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HomeMy WebLinkAboutSupplemental Information - Annual Inspection of Local Detention FacilitiesDecember 4, 2000 Mike Sellers, Chief of Police Seal Beach Police Department 911 Seal Beach Blvd. Seal Beach, CA 90740 COUNTY OF ORANGE HEALTH CARE AGENCY REGULATORY HEALTH SERVICES ENVIRONMENTAL HEALTH Subject: Seal Beach City Jail 911 Seal Beach, Seal Beach, 90740 Annual Inspection of Local Detention Facilities Dear Chief Sellers: �.)Q�^ JULIE TE A POULSON, RN, MN V r 1¢ INTERIM DIRECTOR MNEON DEPUTY AGENCY YDIRECDIRECTOR REGULATORY HEALTV SERVICES !Z !� SENINIERIM DIRECTOR ENVIRCNMENTALHEALm1 MAILING ADDRESS: ID09 EAST EDINGER AVENUE SANTA ANA. CA W705 7P0 TELE E, (714)66)-0600 FAX (714)4)4-0749 EA L e V wihwMOMa omMe.c w As required by Section 101045 of the California Health and Safety Code, this Agency conducted an investigation of the health and sanitary conditions at the City of Seal Beach Detention Facility. The inspection was made on August 29, 2000. The completed Adult Detention Facility Evaluation Form is attached. Sincerely, William Ford, z Assistant Director Community Environmental Quality Environmental Health Division WFJw Attachments cc: Seal Beach City Council State Board of Corrections 11:,+elt ADULT TYPE 1, II, III and IV FACILITIES Local Detention Facility Health Inspection Report Health and Safety Code Section 101045 BOC H: '..FACILITY NAME: Sea] '.Bea ch City.Jail.. COUNTY: Ora"g e FACILITY ADDRESS (STREET, CITY, ZIP CODE, TELEPHONE): 911 Seal Beach Blvd. Seal Beach, CA 90740 (562)598-5686 CHECK THE FACILITY TYPE AS DEFINED IN TYPE I: TYPE II: X TYPE IE: TYPE IV: El TITLE 15, SECTION 1006: ENVIRONMENTAL HEALTH EVALUATION DATE INSPECTED: August 29; 2000 ENVIRONMENTAL HEALTH EVALUATORS (NAME, TITLE, TELEPHONE): Jeff Warren, Environmental Health Specialist II (714) 667-3735 FACILITY STAFF INTERVIEWED (NAME, TIME, TELEPHONE): Paul Bartram, Jail Manager, Correctional Systems, Inc. (562) 598-6526 NUTRITIONAL EVALUATION DATE INSPECTED: August 29,2000 NUTRITIONAL EVALUATORS (NAME, TITLE, TELEPHONE): Kathryn Everting, RD, Public Health Nutritionist I (714) 662-5376 Jeff Warren, Environmental Health Specialist II (714) 667-3735 FACILITY STAFF INTERVIEWED (NAME, TITLE, TELEPHONE): Paul Bartram. Jail Manager, Correctional Systems, Inc. (562) 598-6526 MEDICAL/MENTAL HEALTH EVALUATION DATE INSPECTED: August 29, 2000 MEDICALIMENTAL HEALTH EVALUATORS (NAME, TITLE, TELEPHONE)' Patricia Villagomez, Public Health Nurse (714) 896-7367 FACILITY STAFF INTERVIEWED (NAME, TITLE, TELEPHONE): Paul Bartram, Jail Manager, Correctional Systems, Inc. (562) 598-6526 I his checklist is to be completed pursuant to the attached instructions. Seal Beach City Jail: 8x9/2000 I BOC PoRM 358 (Rev. 5/98) RONMENTAL HEALTH EVALUATION Adult Type 1, II, III and IN Facilities ARTICLE/SECTION YES I NO I N/A COMMENTS Article 11. Food Approach for Providing Food Service X CURFFL, the California Uniform Retail Food Facilities Law (HSC Division 104, Part 7, Chapter 4, Articles 1-8, Section 11370 et seq.) has been incorporated into Title 15 for local detention facilities through the rulemaking process. Food served in the facility is prepared in the facility. If "No," answer questions (a) and (b) below prior to continuing with the checklist. (a) Food is prepared at another city or county X detention facility. (b) Food is contracted through a private vendor X Catering Systems, Inc. (formerly Sandra's Catering who had been inspected and complies with of Fullerton) provides food to the facility. provisions of CURFFL. 1230 Food Handlers X Field Manual (FM) 1600.01 (a) A written procedure has been developed and implemented for medical screening of food handlers prior to working in the facility. (b) There are written procedures for education, X supervision and cleanliness of food handlers in accordance with HSC § 114020. (Note: Title 15, § 1230 is in Article 10, MMH, but inspected under Environmental Health due to CURFFL reference.) 1245 Kitchen Facilities, Sanitation and Food X Service (a) Kitchen facilities, sanitation, and food preparation, service and storage comply with standards set forth in CURFFL. (b) In facilities where inmates prepare meals for X The kitchen facilities are limited and used for self -consumption, or where frozen meals or reheating and serving of foods prepared at an prepared food from other facilities permitted approved food facility. CURFFL waivers are in pursuant to HSC § 113920 (a) through (d) is effect. (re)heawd and served, the following applicable CURFFL standards may be waived by the local health officer: q HSC § 114065,Equipment Standards; X (2) HSC § 114090 (b) through (e), X Dishwashing Equipment. If a domestic or commercial dishwasher, capable of providing heat to the surface of the utensils of a temperature of at least 165 degrees Fahrenheit, is used for the purpose of cleaning and sanitizing multi -service kitchen utensils and multi -service consumer utensils (Note that temperature requirements in CURFFL prevail in the event of conflict with Title 15.); Seal Beach City Jail; 8292000 2 BOC FORM 358 (Rev. 5/98) ARTICLE/SECTION YES NO N/A COMMENTS (3) HSC $ 114140 Ventilation. Except that, X regardless of such a waiver, the facility shall provide mechanical ventilation sufficient to remove gases, odors, steam, heat, grease, vapors and smoke from the kitchen; 4) HSC § 114150 (a) Floors; and, X 5 HSC § 114165 b Mop Sinks. X 1246 Food Serving X Food is prepared and served only under the immediate supervision ofa staff member. Article 12. Inmate Clothin and Personal Hygiene 1260 Standard Institutional Clothing Issue X Personal undergarments and footwear may be substituted for the institutional undergarments and footwear specified in this regulation; however, the facility has the primary responsibility to provide these items. There is a standard issue of climatically suitable clothing for inmates held after arraignment in Type I, II and III facilities, which includes, but is not limited to: (a) clean sacks and footwear; X b clean outergarments; and, X (c) clean undergarments, including shorts and tee X Females are not housed at this facility. shirt for males; or, bra and two pairs of panties for females. Clothing is reasonably fitted, durable, easily X laundered and repaired. 1261 Special Clothing X (a) Provision is made to issue suitable additional clothing essential for inmates to perform special work assignments (e.g., food service, medical, farm, sanitation, mechanical and other specified work). 1262 Clothing Exchange X Field Manual (FM) 1700.01 and an exchange frequency posted on the bulletin board. (a) There are written policies and procedures for the scheduled exchange of clean clothing. (b) Unless work, climatic conditions, or illness X necessitates more frequent exchange, outer garments, except footwear, shall be exchanged at least once each week. Undergarments and socks shall be exchanged twice each week. 1263 Clothing Supply X (a) There shall be a quantity of clothing, bedding, and linen available for actual and replacement needs of the inmate population. (b) There are written policies and procedures for X FM 1700.01 the special handling of laundry that is known or The policy however also needs to incorporate how suspected to be contaminated with infectious contaminated clothing is disposed of. material. Seal Beach City Jail: 8/29n" 3 BOC FORM 358 (Rev. 5/98) ARTICLE/SECTION YES NO I N/A I COMMENTS 1264 Central of Vermin in Inmates Personal Clothing X Operations Policies Manual (OPM) 1700.02 (a) There are written policies and procedures to control the contamination and/or spread of vermin in all inmate personal clothing, (b) Infested clothing is cleaned, disinfected, or X stored in a closed container so as to eradicate or stop the spread of the vermin. 1265 Issue of Personal Care Items X Inmate Handbook (page 6) There are written policies and procedures for the issue of personal hygiene items. Each female inmate is issued sanitary napkins X Females are not housed at this facility. and/or tampons as needed. Each inmate to be held over 24 hours who is unable to supply himself/herself with the following personal care items, shall be issued the following personal care items: (a) toothbrush; X b) dentifrice; X c soap; X d comb; and, X (e) shaving implements. X Inmates are not required to share any personal care X items listed in items "a" through "d." Inmates do not share disposable razors. Double X edged safety razors, electric razors, and other shaving instruments capable of breaking the skin, when shared among inmates are disinfected between individual was by the method prescribed by the Slate Board of Barbering and Cosmetology in ¢ 979 and 980, Chapter 9, Title 16, CCR. 1266 Personal Hygiene X OPM I700.01.I.c (a) There are written policies and procedures for showering -bathing and brushing of teeth. (b) Inmates are permitted to shower -bathe upon X assignment to a housing unit and, thereafter, at least every other day and more often if possible. 1267 Hair Care Services X (a) Hair care services are available. (b) Except for those who may not shave for court X identification reasons, inmates are allowed to shave daily and receive hair care services at least once a month. (e) Equipment is disinfected before use, by a X OPM 1700.03 method approved by the State Board of A barbicide disinfectant is used for this purpose. Barbering and Cosmetology to meet the requirements of Tide 16, Chapter 9, ¢ 979 and 980, CCR. Seal Beach City tail; 8419/2000 4 BOC FORM 358 (Rev. 5/98) ARTICLF/SECHON I YES I NO I N/A I COMMENTS Article 13. Bedding and Linens 1270 Standard Bedding and Linen Issue The standard issue of clean suitable bedding and linens, for each inmate entering a living area who is expected to remain overnight, includes, but not he limited to: (a) one serviceable mattress which meets the X requirements of § 1272 of these regulations; b one mattress cover or one sheet; X Two sheets are provided to the inmates. c one towel; and, X (d) one freshly laundered or dry-cleaned blanket, X depending upon climatic conditions. 1271 Bedding and Linen Exchange X FM 1700.01 The exchange frequency is posted on the bulletin (a) There are written policies and procedures for board. the scheduled exchange of freshly laundered bedding and linen issued to each inmate housed. (b) Washable items such as sheets, mattress covers, X and towels are exchanged for clean replacement at least once each week. (c) Where a top sheet is not issued, blankets are X laundered or dry cleaned at least once a month. When a top sheet is issued, blankets are laundered or dry cleaned at least once every three months. 1272 Mattresses X (a) Mattresses are enclosed in an easily cleaned, non-absorbent ticking. (b) Any mattress purchased for issue to an inmate X The mattresses observed being used by inmates in a facility which is locked to prevent appeared to be the standard penal type mattresses unimpeded access to the outdoors, is certified normally used in detention facilities. Three by the manufacturer as meeting all domestic rollaway beds were observed to be stored requirements of the Stare Fire Marshal and in a closet within the facility. According to staff, Bureau of Home Furnishings rest standard for the beds are only stored in the Facility for penal mattresses (Technical Information community disaster preparedness. Please note that Bulletin Number 121, dated April 1980). these beds may not be used by inmates or arrestees at any time since they do not meet the requirements of Title 15. Article 12. Facility Sanitation and Safety 1280 Facility Sanitation, Safety and Maintenance X OPM 1700.01 (a) There are written policies and procedures for the maintenance of an acceptable level of cleanliness, repair and safety throughout the facility. (b) The plan provides for a regular schedule of X housekeeping tasks and inspections to identify and correct unsanitary or unsafe conditions or work practices. (c) Medical care housing as described in Title 24, X Medical care housing is not a feature of this Pan 2, $ 470A.2.14 is cleaned and sanitized facility. according to policies and procedures established by the health authority. Seal Beach City Jail: 8/292000 BOC FORM 359 (Rev. 598) ARTICLEISECTION YES I NO I N/A COMMENTS Other Applicable Codes Title 24, Uniform Building Code — Plumbing X Toilet bowls, wash basins, drinking fountains, and showers are clean and in good repair. Title 24, Uniform Building Code — Cleanliness X The shower vents in the auxiliary shower were and Repair observed tasted and should be replaced. Floors, walls, windows, grillwork and ceilings are clean and in good repair. Title 24, Part 1,13-102(c)6 — Heating and X Cooling There is provision for a comfortable living environment in accordance with the heating, ventilating, and au conditioning requirements of Parts 2 and 4 and energy conservation requirements of Pan 6, Title 24, CCR. Title 24, Uniform Plumbing Code — Floor Drains X (a) Floor dmins are Flushed at least weekly. (b) Traps contain water to prevent escape of sewer X as. (c) Grids and grates are present. X Title 24, Part 2,470A.3.6 — Lighting X (a) Lighting in housing units, dayrooms and activity areas is sufficient to permit easy reading by a person with normal vision. (b) 20 foot candles light are provided at desk level X The facility was constructed in the mid -1970's, and in the grooming area. (Applicable to according to staff. facilities constructed after 1980.) (c) Lighting is centrally controlled or occupant X controlled in housing cells or rooms. (d) Night lighting provides good vision for X The facility was constructed in the mid -1970's, supervision_ (Applicable to facilities according to staff. constructed after 1980.) CA Safe Drinking Water Act X The City of Seal Beach Water Department supplies water to the facility. Potable water is supplied from an approved source in satisfactory compliance with this Act. Local Ordinances X According in staff, medical waste is bagged in a biohazard bag and disposed of at the Los Alamitos Solid, toxic and infectious wastes are disposed of in Medical Center. accordance with state and local laws and regulations. HSC $ 1803 X The facility is free of vermin (or vermin signs), and general housekeeping is satisfactory. General Industry Safety Order, Title 8-3362 X No apparent structural or safety hazard was observed this date. The facility is free of structural and other safety hazards. Summary of environmental health evaluation: The policy and procedures that were noted deficient from last year's evaluation were available in final draft form. These policies and procedures are awaiting final approval from the Chief of Police. Sa Beach City Jail; V29n" 6 BOC FORM 358 (Rev. 5Aaa IL NUTRITIONAL HEALTH EVALUATION Adult Type I, H, IH and IV Facilities ARTICLEISECTION YES NO N/A COMMENTS Article 11. Food 1740 Frequency of Serving a Food is served three times in any 24-hour period. At least one meal includes hot food. X (c) If more than 14 hours passes between these X meals, supplemental food is served. (d) Supplemental food is served in less than the 14- X Inmates requiring therapeutic diets are not housed hour period for inmates on therapeutic diets at this facility. requiring more than three meals. (e) A minimum of fifteen minutes is allowed for the X Thirty minutes are allowed. actual consumption of each meal except for those inmates on therapeutic diets where the responsible physician has prescribed additional time. (f) Inmates who miss or may miss a regularly X scheduled Facility meal, are provided with a sandwich or a substitute meal and beverage. (g) Inmates on therapeutic diets who miss a X regularly scheduled meal, are provided with their prescribed meal. 1241 Minimum Diet (See regulations for equivalencies and serving requirements.) The minimum diet in every 24-hour period consists of the full number of servings specified from each of the food groups below. Facilities electing to provide vegetarian diets for any reason also conform to the dietary guidelines. (a) Protein Group. The daily requirement is three X The 1999 evaluation showed protein servings were servings, each containing at least 14 grams of only sufficient three days during the week. This protein (see regulation for exception) to a total year, protein requirements are met. of 42 gram or more. (1) Them is an additional, fourth serving of X legumes three days per week. (2) Meats, poultry and fish are lean. X (b) Milk Group. The daily requirement for milk or X The 1999 evaluation noted a deficiency in milk milk equivalents is 32 Fluid ounces for persons servings. There was only I serving a day. This 15-17 years of age and for pregnant and lactating year, the milk servings are 3-4 a day (includes women. The daily requirement is 16 fluid milk and cheese). ounces for all other inmates. (1) A serving is equivalent to 8 fluid ounces of X milk and provides at [east 250 mg. of calcium. (2) All milk is fortified with 400 I.U. of X Vitamin D and reduced fat milk is Fortified with 2,000 I.U. of Vitamin A, per quart. (e) Vegetable -Fruit Group. The daily requirement is X There is an average of 5 - 6 servings a day in the at least six servings, including the specified type Week 1 menu evaluated. and frequency in each of the following categories: 1 One serving of a fresh fruit or ve emble. X Scal Beach City Jail; 82920W -/ BOC FORM 358 (Rev. 5N8) ARTICLE/SECTION YES NO N/A COMMENTS (2) One serving of a Vitamin C source X containing 30 mg. or more. (3) One serving of one or more Vitamin A X Five out of the 7 days in the Week 1 menu had a source fruit or vegetable to equal 2000 I.U. Vitamin A source. See summary. (d) Grain Group. The daily requirement is at least X Only 3 days of the Week 1 menu had 6 servings, 3 six servings. At least three servings from this days had 5 servings and 1 day had 4 servings. group are made or partially made (50-100%) Whole grain servings ranged from I to 4 a day. See with whole grains, or whole or partial whole further comments in summary section. grain products. (e) Additional servings from the milk, vegetable- X Additional milk is served; total calories averaged fruit, and bread -cereal groups are provided in 2300 for the 5 days which is 80 % of the RDA for amounts to assure caloric supply is at the a 19-24 yr old male. See summary for further required levels. (See RDA far recommended comments. caloric intakes.) (f) Fal is added only in minimum amounts X necessary to make the diet palatable; however, no less than one -tablespoon fat and/or oil is provided daily. ( A variety of food is served. X 1242 Menus (Applicable in Type 11 and 111 facilities X and in those Type 11/facilities where food is served.) (a) Menus are planned at least one month in advance of their use, where kitchen facilities are a part of the facility. Menus are planned to provide a variety of foods, thus preventing repetitive meals. (b) A registered dietitian approves cycle menus X before they are used. (c) If any meal served varies from the planned X menu, the change is noted in writing on the menu. (d) A registered dietitian evaluates menus, as X tanned and including changes, at least annually. 1243 Food Manager (a) In Type II and III facilities with an average daily population of 100 or more, a trained food service manager is employed or available to: lplan menus; X 2provide a portion controls stem; X (3) super -vise kitchenpersonnel; X (4) train inmate food service staff; X (5) preparea yearly food budget; X (6) plan a logistical support system for the food X preparation function; and, (7) provide a food cost accountrn system. (b) In facilities of less than 100 average daily X population and in Temporary Holding, Type I and Type IV facilities, there is a written food service plan. 1247 Disciplinary Isolation Diet X (a) No inmate receiving a prescribed therapeutic diet is placed on a disciplinary isolation diet without review by the responsible physician or pursuant to a written plan approved by the physician. Seal Beach City Jail; 8/29ROoo 8 BOC FORM 358 (Rev. 5N8) ARTICLE/SECTION YES NO. N/A COMMENTS (b) The disciplinary isolation diet is an exception to X the three -meal -a -day standard and is served twice in each 24-hour period. Each serving consists of one-half of the meatloaf described in the regulation or another equally nutritious diet, along with two slices of 100% whole wheat bread and at least one quart of drinking water, if the cell does not have a water supply. (c) The disciplinary isolation diet is not continued X longer than 72 hours without the written approval of the facility manager. 1248 Therapeutic Diets X (a) Prescription of therapeutic diets is the sole province of the responsible physician. (b) Therapeutic diets utilized by a facility are X planned, prepared and served with consultation ofaregistered dietitian. (c) The facility manager complies with providing X any therapeutic diel prescribed for an inmate. (d) There is a therapeutic diet manual that includes X sample menus. It is available to in -facility medical personnel and food service staff for reference and information. (e) A registered dietitian reviews, and the X responsible physician approves, the diet manual on an annual basis. Summary of nutritional evaluation: AREAS OF IMPROVEMENT: • Milk servings have been increased in at least 16 oz daily. • Protein servings now meet Title 15 requirements. • One serving of Vitamin C foods is served daily. • The use of high fat food has been minimized. NUTRITIONAL ANALYSIS" Week I of the cycle menu was analyzed for nutritional adequacy using the Nutritionist V software. The RDA for a target population of men, 19 - 24 years old was selected. Five days were analyzed using the software. The entire week was evaluated against Title 15 requirements. The results are as follows: The average calories (2310 kcal) supplied did not meet the nutritional goal. Using 2900 kcal as the target level, the menu only supplied 80 % of the required amount This is a slight increase over the total calories noted in last year's evaluation. Jail personnel report however; that inmates have the opportunity to ask for second servings on occasion. There is a fav amount of inmates who are on work furlough off site during meal service making extra servings available. Inmates can also purchase snack items from a vending machine on site. The availability of these additional food items contributes extra calories, but are not accounted for in the menu evaluation. Although the use of high fat foods in the menus has somewhat decreased, the fat content still exceeds the 30% recommendation. Analysis showed that the fat content increased to 39%, up from 34% last year. This is due in part to the inclusion of the required 2 or more milk servings/day. The vendor (Catering Systems, Inc.) reported that whole milk is used. The minimum requirement of six servings from the grain group was not mel on four days. During the three days when the required six servings were provided, the requirement of having three of these servings in the form of whole grain or whole or partial whole grain was not met. A specific Vitamin A source fruit or vegetable is not written as offered daily on the menu. Although fresh fruit is indicated, it is difficult to determine whether it is a Vitamin A source. Beal Beach City Jail: 8!29/2006 9 BOC FORM 358 (Rev. 5198) ACTION REQUIRED FOR TITLE 15 COMPLIANCE: • Increase the total servings of the grain group to reach the daily requirement of at least 6 servings a day. Make sure that three of the required six servings we in the farm of whole grain or whole or partial whole grain. • Ensure that there is a minimum of six servings of fruits and vegetables daily. • Include a Vitamin A serving daily. • Adjust the menu to reach recommended caloric levels. • Decrease the fat content of the menus by using 2 % milk, or possibly I % milk. Continue to minimize use of high fat food. Overall, the menus were fairly well varied, although there were some repeats of the meals throughout the 6 -week cycle. The other nutrient levels such as the B vitamins, folate, magnesium, selenium, etc. met or exceeded the goals of the RDA for the targeted age group selected. Seal Beach City Jail; 8 9a" 10 BOC FORM 358 (Rev. 508) III. MEDICAL/MENTAL HEALTH EVALUATION Adult Type I, II, III and IV Facilities ARTICLEISECTION I YES I NO I N/A I COMMENTS Article 10. Health Services 1200 Responsibility For Health Can Services X OPM 1800. (a) The facility administrator has developed a plan in ensure provision of emergency and basic health care services to all inmates. (b) Clinical judgements are the sole province of the X Dr. Lawrence Grant Waldrop is the responsible responsible physician, dentist, and psychiatrist or physician. A letter has been requested. psychologist, res ctivel . (c) Security regulations are applicable to facility X staff and health can personnel. (d) At least one physician is available. X Dr. Lawrence Grant Waldrop is the responsible physician. (e) In Type IV facilities where routine health X This facility is a Type II detention facility. services are provided by access in the community, there is a written plan for the treatment, transfer, or referral of emergencies. (When Type lF facilities provide health services within the facility, they must meet applicable regulations, as do otherfacilities.) 1202 Health Service Audits (Applicable to facilities X OPM 1800.06.a. 13 with on-site health care staff) (a) There is a written plan for annual statistical summaries of health care and pharmaceutical services that are provided. (b) There is a mechanism to assure that the quality X and adequacy of health care services are assessed annually. (c) There is a process for correcting identified X deficiencies in the health care and pharmaceutical services delivered. (d) Based on information from these audits, the X health authority provides the facility administrator with an annual written report on health care and pharmaceutical services delivered. 1203 Health Care Staff Qualifications (Applicable X Copies of applicable medical licenses are current and to facilities with on-site health care staff) on file at the facility. OPM 1800.02 (a) There are policies and procedures to assure that state license, certification, or registration requirements and restrictions that apply in the community, also apply to health care personnel in the facility. (b) Health care staff credentials are on file at the X facility or another central location where they are available for review. 1204 Health Care Procedures (Applicable to X OPM 1800.02 facilities with on-site health care staff) Medical care performed by personnel other than a physician, are performed pursuant to written protocol or order of the responsible physician. S Beach City twit; 8/29/2000 11 BOC FORM 358 (Rev. 5/98) ARTICLE/SECTION YES NO N/A COMMENTS 1205 Health Care Records (Applicable to facilities X OPM 1800.06 with on-site health care staff) (a) Individual, complete and dated health records are maintained and include, but are not limited to: (1) receiving screening form/history (Note: The X intake receiving screening form may also be included in the custody file. See Guidelines or discussion.); 2 medical/mental health evaluation reports; X 3 complaints of illness or injury; X (4) names of personnel who treat prescribe, X and/or administer/deliver prescription medication; (5) location where treatment isprovided; and, X (6) medication records in conformance with X Title 15 § 1216; (b) Physician -patient confidentiality privilege is X applied to the record; the health authority controls access; health record files are maintained separately from other inmate jail records. The responsible physician or designee communicates information obtained in the course of medical -mental health screening and care to jail authorities when necessary for the protection of the welfare of the inmate or others, management of the jail, or maintenance of jail security and order. (c) The inmate's written authorization is necessary X for transfer of health record information unless otherwise provided by law or regulation. (d) Inmates aro not used for medical record keeping. X OPM 1800.06 1206 Health Care Procedures Manual (Applicable X OPM 1800.19 to facilities with on-site health care stq/P Dr. Lawrence Grant Waldrop is the designated There is a health services manual with written responsible physician who approved the health care policies and procedures that conform to applicable manual on 1/12/99; and it has not been updated. state and federal law. The manual is reviewed and updated at least annually. The health care manual includes, but is not limited to: (a) summoning and application of proper medical X aid; (b) contact and consultation with private physicians; X (c) emergency and non -emergency medical and X dental services, including transportation; (d) provision for medically required dental and X OPM 1800.211 medical prosthesis and eyeglasses; (e) notification of next of kin or legal guardian in X OPM 1800.10 case of serious illness which may result in death; (t) provision for screening and care of pregnant and X Female inmates are not housed at this facility. lactating women, including postpartum care, and other services mandated by statute; Seal Beach City Jail; 8/29n" 12 BOC FORM 358 (Rev. 5/99) ARTICLEISECTION YES NO N/A COMMENTS (g) screening, referral and care of mentally X OPM 1800.08 disordered and developmentally disabled Mentally or developmentally disabled inmates are inmates; not housed at this facility. Mentally or developmentally disabled inmates are transferred to the Orange County Central Jail or Western Medical Center of Anaheim. h implementation of special medical programs; X (i) management of inmates suspected of or X confirmed to have communicable diseases; (j) the procurement, storage, repackaging, labeling, X dispensing, administration -delivery to inmates, and disposal ofpharmaceuticals; (k) use of non -physician personnel in providing X OPM 1800.02 medical care; (1) provision of therapeutic diets; X m alien confidentiality and its exceptions; X OPM 1800.06 (n) transfer of pertinent individualized health care X OPM 1800.06.h information (or documentation that no health care information is available), to the health authority of another correctional system, medical facility or mental health facility at the time each inmate is transferred. (1) Procedures for notifying the transferring X health care staff of a pending transfer allow sufficient time to prepare the summary. (2) The summary information identifies the X sending facility, is in a consistent format that includes the need for follow-up care, diagnostic tests performed, medications prescribed, pending appointments, significant health problems and other information that is necessary to provide for continuity of health care. (3) Necessary inmate medication and health X According to the jail manager, a copy of the health care information are provided to the record and medication record is provided to the transporting staff, together with precautions transporting staff. necessary to protect staff and inmate passengers from disease transmission during transport. (o) forensic medical services, including drawing of X blood alcohol samples, body cavity searches, and other functions for the purpose of prosecution are not be performed by medical personnel responsible for providing ongoing health care to the inmates. 1206.5 Managernent of Communicable Diseases X OPM 1800.22.a (a) There is a written plan that addresses the identification, treatment, control and follow-up management of communicable diseases. The plan reflects the current local incidence of communicable diseases which threaten the health of inmates and staff and includes: I intake health screening procedures; X 2 identification of relevant symptoms; X 3 referral for medical evaluation; X (4) treatment responsibilities during X Inmates showing symptoms of illness are transferred incarceration; m a local hospital, according to staff. Seal Beach City Jail: Bn9n" 13 BOC 1 RM 359 (Rev. 5N8) ARTICLE(SECTION YES NO N/A COMMENTS (5) coordination with public and private X community-based resources for follow-up treatment; 6) applicable reporting requirements, and, X 7) strategies for handling disease outbreaks. X (b) Consistent with the plan, there are policies and procedures that conform with applicable state and federal law, which include but are not X limited to: (1) the types of communicable diseases to be X reported; (2) the persons who shall receive the medical X OPM 1800.22 reports; (3) sharing of medical information with inmates X OPM 1800.22 and custody staff; (4) medical procedures required to identify the X presence of disease(s) and lessen the risk of exposure to others; 5 medical confidentiality requirements; X (6) housing considerations based upon X OPM 1800.22 behavior, medical needs, and safety of the affected inmates; (7) provision for inmates consent that address X the limits of confidentiality; and, (8) reporting and appropriate action upon the X possible exposure of custody staff to a communicable disease. 1207 Medical Receiving Screening X OPM 1800.13 (a) A receiving screening is performed on all inmates at the time of intake. (See regulation for exception.) (b) This screening is completed in accordance with X written procedures established by the responsible physician in cooperation with the facility administrator. (c) The screening includes, but is not limited to, X medical, mental health, developmental disabilities, and communicable diseases, including, TB and other airborne diseases. (d) The screening is performed by licensed health X Trained facility staff perform the screening. care staff or by trained facility staff. (e) There is a written plan for compliance with PC§ X OPM 1800.16.13 2656, which allows prisoners to keep prescribed orthopedic or prosthetic appliances unless an immediate risk to security has been determined. (f) There is a written plan to provide medical care X OPM 1800.16 for any inmate who appears in the need of or requests medical, mental health or developmental disability treatment. 12075 Special Mental Disorder Assessment X OPM 1800.23 (Not applicable Type I & IV.) Females are sometimes booked and held temporarily There are written procedures for the mental health in a booking cell until transferred to the Orange screening of women who have given birth within the County Central Jail. past year and are charged with murder or attempted murder of their infant. Screening occurs at intake and, if postpartum psychosis is indicated, a referral for further evaluation is made. Seal Beach City Jail: 829/2000 14 BOC FORM 358 (Rev. 5MB) ARTICLEISECTION YES NO N/A COMMENTS 1208 Access to Treatment X OPM 1800.6 and 1800.17 (a) A written plan has been developed and implemented for identifying, assessing, treating and/or referring any inmate who appears to be in need of medical, mental health or developmental disability treatment at any time during incarceration. b Health care personnel perform the evaluation. X 1209 Transfer to a Treatment Facility X Mentally disordered inmates are not housed at or Not applicable Type I and IV.) booked into the facility. (a) Provision is made to transfer mentally disordered inmates to a treatment facility as provided in PC § 4011.6 or 4011.8, unless the jail contains a designated treatment facility. (b) Inmates who cannot be cared for adequately with X any jail are transferred to a designated treatment facility as soon a possible. 1210 Individualized Treatment Plans X OPM 1800.06.6 (a) Treatment staff develops a written individualized plan for each inmate treated by the medical and/or mental health staff. (b) Custody stuff are informed of the treatment plan X when necessary, to ensure coordination and cooperation in the ongoing care of the inmate. (c) Where recommended by stuff, the plan includes X referral to treatment after release from the facility. 1211 Sick Call X OPM 1800.16 (a) There are written policies and procedures for daily sick call for all inmates. (b) Any inmate requesting health care is provided X that attention. 1212 Vermin Control X OPM 1700.02 There is a written plan for the control and treatment of vermin infested inmates, including medical protocols, for treating persons suspected of being infested or having contact with vermin -infested inmates. 1213 Detoxification Treatment X OPM 1200.01 (Not applicable Type IV.) (a) There aro written medical policies on detoxification which include a statement as to whether detoxification will be provided within the facility or require transfer to a licensed medical facility, and, procedures and symptoms necessitating immediate transfer to a hospital or other medical facility. (b) When medically licensed personnel are not in X OPM 1200.01 attendance, inmates undergoing withdrawal reactions, judged or defined as not readily controllable with available medical vestment, are transferred to an appropriate medical facility. Slat Beach City Jail; R2920W IS BOC FORM 358 (Rev. 5/98) ARTICLEISECPION YES NO MA COMMENTS 1214 Informed Consent X (a) There is a written plan to assure informed consent of inmates in a language understood by the inmate. (b) Except in emergencies, as defined in Business X and Professional Code $ 2397 and Title 15 $ 1217, all examination, treatments and procedures affected by informed consent standards in the community are likewise observed for inmate care. (c) For minors and conservatees, the informed X Minors are not housed at this facility. consent of parent, guardian, or legal custodian applies where required by law. (d) Any inmate who has not been adjudicated to be X Inmates are required to sign a refusal form. incompetent may refuse non -emergency health care. 1215 Dental Care X OPM 1800.06.a and 1800.06.b Emergency and medically required dental care is provided to inmates, upon request. 1216 Pharmaceutical Management X OPM 1800.06.a Written policy and procedures provide space and accessories for the secure storage, controlled administration and disposal of all legally obtained drugs. (a) Such policies, procedures, space and accessories shall include, but not be limited to: (1) securely lockable cabinets, closets and X refrigeration units: (2) a means for the positive identification of the X A photograph of each inmate is attached to the recipient of the prescribed medication; individual's health record. (3) administration/delivery of medicines to X minors asprescribed; (4) confirmation that the recipient has ingested X The facility nurse administers medications and the medication or accounting for medication maintains the health charts. Through specific written under self -administration procedures instructions, other staff administer medication when outlined in Title 15, $ 1216 d); the nurse is not present. (5) documenting that prescribed medications X have or have not been administered, by whom, and if not, for what reason; (6prohibiting delivery of drugs by inmates; X (7) limitation to the length of time medication X may be administered without further medical evaluation; (8) limitation to the length of time allowable for X Verbal orders are not accepted. a physician's signature on verbal orders, and, (9) an annual written report is prepared by a X A pharmacy is not a feature of this facility. pharmacist on the status of pharmacy Pharmacy services are limited to the secure holding services, and provided to the health of the inmate's prescribed medications. authority and facility administrator. (b) There are written protocols that are consistent X OPM 1800.06 with pharmacy laws and regulations, and limit the following functions to being performed by the identifiedpersonnel: Seal Beach City Jail: 829/1000 16 BOC FORM 358 (Rev. 5M) ARTICLEJSECTION YES NO N/A COMMENTS (l) Procurement is done only by a physician, X dentist, pharmacist, or other person authorized by law. (2) Medication storage assures that stock X A pharmacy is not a feature of this facility. supplies of legend medications are accessed Pharmacy services are limited to the secure holding only by licensed health care personnel. of the inmate's prescribed medications. Supplies of legend medications that have been properly dispensed and supplies of over-thecounter medications may be accessed by both licensed and non -licensed staff. (3) Repackaging is done only by a physician, X A pharmacy is not a feature of this facility. dentist, pharmacist, or other persons Repackaging does not occur. authorized by law. (4) Labels are prepared by either licensed or X A pharmacy is not a feature of this facility. Labeling non -licensed personnel, provided the label is does not occur. checked and affixed to the container by the physician, dentist, or pharmacist before administration or delivery to the inmate. Labels are prepared in accordance with Business and Professions Code § 4076. (5) Dispensing is only done by a physician, X dentist, pharmacist, or persons authorized by law. (6) Administration of medication is only done X by authorized and licensed health care personnel acting on the order of a prescriber. (7) Licensed and non -licensed personnel may X The part-time registered nurses or the senior deliver medication acting on the order of a correctional officer are available to deliver prescriber. medication. (8) Disposal of legend medication is done X A pharmacy is not a feature of this facility. accordance with pharmacy laws and Pharmacy services are limited to the secure holding regulations and requires any combination of of the inmate's prescribed medications. two of the following classifications: physician, dentist, pharmacist, or reregistered nurse. Controlled substances are disposed of in accordance with Drug Enforcement Administration disposal procedures. (c) There are written procedures for managing and X Inmate Handbook for the Seal Beach City Jail. providing over-the-counter medications, which include but are not limited to how they are made available, documentation when delivered by staff and precautions against hoarding large quantities. (d) Policy and procedures may allow inmate self- X administration of prescribed medication under limited circumstances (see regulation text). If self -administration of prescription drugs is not allowed, this subsection is "not applicable." When allowed, policies and procedures must include but are not limited to: Seal Beach Ciry Jail; &n9a" 17 BOC FORM 359 (Rev. 5N8) ARTICLEISECTION YES NO N/A I COMMENTS (1) Medications permitted for self- X administration are limited to those with no recognized abuse potential. Medication for treating tuberculosis, psychotropic medication, controlled substances, injectables and any medications for which documentation of ingestion is essential, are excluded from self -administration. (2) Inmates with histories of frequent rale X violations of any type, or those who are found to be in violation of rates regarding self -administration, cannot participate. (3) Prescribing health care staff must document X that each inmate participating in self - administration is capable of understanding and following the rules of the program and instructions for medication use. (4) Provisions are made for the secure storage X of the prescribed medication when it is not on the inmate's person. (5) Provisions are made for consistent X enforcement of self-medication mles by both custody and health care staff, with systems of communication among them when either one finds that an inmate is in violation of rales regarding the program. (6) Health care staff performs documented X assessments of inmate compliance with self. administration medication regimens. Compliance evaluations am done with sufficient frequency to guard against hoarding medication and deterioration of the inmate's health. 1217 Psychotropic Medications X Inmates requiring psychotropic medication are (Nat applicable Type /V.) transferred to the Orange County Central Jail. (a) There are written policies and procedures governing the use of psychomopic medications. (b) Involuntary administration of psychotropic X medication is limited in emergencies. (See Business and Professional Code § 2397 and the teat of Title 15 § 1217 for definition of an emergency.) (c) If psychotropic medication is administered in an X emergency, such medication shall be only that which is required to treat the emergency condition. (d) Medication is prescribed by a physician in X written form in the inmate's record or by verbal order in a dosage appropriate to the inmate's need. Verbal orders are entered in the inmate's record and signed by a physician within 72 hours. (e) There is a protocol for supervising and X monitoring inmates who are involuntarily receiving s chotro is medication. Seel Beach City Jan: 829/2000 18 BOC FORM 358 (Rev. 5/98) ARTICLE/SECTION YES NO I N/A I COMMENTS (f) Psychotropic medication is not administered to X an inmate absent an emergency unless: (1) the inmate has given his or her informed consent in accordance with WIC § 5326.2; or, (2) has been found to lack the capacity to give consent pursuant to the county's hearing procedures under the Lanterman-Petris-Short (LPS) Act for handling capacity determinations and subsequent reviews. (Note: Inspections need to be aware of differing consent requirements for juveniles held in adult acilities. (g) Policies limit the length of time both voluntary X and involuntary psychotropic medications may be administered. (h) There is a plan for monitoring and re-evaluating X all inmates receiving psychotropic medications, including a review of all emergency situations. (i) The administration of psychotropic medication is X not allowed for disciplinary reasons. 1218 Inmate Deaths X OPM 1800.10 There are written procedures to ensure that there is a medical review of eve in -custody inmate death. 1219 Suicide Prevention Program X OPM 1800.25 There is a written suicide prevention plan designed to identify, monitor and provide treatment for those inmates who present a suicide risk. 1220 First Aid Kits X There is one first aid kit located in the medical room. (a) One or more first aid kits we available in the facility. (b) The responsible physician has approved the X An up-to-date letter signed by a physician needs to contents, number, location and procedure for specify the frequency with which the contents of the periodic inspection of the kit(s). first aid kit are to be inspected. 1051 Communicable Diseases X Inmates with suspected communicable disease are hospitalized or transferred to the Orange County (a) Upon identification, all inmates with suspected Central Jail. communicable diseases are segregated until a medical evaluation can be completed. (b) At the time of intake into the facility, an inquiry X The intake screening form is used. is made to determine if the inmate has or has had any communicable diseases, or has observable systems of communicable diseases, including but not limited to tuberculosis, hepatitis, sexually transmitted diseases, AIDS, or other special medical problems identified by the health authority. (c) The inmate's response is noted on the hooking X form and/or screening device. 1052 Mentally Disordered Inmates X OPM 1500 Mentally disordered inmates are not booked into the (a) There are policies and procedures that provide facility. for the identification and evaluation of all mentally disordered inmates, with segregation, if necessary to protect the safety of the inmate of others. Seal Beach City Jail: 829/2000 19 BOC FORM 358 (Rev. 5/98) ARTICLE/SECTION YES NO N/A COMMENTS (b) A physician% opinion is secured within 24 hours X of identification or at the next daily sick call, whichever i5 earliest 1055 Use of Safety Cell X The facility does not have a safety cell. (a) Safety cells, specified in Tide 24, Part 2, § 470A.2.5, are only used to hold those inmates who display behavior that results in the destruction of property or reveals intent to cause physical harm self or others. (b) The facility administrator, in cooperation with X the responsible physician, has developed written policies and procedures governing safety cell use. (c) In no case are safety cells used for punishment X or as a substitute for trearment. (d) Placement requires the approval of the facility X manager or watch commander, or a physician delegated by the facility manager. (e) Direct visual observation is conducted and X documented at least twice every 30 minutes. (t) Continued retention of the inmate is reviewed a X minimum of every eight hours. (g) A medical assessment is seemed within 12 hours X of placement in this cell or at the next daily sick call, whichever is earliest. (h) Medical clearance for continued retention is X secured every 24 hours thereafter. (i) A mental health opinion on placement and X retention is secured within 24 hours of placement. (j) There are written procedures that assure X necessary nutrition and Fluids are administered. (k) Inmates are allowed to retain sufficient clothing, X or are provided with a "safety garment" to provide for personal privacy, unless there are documented risks to the inmate's safety or facility security. 1056 Use of Detoxification Cell X OPM 1200.01 (a) Pursuant to written policies and procedures, a detoxification cell, specified in Title 24, Part 2 § 470A.2.4, is used only for housing inmates who are a threat to their own safety or the safety of others due to their state of intoxication. (b) Such inmates are removed from the X OPM 1200.01 detoxification cell when they are able to continue with processing. (c) An evaluation by medical staff or an evaluation X OPM 1200.01 by custody staff, pursuant to written medical procedures in accordance with Title 15, § 1213, occurs whenever any inmate is retained in a detoxification cell more than six hours. (d) Intermittent direct visual observation of inmates X OPM 1200.01 in detoxification cell is conducted and Inmates are directly observed every 15 minutes. documented no less than every half-hour. Seal Beech City Jail; 829/2000 20 BOC FORM 359 (Rev. 5N8) ARTICLEISECTION YES NO N/A COMMENTS 1057 Developmentally Disabled Inmates X OPM 1800.13 (a) There are written procedures for the Developmentally disordered inmates are not housed identification and evaluation of all at this facility. developmentally disabled inmates. (Note: Appropriate housing is based on T-/5 § 1050, Classification.) (b) A contact to the regional center occurs within 24 X hours when an inmate is suspected or confirmed to be developmentally disabled. (Applicable only in facilities holding inmates in excess of 24 hours. 1058 Use of Restraint Devices X Restraint devices are not used at this facility. (Note: The regulation distinguishes "use of force" from use of restraints. Health inspectors should familiarize themselves with this discussion in the Medical -Mental Health Guidelines and contact their BOC Field Representative if there are questions regarding applicability to a particular facility.) (a) There are written policies and procedures for the use of restraint devices, which include acceptable restraint devices; signs or symptoms which should result in immediate medical - mental health referral; availability of CPR equipment; protective housing of restrained persons; provisions for hydration and sanitation needs; and, exercising extremities. (b) Such restraints are only used to hold those X inmates who display behavior that results in the destruction of property or reveals intent to cause physical harm self or others. (c) Restraints are not used as punishment or as a X substitute for treatment. (d) Placement requires the approval of the facility X manager or watch commander, or a physician delegated by the facility manager. (e) All inmates in restraints are housed alone or in a X specified area for restrained inmates. (t) Direct visual observation is conducted and X documented at least twice every 30 minutes. (g) Continued retention in restraints is reviewed X every two hours. (h) A medical opinion on placement and retention is X secured as soon as possible, but no later than four hours from the time of placement. (i) Medical review for continued retention in X restraint devices occurs at a minimum of every six hours. Q) A mental health consultation is secured as soon X as possible, but no later than eight hours from the time of placement. Seal Beach City Jail; 8292gp 21 BOC FORM 358 (Rev. 5/98) ARTICLE/SECTION I YES I NO I N/A COMMENTS Other Aradicable Codes Title 24 Part 2 § 470.2.12 - Medical Exam Room X The facility has a medical examination room that Availability was constructed in the early 1970's, according By staff. In facilities constructed after 2-1-99, a medical examination room is available in every facility that provides on-site health care. Prior to 2-1-99, every Type II and EI facility designed to house 25 or more inmates must have a medical exam room. The examination room must: a be suitably equipped; X (b) be located within the security area and provide X for inmate privac ; (c) have at least lOO squarefeet of floor space with X no single dimension less than 7 feet; (d) provide hot and cold running water (Note: For X facilities constructed after 2-1-99, any rooms where medical procedures are provided must be equipped with hot and cold running water, even though this area may not technically be an "examination room"); and, (e) have lockable storage for medical supplies X (Applicable to facilities constructed after 2-1- 99). Title 24 Part 2, § 470A.2.13 - Pharmaceutical X Storage Space There is lockable storage space for medical supplies and pharmaceutical preparation as referenced in Title 15, § 1216. Title 24 Part 2 § 470A.2.14 - Medical Care X The facility does not have medical care housing. Housing There is a means to provide medical care and housing to ill and/or infirm inmates. If this housing is located in the jail, it must: (a) provide lockable storage space for medical X instruments; and, (b) be located within the security area of the facility, X accessible m both female and male inmates, but not in the living are of either. (c) If negative pressure isolation rooms are being X planned, they shall be designed to the community standard (Applicable to facilities constructed after g-1-99. Title 24 Part 2 § 470.2.25— Confidential Interview X Rooms In facilities constructed after 2-1-99, there must be a minimum of one suitably furnished interview room for confidential interviews in every facility that provides on-site health care. For facilities constructed prior to 2-1-99, every Type 11 and III facility designed to house 25 or more inmates must have a confidential interview room. The interview room must (a) be suitably equipped: X (b) he located within the security area accessible to X both female and male inmates; and, Seal Brach City ]ail: 8/29/2000 22 BOC FORM 358 (Rev. Nino ARTICLE/SECIION YES NO N/A COMMENTS (c) provide no less than 70 square feet of floor space X with no single dimension less than 6 feet. HSC 11222 and 11877 Addicted Arrestee Care X Inmates suspected of being addicted to controlled (a) Where there is reasonable cause to believe an substances are transferred to the Orange County Central Jail or to Los Alamitos Hospital. arrestee is addicted to a controlled substance, there is provision for medical aid to relieve symptoms. (b) In accordance with statute, persons on X Inmates who require methadone maintenance are not methadone maintenance are allowed to continue housed at this facility. until conviction, at the direction of the licensed methadone program director. PC 4023.6 Female Immune Physician X Female inmates are not housed at this facility. (a) Reasonable procedures are established to allow a female prisoner to summon and receive the services of any physician of choice to determine pregnancy. (b) Procedures allow female inmates to receive x needed medical services. (c) new procedures are posted in at least one X conspicuous place in which all female inmates have access. PC 4023.5 Female Inmate — Personal Care Female inmates me not held at this facility for longer At their request, female inmates are allowed to than 12 hours. They are either transferred to the Orange County Jail or are released. continue use of materials for: (a) personal hygiene regarding menstrual cycle; and, X (b) birth control measures as prescribed by their X physician. PC 4028 Abortions X Female inmates are not housed at this facility except for temporary holding that does not exceed 12 hours. Pregnant inmate, if eligible, shall be permitted to obtain an abortion pursuant to law. Such rights are posted in at least one conspicuous place accessed by all female inmates. Summary of medical/mental health evaluation: The medical policy and procedures manual has improved significantly since the 1999 inspection. The manual has been updated to meet many of the requirements of Title 15. In order to ensure further compliance with the Title 15 regulations, the following recommendations were made: I. Keep a copy of the physician's approval statement with the policy and procedures manual at all times. 2. Obtain an English version of section 1800.16, regarding Sick Call for inmates, which is currently available only in Spanish. 3. Maintain a copy of current licensure for all employed Registered Nurses. 4. Do not accept and dispense expired medication. 5. Dispose all expired medications, solutions, ointments, etc., in accordance to protocol, which should be created. Seel Beach City Jail: 8/29n" 23 60C FORM 358 (Rev. 5N8)