Shasta County Grand Jury Final Report

Recommendations 4

• R1
  The Shasta County Board of Supervisors approves and implements theexisting reclassification proposalof the Eligibility Worker position by December 31,2024.
• R2
  The Shasta County Board of Supervisors establishes a permanent training center, large enough to supply a full contingent of new Eligibility Workers by December 31,2024.
• R3
  By June 30, 2025, the Shasta County Board of Supervisors conducts a cost analysis of overtime and attrition of the Eligibility Worker 1 position during training and during the first year of employment.
• R4
  By December 31, 2024, the Shasta County Sheriff-Coroner update the policies and enforce daily environmental cleaning of all surfaces in common areas and cells to reduce the spread of MRSA, and to regularly inspect and document the cleaning to ensure it was performed to standards. Response to R4: The recommendation will not be implemented because its neither waiTanted nor reasonable. As similarly outlined in the earlier response to F4, incarcerated individuals will maintain responsibility for cleanliness of their assigned cells due to safety and security reasons. However, a cleaning solution log will be created to identify when cleaning supplies are issued/received for each housing unit. This will enable a tracking system to identify and record what cleaning supplies enter and exit the housing units. Moving forward, our personnel will also monitor cleaning of the common areas and dayroom by making a log-entry in our Spillman Jail Management System (TMS) when those areas are cleaned by inmate work crews on a nightly basis. These additions will be added to our current policy and a training bulletin will be issued. RS. By December 31, 2024, the Shasta County Sheriff-Coroner direct Wellpath to provide in­ service training, preferably by a local physician with expertise in wound care, on standard practices for the prevention, assessment, treatment, and documentation of MRSA and MRSA skin and soft tissue infections. Response to RS: The recommendation has been implemented. In-service training will be provided to Wellpath staff on wound care, standard practices for prevention, assessment, treatment, documentation of MRSA and MRSA soft tissue infections. The in-service training will be conducted by Kelly A. Kynaston, DO and Matthew Miles, MD of Mercy Medical Center. At the time of this response, the date has not been determined; however, it will be completed by December 31, 2024. Additional Remarks: The Shasta County Sheriffs Office respects the Grand Jury's review of infectious disease control within the Shasta County Jail. The Grand Jury's review, review, constructive criticism, and suggestions for improvement are aimed at lowering the spread of contagious diseases in the jail. The revisions and implementations will better assist the offender population while making the Custody Division a safer place to work. Although the Sheriffs Office did not implement each recommendation, the Grand Jury's input helped improve the organization's service, efficiency, and future approach to mitigating the spread of infectious disease among the inmate population. Respectfully Submitted, Sheriff - Coroner 4 , .. =-~ Wellpath Shasta County California wellpatn To hope and healing. Policies & Procedures TITLE: HCD-110_8-02 Infectious Disease Prevention and REFERENCE: 77153 Control --Shasta CA PAGE: 1 OF 6 VERSION:4 APPROVER:~n~n.Damon SUPERSEDES: v.3 HCD-11 0_B-02 Infectious Disease Prevention and Control --Shasta CA EFFECTIVE: 11/11/2023 REVIEWED: 11/11/2023 PURPOSE This policy is intended to ensure that there is a comprehensive institutional program that includes surveillance, prevention, and control of communicable disease. 1. APPLICABILITY This policy applies to health care staff and other persons providing services at the request of Well path. 2. POLICY Wellpath will maintain an effective Infection Control program that focuses on the prevention, diagnosis, and treatment of infectious and communicable diseases. The Infection Control Committee is a subcommittee of the CQI committee. Infection control issues, including recommendations to control and prevent the spread of infectious diseases, are addressed at the scheduled CQI Committee and Medical Audit Committee meetings. A multidisciplinary team that includes clinical, security, and administrative representation meets at least quarterly to review and discuss communicable disease and infection control activities and about confidentiality and special supervision. Special procedures, including the use of a translation service, ensure that patients who have difficulty communicating understand how to access health care services. Any special procedure used shall be documented in the health record to demonstrate effective communication. 3. INTERPRETATION/ RESPONSIBILITY This policy is to be interpreted by the Wellpath Chief Clinical Officer or designee, and it is the responsibility of the Responsible Health Authority or designee to ensure implementation and adherence. This document contains confidential and proprietary information of Well path. • Please refer to the electronic copy in PolicyTech or SharePoint for the latest version. • , .. Wellpath :.~ Shasta County California wellpath To hope and healrng. Policies & Procedures TITLE: HCD-110_8-02 Infectious Disease Prevention and REFERENCE: 77153 Control --Shasta CA PAGE: 2 OF6 VERSION:4 4. DEFINITIONS Health Care Staff - Qualified health care professionals as well as administrative and supportive staff (e.g., health records administrators, laboratory technicians, nursing and medical assistants, and clerical workers) PPE - Personal Protective Equipment RHA/HSA - Responsible Health Authority / Health Services Administrator 5. PROCEDURE 5.1. Surveillance 5.1.1. The RHA/HSA ensures surveillance to detect patients with serious infections and communicable diseases is effective. 5.1.2. Patients are screened for communicable diseases during any or all of the following: • Initial booking process / receiving screening • Health Assessment I communicable disease screening • Sick Call 5.1.3. All patients will receive a skin test for tuberculosis during the initial intake or within _14_ _ days of admission to the facility. • If patient returns to custody of documented negative tuberculin test and negative symptom screen then repeat skin test may be deferred until the next annual screening is due 5.1.4. Tuberculosis testing will be repeated annually, at a minimum, for patients remaining in custody. 5.2. Control This document contains confidential and proprietary information of Wellpath • Please refer to the electronic copy in PolicyTech or SharePoint for the latest version. • , .. :.~ Wellpath Shasta County California wellpath To hope and heating. Policies & Procedures TITLE: HCD-110_8-02 Infectious Disease Prevention and REFERENCE: 77153 Control --Shasta CA PAGE: 3 OF6 VERSION:4 5.2.1. There is a written Exposure Control Plan approved by the Responsible Physician / Medical Director. The plan addresses the management of, at a minimum, tuberculosis, HIV, MRSA, sexually transmitted diseases, outbreaks of common respiratory and gastrointestinal disturbances and Hepatitis A, B, and C. The plan is reviewed and updated at least annually and is consistent with the current requirements and published guidelines of the Centers for Disease Control (CDC), the National Institute of Occupational Safety and Health (NIOSH), and the Occupational Safety and Health Administration (OSHA). 5.2.2. Patients found to have an infectious disease which has not been treated will either be seen and treated immediately by qualified health care staff or referred to the hospital emergency department. 5.2.3. If appropriate, patients with contagious diseases are segregated until a medical evaluation can be completed. 5.2.4. Patients requiring respiratory isolation are housed in a functional negative pressure room. • If the facility is equipped with negative air pressure rooms used to house patients requiring respiratory isolation, a procedure is followed to ensure daily checks of rooms are conducted. • For facilities not equipped with negative pressure rooms, the procedure requires transport to a community hospital where the patient can be appropriately isolated. 5.2.5. Effective ectoparasite control procedures are used to treat infected patients and disinfect bedding and clothing. The patient's bedding and clothing infected with ectoparasites are disinfected. Prescribed treatment is given to the infected patient and is ordered only by providers taking into account all conditions including pregnancy, open sores, and rashes. If the facility routinely delouses patients, only over-the-counter medications, such as those containing pyrethrin are used. 5.3. Prevention This document contains confidential and proprietary information of Wellpath • Please refer to the electronic copy in Policy Tech or SharePoint for the latest version. • , .. :~ Wellpath Shasta County California wellpath To hope and healing. Policies & Procedures TITLE: HCD-11 0_B-02 Infectious Disease Prevention and REFERENCE: 77153 Control --Shasta CA PAGE: 4 OF6 VERSION:4 5.3.1. Patients are encouraged to utilize the daily sick call for any medical conditions which might appear contagious. 5.3.2. Immunizations are provided to prevent diseases when appropriate. 5.3.3. Standard Precautions, including but not limited to Personal Protective Equipment (PPE), are always used by health care staff to minimize the risk of exposure to blood and bodily fluids of potentially infected patients. Health care staff utilize needle safety devices during the course of their duties. 5.3.4. Training is provided annually on Bloodborne Pathogens and Standard Precautions. 5.3.5. The RHA/HSA or designee is the Infection Control Nurse who is responsible for maintaining proper record keeping and serving as an advisor in the area of infection control. 5.3.6. Appropriate medical, dental, and laboratory equipment/instruments are appropriately cleaned, decontaminated, and sterilized per applicable recommendations and/or regulations. 5.3. 7. Sharps and bio-hazardous wastes are disposed of properly on a routine basis. All Biohazard waste is properly stored and appropriately labeled per OSHA requirements. Functional, accessible, and visible sharps disposal containers are available. 5.3.8. All custodial, sanitation, and inmate workers are trained in appropriate methods for handling and disposing of biohazardous materials and spills. 5.4. Reporting 5.4.1. Health care staff shall report all appropriate communicable diseases to the County Health Department in accordance with federal, state, and local laws and regulations. 5.4.2. The RHA/HSA or designee ensures there is analysis and trending of data specific to infection control issues and/or focus studies. 5.5. Discharge This document contains confidential and proprietary information of Well path • Please refer to the electronic copy in Policy Tech or SharePoint for the latest version. • , .. Wellpath :.~ Shasta County California wellpath To hope and healing. Policies & Procedures TITLE: HCD-11 0_B-02 Infectious Disease Prevention and REFERENCE: 77153 Control --Shasta CA PAGE: 5 OF6 VERSION:4 5.5.1. Health care staff work to ensure that patients who are released with communicable or infectious diseases are given community referrals. 5.6. Environmental Inspection 5.6.1. A monthly environmental inspection is conducted of areas where health services are provided to verify that: • Equipment is inspected and maintained • The unit is clean and sanitary • Measures are taken to ensure the unit is occupationally and environmentally safe 6. REFERENCES NCCHC Standards for Health Services in Jails 2018 • Section: Health Promotion, Safety, and Disease Prevention: J-B-02 Infectious Disease Prevention and Control (E) NCCHC Standards for Health Services in Prisons 2018 • Section: Health Promotion, Safety, and Disease Prevention: P-B-02 Infectious Disease Prevention and Control (E) NCCHC Standards for Mental Health Services in Correctional Facilities 2015 • Section: Safety: MH-B-01 Infection Prevention and Control Program (E) IMQ Standards for Adult Detention Facilities 2013 • 310- Communicable Diseases (E) Title 15 Minimum Standards for Local Detention Facilities • §1206.5. Management of Communicable Diseases in a Custody Setting • §1208.5. Health Care Maintenance ACA Standards / 2016 Standards Supplement • 4-ALDF-4C-14 Communicable Disease and Infection Control Program (M) • 4-ALDF-4C-15 Communicable Disease and Infection Control Program -Tuberculosis • 4-ALDF-4C-16 Communicable Disease and Infection Control Program (M) - Hepatitis • 4-ALDF-4C-17 Communicable Disease and Infection Control Program (M) - HIV • 4-ALDF-4C-18 Communicable Disease and Infection Control Program (M) -Waste • 1-HC-1A-11 Communicable Disease and Infection Control Program (M) • 1-HC-1A-12 Communicable Disease and Infection Control Program -Tuberculosis This document contains confidential and proprietary information of Well path • Please refer to the electronic copy in PolicyTech or SharePoint for the latest version. • , .. Wellpath :.~ Shasta County California wellpath To hope and healing. Policies & Procedures TITLE: HCD-110_8-02 Infectious Disease Prevention and REFERENCE: 77153 Control --Shasta CA PAGE: 6 OF6 VERSION:4 • 1-HC-1A-13 Communicable Disease and Infection Control Program (M) - Hepatitis • 1-HC-1A-14 Communicable Disease and Infection Control Program (M) - HIV • 1-HC-1A-15 Communicable Disease and Infection Control Program (M) -Waste Wellpath Infection Control Manual This document contains confidential and proprietary information of Well path • Please refer to the electronic copy in PolicyTech or SharePoint for the latest version. • Policy Shasta County Sheriff's Office 508 Shasta County SO Custody Manual Housing Unit Operation 508.1 POLICY The inmate housing areas will be maintained in a clean and orderly manner. Specific services will be provided to the extent possible, on a regular and timely basis consistent with the provisions of Title 15 and the needs of the institution. It is the responsibility of all employees to assist in ensuring that inmates follow all rules given to them as a part of the intake process. 508.2 MOD CONTROL The mod control room will be off-limits to inmates at all times except when painting or cleaning under a supervised program. Visitor access to the mod control room will be limited to prearranged tours and other instances authorized by the Watch Commander or higher authority. The rear security door of the mod control room will be opened only for security staff. Inspections of the inmate living areas for cleanliness and rule compliance will be a shared responsibility of: • The mod control deputy. • The housing unit deputies. • The Watch Commander, on at least a monthly basis. • The Facility Manager, on a quarterly basis. • The Undersheriff on an annual basis. The prowler officers will also share responsibility to solve inmate problems in the housing area before referral to a more formal process. The inmate grievance procedure will be considered as a second step for problems which the officers are unable to resolve. Inmates will not be allowed in the visiting area or on the back stairs unless transacting necessary business or going to or coming from a visit. Due to the sensitive nature of the mod control position.the mod control deputy will remain on post until properly relieved. During the day shift watch, it is the responsibility of the mod control deputy to make the initial check of all reported alarms and relay the status to Central Control. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Housing Unit Operation - 1 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Housing Unit Operation It is the responsibility of the day shift Watch Commander to insure the timely delivery of inmate mail. For ADA Work Requests refer to Policy 216: Maintenance Engineering. 508.3 LOCK DOWN In housing areas where an inmate is in lock down status, a cell check record will be completed by the assigned mod control deputy. The cell check record will reflect, but not be limited to, the following information: • The amount of hours or days the inmate is to be locked down. • Shower and recreation time. • Attorney visits. • Probation or Parole visits. • Any court movements. • Movements to the medical unit. The cell check record will be attached to the inmates booking sheet and retained. Lock down inmates who can be mixed with the population of their pods may be allowed shower and recreation time during the normal business day. The inmates who present unique safety or discipline problems and who cannot be allowed to mix, will be allowed shower and recreation time which may, at the discretion of the officer assigned to that area, be after the evening lock down. Facility lock down times, as established by the institution, will be the responsibility of the officer assigned to each living area. Lock down time may be extended by the Watch Commander for worker pods. Day room lights are to be left on 24 hours a day. 508.4 SHOWERS Inmates in a non-lock down status will be allowed unrestricted access to the showers on a daily basis during their day room usage time. 508.5 ACCESS TO DAYROOM WRITING SURFACE In order to provide a reasonable accommodation for inmates housed in a dormitory cell to have access to a writing surface, the following procedure shall be followed. This accommodation is in addition to the inmates' normal out of cell time schedule. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Housing Unit Operation -2 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Housing Unit Operation (a) The inmate must be housed in an ADA Dormitory cell. (b) The inmate can ask any correctional deputy for access to the dayroom writing surface. (c) These accommodations shall only be made between the hours of0600 hours and 2200 hours, and shall not interfere with meal services, medication distribution, or during any period determined by the deputy to be safety concern such as a facility lockdown or other emergency. (d) Accommodations shall not interfere with the out of cell time schedule of those inmates on administrative separation. (e) Inmates that are found to be abusing this accommodation shall be returned to their cell for the day. For example, an inmate using this time to shower, use the phone, watch television, or video visit would be considered to be abusing the accommodation. (a) A log entry shall be made in Spillman for any abuse of this accommodation. (Log Entry Type = "Abuse of Writing Surface Accomm") (b) Watching television, showering, using the phone, and using the video visitation will not prohibit the inmate from being eligible for future writing surface accommodations. 508.6 INMATE PROVISIONS Dispensing of the following items is a responsibility of the housing unit deputies: • Miscellaneous forms. • Hand soap. • Toilet paper. • Feminine napkins, tampons, panty liners • Hair cutting equipment. • Pod/cell cleaning tools. • Other designated items. 508.6.1 ITEM PICK-UP The housing unit deputies on each shift will have the responsibility to pick up the following items: • Outgoing Mail. • Other related items for distribution. Cleaning gear and related items will be placed into each pod and picked up on a daily basis. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Housing Unit Operation -3 Published with permission by Shasta County Sheriffs Office Shasta County Sheriffs Office Shasta County SO Custody Manual Housing Unit Operation 508.7 MEALS The mod control deputy is required, when requested, to provide an accurate count to the kitchen. Inmate housing area meals will be supervised by the housing unit deputies who are responsible for verifying the count of eating utensils placed into and removed from each housing area. 508.8 CELL INTEGRITY The following policy is designed to be pro-active in dealing with the ongoing problem of vandalism and destruction of jail property (i.e. housing units). The housing unit deputy will perform a cell inspection prior to the assigned inmate being placed in or removed from any cell. The housing unit deputy and the inmate will inspect the assigned room for damages and the housing unit deputy will verify and note damage. When the inmate moves to another area, the room condition will again be checked for damage. Whenever an inmate is released, the housing unit deputy and the inmate will check the room for damages against the Cell Inspection Check List. If there are no damages, the housing unit deputy will close the room door and ensure that it is locked. In the cells where double occupants are housed, both inmates will have responsibility for keeping the room undamaged. Inmates who vandalize or damage their cells will be given disciplinary sanctions as necessary and in some cases, charged criminally. Medical cells shall be cleaned daily. Medical cells shall be cleaned and sanitized between uses or additionally as necessary. Rooms with infectious waste shall be locked down unoccupied for 24 hours before being cleared and sanitized between uses. 508.9 SPECIALIZED HOUSING AREAS Specialized housing areas are maintained for: Administrative Separation I Detoxification I Medical safety usage. These areas are to ensure the protection of inmates and staff. Careful control will be used to prevent arbitrary and indiscriminate placement of inmates in these areas. 508.9.1 UTILIZATION Placement in a specialized housing area will require the classification officer or Watch Commanders approval. Inmate placement in a lock down or medical safety cell will also require a jail incident report. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Housing Unit Operation -4 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Housing Unit Operation Medical or safety cell placement shall additionally require ongoing medical staff review. For the policy on mobility-disabled inmates retention of HCA/DME/AD refer to Policy 503 Safety and Sobering Cells Intermittent direct supervision shall be provided at least twice every thirty (30) minutes with no more than 15 minutes between each check, for the following specialized housing areas: • Booking level cells (when used in a medical capacity). • Sobering/observation cell. • Medical/Booking safety cell. These records are to be attached to the inmates booking file and retained. Inmates in specialized housing areas will be provided living conditions and privileges approximately those available to the general population. Usually available items may be withheld to ensure the individuals safety, as well as that of staff and other inmates. A jail incident report will be written and submitted to the Watch Commander for approval where circumstances warrant the removal of any items. Inmates housed in specialized areas will receive the same meals as those served to the general population. Inmates housed in safety cells shall be provided with liquids on a regular basis or as requested. Inmates housed in specialized areas will only be reassigned by the Watch Commander or classification deputy, with input from medical staff when appropriate. 508.10 CLEANING POLICY 508.10.1 CLEANING SUPPLIES • The Correctional Plant Manager shall ensure that an appropriate amount of sanitation items are available for distribution. • Sanitation supplies will be distributed to the levels by the Correctional Plant Manager or designee • Custody Staff will ensure cleaning equipment is used in the proper manner. Correctional deputies will make this part of their daily inspections. • Cleaning equipment such as brooms, mops, toilet brushes will be exchanged by the Correctional deputies daily. • Supervision of the requisition of supplies will be provided by the Correctional Plant Manager to ensure proper amounts of items are ordered and excess of materials and equipment is avoided. 508.11 HOUSEKEEPING - HOUSING UNIT DEPUTY RESPONSIBILITIES Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Housing Unit Operation -5 Published with permission by Shasta County Sheriff's Office Shasta County Sheriff's Office Shasta County SO Custody Manual Housing Unit Operation 508.11.1 INSPECTIONS Correctional deputies shall conduct daily sanitation inspections to ensure that: • All housing unit and work areas are clean and orderly. • Trash is not thrown anywhere except in the trash containers provided in each unit. • Inmates do not leave towels, blankets, clothing, or any personal belongings in the common area. • Lighting, heating, and ventilation equipment are working and repair requests are timely submitted. • All plumbing equipment, including toilets and showers are working and repair requests are timely submitted. • Fire or health hazards are appropriately corrected. • Locking mechanisms operate without restrictions. • The floors are clean, dry and free of substances that could pose safety hazards. • There is an adequate supply of cleaning supplies and equipment. 508.11.2 HOUSING UNIT DETAIL CLEANING 1) Inmates in their housing units shall clean all cellblock common areas to include but not be limited to: • Pod entrance; • Floors (tiers and other common areas, areas as assigned); • Walls in the common area will be kept clean and free of writing; • Showers; • Collecting food trays; • Readying trash for dumping; • Correctional deputies shall ensure that high-traffic, high-use areas of the pods, including the showers, shower floors, entry ways and day rooms, are cleaned on a constant basis. • Any other condition that the correctional deputy feels needs to be corrected in order to maintain good sanitary conditions can be assigned. 508.11.3 CELL ENTRANCE AND EXIT INSPECTIONS • No inmate shall be assigned to a cell before a correctional deputy and the inmate inspect the cell, and no inmate shall be released from a cell without an exit inspection of the cell conducted by the correctional deputy. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Housing Unit Operation -6 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Housing Unit Operation • Correctional deputies shall monitor cell conditions on a daily basis and inspect the cell before inmate moves. 508.11.4 HOUSEKEEPING - INMATES/INDIVIDUAL CELLS A. Each inmate and every correctional deputy shall be responsible for ensuring that housing units are clean. B. Each correctional deptuy shall ensure that each inmate has the following supplies to clean his/her cell daily. • A spray bottle containing an authorized cleaning solution • Broom • Mop • Mop Bucket Bucket with authorized cleaning solution for toilet use only • Toilet brush Cleaning cloths C. Each inmate shall be responsible for the following in his/her cell: Clean and sanitize toilet/sink unit. Clean and sanitize the desk and neatly arrange every item. • Sweep and clean the floor, removing dirt from floor corners. Ensure that all walls are clean and free of graffiti, pictures, calendars photos and toothpaste (inmates generally attempt to use toothpaste as an adhesive to hang papers on the walls). • Hazardous and combustible materials such as boxes, newspapers and magazines will not be allowed to accumulate within the cells. • Refrain from placing paper and other objects inside of and over lights and light covers. • Refrain from placing paper and other objects inside and over the air vents. • Use bed linen and towels for their intended purpose only. • Clean bed platforms and rails as needed. • Neatly store all personal belongings. • Inmates shall not be allowed to store any perishable foods or other items which entice vermin or produce unsanitary conditions in their living units. D. Sanctions. Any inmate failing to adhere to the above rules and regulations shall be subject to disciplinary which may result in loss of Commissary, visiting, recreation and/ or lockdown time. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Housing Unit Operation -7 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Housing Unit Operation 508.12 FOOD TRAYS • Mod Deputies shall submit an accurate count of inmates to the Kitchen so that a correct number of meals are delivered. • Correctional deputies shall ensure that no food trays are left in the housing unit for inmates who are not present at the time the meal arrives. • Correctional deputies shall count incoming trays, cups, and utensils to ensure that a sufficient number are delivered to the housing unit. • Correctional deputies shall count trays upon completion of meal service to ensure that the same amount of trays, cups, and utensils have been returned. 508.13 TRASH AND WASTE REMOVAL Trash and garbage collection procedures shall be as follows: A. Correctional Officers shall ensure his/her level is clear of all trash from his/her areas pursuant to the below schedule for trash and garbage removal. B. Inmate interior workers are responsible for the orderly removal of garbage from each Level after each meal. C. Collection of trash and garbage shall begin on the third floor, and then continue down the second and first floors including Medical and Booking. D. Disposal. Trash and garbage shall be removed as follows: • 6:30 am-Correctional deputies shall begin removing trash and garbage from the breakfast meal. • 1 :30 pm- - Correctional deputies shall begin removing trash and garbage from the lunch meal. • 6:00 pm- Correctional deputies shall begin removing trash and garbage from the dinner meal. • 10:30 pm- - Correctional deputies shall remove all remaining trash from each floor. E. Trashcan Cleaning, - Correctional deputies shall ensure that interior inmate workers wash all trashcans at least once a week. Copyright Lexipol. LLC 2024/06/25, All Rights Reserved. Housing Unit Operation -8 Published with permission by Shasta County Sheriffs Office =.t wellpatn Policies & Procedures To hope and healing. TITLE: IC-100_A-12 Control and Treatment of MRSA REFERENCE: 87384 CA TE GORY: Clinical Manuals PAGE: 1 OF 5 VERSION: 2 APPROVER: Medical Director SUPERSEDES: v.1 IC-100_A-12 Control and Treatment of MRSA EFFECTIVE: 09/12/2023 REVIEWED: 09/12/2023 1. PURPOSE This policy is intended to reduce the spread of Methicillin-Resistant Staphylococcus Aureus (MRSA) through identification, isolation, and treatment consistent with the guidelines and recommendations from the Centers for Disease Control and Prevention (CDC). 2. SCOPE This policy applies to all workforce members of Wellpath Holdings, Inc. and all of its subsidiaries (collectively, "Wellpath"), including, but not limited to, all employees, contractors, volunteers, students, trainees, and other persons providing services at the request of Wellpath (collectively, "team members"). 3. POLICY Wellpath follows the CDC guidelines related to prevention of MRSA infections in health care settings. In addition to Standard/Universal Precautions, contact precautions are to be followed. 4. RESPONSIBILITY This policy is to be interpreted by the Wellpath Chief Clinical Officer or designee, and in cooperation with facility administration and local public health departments. It is the responsibility of the Responsible Health Authority / Health Services Administrator (RHA/HSA) or designee to ensure implementation and adherence to minimize incidences of infectious and communicable diseases among patients and staff, and that patients receive health care in a clean, safe, and healthy environment. 5. DEFINITIONS Methicillin-Resistant Staphylococcus Aureus (MRSA) - A type of bacteria that is resistant to several antibiotics. MRSA is usually spread in the community by contact with infected people or things that are carrying the bacteria. This includes through contact with a contaminated wound or by sharing personal items, such as towels or razors, that have touched infected skin. Skin and soft tissue infections, specifically furuncles (abscessed hair follicles or "boils"), carbuncles This document contains confidential and proprietary information of Wellpath • Please refer to the electronic copy in Policy Tech or SharePoint for the latest version • =.t wellpatli Policies & Procedures To hope and healing. TITLE: IC-100_A-12 Control and Treatment of MRSA REFERENCE: 87384 CATEGORY: Clinical Manuals PAGE: 2 OF 5 VERSION: 2 APPROVER: Medical Director SUPERSEDES: v.1 IC-100_A-12 Control and Treatment of MRSA EFFECTIVE: 09/12/2023 REVIEWED: 09/12/2023 (coalesced masses of furuncles), and abscesses, are the most frequently reported clinical manifestations. 6. PROCEDURE 6.1. Clinicians are encouraged to consider MRSA in the differential diagnosis of skin and soft tissue infections (SSTls) compatible with S. aureus infections, especially those that are purulent (fluctuant or palpable fluid-filled cavity, yellow or white center, central point or "head," draining pus, or possible to aspirate pus with needle or syringe). A patient's presenting complaint of "spider bite" should raise suspicion of an S. aureus infection. Diagnosis 6.2. Diagnosis is confirmed through culture to identify Staphylococcus aureus bacteria. 6.3. Obtain the culture prior to starting any antibiotics. Treatment 6.4. Incision and drainage remains the primary therapy for purulent skin infections. Empiric antimicrobial coverage for MRSA may be warranted in addition to incision and drainage based on clinical assessment (e.g., presence of systemic symptoms, severe local symptoms, immune suppression, extremes of patient age, infections in a difficult to drain area, or lack of response to incision and drainage alone). 6.5. Antibiotic treatment, if indicated, shall be guided by the susceptibility profile of the organism. Obtaining specimens for culture and susceptibility testing is useful to guide therapy, particularly for those with more severe infections and those who fail to respond adequately to initial management. 6.6. MRSA skin infections can develop into more serious infections. It is important to discuss a follow-up plan with patients in case they develop systemic symptoms or worsening local symptoms, or if symptoms do not improve within 48 hours. This document contains confidential and proprietary information of Wellpath • Please refer to the electronic copy in PolicyT ech or SharePoint for the latest version • =tt wellpatli Policies & Procedures To hope and healing. TITLE: IC-1 00_A-12 Control and Treatment of MRSA REFERENCE: 87384 CATEGORY: Clinical Manuals PAGE: 3 OF 5 VERSION: 2 APPROVER: Medical Director SUPERSEDES: v.1 IC-100_A-12 Control and Treatment of MRSA EFFECTIVE: 09/12/2023 REVIEWED: 09/12/2023 Prevention of the Spread of MRSA 6.7. Inmate Workers 6.7.1. Inmates with open wounds can continue to work if wounds are not draining and wounds can be adequately covered. However if work environment might cause wound dressings to become wet, another work environment will be recommended. Inmates with draining wounds will not be allowed to work in any setting. 6.8. Patients with infected wounds that can be adequately contained by dressings (Cellulitis, Infected pressure sores, Wound infections): 6.8.1. Standard/Universal Precautions will be utilized, per Wellpath Infection Prevention and Control Program policy "A-02 Barrier Techniques for Reduction of Infection Risk". 6.8.2. Can share rooms with patients with medical or surgical conditions who have wounds contained by dressings or closed drainage systems and patients with uncontained wound infections with the same organism. 6.9. Patients with large major draining wounds that cannot be covered or adequately contained by dressing: 6.9.1. Contact Precautions will be utilized, per Wellpath Infection Prevention and Control Program policy "A-02 Barrier Techniques for Reduction of Infection Risk". 6.9.2. Private room or can share rooms with patients with wounds infected with the same organism. 6.10. Wounds, indwelling urinary catheters, sputum, etc., infected with resistant bacteria judged to be significant: 6.10.1. Contact precautions will be utilized, per Well path Infection Prevention and Control Program policy "A-02 Barrier Techniques for Reduction of Infection Risk". This document contains confidential and proprietary information of Wellpath • Please refer to the electronic copy in PolicyT ech or SharePoint for the latest version • =.t wellpatli Policies & Procedures To hope and healing. TITLE: IC-100_A-12 Control and Treatment of MRSA REFERENCE: 87384 CATEGORY: Clinical Manuals PAGE: 4 OF 5 VERSION: 2 APPROVER: Medical Director SUPERSEDES: v.1 IC-100_A-12 Control and Treatment of MRSA EFFECTIVE: 09/12/2023 REVIEWED: 09/12/2023 6.10.2. Private room or can share room with roommate infected with the same organism for the duration of infection. Housekeeping 6.11. Clean and disinfect surfaces. Use a disinfectant registered as effective against MRSA by the Environmental Protection Agency (EPA) or chlorine bleach solution with a concentration of 1000-5000 ppm (5-25 tablespoons of household bleach [5.25%] per gallon of water). 6.11.1. Clean and disinfect all clinic areas and equipment between patients including but not limited to: exam tables, chairs, counters, and stethoscopes. 6.11.2. Clean and disinfect all high contact surfaces multiple times during the day including light switches, telephone handsets, radios, and door knobs. 6.11.3. Immediately clean and disinfect contaminated surfaces. 6.12. Wash laundry thoroughly. 6.12.1. Immediately remove and wash clothes or linens that may be contaminated with exudate from wounds. 6.12.2. Handle soiled items carefully without agitating them. 6.12. 3. Wear disposable gloves while handling soiled items and wash hands after. 6.12.4. Wash the items with detergent at the maximum available cycle and then machine dry. This document contains confidential and proprietary information of Wellpath • Please refer to the electronic copy in PolicyTech or SharePoint for the latest version • wellpatli =.'M: Policies & Procedures To hope and healing. TITLE: IC-100_A-12 Control and Treatment of MRSA REFERENCE: 87384 CATEGORY: Clinical Manuals PAGE: 5 OF 5 VERSION: 2 APPROVER: Medical Director SUPERSEDES: v.1 IC-100_A-12 Control and Treatment of MRSA EFFECTIVE: 09/12/2023 REVIEWED: 09/12/2023 7. REFERENCES NCCHC Standards for Health Services in Jails 2018 • Section: Health Promotion, Safety, and Disease Prevention: J-8-02 Infectious Disease Prevention and Control (E) NCCHC Standards for Health Services in Prisons 2018 • Section: Health Promotion, Safety, and Disease Prevention: P-8-02 Infectious Disease Prevention and Control (E) NCCHC Standards for Health Services in Juvenile Detention & Confinement Facilities 2022 • Section: Health Promotion, Safety, and Disease Prevention: Y-8-02 Infectious Disease Prevention and Control (E) ACA Standards / 2016 Standards Supplement • 4-ALDF-4C-14, 15, 16, 17, and 18 Communicable Disease and Infection Control Program • 3-JDF-4C-37 Infectious Diseases • 3-JDF-4C-38 Communicable Diseases • 4-JCF-4C-22 Communicable and Infectious Disease Management (M) • 4-JCF-4C-26 MRSA (M) This document contains confidential and proprietary information of Wellpath • Please refer to the electronic copy in PolicyTech or SharePoint for the latest version • Policy Shasta County Sheriff's Office 306 Shasta County SO Custody Manual I Safety and Cleanliness 306.1 POLICY The Watch Commander on each shift is responsible for a level of safety and cleanliness which will insure the health and safety of inmates, staff, and the general public. (Section 1280, Title 15, California Code of Regulation) 306.2 GENERAL Specific areas of responsibility shall include, but are not limited to: The booking area • All office areas • The front lobby and rest room areas • All inmate housing areas The graveyard Watch Commander shall additionally insure the cleanliness of the following areas: • The classrooms • Staff Bathrooms Conference room • The staff locker rooms Heavy cleaning of all areas The court overpass and holding areas • All interview rooms Stairwells Phase 4 • Search Sally • Vehicle Sally All staff members shall be responsible for ensuring the cleanliness of their assigned duty stations. Inspections will be required in specified areas to insure cleanliness and the correction of maintenance problems at the earliest possible opportunity, as follows: • The Correctional Plant Manager is responsible for checking the kitchen and storage areas on a daily basis. The supervising cook will inspect the kitchen and staff dining area on each shift. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Safety and Cleanliness - 1 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Safety and Cleanliness The laundry operator is responsible for and shall inspect the laundry room. Engineering personnel are responsible for the maintenance office and related storage areas. Engineering personnel shall inspect the maintenance and boiler areas on a regular basis to insure they are in a clean and safe condition. • Engineering personnel shall inspect the emergency generator and fire pump on a weekly basis to insure it is in a safe and operable condition. The Facility Manager shall inspect on a regular basis to insure the standards of health and safety are maintained. • Each Watch Commander will be responsible for facility cleanliness. The facility is subject to additional inspections by the following: • The State Board of Corrections • The Environmental Health Department The Environmental Health Services The Juvenile Justice Commission • The State Fire Marshal • The County Grand Jury • The County Board of Supervisors The U.S. Marshal Service The U.S. Border Patrol 306.3 ASSIGNED DUTY STATIONS All staff members shall be responsible for ensuring the cleanliness of their assigned duty stations. Inspections will be required in specified areas to insure cleanliness and the correction of maintenance problems at the earliest possible opportunity, as follows: • The Correctional Plant Manager is responsible for checking the kitchen and storage areas on a daily basis. • The supervising cook will inspect the kitchen and staff dining area on each shift. • The laundry operator is responsible for and shall inspect the laundry room. • Engineering personnel are responsible for the maintenance office and related storage areas. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Safety and Cleanliness -2 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Safety and Cleanliness • Engineering personnel shall inspect the maintenance and boiler areas on a regular basis to insure they are in a clean and safe condition. • Engineering personnel shall inspect the emergency generator and fire pump on a weekly basis to insure it is in a safe and operable condition. • The Facility Manager shall inspect on a regular basis to insure the standards of health and safety are maintained. • Each Watch Commander will be responsible for facility cleanliness. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Safety and Cleanliness -3 Published with permission by Shasta County Sheriffs Office Policy Shasta County Sheriffs Office 310 Shasta County SO Custody Manual Contraband and Searches 310.1 PURPOSE AND SCOPE The purpose of this policy is to provide clear direction on maintaining the safety and security of the facility by conducting searches, in balance with protecting the rights afforded by the United States Constitution. The introduction of contraband, intoxicants, or weapons into the Shasta County Sheriffs Office facility poses a serious risk to the safety and security of staff, incarcerated persons, volunteers, contractors, and the public. Any item that is not available to all incarcerated persons may be used as currency by those who possess the item, and will allow those in possession of the item to have control over other persons. Any item that may be used to disengage a lock, other electronic security devices, or the physical plant itself seriously jeopardizes the safety and security of this facility. Carefully restricting the flow of contraband into the facility can only be achieved by thorough searches of incarcerated persons and their environment. Nothing in this policy is intended to prohibit the otherwise lawful collection of trace evidence from an incarcerated person/arrestee. 310.1.1 DEFINITIONS Definitions related to this policy include: Contraband - Contraband is any item possessed by inmates that is declared illegal by law or not specifically approved for inmate possession. Examples of contraband include weapons, escape devices; drugs and/or drug paraphernalia; or authorized items that are possessed in excessive quantities or altered to be utilized in a manner not intended. Pat-down search - A pat down search is a search where staff performs a physical search of a detainee while the detainee is fully clothed. CLOTHING SEARCH -A clothing search is a search of the detainees clothing, including a search ofj ackets, shirts, pants, pockets, cuffs, etc. while the detainee is fully clothed. METAL DETECTOR SEARCH -A metal detector search involves the detainee passing through a metal detector, or correctional staff waving a metal detector wand over and around a detainee while the detainee is fully clothed. Physical body cavity search -A physical body cavity search involves the physical intrusion into a body cavity or orifice for the purpose of discovering an object concealed in the body cavity. Strip search -A strip search is any search which requires a person to remove or arrange some or all of his/her clothing so as to permit a visual inspection of the underclothing, breasts, buttocks, or genitalia of such person for contraband. REASONABLE SUSPICION -Reasonable suspicion is knowledge sufficient to induce an ordinarily prudent and cautious person under the circumstances to believe criminal activity is or has taken place. A hunch or a guess, without more, does not constitute reasonable suspicion. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Contraband and Searches -1 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Contraband and Searches Concerning strip searches, reasonable suspicion must be based upon specific and articulate facts that the newly arrested detainee is concealing a weapon or contraband, and a strip search will reveal it. 310.2 POLICY It is the policy of this office to ensure the safety of staff, incarcerated persons, and visitors by conducting effective and appropriate searches of incarcerated persons and areas within the facility in accordance with applicable laws (15 CCR 1029(a)(6)). Searches shall not be used for intimidation, harassment, punishment, or retaliation. 310.2.1 GENERAL All employees shall share the responsibility to prevent the introduction of contraband into the facility. Contraband/search procedures shall be implemented and promoted to insure the safety of inmates, staff, and the general public. 310.2.2 PRECAUTIONS In a custodial environment, searches are an everyday occurrence. Staff members will be in contact with inmates, their clothing and other items that may bring the staff member into contact with inmate body fluids. Staff must avoid complacency during searches. The risk of injury from a sharp object is significant and places the staff member at an extremely high risk of infection. Staff members, while conducting a physical search, shall look before touching when possible. Staff members shall pat down blind areas and not run hands over the blind area. Staff members shall squeeze pockets before placing hands into them. Staff members shall use mirrors when possible. 310.3 CONTRABAND Allowed items are those: • Medically cleared • Issued by the facility • Provided for in policy • Purchased from commissary • Cleared by the Watch Commander or higher authority Other items or those allowable items found in excessive quantities or being misused may be declared as contraband. All contraband within the facility is subject to seizure. 310.4 PAT-DOWN SEARCHES Pat-down searches will be performed on all incarcerated persons/arrestees upon entering the secure booking area of the facility. Additionally, pat-down searches shall occur frequently within the facility. At a minimum, the staff shall conduct pat-down searches in circumstances that include: Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Contraband and Searches -2 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Contraband and Searches (a) When incarcerated persons leave their housing units to participate in activities elsewhere in the facility (e.g., exercise yard, medical, program, visiting) and when they return. (b) During physical plant searches of entire housing units. (c) When incarcerated persons come into contact with other incarcerated persons housed outside of their housing units, such as work details. (d) Any time the staff believes the incarcerated persons may have contraband on their persons. Except in emergencies, staff members may not conduct a pat-down search on an incarcerated person of the opposite gender. Absent the availability of a same gender staff member, it is recommended that a witnessing staff member be present during any pat-down search of an individual of the opposite gender. All cross-gender pat-down searches shall be documented (28 CFR115.15). 310.5 MODIFIED STRIP SEARCHES, STRIP SEARCHES, AND PHYSICAL BODY CAVITY SEARCHES Correctional Deputies will generally consider the reason for the search, the scope, intrusion, manner, and location of the search, and will utilize the least invasive search method to meet the need for the search. 310.5.1 STRIP SEARCHES PRIOR TO PLACEMENT IN A HOUSING UNIT Strip searches prior to placement in a housing unit shall be conducted as follows: (a) No person held prior to placement in a housing unit shall be subjected to a modified strip search or strip search unless there is reasonable suspicion based upon specific and articulable facts to believe the person has a health condition requiring immediate medical attention or is concealing a weapon or contraband. Factors to be considered in determining reasonable suspicion include but are not limited to: 1. The detection of an object during a pat-down search that may be a weapon or contraband and cannot be safely retrieved without a modified strip search or strip search. 2. Circumstances of a current arrest that specifically indicate the person may be concealing a weapon or contraband. A felony arrest charge or being under the influence of a controlled substance should not suffice as reasonable suspicion absent other facts. 3. Custody history (e.g., past possession of contraband while in custody, assaults on staff, escape attempts). 4. The person's actions or demeanor, such as refusal to submit to a pat-down search. 5. Criminal history (e.g., level of experience in a custody setting, including convictions for escape, possession of drugs or weapons, crimes of violence, or being a fugitive or detainee for any of those offenses). Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Contraband and Searches -3 Published with permission by Shasta County Sheriff's Office Shasta County Sheriff's Office Shasta County SO Custody Manual Contraband and Searches 6. An alert by a metal detector or drug detection device. 7. Other reliable information that the person possesses drugs, weapons, or contraband. (b) Except in the case of a medical emergency, no modified strip search or strip search of an incarcerated person shall be conducted prior to admittance to a housing unit without prior written authorization from the Watch Commander. (c) The staff member conducting the modified strip search or strip search shall: 1. Document the name and gender of the person subjected to the strip search. 2. Document the facts that led to the decision to perform a strip search. 3. Document the reasons less intrusive methods of searching were not used or were insufficient. 4. Document the supervisor's approval. 5. Document the time, date, and location of the search. 6. Document the names, gender, and roles of any staff present. 7. Itemize in writing all contraband and weapons discovered by the search. 8. Process all contraband and weapons in accordance with the office's current evidence procedures. 9. If appropriate, complete a crime report and/or disciplinary report. 10. Ensure the documentation is placed in the incarcerated person's file. A copy of the written authorization shall be retained and made available to the incarcerated person or other authorized representative upon request. 310.5.2 NEWLY ARRESTED DETAINEES TO BE HOUSED IN THE JAIL Newly arrested detainees who are unable to post bail or who do not qualify for own recognizance release and are classified for housing in the Main Jail may be subject to a strip search only under the following conditions: • The detainee was booked for an offense involving weapons, controlled substances or violence; • The detainee was booked under California Penal Code section 3056 or booked with a State Parole hold; • The detainee was booked under California Penal Code section 1203.2 and there are specific articulable facts (i.e. past criminal history), and/or current crime committed. • The detainee was booked on a charge other than a weapons offense, controlled substance, or violence; however, authorized jail staff determines that reasonable suspicion exists to conduct a strip search; Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Contraband and Searches -4 Published with permission by Shasta County Sheriff's Office Shasta County Sheriffs Office Shasta County SO Custody Manual Contraband and Searches • As set forth above, the reasonable suspIcIon must be based upon specific and articulate facts that the newly arrested detainee is concealing a weapon or contraband, and a strip search and will reveal it; • Prior to such a search, a Strip Search Authorization Form will be completed as to cause and signed by a jail supervisor; • All persons conducting or otherwise present during the search shall be the same sex as the detainee being searched; • The authorized jail personnel conducting the strip search shall not touch the breast, buttocks, or genitalia of the arrestee during the search; and • The search shall be conducted in an area where the detainee cannot be observed by any person (including staff and inmates) not participating in the search. 310.5.3 POST-ARRAIGNMENT INMATES, SENTENCED INMATES, NEW COMMITS, AND INMATES FROM OTHER CORRECTIONAL FACILITIES To maintain the security of the Main Jail and provide protection for inmates and staff, authorized Correctional Deputies may search post-arraignment detainees, sentenced inmates, new commits, and inmates from other correctional facilities at the time they enter the Shasta County Main Jail. The searches of post-arraignment detainees, sentenced inmates, new commits, and inmates from other correctional facilities shall be carried out in compliance with the procedures set forth below. DEFINITIONS All jail personnel shall be familiar with the types of searches described below: POST-ARRAIGNMENT INMATE: An inmate who has been transported to court to be arraigned, or for a court appearance following his or her arraignment, and thereafter has been transported back to the Main Jail without being released. SENTENCED INMATE: An inmate who has been sentenced to either County incarceration or for a term of imprisonment in State Prison, and thereafter has been transported to the Main Jail without being released. A sentenced inmate does not include a person on parole or probation who is subsequently arrested for either a new offense or a parole/probation violation. NEW COMMIT: An inmate who has been sentenced to either County incarceration or for a term of imprisonment in State Prison and who arrives at the Main Jail for the first time following such commitment. A new commit includes a person who has been allowed some form of release from incarceration between the time he or she received the commitment until the time he or she re enters Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Contraband and Searches -5 Published with permission by Shasta County Sheriffs Office Shasta County Sheriffs Office Shasta County SO Custody Manual Contraband and Searches the Main Jail following that release. INMATE FROM ANOTHER CORRECTIONAL FACILITY: An inmate who has been incarcerated at another correctional facility as either a pre-sentenced detainee or sentenced prisoner and who is transported to the Main Jail for any reason (including overnight confinement as part of an inter correctional facility transfer process) GENERAL POLICY REGARDING INTAKE SEARCHES All searches of post-arraignment inmates, sentenced inmates, new commits, and inmates from other correctional facilities shall be conducted only for the purpose of ensuring facility security and the safety of staff and inmates. Under no circumstance shall any form of intake search be performed based on a request from another agency. No search shall be conducted as a disciplinary measure or for harassment purposes. All searches shall be conducted in a professional manner, affording the detainee as much privacy as possible consistent with jail security. Under no circumstance shall the intake showering process be utilized to conduct a search of any detainee. Types of Searches That May be Conducted on Post-Arraignment Inmates, Sentenced Inmates, New Commits, and Inmates From Other Correctional Facilities: All post-arraignment inmates, sentenced inmates, new commits (other than a civil commitment), and inmates from other correctional facilities entering the Main Jail may be subject to a pat down search, a metal detector search if warranted, a thorough clothing search, a strip search prior to being placed into a booking cell or permanent housing. Inmates under the custody of the Sheriff who are engaged in Alternative Custody functions and who are subsequently rolled up while in custody are sentenced inmates and subject to the provisions below. In the event that a strip search is conducted on a post-arraignment inmate, a sentenced inmate, a new commit (other than a civil commitment), or an inmate from another correctional facility when he or she enters the Main Jail, the following conditions shall apply: • A Strip Search Authorization Form will be completed as to cause and signed by a jail supervisor. • All persons conducting or otherwise present during the search shall be the same sex as the inmate being searched, with the exception of licensed health services clinicians. • The authorized jail personnel conducting the strip search shall not touch the breast, buttocks, or genitalia of the inmate during the search. • The search shall be conducted in an area where the detainee cannot be observed by any person (including staff and inmates) not participating in the search. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Contraband and Searches -6 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Contraband and Searches Persons entering the Shasta County Jail as a civil commitment shall not be strip searched upon entry unless the following conditions apply: the civil commitment presents a serious threat to himself, other inmates, or to jail security and jail staff have reasonable suspicion to believe that he or she is secreting contraband in a manner that requires a strip search or such a search may be performed under the following circumstances: • Prior to such a search, a Strip Search Authorization Form will be completed as to cause and signed by a jail supervisor; • All persons conducting or otherwise present during the search shall be the same sex as the detainee being searched; and • The authorized jail personnel conducting the strip search shall not touch the breast, buttocks, or genitalia of the detainee as during the search. The search shall be conducted in an area where the detainee cannot be observed by any person (including staff and inmates) not participating in the search. Physical Body Cavity Searches of Post-Arraignment Inmates. Sentenced Inmates. New Commits. and Inmates From Other Correctional Facilities: A physical body cavity search of a post-arraignment inmate, a sentenced inmate, a new commit, or an inmate from another correctional facility may be authorized only with the written approval of the Main Jail Commander and under the direction of a valid search warrant. A physical body cavity search shall be conducted by licensed health services clinicians at a licensed medical facility. Physical body cavity searches shall not be conducted by medical staff unless there exists a serious medical emergency. All persons entering the Main Jail who do not meet the definition of a post-arraignment inmate, a sentenced inmate, a new commit, or an inmate from another correctional facility shall be searched in accordance to the Policy for Intake Searches of Newly Arrested Detainees. 310.5.4 MODIFIED STRIP SEARCHES AND STRIP SEARCHES OF INCARCERATED PERSONS IN A HOUSING UNIT A strip search of an incarcerated person in a housing unit should be conducted when the person has entered an environment where contraband or weapons may be accessed. This includes but is not limited to the following: (a) Upon return from contact visits (b) Upon leaving the kitchen, shop, or farm (c) Upon return to the housing unit from outside the confines of the facility (e.g., court, work-release, work detail, medical visits) Incarcerated persons returning from court with release orders shall not be subject to modified strip searches or strip searches unless the reasonable suspicion exists based on specific and articulable facts that the person is concealing a weapon or contraband. The incarcerated person Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Contraband and Searches -7 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Contraband and Searches should not be returned to the housing unit, except to retrieve their personal property under the direct visual supervision of staff. Staff members may conduct modified strip searches and strip searches of incarcerated persons outside the above listed circumstances only with supervisor approval. Staff members and supervisors must make a determination to conduct a strip search by balancing the scope of the particular search, intrusion, the manner in which it is conducted, the justification for initiating it, and the place in which it is conducted. Less invasive searches should be used if they would meet the need for the search. For example, a pat-down or modified strip search may be sufficient as an initial effort to locate a larger item, such as a cell phone. The staff member conducting a modified strip or strip search outside the above listed circumstances shall: • Document in writing the facts that led to the decision to perform a strip search of the incarcerated person. • Document the reasons less intrusive methods of searching were not used or were insufficient. • Document the supervisor's approval. • Document the time, date, and location of the search. • Document the names of staff present, their gender, and their roles. • Itemize in writing all contraband and weapons discovered by the search. • Process all contraband and weapons in accordance with the office's current evidence procedures. • If appropriate, complete a crime report and/or disciplinary report. • Ensure the completed documentation is placed in the incarcerated person's file. A copy of the written authorization shall be retained and made available to the incarcerated person or other authorized representative upon request. 310.5.5 PHYSICAL BODY CAVITY SEARCH Physical body cavity searches shall be completed as follows: (a) No person shall be subjected to a physical body cavity search without the approval of the Captain or the authorized designee and only with the issuance of a search warrant. A copy of any search warrant and the results of the physical body cavity search shall be included with the related reports and made available, upon request, to the incarcerated person or authorized representative (except for those portions of the warrant ordered sealed by a court). (b) Only a physician may conduct a physical body cavity search. Except in exigent circumstances, only a physician who is not responsible for providing ongoing care to the incarcerated person may conduct the search (15 CCR 1206(0)). Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Contraband and Searches -8 Published with permission by Shasta County Sheriffs Office Shasta County Sheriff's Office Shasta County SO Custody Manual Contraband and Searches (c) Except for the physician conducting the search, persons present must be of the same gender as the person being searched. Only the necessary staff needed to maintain the safety and security of the medical personnel shall be present (Penal Code§ 4030). (d) Privacy requirements, including restricted touching of body parts and sanitary condition requirements, are the same as required for a strip search. (e) All such searches shall be documented including: 1. The facts that led to the decision to perform a physical body cavity search of the incarcerated person. 2. The reasons less intrusive methods of searching were not used or were insufficient. 3. The Captain's approval. 4. A copy of the search warrant. 5. The time, date, and location of the search. 6. The medical personnel present. 7. The names, gender, and roles of any staff present. 8. Any contraband or weapons discovered by the search. (f) Completed documentation should be placed in the incarcerated person's file. A copy of the written authorization shall be retained and made available to the incarcerated person or other authorized representative upon request. (g) All contraband and weapons should be processed in accordance with the office's current evidence procedures. (h) If appropriate, the staff member shall complete a crime report and/or disciplinary report. 310.6 TRANSGENDER SEARCHES Staff shall not search or physically examine a transgender or intersex incarcerated person for the sole purpose of determining genital status (see the Prison Rape Elimination Act Policy for transgender and intersex definitions). If genital status is unknown, it may be determined during conversations with the person, by reviewing medical records, or, if necessary, by obtaining that information as part of a broader medical examination conducted in private by a qualified health care professional (28 CFR 115.15). 310.6.1 TRANSGENDER STRIP SEARCH On July 6, 2017, The Office of the Attorney General published an opinion that states a person's "sex" as used in Penal Code section 4030, subdivision (K) refers to the searched person's gender, including the person's gender identity and gender expression. See attachment: PC Code 4030 - Attorney General opinion.pdf The following is the procedure for complying with the the Attorney Generals opinion during a strip search of a transgender inmate. Copyright Lexipol, LLC 2024/06/25, All Rights Reserved. Contraband and Searches -9 Published with permission by Shasta County Sheriff's Office Shasta County Sheriffs Office Shasta County SO Custody Manual Contraband and Searches • The booking officer shall ask each intake if they identify as a male or female during the booking process. • The booking officer shall make sure the gender listed in booking management system matches the inmates response. • The booking folder used will be color appropriate to match the inmates gender. • If the inmate will remain in custody and meets the criteria to be strip searched, the booking officer will advise the inmate they will be strip searched by an officer of the same sex. If the inmate is in the process of transitioning, the officer will ask the inmate if they preferred to be searched by a male of female Deputy. • Two Deputies of the same sex should be present during a the strip search of a transitioning inmate. • A jail incident report documenting the search shall be written prior to completion of the the Deputy's shift. 310.7 USE OF FORCE TO REMOVE CLOTHING In the event a newly arrested detainee or a housed inmate refuses to comply with the strip search policy set forth above, force shall not be utilized unless each of the following conditions are met: • The non-compliant inmate, if he or she does not pose a significant threat to self, to jail staff, or jail security, shall be placed in a holding cell, counseled, and provided a cool down period; • The Main Jail Watch Commander shall talk with the inmate and thereafter make the determination whether force shall be utilized to insure search policy requirements; and • All staff involved in the use of force shall submit timely and appropriate documentation concerning the incident by way of a Jail Incident Report. NOTE: The above policy applies when a newly arrested detainee or a housed inmate refuses to comply with the strip search/visual body cavity search policy and no other problems exist. This policy does not supersede or limit the policy relating to safety cell placements, in which, under certain circumstances, the inmates clothing may be removed. 310.8 HOUSING UNIT SEARCHES