Inspections of Jails/Prisons/Detention Centers

Conclusions 117

• CL1 Page 71
  Facility A has an inmate population of approximately 1,113 Level-II Sensitive Needs Yard (SNY) inmates. The facility consists of eight dormitory housing units and each housing unit has a capacity of approximately 140 inmates. The California Code of Regulations defines a Level-II as consisting primarily of open dormitories with a secure perimeter, which may include armed coverage. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 47
• CL2 Page 72
  Facility B has an inmate population of approximately 977 medium/maximum custody level inmates and serves as a reception center receiving and processing male inmates who have been newly committed to CDCR primarily from Riverside and San Diego County. The Reception Center completes diagnostic tests, medical/mental health screening, and literacy assessments for classification in order to determine the inmate's appropriate institutional placement. In addition to the reception center mission, Facility B includes Palm and Cypress Halls as designated Administrative Segregation Units. These Administrative Segregation units receive inmates from CIM, California Rehabilitation Center, Local CDCR/Cal Fire camps, inmates serving Security Housing Unit terms, and inmates in route to court or other CDCR Institutions.
• CL3 Page 72
  Facility C has an inmate population of approximately 760 Level-II SNY inmates, many of whom are serving life sentences. The facility consists of four housing units with a capacity of approximately 200 inmates. Facility C is located approximately 2 miles east of CIM's main complex.
• CL4 Page 72
  Facility D has an inmate population of approximately 2,000 general population inmates and is designated as a Secure Level-I. The facility consists of twelve housing units with each housing unit having a capacity of approximately 200 inmates. The California Code of Regulations defines a Level-I as consisting primarily of open dormitories with a low security level. Inmates with 0 to 18 points (least likely to misbehave) are housed in Level-I facilities. Inmates with minimum custody can be housed and work outside the secure perimeter where inmates with medium custody are housed and work inside the secure perimeter but can live in a dormitory environment. General Information Note: Responses to Grand Jury questions are in bold.
• CL5 Page 72
  What is the capacity of the facility? 4,728 inmates. Current population of 3,643 inmates.
• CL6 Page 72
  What is the number of pretrial/presentenced inmates? Numbers vary for Penal Code 1203.03 (referred to as a presentence diagnostic case). Inmates are housed at Facility B reception center for up to 90 days for evaluation and sentencing
• CL7 Page 73
  Has the facility exceeded capacity since the last state inspection? No per CDCR population report for CIM.
• CL8 Page 73
  What is the average length of detention? Four years plus for determinate (fixed period) sentenced inmates. CIM also houses Lifer inmates with indeterminate sentences.
• CL9 Page 73
  Are inmates oriented to rules and procedures? Receive CCR Title 15 and Orientation.
• CL10 Page 73
  Are rules and grievance procedures posted? Yes.
• CL11 Page 73
  Are rules and grievance procedures understood by inmates? Each inmate is assigned a Correctional Counselor to provide assistance.
• CL12 Page 73
  Number of suicides 2015 to 2016. One transgender inmate in April 2015.
• CL13 Page 73
  Number of attempted suicides 2015 to 2016. None reported.
• CL14 Page 73
  Number of deaths from other causes 2015 to 2016. None.
• CL15 Page 73
  Numbers of escapes 2015 to 2016. None.
• CL16 Page 73
  Date of last fire/emergency drill. Conducted quarterly. Staffing
• CL17 Page 73
  Is there enough staff to monitor inmates? Total staffing 1,709 employees: 896 custody staff (uniformed peace officers) and 813 non-custody staff.
• CL18 Page 73
  What is number of funded positions? 1,709 employees.
• CL19 Page 73
  How many vacant positions are there? No custody vacant positions. Non-custody staff can be up to 8% vacant.
• CL20 Page 73
  Does staff communicate in language that an inmate can understand? Yes.
• CL21 Page 73
  Diversity of staff. White, Black, Hispanic, Asian represented.
• CL22 Page 73
  Impression of staff. Staff was professional and knowledgeable. Programs
• CL23 Page 73
  Educational Programs? General Educational Development (GED), Pre-Release, English as a Second Language (ESL), Literacy and Adult Basic Education (ABE), California State University San Bernardino Visual Arts. College Education Program - inmates enrolled in community college correspondence classes. Prison 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 49 Education & Arts Program - College students tutoring and providing educational resources to inmates who participate in the volunteer education program. Students and program participants are from California Polytechnic State University Pomona.
• CL24 Page 74
  Self Help Programs? Narcotics Anonymous, Alcoholics Anonymous, Criminal Gang Anonymous, Celebrate Recovery, Veterans in Prison, Prison Fellowship Pre-release Program, Center for the Empowerment of Families Fatherhood Group, Victim Offender Education Group, Toastmasters, Global Youth Connection, Alternative to Violence, Fatherhood Program. ASK mentoring program (program mentors inmates that receive little or no visits from family). Celebrate Recovery -12-step recovery program for dysfunction including drugs, alcohol, sexual abuse, and anger. Victim Offender Education Group (VOEG) (restorative justice program helping participants understand the impact of the crimes and effect on the victim, family and community). PRIDE (Prisoners Reaching Independent Decision to Educate) group helps at-risk youth in community through education. Life Changing Mentoring Program (Program provides mentors to the children of incarcerated parents in an effort to break the cycle of crime.)
• CL25 Page 74
  Drug Treatment Programs? CIM offers a Substance Abuse Program (SAP) with a 150 inmate program enrollment for those inmates that may need addiction recovery assistance.
• CL26 Page 74
  Work Programs/Vocational Programs? Prison Industry Authority (PIA) laundry (service for California Institution for Men, California Institution for Women, California Rehabilitation Center, and Patton State Hospitals), PIA juice processing and packaging plant, Marine Technology Training Center deep sea diver training program, Janitorial services, Landscape design, Automotive and Electronics repair.
• CL27 Page 74
  Religious Services? Religious Services are provided by State Chaplains who supervise a total of 500 volunteers from 93 Community Churches and Ministries. Prison Fellowship Pre-release Program - works with inmates who meet the 12 to 18 month release date. Program outline includes one-on-one life coaching skills, care team of volunteers, pre-release curriculum, and seminars. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 50
• CL28 Page 75
  Is it inside or out? Outside track and sports field.
• CL29 Page 75
  How frequently is it offered? Seven days a week during designated daylight/evening hours when not programming in a work/academic/vocational assignment.
• CL30 Page 75
  How much time is each inmate offered? All inmates have equal access with varied times according to privilege level. Telephone
• CL31 Page 75
  Do inmates have access to telephones? Yes, collect calls. Inmates sign up for telephone use. Correspondence
• CL32 Page 75
  Is there limited free postage for inmates without money? Free postage, paper, envelopes for indigent inmates with less than $1.00 on their account for 30 consecutive days.
• CL33 Page 75
  Incoming/outgoing – are inmates aware that mail can be read? Yes, by staff.
• CL34 Page 75
  Confidential correspondence – letter to attorneys, legislators, etc., - how is it handled? Outgoing Confidential mail will be designated “Confidential” on the face of the envelope. Staff will inspect the contents of the letter without reading in front of the inmate. Staff will seal the letter and sign his/her name and date on the back of the envelope. Incoming Confidential mail will be opened by staff in front of the inmate without staff reading contents. Inmate will sign in logbook for the receipt of the Confidential mail. Visiting
• CL35 Page 75
  Is there adequate space, convenient times or accommodations to family’s work schedule, etc.? Visiting Days: Saturday, Sunday and Designated Holidays (New Year’s Day, Independence Day, Thanksgiving Day, and Christmas Day). Visiting Hours: 8:30 a.m. to 3:00 p.m. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 51
• CL36 Page 76
  Are there provisions for special visits with attorneys/clergy? Yes.
• CL37 Page 76
  Does staff supervise visits? Staff monitors regular visits. Attorney visits are held in a confidential area if requested.
• CL38 Page 76
  Do all inmates have access to visiting? Yes. Visiting can be restricted based on privilege level. Grievances
• CL39 Page 76
  What are the most common types of grievances filed by inmates? Varies; inmates can appeal any decision, action, conditions, or omissions that have an adverse effect on the welfare of inmates.
• CL40 Page 76
  Is there a record kept based on type and number? Appeals Coordinator maintains logbook.
• CL41 Page 76
  What is the grievance process? Documented in writing on CDCR 602 form, Inmate/Parolee Appeal. Meals/Nutrition
• CL42 Page 76
  The kitchen area – Is it clean? Did not tour.
• CL43 Page 76
  Are meals served in the cell? If not where? Normally in the culinary or kitchen.
• CL44 Page 76
  Are inmates permitted to converse during meals? Yes.
• CL45 Page 76
  Length of time allowed for eating? A minimum of fifteen minutes shall be allowed for the actual consumption of each meal. Health
• CL46 Page 76
  Medical Services and Dental Services:
• CL47 Page 76
  How frequently is medical/dental staff onsite? Medical staff is available 24/7. Normal dental treatment is available Monday-Friday during regular work schedule.
• CL48 Page 76
  How long do inmates wait to be seen? Daily sick call, inmates sign up to be seen the same day.
• CL49 Page 76
  Is a physician/dentist available by phone or come inside? Yes, both. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 52
• CL50 Page 77
  What type of onsite health facility is available to inmates? CIM Hospital is not accredited, but can handle most medical and dental procedures.
• CL51 Page 77
  Mental Health Services:
• CL52 Page 77
  How frequently is mental health staff onsite? Daily Monday-Friday excluding holidays.
• CL53 Page 77
  How long do inmates wait to be seen? Same day Monday-Friday or next working day.
• CL54 Page 77
  What is the process to handle mentally challenged inmates? Inmate self-referral or Staff Referral of inmate to Psychiatrist or Clinical Psychologist.
• CL55 Page 77
  Is there special housing and staff training? Yes.
• CL56 Page 77
  Are there Contracted offsite Hospitals, Dental clinics? CIM has a contract with the Riverside University Health System (RUHS) to provide urgent or emergency hospital care for inmates at the Riverside Hospital. Dental treatment is completed at CIM.
• CL57 Page 77
  How are inmates transported to off-site facilities? Contracted ambulances for emergencies or CDCR van transports for contracted referred medical treatment.
• CL58 Page 77
  How is security handled? Inmate is put in waist and leg restraint gear unless medical restrictions. Correctional staff accompany inmate to and from the hospital. Site Tour Note the following items as you tour the facility:
• CL59 Page 77
  Condition of the exterior and interior of the building noting graffiti, peeling paint, unpleasant odors, or other signs of deterioration. The facility is old but it has been maintained satisfactorily. Renovations are underway. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 53
• CL60 Page 78
  Condition of the grounds, exercise areas, playing fields, and exercise equipment. Condition is satisfactory. The drought has taken its toll on the greenery and old trees dying and diseased are being removed. Grass is no longer green or growing; plants are dead and turned to tumbleweeds. Water conservation is mandated.
• CL61 Page 78
  General cleanliness of the facility including windows, lighting, lockers, desks, conditions of the mattresses, bedding and pillows. Satisfactory.
• CL62 Page 78
  Condition of sleeping room door panels. Not inspected.
• CL63 Page 78
  Temperature of living units. Living units were hot. The temperature outside was 105 degrees. Inmates could benefit from an efficient cooling system.
• CL64 Page 78
  Safety and security issues including fencing, outdoor lighting, location of the weapons locker. Satisfactory.
• CL65 Page 78
  If a court holding area is present in the facility, ensure access to toilet and drinking water. Not inspected. INTERIOR OF BUILDINGS (walls, paint, floors, drains, plumbing fixtures working, air vents, windows)
• CL66 Page 78
  Are cleaning fluids and chemicals labeled and safely stored? Did not observe these items in open areas. Stored in supply closets.
• CL67 Page 78
  Weapons locker present. Not inspected.
• CL68 Page 78
  Recreation/sports equipment. Track and sports field.
• CL69 Page 78
  Are the hallways clear, are doors propped open or closed? Hallways were clear, doors were open or closed as appropriate.
• CL70 Page 78
  Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? Did not observe.
• CL71 Page 78
  Are there individual cells/rooms, or dormitories? There are four facilities on the grounds. They contain both dorms and cells.
• CL72 Page 78
  Beds – Type of bed and is it off the floor? Bunk beds attached to wall. They appear adequate.
• CL73 Page 78
  Adequate lighting. Yes. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 54
• CL74 Page 79
  Temperature. No air conditioning in the cells and central rooms. Cooling provided by large fans and swamp coolers. INDIVIDUAL CELLS/ROOM
• CL75 Page 79
  Condition of walls. Did not observe.
• CL76 Page 79
  Personal possessions allowed in cell/room (Art, Books, Etc.). Yes.
• CL77 Page 79
  Graffiti present. No.
• CL78 Page 79
  Ample bedding. Yes. PERSONAL APPEARANCE OF INMATES
• CL79 Page 79
  What is the appearance of inmates (dirty, unkempt, well groomed, etc.)? Well groomed.
• CL80 Page 79
  Showers – frequency, privacy, maintained. Daily showering.
• CL81 Page 79
  Are there any reported assaults by inmates on inmates? Yes.
• CL82 Page 79
  Condition of clothing (does the clothing fit; is it appropriate for the weather, etc.)? Clothing appropriate. CALIFORNIA INSTITUTION FOR WOMEN For the purpose of this report, the Grand Jury obtained information from the following: interview with the Acting Warden and her Executive Staff; a guided tour by the Public Information Officer (PIO); the California Code of Regulations, Title 15 Crime Prevention and Corrections, Division 3; the California Institution for Women Institutional Guidebook; the California Department of Corrections and Rehabilitation Web site www.cdcr.ca.gov; and personal observations by the Grand Jury members. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 55 Inspection Form FACILITY NAME: INSPECTION DATE: California Institution for Women October 11, 2016 and November 7, 2016 FACILITY CAPACITY: 2,042 inmates TYPE OF FACILITY: State Prison housing Current population of 1,886 inmates female inmates. ADDRESS: TELEPHONE NUMBER: 909-597-1771 16756 Chino-Corona Rd., Corona, CA 92880 The California Institution for Women (CIW) opened in 1952. Until 1987, CIW was California's only prison for female felons. CIW was originally called "California Institution for Women at Corona," but Corona residents objected to the use of their city in the prison's name and it was changed March 1, 1962 to "Frontera," a feminine derivative of the word frontier - a new beginning. The campus-like design was in keeping with the 1950's progressive notion of rehabilitation. The mailing address for CIW is in the City of Corona in Riverside County; however, the prison has been physically located in the City of Chino since 2003 following an annexation of land in an area that was previously San Bernardino County. The California Institution for Women (CIW) accommodates all custody levels of female inmates. In addition to its large general population, CIW houses inmates with special needs such as pregnancy, psychiatric care, methadone, and medical problems such as HIV infection. CIW serves as a hub institution for the selection and physical fitness training of female firefighters selected for camp placement. The institution also serves as a higher security facility for female inmates in Administrative Segregation. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 56 General information Note: Responses to Grand Jury questions are in bold.
• CL83 Page 81
  What is the capacity of the facility? 2,042 inmates. Current population of 1,886 inmates.
• CL84 Page 72
  What is the number of pretrial/presentenced inmates? Numbers vary for Penal Code 1203.03 Diagnostic 90 day cases at reception center.
• CL85 Page 81
  What is the average length of detention? 2 years plus for determinate sentenced inmates. CIW also houses approximately 300 Lifer inmates with indeterminate sentences.
• CL86 Page 81
  Number of suicides 2015 to 2016. 2 suicides. Last suicide April 14, 2016.
• CL87 Page 81
  Number of attempted suicides September 2015 to September 2016. 45 attempted suicides. Reduced from January 2016 to September 2016 (17 attempted suicides).
• CL88 Page 81
  Number of deaths from other causes 2015 to 2016. Two.
• CL89 Page 73
  Date of last fire/emergency drill. Conducted quarterly. Last completed October 20, 2016. Staffing
• CL90 Page 81
  Is there enough staff to monitor inmates? Yes. Total staffing 1,259 employees: 378 Custody staff, 412 non-custody staff and 469 Mental Health/Medical/Dental.
• CL91 Page 81
  What is number of funded positions? 1,259
• CL92 Page 81
  How many vacant positions are there? No Custody vacant positions. Non-custody can be up to 8% vacant. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 57
• CL93 Page 82
  Educational Programs? Adult basic education, English Secondary Language (ESL), GED, Literacy program, Chaffey College (Associate degree), Coastline (Associate degree), Palo Verde (Associate degree), UCLA African American Studies (Bachelor degree program), California Coast University (Bachelor degree program), Choice Theory Connection Program.
• CL94 Page 74
  Self Help Programs? Narcotics Anonymous, Alcoholics Anonymous, Victim Awareness, Bike refurbishing program with repaired bikes donated to charities. Prison Puppy Program to train service dogs. Avon Cancer walk that raised over $42,000 by inmates and staff. "Continuing the Dream" program where inmates volunteer to participate in video conferences with the San Bernardino Unified School District to discourage kids from getting into crime. Lifer Summit in which 30 former Lifer inmates came back to CIW to discuss with currently incarcerated inmates on how they are dealing in a free society.
• CL95 Page 82
  Drug Treatment Programs? Currently 96 inmate enrollment for the Substance Abuse Program. Adding an additional 50 inmate positions in the future.
• CL96 Page 74
  Work Programs/Vocational Programs? Prison Industry Authority (PIA): Clothing and textile manufacturing (shirts, shorts, jeans, smocks, aprons, bedspreads, handkerchiefs, bandanas, Nomex firefighting clothing), and construction. Prison Puppy program. Computer training, Data Processing, Word Processing, Building Maintenance, Cosmetology. Forestry/Camp Training and Pre-Forestry training program for Forestry Firefighters.
• CL97 Page 82
  Religious Services? Services provided for Jewish, Catholic, Protestant, Native American, Buddhist, Jehovah Witness, and Wicca.
• CL98 Page 75
  Is it inside or out? Outside track and sports field. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 58
• CL99 Page 75
  How much time is each inmate offered? All inmates have equal access with varied time according to privilege level. Telephone
• CL100 Page 76
  What are the most common types of grievances filed by inmates? Inmates can appeal any decision, action, condition, or omission that have an adverse effect on the welfare of inmates.
• CL101 Page 84
  The kitchen area – Is it clean? Yes.
• CL102 Page 84
  Are meals served in the cell? If not where? In the kitchen. Daily two hot meals and one sack lunch.
• CL103 Page 76
  How long do inmates wait to be seen? Daily sick call. Inmates sign up to be seen the same day.
• CL104 Page 76
  Is a physician/dentist available by phone or come inside? Yes, both.
• CL105 Page 77
  What type of onsite health facility is available to inmates? Medical Clinic that can handle most medical and dental procedures. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 60
• CL106 Page 85
  How frequently is mental health staff onsite? Mental Health staff is available 24/7.
• CL107 Page 85
  How long do inmates wait to be seen? Same day if required.
• CL108 Page 85
  Are there Contracted offsite hospitals, dental clinics? CIW has a contract with the Riverside University Health System (RUHS) to provide urgent or emergency hospital care for inmates at the Riverside Hospital. CIW also has contracts with Chino Valley Medical Center, Pomona Valley Medical Center, and Kaiser Hospital. Dental treatment is completed at CIW.
• CL109 Page 85
  How are inmates transported to offsite facilities? Contracted ambulances for emergencies or CDCR van transports for contracted referred medical treatment.
• CL110 Page 85
  How is security handled? Inmate is physically put in restraint gear and Correctional staff accompany inmate to and from the hospital. Site Tour Note the following items as you tour the facility:
• CL111 Page 78
  Condition of the grounds, exercise areas, playing fields, and exercise equipment. All dirt because no watering permitted because of the drought. Few plants.
• CL112 Page 85
  Condition of sleeping room door panels. Small two person cells. Clean and tidy.
• CL113 Page 85
  Temperature of living units. Humid in some cells. Large fans used for air circulation. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
• CL114 Page 63
  ICEMA would like to begin the detailed planning process in conjunction with key EMS system stakeholders to fully develop the MedCon as soon as possible. The concept has been discussed extensively in the APOD Task Force and in a number of other forums. ICEMA has received generally positive feedback during these discussions. In fact, the need to proceed rapidly is a continuing theme that has emerged from these discussions. Based on the feedback received this clearly represents an unprecedented opportunity to be proactive rather than reactive to the many challenges that are occurring in healthcare in the United States that directly affect the provision of EMS. The implementation of the MedCon concept has been identified as central to the strategy of reducing APOD and its unintended consequences. viii
• CL115 Page 66
  Report Detail This report collects and summarizes the "Bed Delay" for a selected group of hospitals. "Bed Delay" is the time between arrival of an ambulance at a hospital and the hospital receiving the patient. The first 25 minutes are excluded from consideration. The only type of transports that are considered are 911 calls where the patient is treated and transported via ambulance. Abbreviated Name Full Name Name Full Name ARMC Arrowhead Regional Medical Center BCH Barstow Community Hospital BVCH Bear Valley Community Hospital CVMC Chino Valley Medical Center CRMC Colorado River Medical Center CHSB Community Hospital San Bernardino DVMC Desert Valley Hospital Center HDMC Hi-Desert Medical Center KHF Kaiser Hospital Medical Center - Fontana KHO Kaiser Hospital Medical Center - Ontario LLUMC Loma Linda University Medical Center MHMC Montclair Hospital Medical Center MCH Mountains Community Hospital RDCH Redlands Community Hospital SARH San Antonio Regional Hospital STBMC St. Bernardine Medical Center STMMC St. Mary Medical Center VALL JLP VA Loma Linda VVGMC Victor Valley Global Medical Center ICEMA, ePCR Database. Compiled 1/9/2017, PW. ii
• CL116 Page 67
  Total Bed Delay Hours* and Bed Delay Transports by Hospital January 2016 – December 2016 Total Bed Bed Delay Total Bed Delay Average Bed Delay Median Bed Delay Hospital Delay Hours Transports Transports Percentage by Patient by Patient ARMC 2073:08 4,552 13,314 34.2% 0:27 0:15 BCH 312:40 770 5,630 13.7% 0:24 0:14 BVCH 36.33 169 1,702 9.9% 0:12 0:06 CVMC 399.15 1,007 5,475 18.4% 0:23 0:11 CRMC 18:02 35 808 4.3% 0:30 0:11 CHSB 2077:03 3,298 6,214 53.1% 0:37 0:19 DVMC 4213:2 7,000 11,167 62.7% 0:36 0:20 HDMC 207:43 722 5,072 14.2% 0:17 0:09 KHF 3087:22 5,115 13,534 37.8% 0:36 0:17 KHO 1841:43 3,000 7,890 38.0% 0:36 0:19 LLUMC 2849:14 5,778 13,472 42.9% 0:29 0:16 MHMC 481:23 885 2,885 30.7% 0:32 0:17 MCH 10:45 44 512 8.6% 0:14 0:09 RDCH 3033:13 5,265 9,514 55.4% 0:34 0:20 SARH 3522:47 5,803 14,571 39.8% 0:36 0:18 STBMC 4288:59 7,673 13,754 55.8% 0:33 0:17 STMMC 4232:59 6,715 11,708 57.4% 0:37 0:18 VALL 104:30 6,715242 1,162 20.8% 0:25 0:13 VVGMC 3250:13 4,093 7,053 58.0% 0:47 0:21 Total 36040:59 62,167 145,437 42.7% 0:34 0:18 iii
• CL117 Page 70
  45 INSPECTIONS OF JAILS/PRISONS/DETENTION CENTERS WITHIN THE COUNTY OF SAN BERNARDINO