Sacramento County Sheriff's Office Jim Cooper Sheriff July 5, 2023 The Honorable Michael Bowman Presiding Judge*

There are continuing ADA and HIPAA violations due to the lack of adequate health related facilities while projects approved by the BOS are completed. Response to Finding 3. Agree with finding The Main Jail and RCCC were constructed and renovated prior to the enactment of the Americans with Disabilities Act (ADA) in 1990 and Health Insurance Portability and Accountability Act (HIPAA) in 1996. These challenges will persist while projects approved by the Board are designed and constructed. The Sheriff's Office, along with the Department of General Services, have identified Main Jail and RCCC ADA deficiencies and are working together to design and provide cost estimates for any identified improvements. Any identified improvements would be considered in coordination with other Capital Construction Projects, available funding, and the construction of the interim projects and the new health and intake facility. While awaiting the completion of new ADA and HIPAA projects, the Sheriff's Office is committed to finding innovative near- term solutions in cooperation with our DGS and DHS/ACH partners.

There are interim measures that could be implemented at the Main Jail and RCCC to address Mays Consent Decree non-compliance issues while the Annex and interim projects are being designed and constructed. Response to Finding 4. Partially disagree with finding As with ADA and HIPAA, the Sheriff's Office is always willing to find interim measures to become partially compliant or even fully compliant in accordance with the Remedial Plan of the Mays Consent Decree. We are committed to innovative and unique solutions while awaiting long term construction projects. The County Departments and Sheriff's Office, however, have determined that the installation of modular trailers within the Mail Jail parking garage or adjacent dirt lot is not feasible due to space and operational constraints. The Honorable Michael Bowman July 5, 2023

Mandatory rotations in leadership positions at the Main Jail and RCCC have adversely impacted the County's ability to meet the requirements in a timely fashion. Response to Finding 6. Partially disagree with finding The Sheriff's Office has asked for a 10% pay incentive for key leadership positions at the Jail and RCCC to retain the current Captains, Assistant Commanders and Compliance Lieutenants, but this budget item was not approved. The Sheriff's Office is researching the feasibility of creating a non-sworn position in the compliance role. In the interim, the existing compliance leadership continue to work closely with the May's Plaintiff Council to improve in areas that they are able to.

The sanitation of the Main Jail and RCCC is substandard, and there are inadequate written procedures in place to ensure cleaning is effective. Partially disagree with finding Response to Finding 7. While cleaning continues to be a challenge, the Sheriff's Office has taken measures to document cleaning procedures for our areas of responsibility at the Jail including booking cells and housing areas. Staff ensures those areas are clean, and if they become unsanitary we strive to respond within a reasonable amount of time to clean, sanitize and disinfect. Post Orders are in place to ensure that all housing units, cells, including holding tanks and safety cells, are searched and cleaned prior to the placement of a new prisoner. Cell clean-up shall include the disinfection of mattresses.