Department Responses Response Required 2014 Responses Cgj Year Report Title Recommendation (implementation) 2014

R1a

The City’s policy for limited-time temporary disability Sherriff’s Department payments should be followed for the Sheriff’s Department, thereby eventually moving any work injury claim to permanent disability status and financial closure of those claims, opening positions for new hires 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails Board of Supervisors 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R1b: The Board of Supervisors should request an audit conducted by the Budget and Legislative Analyst of payments made on behalf of the Sheriff’s Department for workers compensation claims and related overtime costs. R1c: The Sheriff’s Department should review its safety programs with the Workforce Development Division, analyze the cause of worker injuries, and update safety education programs for both staff and inmates. 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R1c: The Sheriff’s Department should review its safety programs with the Workforce Development Division, analyze the cause of worker injuries, and update safety education programs for both staff and inmates. Department of Human Resources 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R1d: Communication between the Sheriff’s Department and the Sherriff’s Department appropriate City personnel in the Worker’s Compensation Division who adjust workers’ compensation claims should occur on a regular basis to review ongoing status of all outstanding claims. 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R1d: Communication between the Sheriff’s Department and the Department of Human Resources appropriate City personnel in the Worker’s Compensation Division who adjust workers’ compensation claims should occur on a regular basis to review ongoing status of all outstanding claims. This recommendation has Over the last year the DHR Workers’ Compensation Division revamped its claims team for the Sheriff’s Department and implemented a close been implemented communications process. The DHR Workers’ Compensation Division claims team communicates on a weekly basis with the assigned staff at the Sheriff’s Department to review ongoing status of outstanding claims, and regularly conducts claim reviews to ensure claims are being brought to closure. 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R2a: The Sheriff’s Department should review and update all policies Sherriff’s Department and procedures for conducting daily activities, and planning and preparing for emergencies every 2 years. Implemented RECOMMENDATIONS AND

R1b

The Board of Supervisors should request an audit conducted

R1c

The Sheriff’s Department should review its safety programs

R1d

Communication between the Sheriff’s Department and the

R2a

The Sheriff’s Department should review and update all policies Sherriff’s Department

R2b

Inmates admitted to general wards at San Francisco General Sherriff’s Department Hospital must be guarded. Procedures for both nighttime and daytime staffing should be immediately reviewed and all policy and procedure documents updated. 2014 Response Text All inmates admitted to general wards of San Francisco General Hospital are guarded, with rare exceptions, such as those situations provided for pursuant to Penal Code Section 4011.7 and 4011.9. Policy and procedures are reviewed and updated every two years as required by BSCC and Title 15. All inmates admitted to locked jail wards of San Francisco General Hospital (Wards 70 and 7L) are under the supervision of the sheriff s department personnel. A designated sheriff s sergeant is assigned to these wards and is in continuous contact with SFGH administration to determine and implement staffing and policy needs. However, Ward 70 does not always remain open. For the period of February - August, 2014, Ward 70 was only open for 16 days. During the times when 7D is closed, as determined by the Department of Public Health (DPH), inmates are moved to other open hospital wards for medical care. A minimum of one deputy is assigned to guard each inmate. Additional deputies are required to guard an inmate when the inmate has been determined to pose an increased public safety risk. When the jail ward is closed, the cost of the deputies to guard inmates in the open wards is usually paid on overtime, due to the changed staffing needs that this assignment requires. County Jail #5 is the newest jail facility for San Francisco inmates and houses a medical unit that is not adequately utilized. Additional medical services should be administered through this facility which would reduce the number of inmates requiring transport to, and supervision at SFGH. Providing enhanced services at the facility level would mitigate the staffing challenges required to transport an inmate to SFGH. As the BSCC confirmed in their July 2013 inspection, "with staffing levels very low it becomes challenging to carry out everyday duties when staff is called upon unexpectedly to transport inmates." 2013-14 R2b: Inmates admitted to general wards at San Francisco General Department of Public Health Hospital must be guarded. Procedures for both nighttime and daytime staffing should be immediately reviewed and all policy and procedure documents updated. R2c: Inmates are transferred between SFPD stations and when Sherriff’s Department necessary, to San Francisco General Hospital. Procedures for any transfers should be clarified and established as a Policy & Procedure document. Recommendation already Per SFGH Administrative policies 6.06 Care of Custody/Forensic patients at SFGH Acute Care Units and 16.22 Prisoner/Patient: Treatment and transport implemented through SFGH, SFGH has specified policies and procedures in place for ensuring patients in custody are always guarded by the arresting agency or SFSD. (SFGH Administrative policies 6.06 and 16.22 were attached to response) Implemented - ongoing Recent policy and procedures regarding inmates being transferred between SFPD stations and SFGH have been updated and implemented in coordination with the Station Transfer Unit program commenced in July, 2014.The Station Transfer Unit program is a pilot program between the San Francisco Police Department and the sheriff's department for the sheriff to provide inmate transportation from the police station to the sheriff s intake facility or to SFGH, when needed. The pilot program includes transfers from Mission Station and Tenderloin Station. The pilot program runs through 2014. Further, the department is in the process of preparing the Emergency Room Forensic Patient Policy for how individuals in custody are safely transported to SFGH emergency room from a custody facility or police station. This policy is expected to be finalized in October, 2014. The San Francisco Sheriff s Department (SFSD) and the SFPD entered into a Letter of Agreement (LOA) for a six-month pilot project that began July 19, 2014, for district station transportation services at two stations, Tenderloin and Mission. Section 1.4 "Scope of Service" of the LOA sets out the parameters under which the SFSD assumes responsibility for SFPD custodies from Mission and Tenderloin stations. Until SFSD personnel assume responsibility for a custody, SFPD members are required to adhere to all established SFPD policies, procedures and protocols relating to booking, detention and handling of inmates. 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R2c: Inmates are transferred between SFPD stations and when San Francisco Police Department necessary, to San Francisco General Hospital. Procedures for any transfers should be clarified and established as a Policy & Procedure document. Implemented 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R2c: Inmates are transferred between SFPD stations and when Department of Public Health necessary, to San Francisco General Hospital. Procedures for any transfers should be clarified and established as a Policy & Procedure document. Recommendation already Per SFSD Standing Procedure Hospital Transport/Deputy Protocol there is a specified procedure for ensuring patients in custody are safely transported implemented between SFGH and the county jail. In addition, the Inpatient Forensic Psychiatric Unit has specific guidelines they follow when transferring patients back to the county jail that includes a clinical handoff to Jail Psychiatric Services staff prior to transfer. These guidelines are documented in SFGH Administrative policies 6.03 Jail Health Services: Emergency Psychiatric Evaluation and Treatment of Prisoner/Patients and 6.04 Forensic Service: Admission of the Prisoner/Patient to the 7L Psychiatric Unit at San Francisco General Hospital Medical Center. SFGH Administrative policies 6.03 and 6.04 are attached. The SFSD and SFPD are in the process of developing a policy and procedure to address the specific recommendation regarding how people in custody are safely transported between SFPD stations and when necessary to SFGH. This pending policy is in draft form and is expected to be finalized October, 2014. 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R2d: During transfers, inmates may be intoxicated or needing minor Sherriff’s Department medical care. Procedures for handling this situation should be clarified with the Department of Health to establish a policy and procedure document. Implemented RECOMMENDATIONS AND

R2c

Inmates are transferred between SFPD stations and when

R2d

During transfers, inmates may be intoxicated or needing minor Department of Public Health medical care. Procedures for handling this situation should be clarified with the Department of Health to establish a policy and procedure document. 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R3a: The Sheriff’s Department should review and revise its written Orientation Guide for incoming inmates regarding safety, behavior standards, and daily routines. 2013-14 Inquiry into the Operation and Programs of the San Francisco Jails R3b: Appropriate reading level should be ascertained and applied to Sherriff’s Department the guidelines in

R3a

Education professionals will be included in this evaluation and update of the orientation guide. 2013-14 Inquiry into the Operation and Programs R4a: An Advisory Committee of educators and industry Sherriff’s Department Requires Further Analysis The Five Keys Charter School has a board of directors, including the sheriff and community members, who develop the program including the of the San Francisco Jails professionals should be organized to advise each Five Keys program development of goals and practices to expand student attendance, academic studies, and job preparation. Other programs have their own advisory on further development of goals and practices to expand student committees. As an example, The Women's Resource Center, which provides services to women post release, is advised by the Gender Responsive attendance, academic studies, and job preparation. Blueprint. In addition to the varied educational programming offered by the Five Keys Charter School, the department is home to the following educational and newly implemented vocational programs: Solar Design and Installation Training - participants learn solar design and installation techniques. The curriculum teaches information allowing participants to study for and eventually take the North American Board of Certified Energy Practitioners Exam and offers job placement assistance. Digital Arts Training - participants learn digital media tools, including HD video cameras. All participants receive a one year membership to the Bay Area Video Coalition, allowing access to variety of technology and art classes. Cisco Academy - participants receive computer networking essentials and instruction in computer troubleshoot ng, repair and installation. The curriculum teaches information allowing participants to eventually take the Cisco Networking Essentials Certification exam. San Francisco City College - City College, in a pilot program in collaboration with Five Keys Charter School, began offering two college courses in the Spring 2014. Current courses are prerequisites for their Drug and Alcohol Counseling and Prison Health Worker Certification programs .Roots of Success - a new job readiness curriculum offered by Five Keys is being implemented which increases students' academic, professional, and leadership skills. This program is specifically designed for students who have barriers to employment and provides information about employment and social enterprise opportunities and provides training to increase job related search and interview skills. Construction Training - a program is being created to provide training and a direct link to construction employment opportunities. Culinary Arts - currently, the Serve Safe certification program is offered to male and female inmates. A student is provided training to take the exam to become a state certified food handler. A program is being created to further provide vocational training and supported employment opportunities for women, post release. This program will be located in the Women's Resource Center, a resource facility focused on assisting women post release. Urban Gardening - a program combining classroom study and on-hands gardening experience at the sheriff s San Bruno property. NoVA - No Violence Alliance. This program is an individual intensive case management program for males providing education, employment counseling, substance abuse counseling, therapy, and housing support. NoVA is offered at 70 Oak Grove, the post release facility for men. Further analysis and discussion is needed in order to determine whether an advisory board would be an effective tool to further the accomplishments already being made by Five Keys, this department and the varied community partners. 2013-14 Inquiry into the Operation and Programs R4b: Further outreach into the community should be accomplished Sherriff’s Department Requires Further Analysis The programs described in

R3b

Appropriate reading level should be ascertained and applied to Sherriff’s Department

R4a

An Advisory Committee of educators and industry

R4b

Further outreach into the community should be accomplished Sherriff’s Department