a minimum of 60 X booking area, two of which allow for no- square feet of floor area. contact visiting and other interview needs. In juvenile halls there shall be a minimum of one suitably X furnished interview room for each 30 youth. In camps there shall be a minimum of one suitably furnished X interview room for each facility. This interview room shall provide for confidential X consultations with youth. 1230.1.25 Special-purpose juvenile halls. Special-purpose juvenile halls shall conform to all minimum X standards for juvenile facilities contained in this section with the following exceptions: 1. Physical activity and recreation areas as specified in X Section 1230.1.11; 2. Academic classrooms as specified in Section X 1230.1.12; 3. Medical examination room as specified in Section X 1230.1.14; and, 4. Dining areas as specified in Section 1230.1.16. X 1230.1.26 Court holding room for youth. A court holding room shall: X 1. Contain a minimum of 10 square feet of floor area per youth; 2. Be limited to no more than 16 youth; X 3. Provide no less than 40 square feet of floor area and X have a ceiling height of 8 feet or more; 4. Contain seating to accommodate all youth as specified X in Section 1230.2.8; 5. Contain a toilet, wash basin and drinking fountain as X specified in Section 1230.2; 6. Maximize visual supervision of youth by staff; and, X 7. A mirror of material appropriate to the level of security X shall be provided as specified in Section 1230.2.11. 1230.1.27 Programs and activity areas. All juvenile facilities shall include adequate space for X specific programs in addition to recreation and exercise areas. 7116 7118 Tuolumne JDF and Steps to Success JH Camp 20-22 - 6 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS 1230.2.1 Toilets/urinals. All toilet areas shall provide privacy for the youth and help X reduce the risk of voyeurism without mitigating staff’s ability to supervise. Toilets must be available in a ratio to youth as follows: X 1. Juvenile halls 1:6; 2. Camps 1:10; and X 3. Locked holding rooms 1:8: X One toilet and one urinal may be substituted for every 15 X males. 1230.2.2 Wash basins. In living units, wash basins must be available in a ratio to X youth as follows: 1. Juvenile halls 1:6; 2. Camps 1:10; and X 3. Locked holding rooms 1:8: X Wash basis must be provided with hot and cold or tempered X water. 1230.2.3 Drinking fountains. X In living areas and indoor and outdoor recreation areas, drinking fountains must be accessible to youth and to staff. 1. The drinking fountain bubbler shall be on an angle which prevents waste water from flowing over the drinking X bubbler; and, 2. The water flow shall be actuated by a mechanical X means. 1230.2.4 Showers. Shower areas shall provide privacy for the youth and help X reduce the risk of voyeurism without mitigating staff’s ability to supervise. Showers shall be available to all youth on a ratio of at least one shower or bathtub to every six youth. Showers shall be X provided with tempered water. 1230.2.5 Beds. X Beds shall be at least 30 inches wide and 76 inches long and be of the solid bottom type. Beds shall be at least 12 inches off the floor and spaced no X less than 36 inches apart Bunk beds must have no less than 33 inches vertically X between the solid bottoms. In secure facilities, the bunks shall be securely anchored and X flushed against the floor and/or wall. 1230.2.6 Lighting. Lighting in locked sleeping rooms, single occupancy rooms, X double occupancy rooms, dormitories, day rooms and activity areas shall provide not less than 20 foot candles of illumination at desk level. 7116 7118 Tuolumne JDF and Steps to Success JH Camp 20-22 - 7 - J456 PHY 98 01 03 09 14 18 dot TITLE 24 SECTION YES NO N/A COMMENTS Night lighting is required in these areas to provide for good X visibility for supervision and be conducive to sleep. 1230.2.7 Padding. Padding in safety rooms, padding shall cover the entire X floor, door, walls and everything on walls to a clear height of eight feet. Benches or platforms are not to be placed on the floor of this X room. All padded rooms must be equipped with a tamper resistant X fire sprinkler as approved by the State Fire Marshal. All padding must be: X 1. Approved for use by the State Fire Marshal; 2. Nonporous to facilitate cleaning; X 3. At least 112 inch thick; X 4. Of a unitary or laminated construction to prevent its X destruction by teeth, hand tearing or small metal objects; 5. Firmly bonded to all padded surfaces to prevent tearing X or ripping; and, 6. Without any exposed seams susceptible to tearing or X ripping. 1230.2.8 Seating. X Seating shall be designed for the level of security. When bench seating is used, 18 inches of bench is seating X for one person. 1230.2.9 Weapons lockers. X Weapons lockers are required in all secure juvenile facilities and shall be located outside the secure area of the facility. Weapons lockers shall be equipped with individual X compartments, each with an individual locking device. 1230.2.10 Security glazing. Security glazing shall comply with the minimum requirements of one of the following test standards: X American Society for Testing and Materials, ASTM F 1233- 98, Class III glass, or; California Department of Corrections, CDC 860-94d, Class C glass or; H.P. White Laboratory, Inc., HPW-TP-0500.02, Forced Entry Level III. 1230.2.11 Mirrors. A mirror of a material appropriate to the level of security X must be provided near each wash basin specified in these regulations. 7116 7118 Tuolumne JDF and Steps to Success JH Camp 20-22 - 8 - J456 PHY 98 01 03 09 14 18 dot JUVENILE DETENTION FACILITY LIVING AREA SPACE EVALUATION Board of State and Community Corrections BSCC Code: 7716 7118 FACILITY: TYPE: RC: Tuolumne County Mother Lode Regional Juvenile Detention Facility (TCMLRJDF) JH 30 (25) Steps to Success Camp (5) FIELD REPRESENTATIVE: Elizabeth Gong DATE: May 2-5, 2022 ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # RC RC (L x W x H) T U W F S Beds Intake/Booking #C123 Holding 2009 1 7’x10’8”x8’2” 1 1 1 #C124 Holding 2009 1 7’1”x10’8”x8’2” 1 1 1 #C125 Holding 2009 1 11’11”x10’8”x8’2” 1 1 1 Note: There is one contact visiting room in Intake/Booking (C122) that is being used as an office for the facility assigned Behavior Health staff/Deputy Probation Officer who responds to new bookings. There are three no-contact visiting spaces in Intake/Booking (C119-C120), one of which is ADA compliant (C121). First Floor Rooms #101 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1 #102 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1 #103 Double 2009 1 2 2 2 9’9” x 11’4” x 8’2” 1 1 1 #104 Double 2009 1 2 2 2 9’9” x 11’4” x 8’2” 1 1 1 #105 Single 2009 1 1 1 1 6’11” x 11’4” x 8’2” 1 1 1 #106 Single 2009 1 1 1 1 9’6” x 11’4” x 8’2” 1 1 1 #107 Single 2009 1 1 1 1 6’10” x 11’4” x 8’2” 1 1 1 #108 Single 2009 1 1 1 1 9’6” x 11’4” x 8’2” 1 1 1 Note: Room 101 to 105 are designated S2S beds. Although Rooms 101 to 104 are double cells, the facility is using them as single cells at present. Room 106 is an ADA cell. Second Floor Rooms #201 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1 #202 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1 *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7716 7118 Tuolumne JDF and Step to Success JH Camp LASE 20-22 - 1 - ROOMS EACH ROOM Cell Applicable # EACH CELL Total DIMENSIONS FIXTURES* Location Type Standards Cells # RC RC (L x W x H) T U W F S Beds #203 Double 2009 1 1 1 1 9’6” x 11’4” x 8’2” 1 1 1 #204 Double 2009 1 1 1 1 9’9” x 11’4” x 8’2” 1 1 1 #205 Double 2009 1 2 2 2 10’5” x 11’4” x 8’2” 1 1 1 #206 Double 2009 1 2 2 2 10’5” x 11’4” x 8’2” 1 1 1 #207 Single 2009 1 2 2 2 6’11” x 11’4” x 8’2” 1 1 1 #208 Single 2009 1 2 2 2 7’3” x 11’4” x 8’2” 1 1 1 #209 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1 #210 Double 2009 1 2 2 2 9’6” x 11’4” x 8’2” 1 1 1 Living Area Dayroom 2009 43’8” x 64’ 4 4 5 Note: The day room is 2794’, less the control station and stairwell. Youth use this space for dining and indoor activities. There is 1 ADA shower. Indoor Rec 2009 22’7” x 40’ 1 1 Note: This space is 903’2” and used for indoor recreation or large muscle in the event of inclement weather. Classroom 2009 2 22’ x 31.5” Note: The facility is only using one classroom due to low population, however, has turned the other classroom in to a Library. There is sufficient classroom space, 693 square feet, just off of the dayroom. The facility has significant outdoor spaces, both grass and cement, including basketball court, garden area and soccer field. *T = Toilets; U = Urinals; W = Wash Basins; F = Fountains; S = Showers in unit. If "Total RC" appears in brackets ( ), it is not part of the facility's rated capacity. "+" indicates that capacity includes prorated air space from adjacent areas. 7716 7118 Tuolumne JDF and Step to Success JH Camp LASE 20-22 - 2 -