state: FL

summary: PREA

raw_content:
A PREA AUDIT: AUDITOR’S SUMMARY
REPORT JUVENILE FACILITIES
Name of Facility: Duval Academy
Physical Address: 7500 Ricker Road, Jacksonville, FL 32244
Date report submitted: April 20, 2015
Auditor information: Shirley L. Turner
Address: 3199 Kings Bay Circle, Decatur, GA 30034
Email: shirleyturner3199@comcast.net
Telephone number: 678-895-2829
Date of facility visit: March 30, 2015
Facility Information
Facility Mailing Address: 7500 Ricker Road, Jacksonville, FL 32244
Telephone Number: (352) 840-8240
The Facility is: Military County Federal
X Private for profit Municipal State
Private not for profit
Facility Type: Detention Correction X Other: Residential
Name of PREA Compliance Manager: Erica Crosby Title: Asst. Facility Admin.
Email Address: Erica.Crosby@youthservices.com Telephone Number:
(904) 777-0100
Agency Information
Name of Agency: Youth Services International, Inc.
Governing Authority or Parent Agency: NA
Physical Address: 6000 Cattle Ridge Dr., Suite 200, Sarasota, FL 34232
Mailing Address: Same as Above
Telephone Number: (941) 953-9199
Agency Chief Executive Officer
Name: James Slattery Title: President & Chief Executive Officer
Telephone (941) 9533-9199
Email Address: Jim.Slattery@ysii.com
Number:
Agency Wide PREA Coordinator
Name: Jesse Williams Title: PREA Coordinator
Email Address: Jesse.Williams@youthservices.com Telephone (941) 704-8796
Number:
1
AUDIT FINDINGS
NARRATIVE:
The Duval Academy is a 28-bed residential facility located in Jacksonville, Florida. It houses male
juvenile offenders, ranging from ages 14 to 18, in a moderate custody level environment. The facility
is operated by Youth Services International, Inc. (YSI) through a contract with the Florida
Department of Juvenile Justice (FDJJ). The length of stay is six to nine months and residents
participate in a daily schedule that includes education/vocational classes; case management services;
health care services; and recreation. Over 88 residents have been admitted to the facility during the
past 12 months.
The number of staff positions at the facility that may have contact with the residents is 39. Medical
services are provided on-site by two Registered Nurses, with one serving as the Lead Nurse. The
contract physician visits the facility on a weekly basis. Mental health services are provided by the
Clinical Director, two Therapists, and a contract psychiatrist who visits the facility every other week.
Education services are provided on-site through the Duval County School Board. Case management
services are provided by two Case Managers and a Transition Specialist. Youth Counselors, with the
support of Shift Supervisors, provide direction and oversight of residents during their involvement in
activities and services.
An individualized treatment plan is completed for each resident and a formal monthly staffing of each
resident’s treatment plan is conducted. The formal staffing is a meeting with the resident, case
manager and the treatment team. Additionally, residents are involved in informal reviews with their
Case Managers. The formal staffing includes but is not limited to a review of the objectives for each
problem noted on the treatment plan; assessment of progress regarding the level system; review of
health concerns; and updating of discharge plans.
DESCRIPTION OF FACILITY CHARACTERISTICS:
The entrance to the building contains the control room, a large foyer and administrative offices.
Beyond the administrative section of the building is the Pavilion, a dayroom where residents may
gather to watch movies, play video games, and engage in other activities. Additional offices, a
conference room, group room, kitchen, dining room, and classrooms are located in and beyond the
Pavilion area. The facility also has an area that serves as the print shop where residents, in addition to
other activities, make postcards and design t-shirts. Housing space for the residents consists of two
living units, A Mod and B Mod which hold 14 residents each. The Mods have a bathroom that
affords residents a reasonable amount of privacy while they shower, change clothes and perform
bodily functions.
PREA related information is prominently posted throughout the facility, accessible to the residents
and the public. Brochures are posted in English, Creole and Spanish, representative of the general
make-up of the population of the facility. Residents have the opportunity to complete community
service hours in the facility which have been assigned by the courts.
2
SUMMARY OF AUDIT FINDINGS:
Prior to the on-site audit visit, a conference call to discuss the audit process was held with the
Facility Administrator and other YSI staff and the PREA Coordinator for the Florida Department of
Juvenile Justice. The notifications of the on-site audit were later posted in various parts of the
facility prior to the site visit. Photographs were taken of the locations where the notices had been
posted and the photographs were electronically sent to the Auditor. The Pre-Audit Questionnaire,
policies and the supporting documentation were uploaded to a flash drive, which was received
approximately four weeks prior to the on-site audit. After reviewing the information on the flash
drive, a follow-up call was made to the facility’s PREA Compliance Manager to discuss data and for
clarification of information. Additional information was provided or clarified and minor corrective
actions were implemented prior to the site visit as requested.
The on-site audit was conducted March 30, 2015. A comprehensive tour of the facility was provided.
This Auditor observed staff members directly supervising and interacting with residents. The
interviews conducted included random staff from all shifts, specialized staff, contract and volunteer
staff, and residents. PREA file folders were set up in a very neat and organized manner that
contained supplemental documentation. A close-out meeting was held at the conclusion of the on-
site audit and a summary of the audit findings was provided to facility management, PREA
Compliance Manager, and YSI corporate office staff.
Number of Standards Exceeded: 0
Number of Standards Met: 38
Number of Standards Not Met: 0
Number of Standards Not Applicable: 3
3
Standard 115.311 Zero Tolerance of Sexual Abuse and Sexual Harassment.
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 contains strategies and implementation directions for facility compliance with the
requirements of the PREA standards. The Policy provides for zero- tolerance toward all forms
of sexual abuse and sexual harassment. Additionally, it contains definitions of the prohibited
behaviors and sanctions for those who participate in such behaviors. The facilities PREA
related policies and practices are aligned with the Florida Department of Juvenile Justice
Policy 1919 (FDJJ 1919).
Standard 115.312 Contract With Other Entities for the Confinement of Residents.
Exceeds Standard (substantially exceeds requirement of standard)
Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
X Standard Not Applicable
Auditor Comments:
The facility does not contract with other facilities for the confinement of residents.
Standard 115.313 Supervision and Monitoring
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 provides for the implementation of a staffing plan with adequate staffing levels to
protect residents against sexual abuse and refers to the staffing assignments per the current
contract. The operational work schedules and a hold-over system are implemented to
maintain the required contracted staff ratios and the parent agency and FDJJ will address the
contractual issues regarding the PREA staffing requirements. Policy 3.19 states that the
staffing plan will be assessed as deemed necessary but at least annually. A documented
Staffing Plan Assessment has been conducted.
4
Unannounced rounds of the facility for the maintenance of a safe environment are conducted
and documented by intermediate and higher level staff. The Policy and facility’s practice
prohibit staff from alerting other staff while the unannounced rounds are being conducted.
Staff interviews and a review of documentation confirmed the practice of unannounced
rounds being conducted.
Standard 115.315 Limits to Cross-Gender Viewing and Searches
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 provides instructions to staff regarding searches. Cross-gender pat-down
searches, cross-gender strip searches and cross-gender visual body cavity searches of
residents are prohibited, except in exigent circumstances or when performed by medical
practitioners. In the event of any occurrence, documentation of the situation is required. Staff
interviews revealed that the facility’s general practice is that no cross-gender searches occur.
All of the residents interviewed stated that they have not been searched by a female staff
member during their stay at the facility.
The facility provides for residents to shower, perform bodily functions, and change clothes
without being observed by staff of the opposite gender. Policy 3.19 states that staff shall not
search a transgender or intersex resident to determine the resident’s genital status and all staff
interviewed were aware of this. The Policy directs staff to ask a transgender or intersex
resident which gender they would prefer to conduct the search and any related cross-gender
searches are to be documented.
Standard 115.316 Residents With Disabilities and Residents Who are Limited English
Proficient
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 reveals that support services are provided for residents with disabilities and
residents who are limited English proficient so that they may benefit from and participate in
PREA education. Resident education materials are accessible in languages other than
English and the facility has a list of staff members who will provide interpretation services.
5
Policy 3.19 states that the facility will not rely on resident interpreters or resident readers to
provide information to other residents. The Policy provides for the use of outside resources
and the services of the education and mental health units. A Memorandum of Understanding
exists between the facility and the Duval County School Board for the provision of support
services. A review of the documentation and staff interviews reinforced that residents will
not be used as interpreters or readers to assist other residents.
Standard 115.317 Hiring and Promotion Decisions
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 and FDJJ 1919 provide for background checks on all employees, contractors and
volunteers through a process that meets the requirements of the standard which is used
statewide. Related documentation and staff interviews revealed that prior to the hiring of an
employee or contractor or the use of a volunteer’s services, background checks are
conducted. The Policies require that criminal background checks be conducted every five
years on employees and on contractors who may have contact with residents. Interviews and
review of documentation support the Policies.
Standard 115.318 Upgrades to Facilities and Technology
Exceeds Standard (substantially exceeds requirement of standard)
Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
X Standard Not Applicable
Auditor Comments:
This standard is not applicable. The facility reports that there has not been a substantial
expansion or modification to the facility and the camera system has not been updated during
the time period since August 20, 2012.
Standard 115.321 Evidence Protocol and Forensic Medical Examinations
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
6
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 and FDJJ 1919 state that staff will cooperate in investigations conducted by the
FDJJ Office of the Inspector General (OIG). The OIG is responsible for administrative
investigations and investigations are conducted by the Florida Department of Children and
Families (DCF) and local law enforcement. According to Policy 3.19, forensic medical
examinations will be completed at no financial cost to the victim.
The facility has a Memorandum of Understanding with University of Florida/First Coast
Child Protection Team. The advocacy agency will provide forensic exams; counseling
services; support planning for treatment services; staff training; and other assistance. The
Team Coordinator was on-site for an interview during the audit and confirmed the services
to be provided to the facility.
Standard 115.322 Policies to Ensure Referrals of Allegations for Investigations
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 and FDJJ 1919 requires staff report all allegations of sexual abuse and sexual
harassment. The facility reports no allegations during this audit period. The facility posts
related information regarding reporting allegations of sexual abuse and sexual harassment in
areas that are accessible to the public. The DJJ website contains information regarding the
referral of allegations for investigations of sexual abuse.
Standard 115.331 Employee Training
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 and FDJJ 1919 provide for the PREA training of all staff. Staff members have
received the DJJ training and the facility has conducted refresher training in the primary areas
addressed in the standards. Documentation of staff participating in training is maintained and
staff interviews confirmed that DJJ and in-house training occurs.
7
Standard 115.332 Volunteer and Contractor Training
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 contains information regarding the training of volunteers and contractors who
have contact with residents. A review of documentation and interviews with staff, a
volunteer, and a contractor support that the training occurs.
Standard 115.333 Resident Education
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 provides for all residents to receive PREA education. A review of documentation
and interviews with residents and staff confirmed that resident education is provided.
Residents receive information about the facility’s zero-tolerance policy and how to report
incidents or suspicions of sexual abuse or sexual harassment. The facility will provide
support services in accessible formats for residents who are limited English proficient, deaf,
visually impaired, or otherwise disabled through identified facility staff and other resources.
Support services will be provided to residents as outlined in a Memorandum of
Understanding between the facility and the Duval County School Board.
Standard 115.334 Specialized Training: Investigations
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
FDJJ 1919 states that investigators in the OIG will be trained on the related policies and
procedures regarding the handling of sexual misconduct incidents and reports. Training is
provided to investigative staff regarding conducting investigations in the DJJ settings.
8
Standard 115.335 Specialized Training: Medical and Mental Health Care
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 addresses PREA training for medical and mental health staff. A review of
documentation and staff interviews confirmed the specialized training received by medical
and mental health staff. Forensic medical examinations are not conducted by the facility
medical staff.
Standard 115.341 Screening for Risk of Victimization and Abusiveness
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
The initial risk screening is conducted during the intake process. Policy 3.19 and staff
interviews provide for residents to receive reassessments within the first 30 days and
periodically during the resident’s stay in the facility. A review of documentation and staff
and resident interviews confirmed that the risk screening is being conducted on each
admission to the facility.
Standard 115.342 Use of Screening Information
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 prohibits the facility from placing gay, bisexual, transgender, or intersex
residents into confinement based solely on such identification or status. The Policy states
that housing and program assignments require determinations on each transgender or
intersex resident on a case by case basis. Policy 3.19 also prohibits considering gay,
bisexual, transgender, or intersex identification or status as an indicator of the likelihood of
being sexually abusive.
9
The facility reports that during this audit period there have been no residents placed in
isolation because of being at risk for victimization. Policy 3.19 provides that residents may
be isolated from others only as a last resort when less restrictive measures are inadequate and
until other arrangements can be made to keep the resident safe. Where isolation may be used,
Policy 3.19 provides that residents receive the required services.
Standard 115.351 Resident Reporting
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 provides for internal ways a resident may report allegations. A “Speak Out Form”
may be completed where the resident states what he would like to discuss and identifies the
staff member he would like to talk to; complete a grievance form; talk to any staff member;
and third parties may report allegations to staff. The grievance and other written requests may
be placed in a locked box. PREA related information is posted in various locations. Residents
are provided access to a telephone to report allegations or incidents of sexual abuse and
sexual harassment through the identified hotline numbers.
Staff members are aware of their responsibility to report any allegations or suspicions of
sexual abuse or sexual harassment, as confirmed through interviews. Staff members are also
aware of their responsibility to accept reports of sexual abuse and sexual harassment made
verbally, in writing, anonymously, and from third parties as stated in Policy 3.19 and FDJJ
1919. Staff members are directed to immediately document verbal reports.
Standard 115.352 Exhaustion of Administrative Remedies
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Residents may put a completed grievance form in the grievance box. Residents are not
required to use an informal grievance process regarding allegations of sexual abuse and
sexual harassment. The facility considers an emergency grievance as a resident’s allegation
of an incident. When one is received, Policy 3.19 provides for the implementation of the
procedures for reporting allegations of sexual abuse and sexual harassment.
10
Standard 115.353 Resident Access to Outside Confidential Support Services
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 requires the facility to provide the residents with access to outside victim
advocacy services. The facility has provided documentation of the existence of a
Memorandum of Understanding (MOU) with the University of Florida/First Coast Child
Protection Team. The results of an on-site interview with the Team Coordinator supported the
services to be provided as stated in the MOU.
Visitation is held at the facility at least weekly where residents may see their
parents/guardians and the residents are allowed to make at least one weekly telephone call.
Attorneys or other legal representation may visit residents at the facility in a setting conducive
to confidentiality.
Standard 115.354 Third-Party Reporting
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 provides guidelines regarding third-party reporting. Information about reporting
incidents of sexual abuse is posted in the facility, accessible to residents and the public. Staff
and resident interviews confirmed that the facility has a method for third-party reporting.
The YSI website contains a link to the DJJ website which provides information on how to
report resident sexual abuse or sexual harassment.
Standard 115.361 Staff and Agency Reporting Duties
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
11
Auditor Comments:
Policy 3.19 and Florida Statute address staff and agency reporting duties. Staff should
immediately report any knowledge, suspicion or information they receive regarding sexual
abuse and sexual harassment; retaliation against residents or staff who report any incidents;
or any staff neglect or violation of responsibilities that may contribute to an incident or
retaliation. Policy 3.19 prohibits staff from sharing information regarding sexual abuse other
than as needed to make treatment, investigation, and other security and management
decisions. Staff interviews revealed their knowledge of their duties as mandated reporters.
Standard 115.362 Agency Protection Duties
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
According to Policy 3.19, when a staff member learns that a resident is subject to substantial
risk of imminent sexual abuse, immediate action will be taken to protect the resident. The
facility reports that there have been no incidents in the last 12 months where any action was
taken due to a resident being in substantial risk of imminent sexual abuse. During interviews,
staff could verbalize protective measures that may be taken when a resident is at substantial
risk.
Standard 115.363 Reporting to Other Confinement Facilities
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
According to Policy 3.19, upon receiving an allegation that a resident was sexually abused
while confined in another facility, the Facility Administrator (FA) will notify the Central
Communications Center (CCC) of the allegation within two hours. The Policy also provides
that the FA will notify the facility of which the allegation was made, no later than 24 hours.
The facility reports that there were no allegations that a resident was abused while confined
at another facility.
Standard 115.364 Staff First Responder Duties
Exceeds Standard (substantially exceeds requirement of standard)
12
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 contains the information and directions regarding first responder duties and
responses. There has not been an allegation by a resident regarding sexual abuse during this
audit period.
Standard 115.365 Coordinated Response
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
The facility has a written Coordinated Response Plan. A review of training records and
interviews with staff supported the staff’s knowledge of their responsibilities. The Plan
outlines the actions to be taken among staff including first responders, leadership, medical
and mental health in response to an incident of sexual abuse.
Standard 115.366 Preservation of Ability to Protect Residents from Contact with Abusers
Exceeds Standard (substantially exceeds requirement of standard)
Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
X Standard Not Applicable
Auditor Comments:
This standard is not applicable. The facility does not maintain any collective bargaining
agreements.
Standard 115.367 Agency Protection Against Retaliation
Exceeds Standard (substantially exceeds requirement of standard)
13
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 addresses protection against retaliation for residents and staff who report
allegations of sexual abuse or sexual harassment and reportedly, monitoring for retaliation is
ongoing. Staff has been identified and given the responsibility of monitoring for possible
retaliation. The facility reports that no incidents of retaliation have occurred during the past
12 months.
Standard 115.368 Post Allegation Protective Custody
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 provides that if there is any use of segregated housing or isolation, it is used as a
last resort and that the resident is afforded access to the required program and services
provided by the facility. Staff interviews revealed that isolation is not used as a practice in
this facility.
Standard 115.371 Criminal and Administrative Agency Investigations
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 and FDJJ 1919 address this standard. Administrative investigations are
conducted by OIG and criminal investigations are conducted by DCF and local law
enforcement. Both Policies direct facility staff to cooperate with the OIG investigations. The
Policies provide for substantiated allegations of conduct that appear to be criminal to be
referred for prosecution.
Standard 115.372 Evidentiary Standards for Administrative Investigations
Exceeds Standard (substantially exceeds requirement of standard)
14
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
FDJJ 1919 and Policy 3.19 support that a standard of the preponderance of the evidence is
used for determining if allegations are substantiated.
Standard 115.373 Reporting to Residents
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 and FDJJ 1919 provide for notifying residents following an investigation of
whether an allegation has been determined to be substantiated, unsubstantiated, or
unfounded. The Policies require that all notifications or attempted notifications be
documented.
Standard 115.376 Disciplinary Sanctions for Staff
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 and FDJJ 1919 provide for disciplinary sanctions for staff to be up to and
including termination for violation of the sexual abuse and sexual harassment policies. Both
Policies require that staff terminations or resignations by staff that would have been
terminated for violating the PREA Policies, be reported to local law enforcement and to
relevant licensing bodies. No staff has been terminated or has resigned, during this audit
period, for violating PREA related policies during this audit period.
Standard 115.377 Corrective Action for Contractors and Volunteers
Exceeds Standard (substantially exceeds requirement of standard)
15
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
According to Policy 3.19, the contractor or volunteer who engages in sexual abuse will have
no contact with residents and will be reported to law enforcement, unless the activity was
clearly not criminal, and to relevant licensing bodies. The Policy requires that remedial
measures be taken and prohibits future contact with residents in the case of any other violation
of the PREA related policies. The facility reports that during the past 12 months, no contractor
or volunteer has been reported to law enforcement or any investigative entity for allegations of
sexual abuse.
Standard 115.378 Disciplinary Sanctions for Residents
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 provides for a resident who engages in resident-on-resident sexual abuse to be
placed in a DJJ Juvenile Detention Center. The resident will receive the required court
hearings and a determination will be made regarding the subsequent placement.
Standard 115.381 Medical and Mental Health Screenings; History of Sexual Abuse
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 states that residents who disclose a history of sexual abuse or who disclose
previously perpetrating sexual abuse will be referred for a follow-up meeting with a medical
or mental health practitioner within 24 hours of the screening. The related staff interviews
and supporting documentation confirmed awareness of the policy and that medical or mental
health follow-ups occur well within the stated timeframe.
Standard 115.382 Access to Emergency Medical and Mental Health Services
Exceeds Standard (substantially exceeds requirement of standard)
16
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 provides for timely access to emergency medical treatment and crisis
intervention services for victims of sexual abuse. According to the Policy and staff
interviews, the nature and scope of the services are determined by medical and mental health
practitioners based on their professional judgment. Staff interviews and Policy 3.19 provide
for emergency medical and mental health services to be provided at no financial cost to the
victim and whether or not the abuser is named.
Standard 115.383 Ongoing Medical and Mental Health Care for Sexual Abuse Victims and
Abusers
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.29 provides that ongoing medical and mental health care for sexual abuse victims
will be provided. It also provides for medical and mental health evaluations and appropriate
treatment and follow-up services as referred to in the standard. Policy 3.19, staff interviews
and observations agree that the medical and mental health services provided are consistent
with the community level of care.
Standard 115.386 Sexual Abuse Incident Reviews
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.29 and DJJ 1919 provide guidelines concerning the incident review team, including
its duties, responsibilities and participants regarding conducting incident reviews. The
incident review team has been identified and interviews revealed an understanding of the
purpose of the process.
Standard 115.387 Data collection
Exceeds Standard (substantially exceeds requirement of standard)
17
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
According to Policy, the facility reports data to FDJJ on a monthly basis. Additionally,
Policy 3.19 and FDJJ 1919 state that there is the collection of accurate, uniform data for
every allegation of sexual assault. The FDJJ has developed a data collection instrument that
includes the required data.
Standard 115.388 Data Review for Corrective Action
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policy 3.19 and FDJJ 1919 address this standard. The Policies require the review of data for
corrective action towards improving the effectiveness of the prevention, protection and
response policies, practices, and training regarding sexual abuse and sexual harassment.
Standard 115.389 Data Storage, Publication and Destruction
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
Policies 3.19 and FDJJ 1919 requires data is collected and securely retained for 10 years.
The aggregated PREA data is reviewed, all personal identifiers are removed, and the
information is posted on the FDJJ website.
AUDITOR CERTIFICATION:
The auditor certifies that the contents of the report are accurate to the best of her knowledge and no
conflict of interest exists with respect to her ability to conduct an audit of the agency under review.
April 20, 2015
Auditor Signature Date
18

source: DJJ


facility_name: Duval Academy

summary: PREA

raw_content:
PREA AUDIT: Auditor’s Summary Report
JUVENILE FACILITIES
Name of Facility: Duval Regional Juvenile Detention Center
Physical Address: 1214 East 8th Street, Jacksonville, Florida
Date report submitted: February 23, 2015
Auditor information: Flora Boyd
Address: 5 Rosemount Court, Blythewood, South Carolina 29016
Email: fbb4577@aol.com
Telephone number: 803-312-5199
Date of facility visit: February 2-3 , 2015
Facility Information
Facility Mailing Address:
(if different from above) Same as Above
Telephone Number: 904-798-4820
The Facility is: Military County Federal
Private for profit Municipal X State
Private not for profit
Facility Type: X Detention Correction Other:
Name of PREA Compliance Manager: D a r r e l l J o h n s o n Title: Superintendent
904-798-4820
Email Address: Darrell.Johnson@djj.state.fl.us Telephone Number:
Agency Information
Name of Agency: Florida Department of Juvenile Justice
Governing Authority or Parent Agency: (if applicable)
Florida Department of Juvenile Justice
Physical Address: Knight Building, 2737 Centerview Drive, Tallahassee, Florida 32399
Mailing Address: (if different from above) Same as Above
Telephone Number: 850-488-1850
Agency Chief Executive Officer
Name: Christy Daly Title: DJJ Secretary
Telephone Number: 850-413-7313
Email Address: Christy.Daly@djj.state.fl.us
Agency Wide PREA Coordinator:
Name: Gene McMahon Title: PREA Coordinator Program Coordinator
Email Address: gene.mcmahon@djj.state.fl.us
Telephone Number: 850-688-0550
1
AUDIT FINDINGS
NARRATIVE:
Duval Regional Juvenile Detention Center (DRJDC) is a 100 bed, hardware secure facility that
serves youth between the ages of 10 and 18 years old who are detained in judicial circuits 4 (Duval,
Clay and Nassau counties) and 7 (St. Johns county). Youth are detained pending adjudication,
disposition or placement in commitment facilities.
The facility provides supervision of youth in a safe, secure and humane environment. Services for
youth include education, mental health, substance abuse and health care. Medical and Mental
Health services are contracted with Correct Care Solutions (CCS). Medical and Mental Health
Services are available to youth seven days a week. The contracted staff consists of a medical doctor,
an advanced registered nurse practitioner, registered nurses and licensed practical nurses as well
three licensed mental health counselors.
Educational services are funded by the Florida Department of Education though the Duval County
School District.
The facility operates with a total of eighty-seven full time employees including a superintendent,
two assistant superintendents, two staff assistants, nine supervisors, 3 maintenance staff, a food
service director, 5 food service workers, twenty-nine Juvenile Justice Detention Officer (JJDO) II
positions and 35 JJDO I positions.
A typical day in secure detention involves hygiene, meals, school, structured physical activity,
officer led activities, and any scheduled court appearances. Residents average length of stay is
approximately 13 days.
DESCRIPTION OF FACILITY CHARACTERISTICS:
The physical plant consists of three buildings. The main building contains administrative offices, a
dining hall and food preparation area, five housing modules (4 for males, 1 for females). Each
module has a community bathroom with sinks and showers. The dining hall also serves as the
visitation area for families. Visitation is conducted on Wednesday, Saturdays and Sundays.
There is a separate building that contains all of the classrooms/educational offices and a building in
which all admissions are conducted. All buildings are equipped with a video surveillance system
which includes 123 cameras.
SUMMARY OF AUDIT FINDINGS:
The notification of the on-site audit was posted on December 19, more than six weeks prior to the
first date of the on-site audit. The posting of the notices was verified by photographs received
electronically from the facility’s PREA Compliance Manager. The photographs indicated notices
were posted in various locations throughout the facility including the housing unit and
administrative areas.
PREA AUDIT: AUDITOR’S FINAL REPORT 2
The Pre-Audit Questionnaire, policies and supporting documentation were received on January 7,
2015. The Pre-Audit Questionnaire, policies and other documents were uploaded to a UBS flash
drive. The initial review revealed the questionnaire was partially completed and some key
documents were not provided.
After providing a listing of noted concerns and documents needed, the Compliance Manager took
steps to ensure that documentation was provided during the on-site visit. Specific corrective actions
taken to address some of the deficiencies noted during the initial review are summarized in this
report under the related standard.
The on-site audit was conducted February 2-3, 2015. After meeting with the facility’s management
staff and a regional office representative, a complete tour of the facility was conducted. During the
tour, youth were observed to be under constant supervision of the staff while involved in school and
other activities. The housing modules were very well maintained and observation of bathrooms
revealed shower stalls and toilet stall openings have shower curtains to allow residents’ privacy
while taking showers and using the rest room. Observation of the surveillance system monitors in
the main control room, revealed cameras capture toilets in the confinement rooms however during
the on-site visit, maintenance staff were able to block out the toilet area on the monitors thereby
eliminating the possibility of cross-gender viewing.
Over the two-day on-site visit, 13 staff members, including direct care staff from all three shifts,
were interviewed. Overall, the interviews revealed staff are knowledgeable of PREA standards and
were able to articulate their responsibilities. Eight of the 90 residents, two from each occupied
housing module, were also interviewed. Residents were informed of their right to be free from
sexual abuse and harassment and how to report sexual abuse and harassment. The training records
of staff interviewed and the files of residents interviewed were reviewed along with
policies/procedures and other secondary documentation.
The facility was found to be in compliance with all applicable standards as indicated below and
detailed throughout this report.
Number of standards exceeded: 0
Number of standards met: 39
Number of standards not met: 0
Number of standards Not Applicable: 2
PREA AUDIT: AUDITOR’S FINAL REPORT 3
Standard 115.311-Zero Tolerance of Sexual Abuse and Sexual Harassment; PREA
Coordinator
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC Facility Operating Procedure (FOP)-PREA mandates zero-tolerance of sexual abuse
and sexual harassment and outlines how the facility carries out its approach to preventing,
detecting and responding to sexual abuse and sexual harassment. The policy includes
definitions of prohibited behaviors and sanctions for those found to have participated in
prohibited behaviors. The policy also provides strategies and responses for reducing and
preventing sexual abuse and harassment.
DRJDC is a juvenile detention center governed and operated by the Florida Department of
Juvenile Justice (FDJJ) which employs an agency-wide PREA Coordinator who is in an
upper-level management position within the agency. The PREA Coordinator interview
revealed he has sufficient time and authority to develop, implement and oversee the agency’s
efforts to comply with PREA standards in all operated and contracted facilities. The facility’s
Superintendent serves as the PREA Compliance Manager. An interview with the PREA
Compliance Manager revealed he has sufficient time to oversee the facility’s PREA
compliance efforts and to perform his other duties.
Standard 115.312- Contracting with Other Entities for the Confinement of Residents
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the
standard for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
FDJJ has approximately 50 contracts with providers for the confinement of juveniles in
residential facilities throughout the State of Florida. A review of a signed contract revealed
provider’s agreement to comply with all requirements and standards of the Prison Rape
Elimination Act 28 CFR Part 115 as outlined in FDJJ Policy 1919. All contracts renewed in
the past 12 months include the requirement to comply with PREA standards.
Standard 115.313- Supervision and Monitoring
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
PREA AUDIT: AUDITOR’S FINAL REPORT 4
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires the facility to develop, implement and document an approved
staffing plan. Initial documentation of the staffing plan included the shift schedules and the
facility’s organizational chart however the facility’s staffing plan was provided shortly after
the on-site visit. Although there is no mandate in policy for a 1:8 staff to resident ratio during
waking hours or a 1:16 staff to resident ratio during sleeping, the staffing plan does reflect the
ratios as required by this standard. The staffing plan is based upon the facility’s capacity of
100 residents. DRJDC FOP PREA requires the facility to document deviations from the
staffing plan on the Shift Report however due to the facility’s hold-over policy; there were no
deviations from the plan to review.
Documentation of the annual review of the staffing plan dated September 15, 2014 was
reviewed and found to be in compliance with all elements contained in (d)-1 of this standard.
DRJDC utilizes video monitoring combined with direct staff supervision to protect residents
from sexual abuse and sexual harassment. Documentation of unannounced rounds conducted
by intermediate and upper level staff were reviewed and revealed unannounced rounds are
being conducted on all shifts and in all areas of the facility.
Standard 115.315- Limits to Cross-Gender Viewing and Searches
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA prohibits cross-gender strip searches, or pat down searches of youth,
except in exigent circumstances. Staff and resident interviews verified that the practice is
consistent with the policy. The prohibition of cross-gender visual body cavity searches is also
addressed in the FOP-PREA.
DRJDC FOP-PREA states the facility must be configured to allow residents to shower,
perform bodily functions and change clothing without staff of the opposite sex viewing their
bodies. Staff and resident interviews confirm there is no cross-gender viewing by same sex
staff and other residents while showering, using the toilet or while dressing. During the tour of
the main control room, toilets in the confinement rooms were observed on the monitor
however maintenance staff were able to block out the toilet area on the monitors thereby
eliminating the possibility of cross-gender viewing.
PREA AUDIT: AUDITOR’S FINAL REPORT 5
FDJJ Policy 1919 PREA requires opposite gender staff, volunteers and contractors entering
housing units to announce themselves. Resident interviews verified this is done on a consistent
bases.
DRJDC FOP-PREA prohibits the search of a transgender or intersex resident solely for the
purpose of determining the resident’s genital status and staff interviews verified compliance.
Standard 115.316- Residents with Disabilities and Residents Who are Limited English
Proficient
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires accommodations be made to ensure residents with disabilities
or who are limited English proficient are provided meaningful access to all aspects of the
facility’s efforts to prevent, protect and respond to sexual abuse and harassment. This policy
also states the facility prohibits the use of resident interpreter, resident readers or any kind of
resident assistants except when a delay in obtaining interpreters services could jeopardizes a
resident’s safety. Resident and staff interviews verified the facility does not use resident
assistants and there were no instances of resident interpreter or readers being used in the past
12 months.
DRJDC Policy FOP-PREA describes how interpreters or other services needed to assist
residents with disabilities or residents who may be limited English proficient will be
provided either by qualified staff or outside resources, such as the local school district. The
State of Florida has a Memorandum of Understanding (MOU) with the Language Line for
interpretive services which is available to the facility as needed. The Duval County School
District provided documentation that residents with disabilities will be provided with
accommodations to ensure proper communication of the facility’s PREA procedures and
practices.
DRJDC FOP-PREA requires staff to provide PREA education in a format assessable to all
residents including those who may be limited English proficient, deaf, visually impaired or
otherwise with a disability, as well as to residents who have limited reading skills.
Standard 115.317- Hiring and Promotion Decisions
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
PREA AUDIT: AUDITOR’S FINAL REPORT 6
Auditor Comments:
DRJDC FOP-PREA requires that criminal background checks be conducted every five
years. Applicants are required to sign acknowledging material omission regarding
misconduct, or false information are grounds for termination.
An interview with staff responsible for human resource revealed criminal background
checks are conducted and that questions regarding past conduct are asked and responded to
during the interview process. Additionally, contract providers, who have contact with
residents are required to have criminal background checks.
DRJDC FOP-PREA does not specifically require consulting with the child abuse registry
before hiring or enlisting services of any contractor who has contact with residents. The
PREA Coordinator provided documentation that Florida State law does not allow FDJJ to
contact the abuse registry for the purpose of screening applicants.
Standard 115.318- Upgrades to Facilities and Technology
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC has not acquired any new facilities or updated surveillance technology since August
20, 2012. The video monitoring system was assessed during the annual review of the staffing
plan on September 15, 2014. No upgrades were recommended to enhance the facility’s ability
to protect youth from sexual abuse and no blind spots were identified.
Standard 115.321- Evidence Protocol and Forensic Medical Examinations
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires staff to report allegations of sexual abuse to local law
enforcement (the Jacksonville Sheriff’s Office) for criminal investigations and to the Florida
Central Abuse Hotline and FDJJ’s Central Communication Center (CCC). DRJDC does not
have a Memorandum of Understanding or documented attempts to obtain a MOU with the
Jacksonville Sheriff’s office however the DRJDC FOP-PREA requires when the investigating
agency arrives at the facility to conduct an investigation, facility staff will provide and
PREA AUDIT: AUDITOR’S FINAL REPORT 7
request the investigative agency to follow the DJJ Inspector General Directive 3-05 (uniform
evidence protocol that maximizes the potential for obtaining usable physical evidence for
criminal prosecution).
DRJDC is in the process of obtaining an MOU with the Women’s Center of Jacksonville for
victims’ advocacy services as verified by the email correspondence between facility staff and
the Women’s Center staff. Documentation was provided that the Women’s Center provides
SAFE certified medical examines from local hospitals to conduct forensic exams for resident
victims of sexual assault.
Standard 115.322- Policies to Ensure Referrals of Allegations for Investigations
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires the immediate referral of all sexual abuse allegations to local
law enforcement, the Florida Abuse Hotline and CCC. In the past 12 months, DRJDC has had
two allegations of sexual abuse and received no allegation that occurred at another facility.
Interviews with the Superintendent and other staff verified their knowledge of the policy’s
requirements.
FDJJ’s website includes a PREA section which includes investigative responsibilities for
conducting investigations of allegations of sexual abuse.
Standard 115.331- Employees Training
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA, the training curriculum, staff training records and staff interviews
indicate staff receive PREA training during initial training and annually during refresher
training. Specific topics as outlined in the policy and the curriculum are consistent with this
standard’s requirements and is tailored to the facility’s resident population. All employees are
trained as new hires regardless of their previous experience. Employees training records were
reviewed and staff interviews verified staff comprehension of their responsibilities relating to
PREA standards.
PREA AUDIT: AUDITOR’S FINAL REPORT 8
Standard 115.332- Volunteer and Contractor Training
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires volunteers and contract providers who have contact with
residents to be trained on their responsibilities on sexual misconduct prevention, detection,
reporting and responding to sexual abuse, assault or sexual harassment. FOP-PREA requires
volunteers and contractors to be trained on their responsibilities using the PREA training
course on the FDJJ website and completion of the training is verified by an acknowledgement
form which must be signed by the volunteer/contractor and the facility’s training coordinator
or shift supervisor.
Interviews with two contract providers revealed they are knowledgeable concerning their
responsibilities relative to PREA and the agency’s zero tolerance policy regarding sexual
abuse and harassment.
Standard 115.333- Resident Education
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires residents to receive comprehensive education regarding the
facility’s zero tolerance policy and how to report sexual abuse and sexual harassment.
During intake, residents view the PREA video and staff explain the PREA handout and
residents sign verifying they received the information. Documentation of resident’s
signatures were reviewed and confirmed during resident interviews. All residents
interviewed stated they received this information the same day they arrived at the facility
and periodically thereafter.
Staff present the PREA information in a manner that is accessible to all residents. If needed,
the facility has internal and external resources to provide translation services, hearing and
visual impairment services for residents with disabilities or who may be limited English
proficient.
Resident interviews revealed they have limited knowledge of the victims’ advocacy service
even though the information is posted in each housing module. To address this issue, the
facility’ staff recently developed a document to be used during orientation that specifically
provides information regarding the victims’ advocacy service and the services they provide.
PREA AUDIT: AUDITOR’S FINAL REPORT 9
Standard 115.334- Specialized Training: Investigation
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action
Auditor comments:
The Jacksonville Sheriff’s Office and the Florida Department of Children and Families
conduct criminal investigations into allegations of sexual abuse. DRJDC does not conduct
any investigations.
Standard 115.335- Specialized Training: Medical and Mental Health Care
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires PREA training for all employees and specialized training for
medical and mental health staff. Correct Care Solutions, the medical and mental health
provider, ensures that specialized training is provided for medical/mental health staff.
Documentation of the specialized training was provided.
Facility nurses do not conduct forensic examinations.
Standard 115.341- Obtaining information from Residents
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires the completion of FDJJ’s Vulnerability to Victimization and
Sexually Aggressive Behavior (VSAB) form if youth arrive from the Juvenile Assessment
Center without a completed form. Documentation and resident interviews revealed that risk
screenings are being conducted and resident interviews indicated they were asked if they have
ever been sexually abused, whether they identify with being gay, lesbian, bi-sexual,
transgender or intersex, if they have any disabilities, and whether they think they are in
danger of sexual abuse at the facility. Completed VSAB forms are maintained in residents’
files.
PREA AUDIT: AUDITOR’S FINAL REPORT 10
Standard 115.342- Placement of Residents in housing, bed, program, education and work
Assignments.
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires victimization screening information to be used to determine a
resident’s room assignment and the room’s proximity to direct care staff to ensure resident’s
safety. The facility also utilizes the Classification Alerts to ensure that staff working directly
with residents are advised if the resident is identified as being at risk for victimization or
posing a risk.
DRJDC FOP-PREA precludes lesbian, gay, bi-sexual, transgender and intersex (LGBTI)
residents from being placed in a particular module and states that LGBTI identification or
status is not an indicator of likelihood of being sexually abusive. Transgender or intersex
resident’s own view with respect to his/her safety will be given serious consideration. Staff
interviews also verified compliance with this standard. Transgender and intersex residents
are given the opportunity to shower separately from other youth.
Standard 115. 351- Resident Reporting
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the
standard for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA provides multiple-ways for residents to privately report sexual abuse,
sexual harassment, retaliation and staff neglect including telling a staff member, calling
Florida Abuse Hotline and completing a PREA reporting form and depositing it a PREA box
located in each housing module.
FOP-PREA requires youth to have one way of reporting sexual abuse and sexual harassment
to a public or private entity or office that is not a part of the agency. Residents may call the
Florida Abuse Hotline. Signs are posted throughout the facility with the hotline number.
FOP- PREA requires staff to allow residents to use a telephone to call the hotline upon
request, without having to obtain staff permission and that mandates staff not to question
residents about the reason for the call. Staff are to dial the hotline number and hand the
phone to the resident and remain at a distance that allows the resident to privately report.
PREA AUDIT: AUDITOR’S FINAL REPORT 11
Standard 115. 352- Exhaustion of Administrative Remedies
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA states the facility is exempt from this standard because it does not have
administrative procedures in place for residents to report allegations of sexual abuse and
sexual harassment.
Standard 115. 353- Resident Access to Outside Support Services and Legal Representation
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the
standard for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA ensures residents are provided access to outside confidential support
services. The facility is in the process of obtaining a signed MOU with the Women’s Center
which was verified by emails between the facility staff and the Women’s Center staff.
Signs containing the Women’s Center hotline number and basic information about the service
were posted throughout the facility however resident interviews revealed they had limited
knowledge of these services. Since the on-site visit, the facility’s staff developed a document
to be used during orientation that specifically provides information regarding the victims’
advocacy service and the services they provide.
Attorneys and other legal representatives are provided with reasonable and private access
upon request. Residents may call their parents/legal guardians and receive visits from them
twice times a week.
Standard 115. 354- Third Party Reporting
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
PREA AUDIT: AUDITOR’S FINAL REPORT 12
Auditor Comments:
FDJJ’s website provides the public with information regarding third-party reporting of
sexual abuse or sexual harassment on behalf of a resident. Resident interviews revealed their
awareness of reporting sexual abuse or sexual harassment to others outside of the facility
including their parents/legal guardians.
Standard 115. 361- Staff and Agency Reporting Duties
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
All DRJDC staff are mandated reporters and are required by FOP-PREA and FDJJ Policy
1919 to immediately report any knowledge, suspicion or information they receive regarding
sexual abuse and harassment, retaliation against residents or staff who report any incidents or
any staff neglect or violation of responsibilities that may have contributed to an incident or
retaliation. Random staff interviews also helped to verify the facility’s compliance with this
standard.
An interview with the nurse confirmed her responsibility to inform residents 18 years old of
her duty to report and limitations of confidentiality.
Standard 115. 362- Agency Protection Duties
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires staff to take immediate action to protect a resident when he/she
is identified as being subject to substantial risk of imminent sexual abuse. There were no
residents identified as being at risk for sexual abuse in the past 12 months, as revealed in
interviews with the Superintendent and random staff.
Standard 115. 363- Reporting to other Confinement Facilities
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
PREA AUDIT: AUDITOR’S FINAL REPORT 13
Auditor Comments:
DRJDC FOP-PREA requires the Superintendent to notify the head of another facility within
72 hours upon receiving an allegation that a resident was sexually abused while confined at
another facility. During the past 12 months, there were no allegations received that a resident
was abused while confined to another facility however there was one allegation of sexual
abuse received by DRJDC from other facilities.
Documentation revealed that the allegation of sexual abuse was reported and investigated as
required by the FOP-PREA.
Standard 115. 364- Staff First Responder Duties
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires staff to take specific steps to respond to a report of sexual abuse
including; separating the alleged victim from the abuser; preserving any crime scene within a
period of time that still allows for the collection of physical evidence; request the alleged
victim not take any action that could destroy physical evidence; and ensure that the alleged
abuser does not take any action to destroy evidence, if the abuse took place within a time
period that still allows for the collection of physical evidence.
There was one allegation of sexual abuse during the past 12 months. A review of the
investigative file revealed that staff responded according to the facility’s PREA operating
procedure and in compliance with this standard.
Random staff interviews revealed considerable knowledge of actions to be taken upon
learning that a resident was sexually abused.
Standard 115. 365- Coordinated Response
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP- PREA requires the development of a written plan to coordinate actions taken in
response to an incident of sexual assault among staff first responders, medical, and facility
leadership however a plan was not available. The facility’s coordinated staff response plan
was reviewed and is in compliance with this standard.
PREA AUDIT: AUDITOR’S FINAL REPORT 14
Interviews with the Superintendent and other staff revealed that they are knowledgeable of
their duties in response to an allegation of sexual abuse.
Standard 115. 366- Preservation of Ability to Protect Residents from Contact with Abusers
Exceeds Standard (substantially exceeds requirement of standard)
Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
X Non-Applicable Standard
Auditor Comments:
FDJJ is not a collective bargaining agency therefore this standard is not applicable.
Standard 115. 367- Agency Protection against Retaliation
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
FDJJ Policy 1919 PREA requires the protection of residents and staff who have reported
sexual abuse or harassment or who have cooperated in a sexual abuse or sexual harassment
investigation. The monitoring will take place for a period of 90 days or longer, as needed.
The Superintendent is responsible for monitoring retaliation. There were no incidents of
retaliation in the past 12 months.
Standard 115. 368- Post-Allegation Protective Custody
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC would only restrict a resident to his/her single room or a confinement room as a last
measure to keep a resident who alleged sexual abuse safe and then only until an alternative
means for keeping the resident safe can be arranged. No resident who alleged sexual abuse
was placed in protective have alleged sexual abuse in the past 12 months.
PREA AUDIT: AUDITOR’S FINAL REPORT 15
Standard 115. 371- Criminal and Administrative Agency Investigations
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP- PREA states that FDJJ does not conduct criminal investigations of residents’
allegations of sexual abuse. Local law enforcement (Jacksonville Sheriff’s Office) and the
Florida Department of Children and Families conduct criminal investigations. FDJJ’s Office
of Inspector General (OIG) reviews allegations to identify any misconduct by staff related to
FDJJ regulatory guidance.
There were two investigations of alleged resident sexual abuse at DRJDC during past 12
months. Both allegations were investigated according the facility’s PREA operating
procedures and in compliance with this standard.
Standard 115. 372- Evidentiary Standards for Administrative Investigations
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA states the facility shall impose no standard higher than a preponderance
of the evidence in determining whether allegations of misconduct by staff is substantiated.
Standard 115. 373- Reporting to Residents
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
There were two criminal and administrative investigations during the past 12 months
however no notices were sent because the residents were release prior to the completion of
the investigations.
PREA AUDIT: AUDITOR’S FINAL REPORT 16
DRJDC FOP-PREA requires the Superintendent to notify residents who alleged sexual
abuse when the facility learns that the alleged abuser has been indicted on charges or
convicted on a charge related to sexual abuse within the facility. The policy also states the
OIG will notify residents and parents/guardians whether an allegation has been determined
to be substantiated, unsubstantiated or unfounded.
Standard 115. 376- Disciplinary for Staff
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA mandates staff disciplinary sanctions up to and including termination for
violating agency’s sexual abuse or sexual harassment policies. The policy also mandates the
violation be reported to local law enforcement. No employees have been terminated or
disciplined in the past 12 months for violation of the facility’s sexual abuse or harassment
policies.
Standard 115. 377- Corrective Action for Contractors and volunteers
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP- PREA requires volunteers and contractors in violation of the facility’s policies
and procedures regarding sexual abuse and harassment of residents to be reported to local law
enforcement unless the activity was clearly not criminal and to relevant licensing bodies. This
was verified during an interview with the Superintendent. There have been no allegations of
volunteers or contractors sexual abuse or sexual harassment reported in the past 12 months.
Standard 115. 378- Disciplinary sanctions for Residents
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
PREA AUDIT: AUDITOR’S FINAL REPORT 17
Auditor Comments:
DRJDC FOP-PREA states that residents may receive disciplinary sanctions following an
administrative finding or a criminal investigation that resident engaged in youth-on-youth
sexual abuse and sanctions shall be commensurate with the nature and circumstances of the
sexual abuse, the resident’s disciplinary history, and the sanctions imposed for comparable
offenses by other residents with similar histories. There were no administrative or criminal
findings of guilt for resident-on-resident sexual abuse in the past 12 months.
Standard 115. 381- Medical and Mental screening; History of Sexual Abuse
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP- PREA requires residents who disclose a history of sexual abuse or who
disclose previously perpetrating sexual abuse to be referred for medical and mental health
screening services within 24 hours of the screening. Staff interviews verified compliance
with this standard and documentation demonstrating the immediate notification of the
medical and mental health staff was provided.
Medical/mental health staff obtain informed consent from residents 18 years of age.
Standard 115. 382- Access to Emergency Medical and Mental Health Services
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires timely and unimpeded access to emergency medical treatment,
crisis intervention services and victim advocacy services. The resident victim would be
transported to a local hospital for a forensic examination at no cost to the victim. Medical
staff are required to document the response and timeliness of emergency medical treatment
and follow-up.
Standard 115. 383- Ongoing Medical and Mental Health Care for Sexual Abuse Victims and
Abusers
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
PREA AUDIT: AUDITOR’S FINAL REPORT 18
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires that a medical and mental health evaluation and treatment, as
determined by medical/mental health staff, be offered to resident victims of sexual abuse.
Standard 115. 386- Sexual Abuse Incident Reviews
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
DRJDC FOP-PREA requires the Superintendent to conduct a sexual assault incident
review team meeting within 30 days of the conclusion of each investigation. The policy
mandates review team participation to include regional office staff, Assistant
Superintendent, facility supervisor, medical and mental health staff, and OIG staff, if OIG
investigated the incident, The FDJJ PREA Coordinator will prepare a report of the review
team’s findings and submit the report to the Assistant Secretary for Detention Services,
regional office staff and the facility’s Superintendent.
There were two criminal investigations of sexual abuse in the past 12 months. At the time of
the on-site visit, documentation was provided of one review however the other review had not
been completed because the investigation had just concluded.
Standard 115. 387- Data Collection
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
FDJJ has a standardized instrument with definitions to collect accurate, uniform data for
every allegation of sexual assault. The instrument includes the data necessary to answer all
questions from the most recent version of the Survey of Sexual violence conducted by the
Department of Justice. DRJDC FOP-PREA states the CCC will collect all data relating to
PREA. A review of the annual report revealed it was completed according to this standard.
PREA AUDIT: AUDITOR’S FINAL REPORT 19
Standard 115. 388- Data Review for Corrective Action
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor Comments:
FDJJ’s annual report for fiscal year 2013-2014 indicates 32 PREA related allegations
reported by detention centers and residential facilities throughout the agency however there
were no PREA related incidents indicated for DRJDC. The FDJJ PREA Coordinator reviews
data to improve the effectiveness of its prevention, protection and response policies, practices
and training. The annual report is made available to the public on FDJJ’s website.
Standard 115. 389- Data Storage, Publication, and Destruction
Exceeds Standard (substantially exceeds requirement of standard)
X Meets Standard (substantial compliance; complies in all material ways with the standard
for the relevant review period)
Does Not Meet Standard (requires corrective action)
Auditor comments:
DRJDC FOP- PREA requires that sexual abuse and sexual harassment data be collected and
securely retained for 10 years according to the State of Florida’s records retention schedule.
The annual report is made available to the public on FDJJ’s website.
AUDITOR CERTIFICATION:
The auditor certifies that the contents of the report are accurate to the best of her knowledge
and no conflict of interest exists with respect to her ability to conduct an audit of the agency
under review.
Auditor’s Signature Date: February 23, 2015
PREA AUDIT: AUDITOR’S FINAL REPORT 20

report_type: PREA

program_name_raw: duval regional juvenile detention center