Request for Proposal for the Indigent Adult Appointed

Conclusions 302

• CL1
  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
  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
  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
  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
  What is the capacity of the facility? 4,728 inmates. Current population of 3,643 inmates.
• CL6
  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
  Has the facility exceeded capacity since the last state inspection? No per CDCR population report for CIM.
• CL8
  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
  Are inmates oriented to rules and procedures? Receive CCR Title 15 and Orientation.
• CL10
  Are rules and grievance procedures posted? Yes.
• CL11
  Are rules and grievance procedures understood by inmates? Each inmate is assigned a Correctional Counselor to provide assistance.
• CL12
  Number of suicides 2015 to 2016. One transgender inmate in April 2015.
• CL13
  Number of attempted suicides 2015 to 2016. None reported.
• CL14
  Number of deaths from other causes 2015 to 2016. None.
• CL15
  Numbers of escapes 2015 to 2016. None.
• CL16
  Date of last fire/emergency drill. Conducted quarterly. Staffing
• CL17
  Is there enough staff to monitor inmates? Total staffing 1,709 employees: 896 custody staff (uniformed peace officers) and 813 non-custody staff.
• CL18
  What is number of funded positions? 1,709 employees.
• CL19
  How many vacant positions are there? No custody vacant positions. Non-custody staff can be up to 8% vacant.
• CL20
  Does staff communicate in language that an inmate can understand? Yes.
• CL21
  Diversity of staff. White, Black, Hispanic, Asian represented.
• CL22
  Impression of staff. Staff was professional and knowledgeable. Programs
• CL23
  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
  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
  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
  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
  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
  Is it inside or out? Outside track and sports field.
• CL29
  How frequently is it offered? Seven days a week during designated daylight/evening hours when not programming in a work/academic/vocational assignment.
• CL30
  How much time is each inmate offered? All inmates have equal access with varied times according to privilege level. Telephone
• CL31
  Do inmates have access to telephones? Yes, collect calls. Inmates sign up for telephone use. Correspondence
• CL32
  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
  Incoming/outgoing – are inmates aware that mail can be read? Yes, by staff.
• CL34
  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
  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
  Are there provisions for special visits with attorneys/clergy? Yes.
• CL37
  Does staff supervise visits? Staff monitors regular visits. Attorney visits are held in a confidential area if requested.
• CL38
  Do all inmates have access to visiting? Yes. Visiting can be restricted based on privilege level. Grievances
• CL39
  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
  Is there a record kept based on type and number? Appeals Coordinator maintains logbook.
• CL41
  What is the grievance process? Documented in writing on CDCR 602 form, Inmate/Parolee Appeal. Meals/Nutrition
• CL42
  The kitchen area – Is it clean? Did not tour.
• CL43
  Are meals served in the cell? If not where? Normally in the culinary or kitchen.
• CL44
  Are inmates permitted to converse during meals? Yes.
• CL45
  Length of time allowed for eating? A minimum of fifteen minutes shall be allowed for the actual consumption of each meal. Health
• CL46
  Medical Services and Dental Services:
• CL47
  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
  How long do inmates wait to be seen? Daily sick call, inmates sign up to be seen the same day.
• CL49
  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
  What type of onsite health facility is available to inmates? CIM Hospital is not accredited, but can handle most medical and dental procedures.
• CL51
  Mental Health Services:
• CL52
  How frequently is mental health staff onsite? Daily Monday-Friday excluding holidays.
• CL53
  How long do inmates wait to be seen? Same day Monday-Friday or next working day.
• CL54
  What is the process to handle mentally challenged inmates? Inmate self-referral or Staff Referral of inmate to Psychiatrist or Clinical Psychologist.
• CL55
  Is there special housing and staff training? Yes.
• CL56
  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
  How are inmates transported to off-site facilities? Contracted ambulances for emergencies or CDCR van transports for contracted referred medical treatment.
• CL58
  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
  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
  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
  General cleanliness of the facility including windows, lighting, lockers, desks, conditions of the mattresses, bedding and pillows. Satisfactory.
• CL62
  Condition of sleeping room door panels. Not inspected.
• CL63
  Temperature of living units. Living units were hot. The temperature outside was 105 degrees. Inmates could benefit from an efficient cooling system.
• CL64
  Safety and security issues including fencing, outdoor lighting, location of the weapons locker. Satisfactory.
• CL65
  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
  Are cleaning fluids and chemicals labeled and safely stored? Did not observe these items in open areas. Stored in supply closets.
• CL67
  Weapons locker present. Not inspected.
• CL68
  Recreation/sports equipment. Track and sports field.
• CL69
  Are the hallways clear, are doors propped open or closed? Hallways were clear, doors were open or closed as appropriate.
• CL70
  Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? Did not observe.
• CL71
  Are there individual cells/rooms, or dormitories? There are four facilities on the grounds. They contain both dorms and cells.
• CL72
  Beds – Type of bed and is it off the floor? Bunk beds attached to wall. They appear adequate.
• CL73
  Adequate lighting. Yes. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 54
• CL74
  Temperature. No air conditioning in the cells and central rooms. Cooling provided by large fans and swamp coolers. INDIVIDUAL CELLS/ROOM
• CL75
  Condition of walls. Did not observe.
• CL76
  Personal possessions allowed in cell/room (Art, Books, Etc.). Yes.
• CL77
  Graffiti present. No.
• CL78
  Ample bedding. Yes. PERSONAL APPEARANCE OF INMATES
• CL79
  What is the appearance of inmates (dirty, unkempt, well groomed, etc.)? Well groomed.
• CL80
  Showers – frequency, privacy, maintained. Daily showering.
• CL81
  Are there any reported assaults by inmates on inmates? Yes.
• CL82
  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
  What is the capacity of the facility? 2,042 inmates. Current population of 1,886 inmates.
• CL84
  What is the number of pretrial/presentenced inmates? Numbers vary for Penal Code 1203.03 Diagnostic 90 day cases at reception center.
• CL85
  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
  Number of suicides 2015 to 2016. 2 suicides. Last suicide April 14, 2016.
• CL87
  Number of attempted suicides September 2015 to September 2016. 45 attempted suicides. Reduced from January 2016 to September 2016 (17 attempted suicides).
• CL88
  Number of deaths from other causes 2015 to 2016. Two.
• CL89
  Date of last fire/emergency drill. Conducted quarterly. Last completed October 20, 2016. Staffing
• CL90
  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
  What is number of funded positions? 1,259
• CL92
  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
  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
  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
  Drug Treatment Programs? Currently 96 inmate enrollment for the Substance Abuse Program. Adding an additional 50 inmate positions in the future.
• CL96
  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
  Religious Services? Services provided for Jewish, Catholic, Protestant, Native American, Buddhist, Jehovah Witness, and Wicca.
• CL98
  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
  How much time is each inmate offered? All inmates have equal access with varied time according to privilege level. Telephone
• CL100
  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
  The kitchen area – Is it clean? Yes.
• CL102
  Are meals served in the cell? If not where? In the kitchen. Daily two hot meals and one sack lunch.
• CL103
  How long do inmates wait to be seen? Daily sick call. Inmates sign up to be seen the same day.
• CL104
  Is a physician/dentist available by phone or come inside? Yes, both.
• CL105
  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
  How frequently is mental health staff onsite? Mental Health staff is available 24/7.
• CL107
  How long do inmates wait to be seen? Same day if required.
• CL108
  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
  How are inmates transported to offsite facilities? Contracted ambulances for emergencies or CDCR van transports for contracted referred medical treatment.
• CL110
  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
  Condition of the grounds, exercise areas, playing fields, and exercise equipment. All dirt because no watering permitted because of the drought. Few plants.
• CL112
  Condition of sleeping room door panels. Small two person cells. Clean and tidy.
• CL113
  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 61
• CL114
  Safety and security issues including fencing, outdoor lighting, location of the weapons locker. Outside areas well lit.
• CL115
  If a court holding area is present in the facility, ensure access to toilet and drinking water. N/A. INTERIOR OF BUILDINGS (walls, paint, floors, drains, plumbing fixtures working, air vents, windows)
• CL116
  Are cleaning fluids and chemicals labeled and safely stored? Yes
• CL117
  Recreation/sports equipment. Exercise class daily for one hour.
• CL118
  Are the hallways clear, are doors propped open or closed? Hallways clear. Doors open or closed as appropriate.
• CL119
  Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? Yes.
• CL120
  Are there individual cells/rooms, or dormitories? 2 person cells.
• CL121
  Beds – Type of bed and is it off the floor? Bunk type with mattresses.
• CL122
  Adequate lighting. Yes.
• CL123
  Condition of walls. Clean.
• CL124
  Personal possessions allowed in cell/room (Art, Books, Etc.). Books allowed and some personal items.
• CL125
  Ample bedding. Yes. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 62 PERSONAL APPEARANCE OF INMATES
• CL126
  What is the appearance of inmates (dirty, unkempt, well groomed, etc.)? Inmates clean and well groomed.
• CL127
  Are there any reported assaults by inmates on inmates? Occasionally.
• CL128
  Condition of clothing (does the clothing fit; is it appropriate for the weather, etc.)? Prison issued, appropriate for weather. DESERT VIEW MODIFIED COMMUNITY CORRECTIONAL FACILITY For the purpose of this report, the Grand Jury obtained information from the following: interview and site tour with the Warden; the California Code of Regulations, Title 15 Crime Prevention and Corrections, Division 3; the California Department of Corrections and Rehabilitation Web site www.cdcr.ca.gov; and personal observations by the Grand Jury members. Inspection Form FACILITY NAME: Desert View Modified INSPECTION DATE: Community Correctional Facility October 11, 2016 and November 7, 2016 FACILITY CAPACITY: 700 inmates TYPE OF FACILITY: State Prison housing male inmates. ADDRESS: TELEPHONE NUMBER: 760-246-1171 10450 Rancho Rd., Adelanto, CA 92301 The Desert View Modified Community Correctional Facility (MCCF) is a restricted, medium security facility designed to house custody inmates and parole violators for the California Department of Corrections & Rehabilitation (CDCR), who are designated as Level-II custody. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 63 Facility Description The 96,963 sq. ft. one-story masonry building was financed, designed and built by GEO Group, private corporation, on 20 acres of land. It has a health care unit and rooms for classroom instruction, counseling, and visitation. Educational areas include a computer laboratory, a library, and outdoor recreational areas. The facility is well furnished with a fully equipped kitchen and dayrooms and dormitory sleeping areas are clean and comfortable. The dormitory style facility has 2 dorms with 86 beds and 6 dorms with 88 beds, and an additional 13 single-bunked cells for inmate segregation. Two cells with single bunks are reserved for medical purposes. The facility design enables modern correctional techniques such as direct supervision. The building perimeter and control centers utilize state-of-the-art electronic surveillance and detection techniques. Security enhancement measures include a central control room that contains closed circuit television monitors allowing staff to survey interior as well as perimeter areas. Housing units are designed so that inmates can move about freely under the direction of officers who monitor their activities and movement between areas. General Information Note: Responses to Grand Jury questions are in bold.
• CL129
  What is the capacity of the facility? 700 inmates.
• CL130
  What is the number of pretrial/presentenced inmates? None.
• CL131
  What is the average length of detention? 5 years.
• CL132
  Are rules and grievance procedures understood by inmates? Given a handbook upon arrival.
• CL133
  Number of suicides 2015 to 2016. None.
• CL134
  Number of attempted suicides 2015 to 2016. None.
• CL135
  Date of last fire/emergency drill. Conducted monthly. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 64 Staffing
• CL136
  Is there enough staff to monitor inmates? Yes. Total staffing 156 employees: 90 custody staff and 66 non-custody staff.
• CL137
  What is number of funded positions? 90
• CL138
  How many vacant positions are there? Two vacancies.
• CL139
  Diversity of staff. White, Black, Hispanic, Asian represented. Yes, 50 percent female staff.
• CL140
  Impression of staff. Staff was professional and knowledgeable. Yes. Programs
• CL141
  Educational Programs? GED, Adult Basic Education, Coastline College (AA) degree.
• CL142
  Self Help Programs? Narcotics Anonymous, Alcoholics Anonymous, Pre-release life/social skills development programs.
• CL143
  Drug Treatment Programs? Yes, Substance Abuse Program (SAP).
• CL144
  Work Programs/Vocational Programs? Yes.
• CL145
  Religious Services? 32 volunteers to assist in any and all denominations including a sweat lodge for Native Americans.
• CL146
  How frequently is it offered? Seven days a week during daylight hours.
• CL147
  How much time is each inmate offered? All inmates have equal access. Telephone
• CL148
  Do inmates have access to telephones? Yes, collect calls. A record is kept of telephone numbers that inmates are not allowed to call based on court orders such as restraining orders or victim's rights. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 65 Correspondence
• CL149
  Do all inmates have access to visiting? Yes. Restricting visiting is no longer used as punishment. Grievances
• CL150
  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.
• CL151
  Is there a record kept based on type and number? Appeals Coordinator maintains logbook. Appeals are coordinated by CDCR. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 66
• CL152
  The kitchen area – Is it clean? Spotless.
• CL153
  Are meals served in the cell? Meals are served in the dining room. Trays are given in a “blind delivery” system. Server does not see recipient.
• CL154
  Length of time allowed for eating? Twenty minutes is allotted for the meal but seldom does it take that long. Health
• CL155
  How frequently is medical/dental staff onsite? The Doctor is present 40 hours per week. The Dentist is present 20 hours per week. In case of emergency a local hospital would be used.
• CL156
  What type of onsite health facility is available to inmates? This facility has an infirmary type medical facility. Major cases are taken to Arrowhead Regional Medical Center, emergencies go to St. Mary Medical Center or Desert Valley Hospital.
• CL157
  How frequently is mental health staff onsite? Inmates requiring Mental Health treatment are transferred to the State Hub Prison in Lancaster.
• CL158
  How long do inmates wait to be seen? Transferred to State Hub Prison as soon as possible, normally same day. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 67
• CL159
  What is the process to handle mentally challenged inmates? Desert View MCCF does not provide Mental Health treatment. Inmates identified for Mental Health treatment are transferred to the State Hub Prison in Lancaster.
• CL160
  Is there special housing and staff training? No special housing. Staff trained to refer inmate requiring Mental Health Services for transfer to State Hub Prison for treatment.
• CL161
  Are there Contracted offsite Hospitals, Dental clinics? Yes.
• CL162
  How is security handled? Inmate is transferred by transfer team. Site Tour Note the following items as you tour the facility:
• CL163
  Condition of the grounds, exercise areas, playing fields, and exercise equipment. All clean.
• CL164
  Condition of sleeping room door panels. Clean, painted and not damaged.
• CL165
  Temperature of living units. Air conditioned with outside air temperature of 87 degrees, pleasant.
• CL166
  Safety and security issues including fencing, outdoor lighting, location of the weapons locker. Weapons locker kept by CDC personnel. Indoor lighting fixtures good. This was a daytime inspection. The Grand Jury cannot comment on outdoor lighting.
• CL167
  Are cleaning fluids and chemicals labeled and safely stored? Yes.
• CL168
  Weapons locker present. Kept by CDC personnel, locked up in secure area.
• CL169
  Recreation/sports equipment Yes.
• CL170
  Are the hallways clear, are doors propped open or closed? Hallways clear and clean, doors closed.
• CL171
  Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? All holding cells had water and a toilet.
• CL172
  Are there individual cells/rooms, or dormitories? Dormitories.
• CL173
  Beds – Type of bed and is it off the floor? All beds off the floor, one-piece mattress and pillow system.
• CL174
  Adequate lighting Yes.
• CL175
  Temperature. Satisfactory. INDIVIDUAL CELLS/ROOM
• CL176
  Condition of walls. Clean, one wall had just been painted as we walked through.
• CL177
  Personal possessions allowed in cell/room (Art, Books, Etc.) Yes.
• CL178
  Graffiti present. Only on aforementioned window.
• CL179
  What is the appearance of inmates (dirty, unkempt, well groomed, etc.)? Inmates appeared clean with clean clothes.
• CL180
  Showers – frequency, privacy, maintained. Inmates have unlimited showers, as many as they want each day. Showers are only closed so that they may be cleaned in the evening each day. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 69
• CL181
  Are there any reported assaults by inmates on inmates? There is possibly one altercation per month, nothing of a major nature, more like a push or disrespectful speech.
• CL182
  Condition of clothing (does the clothing fit; is it appropriate for the weather, etc.)? Clothing looks adequate for the season. GLEN HELEN REHABILITATION CENTER For the purpose of this report, the Grand Jury obtained information from the following: interview and guided tour with the Captain of the facility from the San Bernardino Sheriff Department; the California Code of Regulations, Title 15 Crime Prevention and Corrections, Division 1, Board of State and Community Corrections, Minimum Standards for Local Detention Facilities; personal observations by the Grand Jury members; and the San Bernardino County Sheriff/Coroner Department Web site: http://cms.sbcounty.gov/sheriff/CourtsCorrections/GlenHelenRehabilitationCenter. Inspection Form FACILITY NAME: INSPECTION DATE: September 9, 2016 Glen Helen Rehabilitation Center FACILITY CAPACITY: TYPE OF FACILITY: County Female and 324 Female inmates and 1,024 Male inmates Male inmates housed in separate facilities. ADDRESS: TELEPHONE NUMBER: 909-473-3689 18000 Institution Road, Devore, CA 92407 The Glen Helen Rehabilitation Center lies on nine acres of land and consists of three inmate- housing facilities under the command of a Captain from the San Bernardino County Sheriff Department. Glen Helen is San Bernardino County's primary facility for housing both male and female inmates sentenced to County commitments. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 70 There are three levels of inmate classification. GP for general population ranked 1 through 7 with 1 being the highest risk based on offense(s). There is an HS classification for High Security inmates, and RH classification for Restricted Housing (pregnancy, bullied inmates, etc.). The Male Facility opened in 1960 as a work camp and had a capacity of 100 inmates in a maximum housing unit. The original site was also used as the Sheriff's Basic Academy until many years later when the training center was moved to the property just north of the jail. The current facility has two Minimum Security Housing Units and a Maximum Security Housing Unit. Glen Helen has a maximum capacity of 1,024 inmates and averages a daily population of 1,020. Glen Helen's Female Facility originally opened in 1988 with three dorm units for the housing of county sentenced inmates. An additional Maximum Security Unit was added in 2003 and the complex now houses both pretrial and sentenced females. The Female Facility has the capacity to house 326 inmates and averages an inmate population of 240 inmates per day. General Information Note: Responses to Grand Jury questions are in bold.
• CL183
  What is the capacity of the facility? 1,024 Male inmates. 326 Female inmates. Capacity will increase when housing units M1 and M2 are fully remodeled.
• CL184
  What is the number of pretrial/presentenced inmates? 720 inmates.
• CL185
  Has the facility exceeded capacity since the last state inspection? No.
• CL186
  What is the average length of detention? 143 days.
• CL187
  Are inmates oriented to rules and procedures? Yes.
• CL188
  Are rules and grievance procedures understood by inmates? Yes.
• CL189
  Number of deaths from other causes 2015 to 2016. None. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 71
• CL190
  Numbers of escapes 2015 to 2016. None, last escape in 2013.
• CL191
  Date of last fire/emergency drill. August 2016 during the Blue Cut vegetation fire. Staffing
• CL192
  Is there enough staff to monitor inmates? Yes, fourteen inmates to one staff member.
• CL193
  What is number of funded positions? 60 custody staff (25% women).
• CL194
  How many vacant positions are there? Four. These positions will be filled by Sept. 8, 2016 academy graduation class.
• CL195
  Does staff communicate in language that an inmate can understand? Yes, several languages are available. Outsourcing is also used for less common languages.
• CL196
  Diversity of staff. Very diverse staff evident.
• CL197
  Impression of staff. Very professional and knowledgeable. Programs
• CL198
  Educational Programs? GED (General Education Diploma). The Sheriff’s Department partners with Chaffey Adult School, California State University San Bernardino, San Bernardino County Superintendent of Schools, and the County Department of Workforce Development to offer a variety of occupational training to increase an inmate’s chance to gain employment upon release.
• CL199
  Self Help Programs? Alcoholics Anonymous, Narcotics Anonymous, Anger Management, Individual and Group Counselling, Veteran’s Administration assistance, Parent and Child Connection (PAAC), Teaching and Loving Kids (TALK), Gift a Quilt Program, Health Education, and Life Skill Development during Pre-Release class.
• CL200
  Drug Treatment Programs? Substance Abuse, "INROADS" (Inmate Rehabilitation Through Occupational and Academic Development). Inmates who enter the INROADS program without a high school diploma are required to attend classes and earn their GED while in custody. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 72
• CL201
  Work Programs/Vocational Programs? "Work Release Program." Under the direction of the court, the inmate can be released before the maximum sentence has been completed in order to reestablish ties with his/her family. In this way, the individual can return to his/her former employment and serve the community on his/her non- scheduled workdays. Vocational classes available while in custody for Commercial Baking, Culinary Arts, Custodial Occupations, and Microsoft Office Specialist Certification.
• CL202
  Religious Services? Yes, inmates are allowed on a voluntary basis to participate in religious services conducted by in-house chaplains and volunteers from various religions and organizations. Muslim inmates are accommodated with prayer rugs for prayer times at three intervals per day. Special religious events and meals are observed by the institution.
• CL203
  Is it inside or out? Outside, basketball courts available.
• CL204
  How frequently is it offered? Daily.
• CL205
  How much time is each inmate offered? Mandated minimum of three hours per week; however, the average time higher at eight to nine hours per week. Telephone
• CL206
  Do inmates have access to telephones? Yes. Correspondence
• CL207
  Is there limited free postage for inmates without money? Inmates who are without funds shall be permitted at least two postage paid letters each week to permit correspondence with family members and friends but without limitation on the number of postage paid letters to his or her attorney and to the courts.
• CL208
  Incoming/outgoing – are inmates aware that mail can be read? Yes, by staff. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 73
• CL209
  Confidential correspondence – letter to attorneys, legislators, etc., - how is it handled? Jail staff shall not review inmate Confidential mail to or from state and federal courts, any member of the State Bar or holder of public office; however, jail staff may open and inspect Confidential mail only to search for contraband, cash, checks, or money orders and in the presence of the inmate. Visiting
• CL210
  What are the most common types of grievances filed by inmates? 25 grievances were reviewed from January-August 2016. Grievances varied for different issues with no observable pattern in one area over another.
• CL211
  Is there a record kept based on type and number? Yes.
• CL212
  What is the grievance process? An inmate may appeal and have resolved grievances relating to any conditions of confinement, included but not limited to: medical care; classification actions; disciplinary actions; program participation; telephone, mail, and visiting procedures; and food, clothing, and bedding. Meals/Nutrition
• CL213
  The kitchen area – Is it clean? Kitchen area is exceptionally clean, no mold or unusual smells.
• CL214
  Are meals served in the cell? If not where? Meals and special dietary meals are prepared in the kitchen. Inmates take their meals in the dorm area; there is no 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 74 talking and no passing of food. Inmates receive two hot meals and one cold meal daily.
• CL215
  Are inmates permitted to converse during meals? No.
• CL216
  How frequently is medical/dental staff onsite? Available 24 hours, 7 days a week.
• CL217
  How long do inmates wait to be seen? A daily sick call conducted for all inmates. Policies and procedures to ensure emergency and medically required dental care is provided to each inmate.
• CL218
  What type of onsite health facility is available to inmates? Medical, Dental, Eye Care. Limited Mental Health services. Inmates with more severe Mental Health issues are typically transferred to West Valley Detention Center.
• CL219
  Are there Contracted off site Hospitals, Dental clinics? YES, Arrowhead Regional Medical Center for cases not able to accommodate at the Glen Helen Rehabilitation Center. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 75
• CL220
  How are inmates transported to offsite facilities? Contracted ambulances for emergencies or Sheriff van transportation to contracted referred medical treatment facilities.
• CL221
  Condition of the grounds, exercise areas, playing fields, and exercise equipment. Satisfactory, grass is green, some stress evident from reduced watering during the drought, exercise areas are clean with no debris, exercise equipment appears to be in good condition.
• CL222
  Condition of sleeping room door panels. Satisfactory.
• CL223
  Temperature of living units. Satisfactory, outside air temperature approximately 84 degrees at 11:30 a.m., inside satisfactory.
• CL224
  Safety and security issues including fencing, outdoor lighting, location of the weapons locker. All appear in good condition and functioning.
• CL225
  If a court holding area is present in the facility, ensure access to toilet and drinking water. Did not observe. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 76 INTERIOR OF BUILDINGS (walls, paint, floors, drains, plumbing fixtures working, air vents, windows)
• CL226
  Are cleaning fluids and chemicals labeled and safely stored? No cleaning fluids and chemicals stored in open.
• CL227
  Weapons locker present. Did not observe.
• CL228
  Recreation/sports equipment. Available for checkout.
• CL229
  Are the hallways clear, are doors propped open or closed? Hallways clear, doors open or closed as appropriate.
• CL230
  Are there individual cells/rooms, or dormitories? Dormitories and cells.
• CL231
  Beds – Type of bed and is it off the floor? Three-tier bunk beds off the floor. Top bunk is considered the best.
• CL232
  Temperature. Good. INDIVIDUAL CELLS/ROOM
• CL233
  Personal possessions allowed in cell/room (Art, Books, Etc.). Yes, stored in tubs/boxes under bunk.
• CL234
  Graffiti present. No graffiti observed.
• CL235
  Showers – frequency, privacy, maintained. Showers clean and available as requested.
• CL236
  Are there any reported assaults by inmates on inmates? Some but minor in nature.
• CL237
  Condition of clothing (does the clothing fit; is it appropriate for the weather, etc.)? Yes. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 77 CENTRAL VALLEY JUVENILE DETENTION & ASSESSMENT CENTER For the purpose of this report, the Grand Jury obtained information from the following: interview and guided tour with the Superintendent; the California Code of Regulations, Title 15 Crime Prevention and Corrections, Division 1 Minimum Standards for Local Detention Facilities; the San Bernardino County Probation Department Juvenile Detention and Assessment Center Orientation Handbook; the San Bernardino County Probation Department Web site www.joinprobation.org; a Computer Disk containing 366 files San Bernardino County Probation Department policy and procedures documents; and personal observations by the Grand Jury members. Inspection Form FACILITY NAME: Central Valley Juvenile INSPECTION DATE: September 1, 2016 Detention & Assessment Center FACILITY CAPACITY: 280 juvenile TYPE OF FACILITY: County Female and inmates Male juvenile inmates housed in separate Current population of 33 Female inmates and facilities referred to “Youth or Minor.” 182 Male inmates ADDRESS: TELEPHONE NUMBER: 909-473-3689 18000 Institution Road, Devore, CA 92407 The Central Valley Juvenile and Assessment Center (CVJDAC) was completed for 62 million dollars and opened in 2011. CVJDAC consists of a group of buildings in a "campus" style arrangement with related site developments and utilities. The design reflects the current emphasis on consolidating services such as dining, medical, education and others as much as possible in order to streamline operations and minimize the need for transporting individuals from one area to another. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 78 CVJDAC is located on a 9.7-acre site. The housing consists of three 80-bed housing units and one 40-bed housing unit arranged in 20-person modules for a total of 280 beds. Each module measures one story and 75,000 square feet and is composed of classrooms and program space for group therapy, religious activities and medical services. To create an interior courtyard area offering indoor activity space for juvenile detainees, modules were designed in a triangular fashion with basketball courts for each housing unit. Consolidated support facilities include classrooms, common areas, exercise areas, outdoor sports facilities, an intake/booking area, a warehouse, kitchen, and a 47,000-square-foot, single-story administrative building. The administration building includes intake, clinic, library, central control station, as well as offices. CVJDAC is also equipped with a state-of-the-art security system. General Information Note: Responses to Grand Jury questions are in bold.
• CL238
  What is the capacity of the facility? 280 bed facility (three 80-bed housing units and one 40-bed housing unit). Current population of 215 inmates (182 males, 33 females).
• CL239
  What is the number of pretrial youth? Varies.
• CL240
  Has the facility exceeded capacity since the last inspection? No, population divided between two Juvenile Detention Assessment Centers. (CVJDAC and High Desert Juvenile Detention Assessment Center).
• CL241
  What is the average length of detention? Approximately 60 days.
• CL242
  Are youths oriented to rules and procedures? Yes, Probation Correction Officers (PCO) orientation staff will provide information about facility procedures, rules, behavior expectations, services and programming. Orientation shall be provided no later than 24 hours after arrival to a unit.
• CL243
  Are rules and grievance procedures understood by youths? Yes, provisions are made to provide information to youths who are impaired, disabled or do not speak English.
• CL244
  Number of attempted suicides 2015 to 2016. Unknown, none reported. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 79
• CL245
  Date of last fire/emergency drill. Conducted monthly. Staffing
• CL246
  Is there enough staff to monitor youths? Yes, youths are monitored by Probation Correction Officers (PCO’s) along with the use of Closed Circuit Television Security System. Cameras monitor and record youth activities and interactions with other youths and staff 24 hours a day, 7 days per week. In order to maintain privacy, Closed Circuit Cameras are not located in restrooms, showers or youth’s sleeping rooms.
• CL247
  What is number of funded positions? 139 full time staff. Ratio: 1 supervision staff to 10 youths. (5 female Probation Corrections Supervisor I, and 3 female Probation Corrections Supervisor II).
• CL248
  How many vacant positions are there? Eight vacancies.
• CL249
  Does staff communicate in language that a youth can understand? Yes, provisions will be made to provide information to youths who are impaired, disabled or do not speak English.
• CL250
  Diversity of staff. Very diverse.
• CL251
  Impression of staff. Professional and knowledgeable. Programs
• CL252
  Educational Programs? Every youth entering a Juvenile Detention and Assessment Center is provided a quality educational program that includes instructional strategies designed to respond to the different learning styles and abilities of students for K-12 grade. School has 14 full time teachers. Teaching staff work closely with each youth’s former high school to earn him/her a high school diploma.
• CL253
  Self Help Programs? Yes, drug and alcohol.
• CL254
  Drug Treatment Programs? Volunteer and/or court mandated drug and counseling programs available to all youths. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 80
• CL255
  Work Programs/Vocational Programs? Regional Occupational Program (ROP) career technical training.
• CL256
  Religious Services? Yes, the Religious Services Coordinator maintains oversight of all religious activities within each facility and along with the Chaplains, assigns religious volunteers to provide services to youths. Religious Volunteers in Probation have passed a background check and have been trained and approved by the Religious Services Coordinator or Volunteer Coordinator. Religious services Wednesday and Sunday open to all youths.
• CL257
  Is it inside or out? On a daily basis, unit programs and activities are scheduled by staff, which includes indoor activities-approved television/radio programs, video games, board games/card games, art activities, reading material, indoor games, letter writing, phone calls and outdoor activities- basketball, kickball, soccer, calisthenics.
• CL258
  How frequently is it offered? Youths participate in recreational or exercise activity for a minimum of 3 hours a day, and up to 5 hours a day on weekends, providing behavior is appropriate. Telephone
• CL259
  Do youths have access to telephones? Yes, youths are allowed access to the unit/staff telephone ONLY to contact their Probation Officer or Attorney. Youths may contact family or others on the unit’s collect-only telephones. Correspondence
• CL260
  Is there limited free postage for youths without money? There is no limit on the volume of mail you may send or receive. Youths will be provided with pencils, paper, envelopes, and staff will ensure that sufficient time is set aside to write letters. Correspondence is not permitted between probation facilities. Letters to other correctional facilities are permitted to immediate family members, but only with written approval from both facilities. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 81
• CL261
  Incoming/outgoing – are youths aware that mail can be read? Yes, prior to mail leaving the facility, staff will ensure that mail is properly addressed, not sealed, no slogans or symbols shall appear on the outside of an envelope.
• CL262
  Confidential correspondence – letter to attorneys, legislators, etc., - how is it handled? Staff without reading, screen for contraband in front of youth. Visiting
• CL263
  Are there provisions for special visits with attorneys/clergy? Right to contact your attorney by telephone, during business hours (8:00 a.m. to 5:00 p.m.) Monday through Friday. Once the religious/spiritual leader has been cleared at the request of the youth, the approved visit will be scheduled.
• CL264
  Does staff supervise visits? Visits will be supervised by Probation Correctional Officer at all times.
• CL265
  Do all juvenile inmates have access to visiting? Yes, regular visits with Parents, Grandparents, and Legal Guardians. Grievances
• CL266
  What are the most common types of grievances filed by youths? Varies, youths can grieve anything.
• CL267
  Is there a record kept based on type and number? Yes, Superintendent reviews all grievances.
• CL268
  What is the grievance process? Grievance forms available in each housing unit. Youths have the right to file a grievance if any staff has violated the youth’s rights in the facility, or living conditions, medical, food, religious issues and/or school issues. After completing a grievance form, a Probation Correction Officer will attempt to resolve the issue within 4 days. If the issue remains unresolved, a Supervisor will review the grievance and make a determination. If still not satisfied with the 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 82 outcome, a request for an appeal will be sent to a facility administrator. The San Bernardino County Superintendent of Schools, not probation, would address grievances involving school state or conditions. Meals/Nutrition
• CL269
  Are meals served in the cell? If not where? Meals are prepared in the kitchen and then delivered to each pod. Youths eat in common dining area in each of the pods.
• CL270
  Are youths permitted to converse during meals? Yes.
• CL271
  Length of time allowed for eating? A minimum of fifteen minutes shall be allowed for the actual consumption of each meal. Health
• CL272
  How frequently is medical/dental staff onsite? A Correctional Nurse is available 24 hours, 7 days a week. Chief Medical Officer regular hours Monday, Wednesday, and Friday and also on call 24 hours a day for emergencies. Dentist regular hours every other Thursday. Optometrist regular hours every other Thursday.
• CL273
  How long do youths wait to be seen? Youths sign up for sick call to be seen by the Correctional Nurse within the same day at the clinic.
• CL274
  Is a physician/dentist available by phone or come inside? Doctor and Dentist on call.
• CL275
  What type of onsite health facility is available to youth? Medical clinic that provides medical services for sick call, dental services, and optometry.
• CL276
  How frequently is mental health staff onsite? 24 hours, 7 days a week.
• CL277
  How long do youths wait to be seen? Youths may at any time request counseling services if experiencing an emotional crisis, feeling sad, wanting to hurt himself/herself, are depressed, or cannot emotionally adjust to a detention setting. Youths will be referred to FAST (Forensic Adolescent 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 83 Services Team) for services. FAST will see the youth immediately, within 24 hours, within 48 hours, or within 14 days based on the level of care required.
• CL278
  What is the process to handle mentally challenged youths? Youth self-referral or staff referring youth for mental health/counselling treatment.
• CL279
  Is there special housing and staff training? Yes, all staff trained to recognize need to refer youth for Mental Health services based on youth’s stress, anxiety, etc.
• CL280
  Are there Contracted offsite Hospitals, Dental clinics? Appointments or treatment may be completed at the Medical Clinic, Arrowhead Regional Medical Center (ARMC), Loma Linda University Medical Center, Dental provider, or by referrals to youth’s private medical physician.
• CL281
  How are juvenile inmates transported to off-site facilities? Youths are transported in transport vans by Probation Correction Officers for non- emergency appointments or ambulances for emergencies.
• CL282
  How is security handled? Emergency and non-emergency appointments/treatment, youths are placed in physical restraints typically waist and leg restraints unless medical restrictions and accompanied by Probation Correctional Officers. Site Tour Note the following items as you tour the facility:
• CL283
  Condition of the grounds, exercise areas, playing fields, and exercise equipment. Green and clean.
• CL284
  Condition of sleeping room door panels. Clean. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 84
• CL285
  Temperature of living units. Air conditioned, comfortable temperature.
• CL286
  Safety and security issues including fencing, outdoor lighting, location of the weapons locker. No safety or security deficiencies noted.
• CL287
  Are cleaning fluids and chemicals labeled and safely stored? Yes, youths do not have access to cleaning fluids or chemicals unless under direction supervision of Probation Correction Officer.
• CL288
  Weapons locker present. Yes, for staff, no youth access.
• CL289
  Recreation/sports equipment. Basketball courts.
• CL290
  Are the hallways clear, are doors propped open or closed? Hallways clear, doors not propped open. Doors closed.
• CL291
  Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? Rooms have toilet and sink.
• CL292
  Are there individual cells/rooms, or dormitories? Most two-person rooms, a few one- person rooms.
• CL293
  Beds – Type of bed and is it off the floor? Two-person room: lower bunk-concrete slab with mattress and upper bunk-solid metal frame with mattress. Single room: concrete slab bed off the floor with mattress.
• CL294
  Adequate lighting. Yes, all areas well lit.
• CL295
  Temperature. Air conditioned, comfortable temperature. INDIVIDUAL CELLS/ROOM
• CL296
  Condition of walls. Clean and well maintained.
• CL297
  Personal possessions allowed in cell/room (Art, Books, Etc.). Limited property. 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 85
• CL298
  Ample bedding. Yes, pillow part of mattress. PERSONAL APPEARANCE OF JUVENILE INMATES
• CL299
  What is the appearance of juvenile inmates (dirty, unkempt, well groomed, etc.)? Youth observed clean and well groomed.
• CL300
  Showers – frequency, privacy, maintained. Clean and well maintained, with swinging shower door for privacy.
• CL301
  Are there any reported assaults by youth on youth? Occasional fights.
• CL302
  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 Attachment 2 ICEMA Bed Delay Report i 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 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 iv v 45 INSPECTIONS OF JAILS/PRISONS/DETENTION CENTERS WITHIN THE COUNTY OF SAN BERNARDINO