Independent Ombudsman for the Texas Juvenile Justice Department Evins Regional Juvenile Center Site Visit Report February 21-23, 2017 Observer: Purpose: Routine Secure Facilitv Site Visit Report: This report is designed to identify problems and seek remedies that help secure the rights and ensure the safety of youth housed at the facility. The issues identified in this report are based entirely on the Ombudsman?s observations, interviews with staff and youth, and collected data. Unless otherwise noted, the issues identified in this report do not constitute formal legal findings. Last Review Date: January 17-18, 2017 Facility Budgeted Capacity: 136 Facility Population: 128 Number of Youth Interviewed: 20 Summary: FACILITY, PROGRAMS, PROCESSES or ADMINISTRATIVE FUNCTIONS: There were 22 youth being housed in the Security Unit with 12 youth assigned to the Security Program, 8 youth assigned to the Re-Direct program, and 2 youth on temporary assignment (TA). The Security unit pods and common area were clean and organized. A review of the security files revealed that documents were being completed correctly within the appropriate time parameters allowed and youth were receiving their due process rights. On dorms 3 and 4 there continues to be a lack of structured activities and redirection from the staff for negative behavior. Youth were observed running around the dorms, horse playing, gathering in the bathroom area while other youth used the restroom and/or just sitting around the dorm. Both youth and staff reported that the 16 hour schedule is not up to date and is not consistently followed. On 3B the behavior of the youth and the lack of intervention from the staff created major safety concerns for both staff and youth (this issue is discussed below). Dorm 1, housing the Alcohol and Other Drugs (AOD) program and dorm 4A, housing the Violent Offender Program (VOP) were observed to be doing well. Youth were quiet and engaged in activities or were participating in group with their staff/counselors. The education building was also observed to be quiet with the youth engaged in the classroom completing their work or listening to the teacher. Several youth were in the vocational area working outside in the garden. The overall appearance of the campus grounds and facilities were clean and well-kept. INTERVIEWS: Twenty youth were interviewed during this visit. No youth interviewed reported concerns for their safety or concerns of being extorted by other youth. Several youth requested information about being released home, to a halfway house or to another facility and voiced concern about not being able to meet with their case manager as much as they would like. The youth reported that they are bored while on the dorm and do not have much to do. They stated that the daily schedule is not always followed and they sit around a lot and get in trouble. One youth reported that a staff has been making inappropriate comments to him about his family. This concern was reported to the IRC. SUMMARY: There are numerous CO vacancies on the campus and three case manager positions are yet to be filled. Staff report that gang related assaults are the biggest concern on campus as the number of incidents has quadrupled since December, 2016. The specialized treatment programs were reported to be doing well. The therapist for the VOP recently resigned and the case manager reported that other mental health professionals have been stepping in to ensure that youth are receiving the treatment needed to complete the program. Youth and staff reported that the Capstone program is doing well and youth are participating in vocational activities outside as well as learning individual life skills. The chart below is based on data collected by TJJD. The data shows that the number of restraints and the use of OC spray have continued to increase during the month of January, 2017. There has been a tremendous increase in the number of gang related incidents and major disruptions since November, 2016. Feb-16 Mar-16 Apr-16 May?16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan?Restraints 165 261 197 152 108 95 159 112 176 131 153 163 Assaults Gang related Staff Assault Part. Major DistEvins RJC, February 21-23, 2017 Page 2 of 11 300 . 250??-Map? . Esuesldentified .1- Jun-16 NEW-719.!- . "q Q. I . 3391.17. -?I?Restraints .. ~Assault5 Y-Y +Gang related ~Hf~$taff Assault -Part. Major Dist. lssuesfrom previous site visits remain on the report until the ombudsman has con?rmed that the response presented by Tij has been completed and implemented. Offenders Program dorm reported that the licensed therapist that facilitated treatment groups recently resigned. The youth reported concern about not having the opportunity to complete treatment and their time being extended if a therapist is not available to facilitate groups. This concern would also affect the youth waiting to enter the VOP program. What plan of action can be implemented to ensure that the youth are provided the opportunity to receive the treatment that they need from a licensed professional in a timely manner without delaying the youths' transition through the program? manner in which the youth currently in the program or waiting to enter will not be impacted with delaying their individual transition through the program. Youth on the waiting list will enter the VOP Dorm according to their individualized projected entry date. in regards to the treatment groups they will continue to be facilitated by a licensed professional from the department. Considering the state-wide hiring freeze, the position will be posted if and when it is approved. Date i . . . Issue TDD Response Follow Up 2/21/17 The staff and youth on the Violent The VOP Dorm will continue to operate in a Evins RJC, February 21-23, 2017 Page 3 of 11 2/21/17 Dorm BB was observed to be very chaotic and unsafe during the evening shift on February 21, 2017. Youth were seen horse playing, running around the dorm, and play fighting with little intervention or redirection from the staff. One youth began taking toilet paper out of the trash can and putting it on doors around the pod. Other youth began following this youth and seemed to be encouraging his negative behavior as they ran back and forth through the dorm. The staff did very little to de-escalate this situation and in fact reported (on two occasions) that everything was fine on the pod when the picket staff asked over the intercom speaker if they needed assistance. Eventually this situation escalated to the point that the youth was physically restrained by the staff. Once the restraint was in progress, the other youth gathered around and seemed to be encouraging the youth to struggle with the staff. Another youth had to be restrained by staff for interfering in the restraint that was already in progress. At this point, none of the youth had been directed away from the area and back up had not been called. When back up staff did arrive on the pod, the youth were still not directed away from the area for safety precautions. They were allowed to sit on the tables and wall and crowd around the restraint area. One youth was seen reaching down and trying to take something off of the staff?s belt or out of his pocket while that staff was on the floor in a restraint. Please provide a plan to address the lack of supervision and intervention from the staff to de- escalate this situation and provide a safe and secure environment for the youth. Why are youth allowed to be in the area ERJC facility has reviewed surveillance video of the mentioned incident. The staff was identified in this incident and the supervisors spoke with the staff about proper monitoring and redirection of the youth's behavior. As of 2/28/2017 a plan of action has been implemented for the campus regarding proper supervision, structure on the dorm, utilizing behavior intervention to redirect youth's behavior and safety on the dorm. Evins RJC, February 21-23, 2017 Page 4 of 11 during the restraint of another youth? What plan can be implemented to ensure that youth are removed from the area and not allowed to become involved in safety issues with other youth? 2/21/17 During the shower routine on dorm SC, two youth were observed entering the shower area at the same time, undressing in the common area and entering (separate) stalls to complete their showers. The staff on the dorm was not providing appropriate supervision of the youth during this time. It is the understanding of the Ombudsman?s Office that the shower routine procedure allows for only one youth at a time to shower. Please provide a plan of action to improve the supervision of youth during the shower routine and ensure that only one youth at a time is allowed to shower. ERJC previously implemented a procedure that only one youth will be allowed out of their room to shower at a time due to non? structure during the routine. Once the JCO staff are properly trained on the shower routine and overall dorm behavior has improved to which a structure shower routine can be performed, the routine will resume to two (2) youth showering at a time. Administration will review the overall dorm behavior to include reduction in incidents, aggressive behavior and compliance with the daily schedule. At this current time the only dorm approved to shower two youth at a time is Glory Dorm (Dorm 1). The Manager 1?s will address the appropriate supervisors to ensure the proper process is followed regarding shower routine. Evins RJC, February 21-23, 2017 Page 5 of 11 1/17/17 Review of Security files revealed paper work was incomplete, inaccurate and at times duplicated. The required justification for admission to security on the 225's usually stated "admitted to control behavior" instead of providing the actual reason for admission. Several of the Level admission or extension hearings and security rules notification were not signed by the youth as required; and the comment ?youth in the shower" was written on the signature line. Several incident reports indicated requests for extensions of receiving a 225 in security were granted before the documented incident time. The Security Unit Extension forms for 2 youth were not signed by the ADO or Superintendent as required by agency policy. Please provide a plan of action that will be implemented to ensure youth?s due process rights are not violated in the security program; and appropriate documentation is provided for each admission. On 2/8/2017, the Manager of Operations addressed the security case managers regarding the process of admitting and releasing a youth in accordance to GAP Policy 380.9740. The Director of Security will continue to provide additional and ongoing training for the new hired security case manager. if a youth is in the shower, the security decision officer will wait until the youth has completed his shower routine and then obtain the youth's signature. If other reasons prevent the staff from obtaining the youth's signature, the reason will be documented on the youth?s log and the security decision officer will obtain a witness?s signature. All extension decision will be reviewed by the Director of Security within one working day. The decision on an appeal will be addressed within 18 hours by the ADO, Assistant Superintendent or Superintendent. 2/21/17 A review of the Security files 1 revealed that paper work had been completed accurately and within the time parameters allowed. This issue will be closed. 1/17/17 The Manager of Security Operations signed a Use of Force Report as the Director of Security and Chair of the Use of Force Review Board. The signature was dated 01.14.2017 which was a Saturday. It is the IO understanding the Use of Force Review Board does not meet on Saturday?s and the Manager 1 is not the Chair of the Use of Force Review Board. This gives the appearance of inappropriate approval of a Use of Force. What plan will be implemented to ensure all Use of Force is reviewed in accordance with agency policy and not by just 1 individual? Both the Assistant Superintendent and the Manager of Security Operations have been made aware that the Use of Force Review Board is to be chaired by the Assistant Superintendent and in the absence of the Assistant Superintendent, the Manager of Operations may be appointed to serve as the Chair of the Use of Force Review Board. The Assistant Superintendent has informed all staff that are required to attend the Use of Force Review Board the process and procedure for the meeting. The Use of Force Review Board is conducted weekly and notifications are sent to the staff that is required to attend. The minutes are posted 2/21/17- A review of paper work showed that Use of Force Reports were completed correctly. This issue will be closed. Evins RJC, February 21-23, 2017 Page 6 of 11 within one week of the Use of Force Review Board. 1/17/17 The review of the Room/Cell Checks (INS-100) on numerous dorms and security revealed room checks were not being completed at random intervals not exceeding 15 minutes, as required by agency This was primarily occurring on the evening and late night shifts, raising questions of appropriate supervision. What plan of action will be implemented to address this matter and ensure compliance with this safety/welfare issue? The lNS.91.07-Room Checks policy will be reviewed in Dorm Meetings, JCO and Dorm Supervisors meetings by 3-11-2017. The JCO and JCO Supervisors are required to check at least 3 from their respective dorm and documented the review on the INS-100 daily. The Dorm Supervisors will review a minimum of one hour of archived video footage weekly. The review will include all 3 shifts from their respective dorms. Their review will be documented on the Quality Assurance Report (COG-275) and submitted to the Manager 1, Assistant Superintendent, and Superintendent. Any deficiencies noted will be properly be addressed. The Quality Assurance Report will be posted on the dnve. February 21, 2017 A review of the Room/Cell Checks (INS-100) revealed that there continues to be an issue with checks not being completed at random intervals not exceeding 15 minutes as required by agency policy What plan of action will be implemented to address this matter and ensure compliance with this safety/welfare issue? The JCO staff will continue to conduct room checks not to exceed the 15 minutes. However the staff, at a minimum will be required to conduct one random motion check with in every hour. The Assistance Superintendent will meet with the Manager l, Dorm and JCO Supervisors to review the expectations. This expectation will be reviewed in the upcoming TownHall Meeting schedule for March 29, 2017 to include the late night JCO staff. By March 31, 2017 the expectations will be reviewed with all JCO staff and all TRN-955's will be submitted to the training and administration department. The Supervisors will continue to monitor room checks for compliance. Evins RJC, February 21-23, 2017 Page 7 of 11 1/17/17 During walk throughs of some dorms an apparent lack of routine structure was observed. On 2 pods JCO staff were heard yelling instructions at youth and the instructions were being ignored. Youth were heard yelling at each other as well as at staff. On one pod the case manager was not present for core group and a 1 page worksheet had been left for youth to complete. They did so in a few minutes which left a lot of unstructured time. JCO staff stated they ?improvise" a lot when it comes to structured routine. Control room staff and floor staff were unable to provide a written routine schedule. Dorm staff also indicated they were not provided a schedule to follow when a pod/dorm were on slow down or restrictions. One JCO stated a Supervisor had shown him the slow down schedule on his cell phone, and then left the pod. What plan will the facility implement to ensure daily routines are posted on all pods, and staff youth receive training on the schedules. Further when a pod/dorm are placed on slow down or restriction how will the facility ensure all staff have access to the approved routine for same? The Manager 1?Treatment and Program Services has met with the dorm case managers regarding core group and having a trained designee to cover the core group in their absences. By 2/20/2017 all dorm schedule will be reviewed and the necessary changes will be made to include providing a structure leisure activity schedule. Once a dorm is placed on shutdown, the JCO and/or Dorm Supervisor are responsible for meeting and informing both youth and staff the reason for the dorm being placed on shutdown, reviews the shutdown schedule with both youth and staff, and document that this occurred on the dorm A copy of the dorm shutdown schedule will be provided to the dorm staff, all JCO and Dorm Supervisors, a copy placed in the dorm picket, and the gatehouse. Each day that the dorm is on shutdown the JCO and/or Dorm Supervisor are to inform the staff prior to the being on their shift the status of the dorm shutdown and ensure that they have a shutdown schedule. February 21, 2017' The lack of a structured routine for the youth while on the dorm continues to be a concern. The 16 hour schedules posted on the dorms have not been updated and the staff and youth report that this schedule does not accurately reflect expectations of when activities are to take place. On dorms three and four youth were observed wandering around the dorm talking, horse playing and/orjust sitting at the table with nothing to do. On dorm 3D youth were observed gathered behind the wall that separates the bathroom from the day area talking while one youth was using the toilet and the others standing at the stalls. On SB youth were observed running all over the dorm, horse playing and not following any direction from the staff. On 4C, 4 youth that were on restriction during school hours remained on the dorm. Two of the youth were observed asleep in their rooms and the other two were in the clay area with the staff. What plan will the facility implement to ensure daily routines are posted on all pods, and staff youth receive training on the schedules. Please provide a plan to update the 16 hour daily schedules and the expected time for it to be completed. The Facility Schedules have been updated to reflect the day to day activities and Education scheduled set forth in place. Supervisors will ensure that the facility daily schedule is posted on all Pods housing youths. The Managers of Operations and Treatment will complete Weekly Dorm lnspections to ensure that all Facility Dorm Daily Schedules are Posted appropriately and Evins RJC, February 21-23, 2017 Page 8 of 11 visible for all who enter the Dorms. Dorm Supervisors will cover the expectations of the schedule in their schedule March 2017 Dorm meetings and direct staffs to follow the schedule posted. By 3/31/2017 all JCO staff and Supervisors will be trained on the current dorm schedules, training sheets will be submitted to the training department and administration. ?12/28/16 Youth from dorm BB reported that they were held in security over the weekend of 12/16/16 thru 12/19/16 without justification for holding them there. They reported that they participated in a major disruption on their dorm on 12/16/16 and were admitted to security and were informed that they would be held over the weekend. Security unit documentation was reviewed for this time period. The shows that five youths from dorm SB were admitted to the security program on 12/16/16. The Security Unit: Individual Youth Records showed that these youth displayed no behavioral issues but continued to receive time extensions until released on 12/19/16. The incident reports documenting the need for extensions state "Extension necessary the youth is likely to interfere with a pending/ongoing investigation or a requested/scheduled due process hearing." On this same date (12/16/16) youth from other dorms were placed in the security program for ?participation in a major disruption of facility operations". However, these youth were released from the security program without extensions being applied. Several staff interviewed reported that they feel that these youth from 38 were held in Evins RJC, February 21?23, 2017 TJJD/Facility Response: The youth on Dorm SB were held in Security due to causing a major disruption on the dorm while other major disruptions were also occurring simultaneously on campus. They continued to be held in security due to verbal threats to cause a riot on campus, making them a danger to safety and security. All the youth from dorm 3A participated in a major disruption staff were instructed to place those youth on security program in their dormitory. This was done because there wasn?t adequate bed space in the security unit. 8 reported to Superintendent a that a review of security program paperwork on SA revealed that the youth did not receive proper due process. In keeping with policy, those youth were released from security program back to dorm program, however the dorm was placed on dorm restrictions because the majority of the kids assigned had participated in disruptive behavior and remained a risk to campus safety and security. Dorm 3A was removed from dorm restriction on December 18, 2016. 1/17/17 - During the first day of this site visit there were at least seven youth being extended in security without appropriate documented justification. These youth were admitted to security on January 12, 2017 for participating in ?passing a kite". On January 14, 2017 there was an email sent out stating that the directive of the Manager I was not to release these youth and to ?continue with extension protocol". Security staff reported they were instructed to extend these youth in security until their Level l disciplinary hearing had been completed (01. 25.17). A review of security paperwork revealed these youth had not displayed behavioral problems nor met requirements to be extended in security, yet they continued to be extended each day. The daily level extension hearing reports cited "extorting others, gang activity, assault of youth, and threatening others," but the Incident Reports (225?s) did not offer any evidence to support these allegations. The 225?s for most of these youth routinely stated that youth would be extended due to ?possible interference in an ongoing investigation" but offered no supporting documentation. These youth were Page 9 of 11 security without justifiable reason. The incident in which they participated was on the dorm and video recorded the disruption. What actions were staff worried these youth would take to interfere with the investigation or due process hearing that justified keeping them in security? What reason can be offered as to why the youth in dorm BB were held in security while youth from other dorms participated in similar (but separate) incidents and were released from the security program? released from Security after the Ombudsman?s departure from the facility on the first day of the site visit. Specific to this incident what justification can be offered as the reason(s) for the continued extension for these youth? What plan will be implemented to ensure compliance with agency policy GAP.380.9740 regarding extensions past 24 hours in the security program, ensuring youth?s rights are not violated? The youth mentioned were observed on DVR review. It appeared they were "passing a kite? that that described a planned assault of a particular youth. Those youth were referred to security for further investigation of the incident. On 2/8/2017 the Superintendent met with the Case Managers and Dorm Supervisors to review GAP.380.9740 and the security extension process. As of 2/8/ 17 a staff requesting to extend a youth beyond 24 hours for non-security rule violations will document the reason(s) on a 225 and the 22D, provide the appropriate documentation to support reason(s) for the extension request and communicate with the on duty security case manager that a request has been made to extend the youth. The security dorm supervisor (Director of Security) and JCO Supervisor will review all 225?s daily, ensure admission and release criteria have been met and properly documented. The ADO, Manager 1's and Assistant Superintendent will review the files of those youth that have been extended for proper extensions, documentation and appropriately Evins RJC, February 21?23, 2017 Page 10 of 11 address any deficiencies. 2/21/17- A review of the Security unit paper work revealed that the youth being held in security were afforded their due process and all documents were completed as required. This issue will be closed. I certify that this report represents a true and accurate assessment of all issues identified. Submitted by: Allen M. Hall l/ Deputy Ombudsman Evins RJC, February 21-23, 2017 ?zzr/ 7 Date Page 11 of 11