San Bernardino County Grand Jury
2016-2017
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Findings & Recommendations
10 findings
F1:
CFS has made steady progress on implementing changes in organizational objectives.
F2:
No progress reports have been made directly to the BOS to apprise them of the value of investing $250,000 in the redesign.
F3:
A disconnect exists between the implementation of the redesign elements and the changes brought about in organization and operations.
F4:
Workers who had been part of blended units expressed a preference for them for their teamwork aspect.
F5:
Although CFS is approaching full staffing, professional training takes one to two years. Therefore, it will be some time before current staff members, whose case and workloads remain high, feel the effects of full staffing.
F6:
There were no clear job descriptions to distinguish among SSP classes I-V.
F7:
CFS has begun to provide ARC shifts in outlying offices.
F8:
Staff welcomed the issue of new technological tools. In the field these tools will enable staff to better utilize time and communicate with offices and clients.
F9:
The wording of 2012-2013 Grand Jury Recommendation 13-10 lacked specificity: "Enhance the Annual Report for this purpose." The "Annual Report" that the Grand Jury recommended to be upgraded for the purpose of accountability to the public was not SIP. It was the former in-house report intended for the staff, which CFS has since made a public document on the CFS website.
F10:
Updating of CFS website is limited. 34 2016-2017 San Bernardino County Civil Grand Jury – Children and Family Services
Additional Recommendations
8
Not linked to specific findings.
R1:
Consider moving towards sibling and permanency units Completed
R2:
Continue to use Geo-Staffing for case distribution and introduce an overflow method Completed
R3:
Consider implementing a rotation or cross training program to promote growth for all staff Completed
R4:
Formalize recommended caseloads Completed
R5:
Develop method to support workload balancing Completed
R6:
Implement recommended caseloads and unit configuration for redesign and assure social worker to caseload ratio is appropriate. Evaluate clerical staffs workflow and adjust to new unit configuration process Completed Supervision and Organizational Structure
R7:
Review the overall referral workload for the agency and determine if the appropriate assignments/duties are being completed by the appropriate personnel. Completed 7a. Process Redesign Study In-Progress
R8:
Consider utilizing time study for all professionals to maximize resources In-Progress Effective Use of Technological Tools
Findings & Recommendations
8 findings
F1:
Demands on the 9-1-1 system are influencing the need for a re-evaluation of the EMS system. It was designed "to provide better management of resources, real-time exchange of medical information, and improvement in the delivery of appropriate, safe, cost effective, and quality healthcare." (Attachment 1, page i).
F2:
Bed delay directly affects the safety of patients and the general public who experience emergencies.
F3:
A shortage of ED beds and the lack of a trauma center exist in the High Desert. This shortage leads to hospital and emergency department overcrowding resulting in bed delays.
F4:
The misuse of the 9-1-1 system on a regular basis overloads dispatch and decreases the availability of ambulances.
F5:
A lack of coordination occurs among the three high desert hospitals, AMR, and SBCFD regarding overcrowding.
F6:
Communication problems result from AMR and SBCFD not operating on the same radio frequency.
F7:
Enhanced 9-1-1 call screening data is collected but not utilized.
F8:
No effective action has taken place to begin implementation of the ICEMA "Centralized Medical Control Proposal." 44 2016-2017 San Bernardino County Civil Grand Jury – HD Ambulance Availability and Bed Delay
Additional Recommendations
84
Not linked to specific findings.
R1:
An increase in the number of newly insured patients as a result of healthcare reform placing higher demands on already strained, over-crowded emergency departments (ED).
R2:
Further pressure on a county where the demand for inpatient beds is already significantly greater than the supply.
R3:
A disproportionately low number of local primary and specialty care physicians.
R4:
An aging population with additional medical needs, and the evolving role of EMS in the healthcare system, e.g., community paramedicine. These demands are influencing the need for an unprecedented, proactive reevaluation and remodeling of the EMS system designed to provide better management of resources, real-time exchange of medical information and improvements in the delivery of appropriate, safe, cost effective and quality healthcare. The extent that these changes will ultimately impact EMS remains unclear, but it is evident that there are already increased demands on the EMS system and hospital EDs to provide primary care to the newly insured. There is also continued pressure to provide behavioral health services in the emergency setting. This results in the exacerbation of long-standing system inefficiencies, resource shortages and ED overcrowding. From the EMS perspective, the most tangible impact on the EMS system is ambulance patient offload delays (APOD) or the inability to move patients from ambulance gurneys to ED beds or chairs due to ED overcrowding. The number of APOD hours has been increasing out of proportion to the increases in 9-1-1 requests for medical assistance. APOD exceeded 20,000 hours in 2014. Without systemic interventions, the 2015 APOD numbers are on track to exceed 30,000 hours. ii APOD not only impacts the transfer of care of patients, it delays the return of ambulances to respond to other calls for emergency services. The downstream effect of APOD is that first responders, including fire service and law enforcement personnel, must remain on scene longer than necessary thus delaying responses to a variety of emergencies including medical, fire, hazardous materials and crime related incidents. APOD directly affects the safety of patients and the general public that experience emergency response delays. Potential Solutions: An APOD Task Force comprised of stakeholders from San Bernardino and Riverside Counties identified a number of potential solutions to address these issues to promote better management of current resources, improve patient care and reduce APOD time resulting in the transfer of care and subsequent expeditious release of ambulances from EDs. These solutions include:
R5:
Implementation of pre-hospital triage strategies, such as enhanced 9-1-1 call screening and increased utilization of existing nurse advice lines designed to identify patients that do not require the historical EMS response or an ED to provide care for the patient’s medical complaint.
R6:
Development, implementation and continuation of ongoing public education strategies to address appropriate utilization of the EMS system and changing expectations that calling 9-1-1 always results in transportation to the ED. This must occur in partnership with healthcare insurance organizations, hospitals, EMS providers, and all levels of healthcare practitioners.
R7:
Implementation of EMS personnel on scene screening of non-critical patients, through approved protocols, that results in routing these lower acuity 9-1-1 patients to appropriate non- emergency department medical facilities i.e., urgent care centers and clinics.
R8:
Development of additional resources to support law enforcement and EMS personnel that encounter behavioral health patients and assist with the decision making regarding the placement of mental health holds commonly referred to as 5150s.
R9:
Development of protocols to guide the transportation of patients with behavioral health conditions such as a 5150 without a medical condition that meet specified screening criteria to appropriate behavioral healthcare settings. iii
R10:
Implementation and adoption of emerging technologies to assist the EMS personnel in the triage of both 9-1-1 patient responses and in the evolving community paramedicine models, including post discharge patient encounters. The possible solutions are in line with current regulations in California that allow for a variety of options and alternatives in the delivery of EMS patient care. However, a centralized medical control mechanism and process to manage the online medical direction to EMS personnel in a uniform manner does not currently exist in San Bernardino County. The concept of a centralized medical control is critical to implementing the possible solutions. Following APOD Task Force discussions, the Hospital Association of Southern California (HASC) and the 18 San Bernardino County hospital CEOs proposed exploring the creation of a centralized medical control and transportation hub, or MedCon for discussion purposes, to better address and implement these solutions. HASC and the hospital CEOs then asked the Inland Counties Emergency Medical Agency (ICEMA) to prepare a proposal for an ICEMA managed MedCon. It is believed that a centralized approach to providing medical direction to triage patients to appropriate destinations would better utilize current resources and provides a platform for the development and inclusion of identified solutions. This centralized medical control approach would also provide a focal point for the technologies necessary to address the challenges in effectively managing the strategies. It would also reduce medical control duplication and the costs associated with patient transport to inappropriate venues of care, i.e., EDs. The MedCon would require real-time situational awareness. This would be accomplished by leveraging and incorporating existing and emerging technologies so the centralized medical control staff, including on-duty emergency medicine physicians, can provide real-time medical direction to EMS personnel thereby improving community health in line with the San Bernardino County Board of Supervisors Countywide Vision. Based on the HASC and hospital CEOs request, ICEMA investigated the centralized medical control concept, including operational, financial and logistical needs associated with developing and managing such an operation. ICEMA concludes that the MedCon concept has merit and further exploration is warranted in order to achieve the objectives of responding to the changing healthcare environment, reducing overall costs by transporting patients to appropriate iv
R11:
Receive and approve EMS field personnel requests for treatment orders during 9-1-1 responses, specialty patient interfacility transfers and for community paramedicine (CP) post discharge follow-up visits if or when a local CP pilot program is fully implemented.
R12:
Approve patient requests for refusal of care or transportation against medical advice (AMA). This will also provide the opportunity for the patient to speak directly to an emergency medicine physician in complex cases where the AMA could have life threatening implications.
R13:
Provide real-time medical direction to EMS field personnel to approve non-urgent and non-acute patient transportation to pre-designated care facilities i.e., urgent cares and clinics.
R14:
Approve medical treatment of non-critical patient’s on scene and the subsequent release of non- critical patients for follow-up by the patient’s primary healthcare provider at a later time.
R15:
Provide a centralized point of access to behavioral and public health personnel when needed.
R16:
Utilize clinically persuasive technologies to aid in management of various illnesses, i.e., congestive heart failure (CHF) and diabetes.
R17:
Provide physician directed continuous quality improvement.
R18:
Provide a collaborative, integrated environment where behavioral health, law enforcement and the emergency medicine physician in the MedCon can work together, in real-time, to assist law enforcement and EMS field personnel in determining the appropriate use of 5150 holds.
R19:
Provide medical clearance for 5150 patient transportation to appropriate behavioral health facilities through the use of telemedicine (video conferencing) technologies leveraging the expertise of the MedCon emergency medicine physician.
R20:
Screen or authorize low acuity 9-1-1 call referrals using an established Emergency Medical Dispatch tier known as the Omega level, instead of dispatching the normal EMS response to all 9- 1-1 requests that result in unnecessary and costly EMS resource utilization and patient transports to EDs.
R21:
Monitor availability of 9-1-1 receiving hospitals and specialty care centers (STEMI, stroke and trauma) to manage transportation to the closest most appropriate medical facility. v
R22:
Assist in facilitating interfacility transfers, including STEMI, stroke and trauma patients, using continuation of care protocols.
R23:
Expedite interfacility transfers outside the ICEMA region using the mutual aid system when local resources are depleted.
R24:
Direct patient destination and other care decisions during Multiple Casualty Incidents (MCIs) and disasters.
R25:
Authorize and monitor EMS aircraft utilization.
R26:
Authorize and help facilitate ambulance strike team deployment or other medical mutual aid requests.
R27:
Assist in the preemptive treatment and transport of patients at long-term and/or convalescent facilities.
R28:
Manage the initial screening and notifications for infectious disease responses, i.e., Ebola.
R29:
Facilitate the dispatch and transportation of the Hospital Emergency Response Team (HERT) comprised of trauma center surgeons and nurses to provide care during complex extrications of entrapped patients.
R30:
Function as the ICEMA duty officer to manage any EMS system issues.
R31:
Function as the conduit to the Medical Health Operation Area Coordinator (MHOAC), a role shared by the Public Health Officer and EMS Administrator.
R32:
Provide centralized access to the Inland Empire Health Information Exchange (IEHIE) portal for patient care information based on an existing agreement between ICEMA and the IEHIE. Logistics/Planning/Finance: The potential roles of the centralized medical control require significant front end planning to develop and implement the MedCon. This includes the technical requirements to fully leverage existing and emerging technologies, and to utilize and develop best practices. ICEMA envisions that telemedicine; computer aided dispatch linkage, geographical information systems (GIS) and advanced computer augmented communication technologies will be needed to provide appropriate functionality. ICEMA will require additional human resources, not currently available; to fully explore the logistical, operational and fiscal requirements of the ICEMA operated MedCon. Therefore, ICEMA recommends establishing an Ad Hoc MedCon advisory task force comprised of subject matter experts familiar with logistics, planning and finance that would be headed by the ICEMA EMS Administrator. vi
R33:
Emergency medicine physician(s)
R34:
Technical support staff
R35:
Shift supervisor vii
R36:
Omega call screener(s)
R37:
Incoming call taker(s)
R38:
Office Assistant III(s)
R39:
EMS Specialist(s) Technologies would include hardware and software components necessary to provide required functionality. The infrastructure, such as the computer networks and hardware to host the technologies, would be available through the San Bernardino County Information Services Department at a cost to be determined based on need. Communications resources using the County’s 800 MHz system would be required to provide online access to EMS providers throughout the region. Enhanced services, such as the use of telemedicine technologies, will require software solutions that are HIPAA compliant and use existing communication technologies. Technical equipment required:
R40:
Workstation computers
R41:
Communication devices
R42:
Video conferencing and software A Geographical Information System (GIS) would also be needed for real-time situational awareness. This system would integrate existing information sharing platforms, such as weather and road conditions, hospital status/bed availability, location of key infrastructure/facilities and the status for air/ground resources, into separate layers on a scalable visualization tool. The system would aggregate existing data from these information sources into an interoperable common operating picture for complete situational awareness. The use of GIS is in line with the Countywide Plan process that includes the use of a single GIS system that incorporates multiple information sources that can be accessed as needed by various users. The cost of developing the required GIS layers and integrating into the emerging countywide system are yet to be determined. MedCon will require computerized workstations that would include a minimum of a communications monitor, video monitor, and situational awareness monitor at each station with access to GIS and various other information sources including voice and software. viii
R43:
An increase in the number of newly insured patients as a result of healthcare reform placing higher demands on already strained, over-crowded emergency departments (ED).
R44:
Further pressure on a county where the demand for inpatient beds is already significantly greater than the supply.
R45:
A disproportionately low number of local primary and specialty care physicians.
R46:
An aging population with additional medical needs, and the evolving role of EMS in the healthcare system, e.g., community paramedicine. These demands are influencing the need for an unprecedented, proactive reevaluation and remodeling of the EMS system designed to provide better management of resources, real-time exchange of medical information and improvements in the delivery of appropriate, safe, cost effective and quality healthcare. The extent that these changes will ultimately impact EMS remains unclear, but it is evident that there are already increased demands on the EMS system and hospital EDs to provide primary care to the newly insured. There is also continued pressure to provide behavioral health services in the emergency setting. This results in the exacerbation of long-standing system inefficiencies, resource shortages and ED overcrowding. From the EMS perspective, the most tangible impact on the EMS system is ambulance patient offload delays (APOD) or the inability to move patients from ambulance gurneys to ED beds or chairs due to ED overcrowding. The number of APOD hours has been increasing out of proportion to the increases in 9-1-1 requests for medical assistance. APOD exceeded 20,000 hours in 2014. Without systemic interventions, the 2015 APOD numbers are on track to exceed 30,000 hours. ii APOD not only impacts the transfer of care of patients, it delays the return of ambulances to respond to other calls for emergency services. The downstream effect of APOD is that first responders, including fire service and law enforcement personnel, must remain on scene longer than necessary thus delaying responses to a variety of emergencies including medical, fire, hazardous materials and crime related incidents. APOD directly affects the safety of patients and the general public that experience emergency response delays. Potential Solutions: An APOD Task Force comprised of stakeholders from San Bernardino and Riverside Counties identified a number of potential solutions to address these issues to promote better management of current resources, improve patient care and reduce APOD time resulting in the transfer of care and subsequent expeditious release of ambulances from EDs. These solutions include:
R47:
Implementation of pre-hospital triage strategies, such as enhanced 9-1-1 call screening and increased utilization of existing nurse advice lines designed to identify patients that do not require the historical EMS response or an ED to provide care for the patient’s medical complaint.
R48:
Development, implementation and continuation of ongoing public education strategies to address appropriate utilization of the EMS system and changing expectations that calling 9-1-1 always results in transportation to the ED. This must occur in partnership with healthcare insurance organizations, hospitals, EMS providers, and all levels of healthcare practitioners.
R49:
Implementation of EMS personnel on scene screening of non-critical patients, through approved protocols, that results in routing these lower acuity 9-1-1 patients to appropriate non- emergency department medical facilities i.e., urgent care centers and clinics.
R50:
Development of additional resources to support law enforcement and EMS personnel that encounter behavioral health patients and assist with the decision making regarding the placement of mental health holds commonly referred to as 5150s.
R51:
Development of protocols to guide the transportation of patients with behavioral health conditions such as a 5150 without a medical condition that meet specified screening criteria to appropriate behavioral healthcare settings. iii
R52:
Implementation and adoption of emerging technologies to assist the EMS personnel in the triage of both 9-1-1 patient responses and in the evolving community paramedicine models, including post discharge patient encounters. The possible solutions are in line with current regulations in California that allow for a variety of options and alternatives in the delivery of EMS patient care. However, a centralized medical control mechanism and process to manage the online medical direction to EMS personnel in a uniform manner does not currently exist in San Bernardino County. The concept of a centralized medical control is critical to implementing the possible solutions. Following APOD Task Force discussions, the Hospital Association of Southern California (HASC) and the 18 San Bernardino County hospital CEOs proposed exploring the creation of a centralized medical control and transportation hub, or MedCon for discussion purposes, to better address and implement these solutions. HASC and the hospital CEOs then asked the Inland Counties Emergency Medical Agency (ICEMA) to prepare a proposal for an ICEMA managed MedCon. It is believed that a centralized approach to providing medical direction to triage patients to appropriate destinations would better utilize current resources and provides a platform for the development and inclusion of identified solutions. This centralized medical control approach would also provide a focal point for the technologies necessary to address the challenges in effectively managing the strategies. It would also reduce medical control duplication and the costs associated with patient transport to inappropriate venues of care, i.e., EDs. The MedCon would require real-time situational awareness. This would be accomplished by leveraging and incorporating existing and emerging technologies so the centralized medical control staff, including on-duty emergency medicine physicians, can provide real-time medical direction to EMS personnel thereby improving community health in line with the San Bernardino County Board of Supervisors Countywide Vision. Based on the HASC and hospital CEOs request, ICEMA investigated the centralized medical control concept, including operational, financial and logistical needs associated with developing and managing such an operation. ICEMA concludes that the MedCon concept has merit and further exploration is warranted in order to achieve the objectives of responding to the changing healthcare environment, reducing overall costs by transporting patients to appropriate iv
R53:
Receive and approve EMS field personnel requests for treatment orders during 9-1-1 responses, specialty patient interfacility transfers and for community paramedicine (CP) post discharge follow-up visits if or when a local CP pilot program is fully implemented.
R54:
Approve patient requests for refusal of care or transportation against medical advice (AMA). This will also provide the opportunity for the patient to speak directly to an emergency medicine physician in complex cases where the AMA could have life threatening implications.
R55:
Provide real-time medical direction to EMS field personnel to approve non-urgent and non-acute patient transportation to pre-designated care facilities i.e., urgent cares and clinics.
R56:
Approve medical treatment of non-critical patient’s on scene and the subsequent release of non- critical patients for follow-up by the patient’s primary healthcare provider at a later time.
R57:
Provide a centralized point of access to behavioral and public health personnel when needed.
R58:
Utilize clinically persuasive technologies to aid in management of various illnesses, i.e., congestive heart failure (CHF) and diabetes.
R59:
Provide physician directed continuous quality improvement.
R60:
Provide a collaborative, integrated environment where behavioral health, law enforcement and the emergency medicine physician in the MedCon can work together, in real-time, to assist law enforcement and EMS field personnel in determining the appropriate use of 5150 holds.
R61:
Provide medical clearance for 5150 patient transportation to appropriate behavioral health facilities through the use of telemedicine (video conferencing) technologies leveraging the expertise of the MedCon emergency medicine physician.
R62:
Screen or authorize low acuity 9-1-1 call referrals using an established Emergency Medical Dispatch tier known as the Omega level, instead of dispatching the normal EMS response to all 9- 1-1 requests that result in unnecessary and costly EMS resource utilization and patient transports to EDs.
R63:
Monitor availability of 9-1-1 receiving hospitals and specialty care centers (STEMI, stroke and trauma) to manage transportation to the closest most appropriate medical facility. v
R64:
Assist in facilitating interfacility transfers, including STEMI, stroke and trauma patients, using continuation of care protocols.
R65:
Expedite interfacility transfers outside the ICEMA region using the mutual aid system when local resources are depleted.
R66:
Direct patient destination and other care decisions during Multiple Casualty Incidents (MCIs) and disasters.
R67:
Authorize and monitor EMS aircraft utilization.
R68:
Authorize and help facilitate ambulance strike team deployment or other medical mutual aid requests.
R69:
Assist in the preemptive treatment and transport of patients at long-term and/or convalescent facilities.
R70:
Manage the initial screening and notifications for infectious disease responses, i.e., Ebola.
R71:
Facilitate the dispatch and transportation of the Hospital Emergency Response Team (HERT) comprised of trauma center surgeons and nurses to provide care during complex extrications of entrapped patients.
R72:
Function as the ICEMA duty officer to manage any EMS system issues.
R73:
Function as the conduit to the Medical Health Operation Area Coordinator (MHOAC), a role shared by the Public Health Officer and EMS Administrator.
R74:
Provide centralized access to the Inland Empire Health Information Exchange (IEHIE) portal for patient care information based on an existing agreement between ICEMA and the IEHIE. Logistics/Planning/Finance: The potential roles of the centralized medical control require significant front end planning to develop and implement the MedCon. This includes the technical requirements to fully leverage existing and emerging technologies, and to utilize and develop best practices. ICEMA envisions that telemedicine; computer aided dispatch linkage, geographical information systems (GIS) and advanced computer augmented communication technologies will be needed to provide appropriate functionality. ICEMA will require additional human resources, not currently available; to fully explore the logistical, operational and fiscal requirements of the ICEMA operated MedCon. Therefore, ICEMA recommends establishing an Ad Hoc MedCon advisory task force comprised of subject matter experts familiar with logistics, planning and finance that would be headed by the ICEMA EMS Administrator. vi
R75:
Emergency medicine physician(s)
R76:
Technical support staff
R77:
Shift supervisor vii
R78:
Omega call screener(s)
R79:
Incoming call taker(s)
R80:
Office Assistant III(s)
R81:
EMS Specialist(s) Technologies would include hardware and software components necessary to provide required functionality. The infrastructure, such as the computer networks and hardware to host the technologies, would be available through the San Bernardino County Information Services Department at a cost to be determined based on need. Communications resources using the County’s 800 MHz system would be required to provide online access to EMS providers throughout the region. Enhanced services, such as the use of telemedicine technologies, will require software solutions that are HIPAA compliant and use existing communication technologies. Technical equipment required:
R82:
Workstation computers
R83:
Communication devices
R84:
Video conferencing and software A Geographical Information System (GIS) would also be needed for real-time situational awareness. This system would integrate existing information sharing platforms, such as weather and road conditions, hospital status/bed availability, location of key infrastructure/facilities and the status for air/ground resources, into separate layers on a scalable visualization tool. The system would aggregate existing data from these information sources into an interoperable common operating picture for complete situational awareness. The use of GIS is in line with the Countywide Plan process that includes the use of a single GIS system that incorporates multiple information sources that can be accessed as needed by various users. The cost of developing the required GIS layers and integrating into the emerging countywide system are yet to be determined. MedCon will require computerized workstations that would include a minimum of a communications monitor, video monitor, and situational awareness monitor at each station with access to GIS and various other information sources including voice and software. viii
Findings & Recommendations
389 findings
F1:
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. 47 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F2:
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.
F3:
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.
F4:
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.
F5:
What is the capacity of the facility? 4,728 inmates. Current population of 3,643 inmates.
F6:
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
F7:
Has the facility exceeded capacity since the last state inspection? No per CDCR population report for CIM.
F8:
What is the average length of detention? Four years plus for determinate (fixed period) sentenced inmates. CIM also houses Lifer inmates with indeterminate sentences.
F9:
Are inmates oriented to rules and procedures? Receive CCR Title 15 and Orientation.
F10:
Are rules and grievance procedures posted? Yes.
F11:
Are rules and grievance procedures understood by inmates? Each inmate is assigned a Correctional Counselor to provide assistance.
F12:
Number of suicides 2015 to 2016. One transgender inmate in April 2015.
F13:
Number of attempted suicides 2015 to 2016. None reported.
F14:
Number of deaths from other causes 2015 to 2016. None.
F15:
Numbers of escapes 2015 to 2016. None.
F16:
Date of last fire/emergency drill. Conducted quarterly.
F17:
Is there enough staff to monitor inmates? Total staffing 1,709 employees: 896 custody staff (uniformed peace officers) and 813 non-custody staff.
F18:
What is number of funded positions? 1,709 employees.
F19:
How many vacant positions are there? No custody vacant positions. Non-custody staff can be up to 8% vacant.
F20:
Does staff communicate in language that an inmate can understand? Yes.
F21:
Diversity of staff. White, Black, Hispanic, Asian represented.
F22:
Impression of staff. Staff was professional and knowledgeable.
F23:
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 49 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F24:
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.)
F25:
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.
F26:
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.
F27:
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. 50 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F28:
Is it inside or out? Outside track and sports field.
F29:
How frequently is it offered? Seven days a week during designated daylight/evening hours when not programming in a work/academic/vocational assignment.
F30:
How much time is each inmate offered? All inmates have equal access with varied times according to privilege level.
F31:
Do inmates have access to telephones? Yes, collect calls. Inmates sign up for telephone use.
F32:
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.
F33:
Incoming/outgoing – are inmates aware that mail can be read? Yes, by staff.
F34:
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.
F35:
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. 51 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F36:
Are there provisions for special visits with attorneys/clergy? Yes.
F37:
Does staff supervise visits? Staff monitors regular visits. Attorney visits are held in a confidential area if requested.
F38:
Do all inmates have access to visiting? Yes. Visiting can be restricted based on privilege level.
F39:
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.
F40:
Is there a record kept based on type and number? Appeals Coordinator maintains logbook.
F41:
What is the grievance process? Documented in writing on CDCR 602 form, Inmate/Parolee Appeal.
F42:
The kitchen area – Is it clean? Did not tour.
F43:
Are meals served in the cell? If not where? Normally in the culinary or kitchen.
F44:
Are inmates permitted to converse during meals? Yes.
F45:
Length of time allowed for eating? A minimum of fifteen minutes shall be allowed for the actual consumption of each meal.
F46:
Medical Services and Dental Services:
F47:
How frequently is medical/dental staff onsite? Medical staff is available 24/7. Normal dental treatment is available Monday-Friday during regular work schedule.
F48:
How long do inmates wait to be seen? Daily sick call, inmates sign up to be seen the same day.
F49:
Is a physician/dentist available by phone or come inside? Yes, both. 52 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F50:
What type of onsite health facility is available to inmates? CIM Hospital is not accredited, but can handle most medical and dental procedures.
F51:
Mental Health Services:
F52:
How frequently is mental health staff onsite? Daily Monday-Friday excluding holidays.
F53:
How long do inmates wait to be seen? Same day Monday-Friday or next working day.
F54:
What is the process to handle mentally challenged inmates? Inmate self-referral or Staff Referral of inmate to Psychiatrist or Clinical Psychologist.
F55:
Is there special housing and staff training? Yes.
F56:
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.
F57:
How are inmates transported to off-site facilities? Contracted ambulances for emergencies or CDCR van transports for contracted referred medical treatment.
F58:
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:
F59:
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. 53 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F60:
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.
F61:
General cleanliness of the facility including windows, lighting, lockers, desks, conditions of the mattresses, bedding and pillows. Satisfactory.
F62:
Condition of sleeping room door panels. Not inspected.
F63:
Temperature of living units. Living units were hot. The temperature outside was 105 degrees. Inmates could benefit from an efficient cooling system.
F64:
Safety and security issues including fencing, outdoor lighting, location of the weapons locker. Satisfactory.
F65:
If a court holding area is present in the facility, ensure access to toilet and drinking water. Not inspected.
F66:
Are cleaning fluids and chemicals labeled and safely stored? Did not observe these items in open areas. Stored in supply closets.
F67:
Weapons locker present. Not inspected.
F68:
Recreation/sports equipment. Track and sports field.
F69:
Are the hallways clear, are doors propped open or closed? Hallways were clear, doors were open or closed as appropriate.
F70:
Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? Did not observe.
F71:
Are there individual cells/rooms, or dormitories? There are four facilities on the grounds. They contain both dorms and cells.
F72:
Beds – Type of bed and is it off the floor? Bunk beds attached to wall. They appear adequate.
F73:
Adequate lighting. Yes. 54 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F74:
Temperature. No air conditioning in the cells and central rooms. Cooling provided by large fans and swamp coolers.
F75:
Condition of walls. Did not observe.
F76:
Personal possessions allowed in cell/room (Art, Books, Etc.). Yes.
F77:
Graffiti present. No.
F78:
What is the appearance of inmates (dirty, unkempt, well groomed, etc.)? Well groomed.
F79:
Showers – frequency, privacy, maintained. Daily showering.
F80:
Are there any reported assaults by inmates on inmates? Yes.
F81:
Condition of clothing (does the clothing fit; is it appropriate for the weather, etc.)? Clothing appropriate.
F82:
What is the capacity of the facility? 2,042 inmates. Current population of 1,886 inmates.
F83:
What is the number of pretrial/presentenced inmates? Numbers vary for Penal Code 1203.03 Diagnostic 90 day cases at reception center.
F84:
Has the facility exceeded capacity since the last state inspection? No per CDCR population report for CIW.
F85:
What is the average length of detention? 2 years plus for determinate sentenced inmates. CIW also houses approximately 300 Lifer inmates with indeterminate sentences.
F86:
Are inmates oriented to rules and procedures? Receive CCR Title 15 and Orientation.
F87:
Are rules and grievance procedures posted? Yes.
F88:
Are rules and grievance procedures understood by inmates? Each inmate is assigned a Correctional Counselor to provide assistance.
F89:
Number of suicides 2015 to 2016. 2 suicides. Last suicide April 14, 2016.
F90:
Number of attempted suicides September 2015 to September 2016. 45 attempted suicides. Reduced from January 2016 to September 2016 (17 attempted suicides).
F91:
Number of deaths from other causes 2015 to 2016. Two.
F92:
Numbers of escapes 2015 to 2016. None.
F93:
Date of last fire/emergency drill. Conducted quarterly. Last completed October 20, 2016.
F94:
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.
F95:
What is number of funded positions? 1,259
F96:
How many vacant positions are there? No Custody vacant positions. Non-custody can be up to 8% vacant. 57 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F97:
Does staff communicate in language that an inmate can understand? Yes.
F98:
Diversity of staff. White, Black, Hispanic, Asian represented.
F99:
Impression of staff. Staff was professional and knowledgeable.
F100:
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.
F101:
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.
F102:
Drug Treatment Programs? Currently 96 inmate enrollment for the Substance Abuse Program. Adding an additional 50 inmate positions in the future.
F103:
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.
F104:
Religious Services? Services provided for Jewish, Catholic, Protestant, Native American, Buddhist, Jehovah Witness, and Wicca.
F105:
Is it inside or out? Outside track and sports field. 58 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F106:
How frequently is it offered? Seven days a week during designated daylight/evening hours when not programming in work/academic/vocational assignment.
F107:
How much time is each inmate offered? All inmates have equal access with varied time according to privilege level.
F108:
Do inmates have access to telephones? Yes, collect calls. Inmates sign up for telephone use.
F109:
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.
F110:
Incoming/outgoing – are inmates aware that mail can be read? Yes, by staff.
F111:
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.
F112:
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.
F113:
Are there provisions for special visits with attorneys/clergy? Yes.
F114:
Does staff supervise visits? Staff monitors regular visits. Attorney visits are held in a confidential area if requested. 59 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F115:
Do all inmates have access to visiting? Yes. Visiting can be restricted based on privilege level.
F116:
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.
F117:
Is there a record kept based on type and number? Appeals Coordinator maintains logbook.
F118:
What is the grievance process? Documented in writing on CDCR 602 form, Inmate/Parolee Appeal.
F119:
The kitchen area – Is it clean? Yes.
F120:
Are meals served in the cell? If not where? In the kitchen. Daily two hot meals and one sack lunch.
F121:
Are inmates permitted to converse during meals? Yes.
F122:
Length of time allowed for eating? A minimum of fifteen minutes shall be allowed for the actual consumption of each meal.
F123:
Medical Services and Dental Services:
F124:
How frequently is medical/dental staff onsite? Medical staff is available 24/7. Normal Dental treatment is available Monday-Friday during regular work schedule.
F125:
How long do inmates wait to be seen? Daily sick call. Inmates sign up to be seen the same day.
F126:
Is a physician/dentist available by phone or come inside? Yes, both.
F127:
What type of onsite health facility is available to inmates? Medical Clinic that can handle most medical and dental procedures. 60 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F128:
Mental Health Services:
F129:
How frequently is mental health staff onsite? Mental Health staff is available 24/7.
F130:
How long do inmates wait to be seen? Same day if required.
F131:
What is the process to handle mentally challenged inmates? Inmate self-referral or Staff Referral of inmate to Psychiatrist or Clinical Psychologist.
F132:
Is there special housing and staff training? Yes.
F133:
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.
F134:
How are inmates transported to offsite facilities? Contracted ambulances for emergencies or CDCR van transports for contracted referred medical treatment.
F135:
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:
F136:
Condition of the exterior and interior of the building noting graffiti, peeling paint, unpleasant odors, or other signs of deterioration. Buildings need repairs because of age, built in 1953.
F137:
Condition of the grounds, exercise areas, playing fields, and exercise equipment. All dirt because no watering permitted because of the drought. Few plants.
F138:
General cleanliness of the facility including windows, lighting, lockers, desks, conditions of the mattresses, bedding and pillows. Windows dirty.
F139:
Condition of sleeping room door panels. Small two person cells. Clean and tidy.
F140:
Temperature of living units. Humid in some cells. Large fans used for air circulation. 61 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F141:
Safety and security issues including fencing, outdoor lighting, location of the weapons locker. Outside areas well lit.
F142:
If a court holding area is present in the facility, ensure access to toilet and drinking water. N/A.
F143:
Are cleaning fluids and chemicals labeled and safely stored? Yes
F144:
Weapons locker present. Not inspected.
F145:
Recreation/sports equipment. Exercise class daily for one hour.
F146:
Are the hallways clear, are doors propped open or closed? Hallways clear. Doors open or closed as appropriate.
F147:
Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? Yes.
F148:
Are there individual cells/rooms, or dormitories? 2 person cells.
F149:
Beds – Type of bed and is it off the floor? Bunk type with mattresses.
F150:
Adequate lighting. Yes.
F151:
Temperature. No air conditioning in the cells and central rooms. Cooling provided by large fans and swamp coolers. Inmates could benefit from a more efficient cooling system.
F152:
Condition of walls. Clean.
F153:
Personal possessions allowed in cell/room (Art, Books, Etc.). Books allowed and some personal items.
F154:
Graffiti present. No.
F155:
Ample bedding. Yes. 62 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F156:
What is the appearance of inmates (dirty, unkempt, well groomed, etc.)? Inmates clean and well groomed.
F157:
Showers – frequency, privacy, maintained. Daily showering.
F158:
Are there any reported assaults by inmates on inmates? Occasionally.
F159:
Condition of clothing (does the clothing fit; is it appropriate for the weather, etc.)? Prison issued, appropriate for weather.
F160:
What is the capacity of the facility? 700 inmates.
F161:
What is the number of pretrial/presentenced inmates? None.
F162:
Has the facility exceeded capacity since the last state inspection? No per CDCR population report for Desert View MCCF.
F163:
What is the average length of detention? 5 years.
F164:
Are inmates oriented to rules and procedures? Receive CCR Title 15 and Orientation.
F165:
Are rules and grievance procedures posted? Yes.
F166:
Are rules and grievance procedures understood by inmates? Given a handbook upon arrival.
F167:
Number of suicides 2015 to 2016. None.
F168:
Number of attempted suicides 2015 to 2016. None.
F169:
Number of deaths from other causes 2015 to 2016. None.
F170:
Numbers of escapes 2015 to 2016. None.
F171:
Date of last fire/emergency drill. Conducted monthly. 64 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F172:
Is there enough staff to monitor inmates? Yes. Total staffing 156 employees: 90 custody staff and 66 non-custody staff.
F173:
What is number of funded positions? 90
F174:
How many vacant positions are there? Two vacancies.
F175:
Does staff communicate in language that an inmate can understand? Yes.
F176:
Diversity of staff. White, Black, Hispanic, Asian represented. Yes, 50 percent female staff.
F177:
Impression of staff. Staff was professional and knowledgeable. Yes.
F178:
Educational Programs? GED, Adult Basic Education, Coastline College (AA) degree.
F179:
Self Help Programs? Narcotics Anonymous, Alcoholics Anonymous, Pre-release life/social skills development programs.
F180:
Drug Treatment Programs? Yes, Substance Abuse Program (SAP).
F181:
Work Programs/Vocational Programs? Yes.
F182:
Religious Services? 32 volunteers to assist in any and all denominations including a sweat lodge for Native Americans.
F183:
Is it inside or out? Outside track and sports field.
F184:
How frequently is it offered? Seven days a week during daylight hours.
F185:
How much time is each inmate offered? All inmates have equal access.
F186:
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. 65 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F187:
Is there limited free postage for inmates without money? Free postage, paper, envelopes for indigent inmates is provided.
F188:
Incoming/outgoing – are inmates aware that mail can be read? Yes, by staff.
F189:
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. In-coming 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.
F190:
Is there adequate space, convenient times or accommodations to family’s work schedule, etc.? Visiting Days: Saturdays and Sundays, Designated Holidays (New Year’s Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Day). Hours of Operation: 8:00 a.m. to 3:00 p.m.
F191:
Are there provisions for special visits with attorneys/clergy? Yes.
F192:
Does staff supervise visits? Staff monitors regular visits. Attorney visits are held in a confidential area if requested.
F193:
Do all inmates have access to visiting? Yes. Restricting visiting is no longer used as punishment.
F194:
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.
F195:
Is there a record kept based on type and number? Appeals Coordinator maintains logbook. Appeals are coordinated by CDCR. 66 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F196:
What is the grievance process? Documented in writing on CDCR 602 form, Inmate/Parolee Appeal.
F197:
The kitchen area – Is it clean? Spotless.
F198:
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.
F199:
Are inmates permitted to converse during meals? Yes.
F200:
Length of time allowed for eating? Twenty minutes is allotted for the meal but seldom does it take that long.
F201:
Medical Services and Dental Services:
F202:
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.
F203:
How long do inmates wait to be seen? Daily sick call. Inmates sign up to be seen the same day.
F204:
Is a physician/dentist available by phone or come inside? Yes, both.
F205:
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.
F206:
Mental Health Services:
F207:
How frequently is mental health staff onsite? Inmates requiring Mental Health treatment are transferred to the State Hub Prison in Lancaster.
F208:
How long do inmates wait to be seen? Transferred to State Hub Prison as soon as possible, normally same day. 67 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F209:
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.
F210:
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.
F211:
Are there Contracted offsite Hospitals, Dental clinics? Yes.
F212:
How are inmates transported to offsite facilities? Contracted ambulances for emergencies or CDCR van transports for contracted referred medical treatment.
F213:
How is security handled? Inmate is transferred by transfer team. Site Tour Note the following items as you tour the facility:
F214:
Condition of the exterior and interior of the building noting graffiti, peeling paint, unpleasant odors, or other signs of deterioration. Clean except for graffiti on the interior replacement “Lexan” window in dorms.
F215:
Condition of the grounds, exercise areas, playing fields, and exercise equipment. All clean.
F216:
General cleanliness of the facility including windows, lighting, lockers, desks, conditions of the mattresses, bedding and pillows. Clean except the interior windows of the dorms.
F217:
Condition of sleeping room door panels. Clean, painted and not damaged.
F218:
Temperature of living units. Air conditioned with outside air temperature of 87 degrees, pleasant.
F219:
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.
F220:
If a court holding area is present in the facility, ensure access to toilet and drinking water. N/A. 68 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F221:
Are cleaning fluids and chemicals labeled and safely stored? Yes.
F222:
Weapons locker present. Kept by CDC personnel, locked up in secure area.
F223:
Recreation/sports equipment Yes.
F224:
Are the hallways clear, are doors propped open or closed? Hallways clear and clean, doors closed.
F225:
Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? All holding cells had water and a toilet.
F226:
Are there individual cells/rooms, or dormitories? Dormitories.
F227:
Beds – Type of bed and is it off the floor? All beds off the floor, one-piece mattress and pillow system.
F228:
Adequate lighting Yes.
F229:
Temperature. Satisfactory.
F230:
Condition of walls. Clean, one wall had just been painted as we walked through.
F231:
Personal possessions allowed in cell/room (Art, Books, Etc.) Yes.
F232:
Graffiti present. Only on aforementioned window.
F233:
What is the appearance of inmates (dirty, unkempt, well groomed, etc.)? Inmates appeared clean with clean clothes.
F234:
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. 69 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F235:
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.
F236:
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.
F237:
What is the capacity of the facility? 1,024 Male inmates. Female inmates. Capacity will increase when housing units M1 and M2 are fully remodeled.
F238:
What is the number of pretrial/presentenced inmates? 720 inmates.
F239:
Has the facility exceeded capacity since the last state inspection? No.
F240:
What is the average length of detention? 143 days.
F241:
Are inmates oriented to rules and procedures? Yes.
F242:
Are rules and grievance procedures posted? Yes.
F243:
Are rules and grievance procedures understood by inmates? Yes.
F244:
Number of suicides 2015 to 2016. None.
F245:
Number of attempted suicides 2015 to 2016. None.
F246:
Number of deaths from other causes 2015 to 2016. None. 71 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F247:
Numbers of escapes 2015 to 2016. None, last escape in 2013.
F248:
Date of last fire/emergency drill. August 2016 during the Blue Cut vegetation fire.
F249:
Is there enough staff to monitor inmates? Yes, fourteen inmates to one staff member.
F250:
What is number of funded positions? 60 custody staff (25% women).
F251:
How many vacant positions are there? Four. These positions will be filled by Sept. 8, 2016 academy graduation class.
F252:
Does staff communicate in language that an inmate can understand? Yes, several languages are available. Outsourcing is also used for less common languages.
F253:
Diversity of staff. Very diverse staff evident.
F254:
Impression of staff. Very professional and knowledgeable.
F255:
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.
F256:
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.
F257:
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. 72 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F258:
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.
F259:
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.
F260:
Is it inside or out? Outside, basketball courts available.
F261:
How frequently is it offered? Daily.
F262:
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.
F263:
Do inmates have access to telephones? Yes.
F264:
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.
F265:
Incoming/outgoing – are inmates aware that mail can be read? Yes, by staff. 73 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F266:
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.
F267:
Is there adequate space, convenient times or accommodations to family’s work schedule, etc.? Visiting hours Tuesday-Saturday 8:00 a.m. - 5:30 p.m.
F268:
Are there provisions for special visits with attorneys/clergy? Yes.
F269:
Does staff supervise visits? Staff monitors regular visits. Attorney visits are held in a confidential area if requested.
F270:
Do all inmates have access to visiting? Yes. Visiting can be restricted based on privilege level.
F271:
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.
F272:
Is there a record kept based on type and number? Yes.
F273:
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.
F274:
The kitchen area – Is it clean? Kitchen area is exceptionally clean, no mold or unusual smells.
F275:
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 74 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers talking and no passing of food. Inmates receive two hot meals and one cold meal daily.
F276:
Are inmates permitted to converse during meals? No.
F277:
Length of time allowed for eating? A minimum of fifteen minutes shall be allowed for the actual consumption of each meal.
F278:
Medical Services and Dental Services:
F279:
How frequently is medical/dental staff onsite? Available 24 hours, 7 days a week.
F280:
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.
F281:
Is a physician/dentist available by phone or come inside? Yes, both.
F282:
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.
F283:
Mental Health Services:
F284:
How frequently is mental health staff onsite? Daily Monday-Friday excluding holidays.
F285:
How long do inmates wait to be seen? Same day Monday-Friday or next working day.
F286:
What is the process to handle mentally challenged inmates? Inmate self-referral or Staff Referral of inmate to Psychiatrist or Clinical Psychologist. Severe Mental Health cases are transferred to West Valley Detention Center or Arrowhead Regional Medical Center.
F287:
Is there special housing and staff training? Yes.
F288:
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. 75 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F289:
How are inmates transported to offsite facilities? Contracted ambulances for emergencies or Sheriff van transportation to contracted referred medical treatment facilities.
F290:
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:
F291:
Condition of the exterior and interior of the building noting graffiti, peeling paint, unpleasant odors, or other signs of deterioration. No graffiti seen; paint in reasonable condition; no unpleasant odors of any kind especially in the living areas. Buildings M1 and M2 are undergoing remodeling. Kitchen equipment needs updating.
F292:
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.
F293:
General cleanliness of the facility including windows, lighting, lockers, desks, conditions of the mattresses, bedding and pillows. Very good, pillows are incorporated into the mattress, lighting fixtures area reasonably clean, lighting is good, lockers and desks are not damaged.
F294:
Condition of sleeping room door panels. Satisfactory.
F295:
Temperature of living units. Satisfactory, outside air temperature approximately 84 degrees at 11:30 a.m., inside satisfactory.
F296:
Safety and security issues including fencing, outdoor lighting, location of the weapons locker. All appear in good condition and functioning.
F297:
If a court holding area is present in the facility, ensure access to toilet and drinking water. Did not observe. 76 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers INTERIOR OF BUILDINGS (walls, paint, floors, drains, plumbing fixtures working, air vents, windows)
F298:
Are cleaning fluids and chemicals labeled and safely stored? No cleaning fluids and chemicals stored in open.
F299:
Weapons locker present. Did not observe.
F300:
Recreation/sports equipment. Available for checkout.
F301:
Are the hallways clear, are doors propped open or closed? Hallways clear, doors open or closed as appropriate.
F302:
Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? Did not observe.
F303:
Are there individual cells/rooms, or dormitories? Dormitories and cells.
F304:
Beds – Type of bed and is it off the floor? Three-tier bunk beds off the floor. Top bunk is considered the best.
F305:
Adequate lighting. Yes.
F306:
Condition of walls. Clean.
F307:
Personal possessions allowed in cell/room (Art, Books, Etc.). Yes, stored in tubs/boxes under bunk.
F308:
Graffiti present. No graffiti observed.
F309:
What is the appearance of inmates (dirty, unkempt, well groomed, etc.)? Well groomed.
F310:
Showers – frequency, privacy, maintained. Showers clean and available as requested.
F311:
Are there any reported assaults by inmates on inmates? Some but minor in nature.
F312:
Condition of clothing (does the clothing fit; is it appropriate for the weather, etc.)? Yes. 77 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F313:
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).
F314:
What is the number of pretrial youth? Varies.
F315:
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).
F316:
What is the average length of detention? Approximately 60 days.
F317:
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.
F318:
Are rules and grievance procedures posted? Yes.
F319:
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.
F320:
Number of suicides 2015 to 2016. None.
F321:
Number of attempted suicides 2015 to 2016. Unknown, none reported. 79 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F322:
Number of deaths from other causes 2015 to 2016. None.
F323:
Numbers of escapes 2015 to 2016. None.
F324:
Date of last fire/emergency drill. Conducted monthly.
F325:
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.
F326:
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).
F327:
How many vacant positions are there? Eight vacancies.
F328:
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.
F329:
Diversity of staff. Very diverse.
F330:
Impression of staff. Professional and knowledgeable.
F331:
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.
F332:
Self Help Programs? Yes, drug and alcohol.
F333:
Drug Treatment Programs? Volunteer and/or court mandated drug and counseling programs available to all youths. 80 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F334:
Work Programs/Vocational Programs? Regional Occupational Program (ROP) career technical training.
F335:
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.
F336:
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.
F337:
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.
F338:
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.
F339:
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. 81 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F340:
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.
F341:
Confidential correspondence – letter to attorneys, legislators, etc., - how is it handled? Staff without reading, screen for contraband in front of youth.
F342:
Is there adequate space, convenient times or accommodations to family’s work schedule, etc.? Visiting days and times are specifically scheduled for each unit. Daily Visiting is for 2 hour durations from 9:30 a.m. - 11:30 a.m., 2:30 p.m. - 4:30 p.m., and 6:00 p.m. - 8:00 p.m.
F343:
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.
F344:
Does staff supervise visits? Visits will be supervised by Probation Correctional Officer at all times.
F345:
Do all juvenile inmates have access to visiting? Yes, regular visits with Parents, Grandparents, and Legal Guardians.
F346:
What are the most common types of grievances filed by youths? Varies, youths can grieve anything.
F347:
Is there a record kept based on type and number? Yes, Superintendent reviews all grievances.
F348:
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 82 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 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.
F349:
The kitchen area – Is it clean? Yes.
F350:
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.
F351:
Are youths permitted to converse during meals? Yes.
F352:
Length of time allowed for eating? A minimum of fifteen minutes shall be allowed for the actual consumption of each meal.
F353:
Medical Services and Dental Services:
F354:
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.
F355:
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.
F356:
Is a physician/dentist available by phone or come inside? Doctor and Dentist on call.
F357:
What type of onsite health facility is available to youth? Medical clinic that provides medical services for sick call, dental services, and optometry.
F358:
Mental Health Services:
F359:
How frequently is mental health staff onsite? 24 hours, 7 days a week.
F360:
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 83 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers 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.
F361:
What is the process to handle mentally challenged youths? Youth self-referral or staff referring youth for mental health/counselling treatment.
F362:
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.
F363:
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.
F364:
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.
F365:
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:
F366:
Condition of the exterior and interior of the building noting graffiti, peeling paint, unpleasant odors, or other signs of deterioration. Very well maintained clean facility with no signs of graffiti.
F367:
Condition of the grounds, exercise areas, playing fields, and exercise equipment. Green and clean.
F368:
General cleanliness of the facility including windows, lighting, lockers, desks, conditions of the mattresses, bedding and pillows. No broken or cracked windows. All areas well lit. Lockers, desks, and tables all in excellent condition. New mattresses with pillows part of mattress.
F369:
Condition of sleeping room door panels. Clean. 84 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F370:
Temperature of living units. Air conditioned, comfortable temperature.
F371:
Safety and security issues including fencing, outdoor lighting, location of the weapons locker. No safety or security deficiencies noted.
F372:
If a court holding area is present in the facility, ensure access to toilet and drinking water. Not applicable.
F373:
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.
F374:
Weapons locker present. Yes, for staff, no youth access.
F375:
Recreation/sports equipment. Basketball courts.
F376:
Are the hallways clear, are doors propped open or closed? Hallways clear, doors not propped open. Doors closed.
F377:
Holding areas (cells/rooms) – (if present), is there access to drinking water and toilet? Rooms have toilet and sink.
F378:
Are there individual cells/rooms, or dormitories? Most two-person rooms, a few one- person rooms.
F379:
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.
F380:
Adequate lighting. Yes, all areas well lit.
F381:
Temperature. Air conditioned, comfortable temperature.
F382:
Condition of walls. Clean and well maintained.
F383:
Personal possessions allowed in cell/room (Art, Books, Etc.). Limited property. 85 2016-2017 San Bernardino County Civil Grand Jury – Inspections of Jails/Prisons/Detention Centers
F384:
Graffiti present. No.
F385:
Ample bedding. Yes, pillow part of mattress.
F386:
What is the appearance of juvenile inmates (dirty, unkempt, well groomed, etc.)? Youth observed clean and well groomed.
F387:
Showers – frequency, privacy, maintained. Clean and well maintained, with swinging shower door for privacy.
F388:
Are there any reported assaults by youth on youth? Occasional fights.
F389:
Condition of clothing (does the clothing fit; is it appropriate for the weather, etc.)? Clothing appears appropriate.
Additional Recommendations
5
Not linked to specific findings.
R1:
2 - INTERNAL CONTROLS
R2:
1c - CONSTRUCTION MANAGEMENT Enforcing all provisions in the Terminal and Fixed Base Operator (FBO) leases requiring the developer to provide detailed monthly progress reports. The Commission should also require the developer to provide and present such reports at all Commission meetings.
R3:
3 - EQUIPMENT ACQUISITION Set a regular schedule for reviewing, revising and formally approving updates to the purchase policy.
R4:
1 - LAWSUIT SETTLEMENT Engage the services of a reputable, independent auditing firm to examine the representations and warranties made by Norton Aircraft Maintenance Services (NAMS) and SBD management in connection with the Settlement and Mutual Release Agreement and, if found to be false or untrue, demand immediate repayment of the Insurance Loan, Rent Credit and Temporary Aircraft Rehabilitation Loan balance.
R5:
1 - CONTRACTOR RELATIONS