Approved and Filed*

Inmates are kept at Water Street Jail for medical reasons alone when they are otherwise eligible for the increased services and programming at Rountree. This denies programming to an otherwise-eligible inmate that may increase their ability to succeed upon community reentry. <b>AGREE</b> X PARTIALLY DISAGREE – explain the disputed portion ment: Jails In Santa Cruz County, BOS response packet (Grand Jury Response - Jails) <b>DISAGREE</b> – explain why Response explanation (required for a response other than Agree): While it is true that inmates are kept at Water Street for medical reasons and that they may otherwise be eligible for Rountree services, they are not denied important programming that may improve their chances at successful reentry. The Water Street Jail provides up to 100 hours of programming per week. Attach Respond by September 25, 2017 Packet Pg. 35 11.a Jails in Santa Cruz County Santa Cruz County Board of Supervisors

Long term inmates at Water Street may suffer from Vitamin D deficiencies due to lack of exposure to natural sunlight. Medical staff have not tested inmates for possible Vitamin D deficiencies. <b>AGREE</b> X PARTIALLY DISAGREE – explain the disputed portion <b>DISAGREE</b> – explain why Response explanation (required for a response other than Agree): Attachment: Jails In Santa Cruz County, BOS response packet (Grand Jury Response - Jails) It is true that staff do not routinely screen inmates for vitamin D deficiencies, but conclusions about inmate deficiencies are speculative. Inmates at Water Street are provided adequate yard time and many are assigned tasks exposing them to sunlight. Lab tests are performed on inmates who are symptomatic. The U.S. Preventive Services Task Force has said there is no justification to test for Vitamin D deficiency in asymptomatic adults. Respond by September 25, 2017 Packet Pg. 36 11.a Jails in Santa Cruz County Santa Cruz County Board of Supervisors

Water Street, a maximum security facility, has no means of detecting non-metal contraband other than physically searching an inmate. This increases the chance of dangerous items being brought into the facility. X AGREE PARTIALLY DISAGREE – explain the disputed portion <b>DISAGREE</b> – explain why Response explanation (required for a response other than Agree): Attachment: Jails In Santa Cruz County, BOS response packet (Grand Jury Response - Jails) Respond by September 25, 2017 Packet Pg. 37 11.a Jails in Santa Cruz County Santa Cruz County Board of Supervisors

The empty Blaine Street facility indicates a lack of long-range facility planning and coordination. <b>AGREE</b> X PARTIALLY DISAGREE – explain the disputed portion <b>DISAGREE</b> – explain why Response explanation (required for a response other than Agree): Attachment: Jails In Santa Cruz County, BOS response packet (Grand Jury Response - Jails) No amount of long-range facility planning could have foreseen the epochal changes that have occurred in California's criminal justice system over the last few years, which has dramatically impacted use patterns for local jail facilities. An opportunity arose to transfer of medically able medium- and minimum-security female inmates to Rountree in order to provide greater access to reentry programming. The Blaine Street facility requires security upgrades in order to return to use, and we understand the Sheriff's Office is working on a plan to do that and will return to the Board in the near future. Respond by September 25, 2017 Packet Pg. 38 11.a Jails in Santa Cruz County Santa Cruz County Board of Supervisors

When asked about program effectiveness and measurements of success locally, staff were unable to provide scorecards, analytics, or follow-up information on recidivism or success. This impacts their programs and future funding. <b>AGREE</b> PARTIALLY DISAGREE – explain the disputed portion X DISAGREE – explain why Response explanation (required for a response other than Agree): hment: Jails In Santa Cruz County, BOS response packet (Grand Jury Response - Jails) The Board has no knowledge of how jail staff responded to the Grand Jury's questions. However, the County has a long track record of using evidence-based decision-making in the criminal justice context, and in fact is was known as a leader in this field even prior to state-level criminal justice reforms that made such practices necessary at the local level. In particular, the Santa Cruz County Probation Department produces a wealth of information tracking offender behavior, including recidivism, which is used to set Board priorities and funding decisions. The Board also expects further information on the effectiveness of inmate programming once Rountree is fully operational. Attach Respond by September 25, 2017 Packet Pg. 39 11.a Jails in Santa Cruz County Santa Cruz County Board of Supervisors

The county "Boarder Program" at the Ben Lomond Conservation Camp is less costly to the county than housing inmates in the county jail system. X AGREE PARTIALLY DISAGREE – explain the disputed portion <b>DISAGREE</b> - explain why Response explanation (required for a response other than Agree): Attachment: Jails In Santa Cruz County, BOS response packet (Grand Jury Response - Jails) Respond by September 25, 2017 Packet Pg. 40 11.a Jails in Santa Cruz County Santa Cruz County Board of Supervisors

The remote location of the Ben Lomond Conservation Camp impacts emergency medical services for inmates and staff. Current county medical protocol does not allow staff on site to store or administer Narcan or Epinephrine. <b>AGREE</b> X PARTIALLY DISAGREE – explain the disputed portion <b>DISAGREE</b> – explain why Response explanation (required for a response other than Agree): ment: Jails In Santa Cruz County, BOS response packet (Grand Jury Response - Jails) The Board agrees that remote locales pose a challenge for emergency services. As Ben Lomond Conservation Camp is a state-owned facility, the Board is unsure how County medical protocol would impact operations there. The Board supports Naloxone and other life-saving anti-overdose drugs. Attach Respond by September 25, 2017 Packet Pg. 41 11.a Jails in Santa Cruz County Santa Cruz County Board of Supervisors