state: FL

facility_name: Orange Youth Academy

summary: PREA

raw_content:
PREA AUDIT: Auditor’s Final Summary Report
JUVENILE FACILITIES
Name of Facility: ORANGE REGIONAL JUVENILE DETENTION CENTER
Physical Address: 2800 SOUTH BUMBY AVE., ORLANDO, FLORIDA 32806
Date report submitted: December 1, 2014
Auditor information: Tracy S. Maxwell
Address: 1761 REDWOOD LANE, MIDDLEBURG 32068
Email: TORCHLIGHT4CHANGE@GMAIL.COM
Telephone number: 904-349-0045
Date of facility visit July 14-15
Facility Information
Facility Mailing Address:
(if different from above)
Telephone Number: 407-897-2800
The Facility is: Military County Federal
Private for profit Municipal X State
Facility Type: Detention Correction Other:
Name of PREA Compliance Manager: CPT Larry Eason Title: Facility: Jeff Lonton
Administrator
407-897-
Email Address: Larry .Eason@State.FL.US Telephone Number:
2800
Agency Information
Name of Agency: Florida Department of Juvenile Justice
Governing Authority or
Parent Agency: (if
applicable)
Physical Address: Knight Building, 2737 Centerview Drive, Tallahassee, Florida
TMalalaihlaisnsgee , AFldordidra e3s23s9:9 -(3if1 00
different from above)
630
Telephone Number: (850) 488-1850
Agency Chief Executive Officer
Name: Christy Daly Title: Interim Secretary
Email Address: christy.daly@djj.state.fl.us
Telephone:
(850) 488-1850
Agency Wide PREA Coordinator:
Name: Gene McMahon Title: PREA Coordinator
1
Telephone-850-717-2533
Email Address:gene.mcmahon@djj.state.fl.us
AUDIT FINDINGS
NARRATIVE:
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 services. Educational services are funded by the Department of Education through local
school districts.
A typical day in secure detention would involve hygiene, meals, school, structured physical and
educational activities, and court appearance as scheduled. The average length of stay in secure detention
is approximately 10 days.
DESCRIPTION OF FACILITY CHARACTERISTICS:
The Orange Juvenile Detention Center is a 124 bed, hardware secure facility that serves youth detained by
various circuit court(s). Youth are detained pending adjudication, disposition or placement in commitment
facility.
PREA AUDIT: AUDITOR’S FINAL REPORT 2
SUMMARY OF AUDIT FINDINGS:
The notification of the on-site audit was posted on June 3, 2014, 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 PREA
Coordinators. The photographs indicated notices were posted in various locations throughout the facility
including the housing unit and administrative areas. The Pre-Audit Questionnaire, policies and supporting
documentation were received on June 16, 2014. The documents were uploaded to a UBS flash drive.
The on-site audit was conducted July 14-15, 2014. An in-brief was conducted with the Facility
Administrator and Assistant Facility Administrator. At the conclusion of the in-brief a complete tour of the
facility was conducted including the resident sleeping, showering areas and areas where residents
primarily spend their time.
My initial assessment of the facility was the youth were under direct supervision of the staff while engaged
in various activities. The sanitation was acceptable throughout the facility. There were no blind spots
annotated on the facility assessment plan or observed during my walkthrough of the facility. Residents
were under constant supervision during my two-day observance of the facility. The surveillance monitors
located in the master control room and the Facility Administrator’s office allowed staff to view residents
conducting bodily functions. Recommended cameras be adjusted or some form of privacy functions be
placed on the cameras. All other cameras throughout the facility did not few residents in shower areas or
where resident likely change clothing.
During the two-day on-site visit, 13 staff including those from all three shifts was interviewed. All
interviews validated staff knowledge of PREA standards and their responsibilities as first responders.
Eleven residents were also interviewed. Residents were well informed of their right to be free from sexual
abuse and harassment, how to report sexual abuse and harassment, and the services that the community
based victims advocate provides.
The victims’ advocacy Memorandum of Understanding (MOU) service was established; however, the
contract had not been signed during the audit.
Number of standards exceeded: 0
Number of standards met: 38
Number of standards not met: 0
Number of standards Not Applicable: 3
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:
A review of The Florida Department of Juvenile Justice (FDJJ) Policy 1919 validates
compliance intent of the PREA Standards. The policy sufficiently met the zero-tolerance
standard prohibiting all forms of sexual abuse and harassment. The PREA Compliance
Manager was fully involved and inculcated a zero-tolerance environment towards all
forms of sexual abuse and harassment within the facility. The policy outlined in the
facility’s approach to preventing, detecting and responding to sexual abuse and harassment,
including definitions of prohibited behaviors and sanctions for prohibited behaviors.
The agency has one dedicated PREA Coordinator. Interview with the PREA Coordinator
validated that he there was sufficient time to oversee the agency’s PREA compliance efforts
and to perform other duties.
Standard 115.312- Contracting 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 Non- Applicable Standard
Auditor comments:
Orange Regional Juvenile Detention Center is a stand-alone facility contracted and
governed by The Florida Department of Juvenile Justice and does not contract for
confinement of its 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)
PREA AUDIT: AUDITOR’S FINAL REPORT 4
Auditor comments:
In reviewing the facility’s documentation and submitted staffing plan assessment,
considerations were documented and validated for staffing ratios of 1.8 staff to resident
during waking hours. Documentation submitted during the corrective action period validated
compliant with the requirement to maintain required staffing on all shifts.
An assessment was conducted on the physical plant layout, blind-spots and unannounced
upper-level supervisors’ rounds. There were no documented occurrences of exigent needed
for deviations from the facility staffing plan.
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:
Florida Department of Juvenile Justice revised PREA Policy meets the required standards
language prohibiting cross-gender searches.
Policy requires female staff, volunteers and contractors entering the housing unit to
announce their presences upon entering housing units. All central control cameras allow
privacy for residents performing bodily functions. Shower curtains were placed in all female
and male resident shower areas.
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:
Orange Regional Juvenile Detention Center and the Florida Department of Juvenile Justice
provide interpreter services, a hearing impaired specialist, a vision impaired specialist, an
audiologist, an English as a second language specialist, equipment and technology for
residents, as needed. The Florida Department of Juvenile Justice requires the PREA Facility
Compliance Manager to take steps to ensure residents with disabilities or who are limited
English proficient are provided meaningful access to all aspects of the facility’s efforts to
PREA AUDIT: AUDITOR’S FINAL REPORT 5
prevent, protect and respond to sexual abuse and harassment.
This policy also states the facility will not rely on resident interpreters, resident readers or
any kind of resident assistants except when a delay in obtaining interpreter services could
jeopardize residents safety. Resident interviews validates compliance the facility does not
use resident assistants and there were no instances of resident interpreters or readers
being used in the past 12 months.
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:
FDJJ Policy 1800 and Policy 1919 specifically addresses all elements as required by this
standard. A review of full-time employees and contractors files revealed that all eleven
hired during the past 12 months had documented criminal background checks. Questions
regarding past conduct were asked during the interview process. Additionally, signed
acknowledgement forms concerning zero-tolerance of sexual harassment and sexual abuse
were present in the files. The policy also validated compliance based on the requirement to
conduct background checks every five years.
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:
Orange Regional Juvenile Justice Detention Center has not acquired any new facilities since
August 20, 2012. Additionally, the facility has identified the need for the additional cameras
and video monitoring system upgrades.
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)
PREA AUDIT: AUDITOR’S FINAL REPORT 6
Auditor comments:
FDJJ Policy 1919 requires the Facility Director contact local law enforcement and the
Department of Children and Families who will conduct administrative investigations of abuse
allegations; however, criminal investigations are conducted by the Hillsborough County
Sheriff’s Office. The Office of the Inspector General will also conduct an administrative
investigation apart from any criminal investigation to identify staff misconduct.
Orange Regional Juvenile Detention Center has a Memorandum of Understanding with
Victim Service Center of Central Florida Inc. for forensic examinations and victim advocate
services. Orange County Sheriff’s Office verbally acknowledged that a uniform evidence
protocol would be followed to maximize the potential for obtaining usable physical evidence
for administrative proceedings and criminal prosecutions.
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:
FDJJ Policy 1919 requires referrals of sexual abuse allegations to be submitted to the
Orange County Sheriff’s Office, Florida Department of Children and Families and the Office
of the Inspector General. In the past 12 months, Orange Regional Juvenile Justice Center
had no allegations of sexual abuse or sexual harassment. The Florida Department of
Juvenile Justice (FDJJ) Division of Youth Services’ website describes the investigative
responsibilities for conducting investigations for the facilities it operates and funds. FDJJ’s
website also includes its PREA policy which describes how investigative responsibilities are
handled for 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:
FDJJ Policy 1919 documents training requirements for PREA. The training curriculums,
documented staff training records and staff interviews validates compliance. The PREA
training covered requirements for direct care, workers, medical personnel and contractors
during initial training and annually refresher training.
PREA AUDIT: AUDITOR’S FINAL REPORT 7
Specific topics covered during PREA training are consistent with this standard’s requirements
and is tailored to the facility’s male resident population. All employees are trained as new
hires regardless of their previous experience. Employees sign training rosters and are
required to score 70% on a final exam verifying comprehension of PREA training.
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:
FDJJ Policy 1919 requires volunteers and contractors who have contact with residents to
receive PREA training. This training is provided online. Employees sign training rosters and
are required to score 70% on a final exam verifying comprehension of PREA training.
Acknowledge completion Certificates were reviewed for volunteers and contractors.
Interviews with volunteers and contractors 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:
FDJJ Policy 1919 requires residents to receive information during intake within 24-hours
regarding the facility’s zero tolerance policy and how to report sexual abuse and
harassment. Additionally, The Florida Department of Juvenile Justice requires residents
participate in comprehensive training that is conducted within 10-days of arrival. Residents
are provided a handout entitled “What You Should Know about Sexual
Abuse/Assault/Harassment” which includes information on prevention/intervention, self-
protection, reporting and treatment/counseling. Intake staff or case management staff
reviews the handout with the residents and residents sign verifying receipt of the
information. Documentation of residents’ signatures was 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. Case management staff presents
the PREA information in a manner that is accessible to all residents. During the facility tour
PREA posters and reporting instructions were posted throughout the facility. If needed, the
facility has an agreement to provide translation services, hearing and visual impairment
services for residents with disabilities or who may be limited English deficient.
PREA AUDIT: AUDITOR’S FINAL REPORT 8
Standard 115.334- Specialized Training: Investigation
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:
There are no facility investigators. All criminal and administrative investigations are referred
to outside agencies.
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:
FDJJ Policy 1919 requires that all full-time, part-time medical and mental health care
practitioners receive specialize training. The training documentation reviewed validated that
all staff received this training from the National Institution of Corrections. Medical staff 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:
FDJJ Justice Policy 1919 addresses the screening process for vulnerability to victimization
and sexual aggressive behavior by using the Florida Department of Juvenile Justice Form
RC 8050-2. All facility residents are screened within twenty-four hours upon arrival at the
facility. Those residents who score vulnerable to victim or sexually aggressive are included
into the alert system, as well as receiving further assessments, as identified. Residents who
are identified or report as prior sexual victims are referred to the medical and mental health
professionals within 14 days. The screening documentation instrument met the tenets of
the standard.
PREA AUDIT: AUDITOR’S FINAL REPORT 9
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:
Orange Regional Juvenile Detention Center has single occupancy rooms for residents.
Victimization screening information may be used to determine a resident’s room assignment
and its proximity to direct care staff in the housing unit to ensure resident’s safety.
FDJJ Policy 1919 precludes gay, bi-sexual, transgender and intersex residents being placed
in a particular housing unit. Isolation rooms are prohibited by the Florida Department of
Juvenile Justice. Facility staff and residents interviews validated compliance.
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:
The Florida Department of Juvenile Justice PREA policy was revised September 8, 2014. The
revision now addresses and allows residents to report allegations of sexual abuse and
harassment other than reporting to staff. In review of the policy revision, this standard is
validated compliant.
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:
The Florida Department of Juvenile Justice PREA Policy was revised September 8, 2014. The
policy outlines procedures for the administrative resident’s grievances regarding sexual
abuse or sexual harassment. The elements of this policy address and comports with the
intent of the standard.
PREA AUDIT: AUDITOR’S FINAL REPORT 10
There have been no grievances relating to sexual abuse filed in the past 12 months. Staff
and resident interviews validate their knowledge of how the grievance process is used to
report sexual abuse or 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:
Orange Regional Juvenile Detention Center staff are mandated reporters and are required by
FDJJ Policy# 1919. Staff is required 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 and resident interviews
validated the facility’s compliance with this standard.
All interviews with the case management staff and health service professional validated their
responsibility to inform residents 18 years old of their duty to report and limitations of
confidentiality.
Documentation provided during the corrective action period validate all current residents
have received or has been notified of access to outside support services and legal
representation.
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:
FDJJ website informs the public with information regarding third-party reporting of sexual
abuse or sexual harassment on behalf of any facility resident. Also, parents receive
information regarding–party reporting. Resident interviews revealed their awareness of
reporting sexual abuse or harassment to others outside of the facility.
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)
PREA AUDIT: AUDITOR’S FINAL REPORT 11
Auditor comments:
Under FDJJ Policy 1919, all facility staff are mandated reporters. Staff is required 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 and health professional interviews validated their technical
knowledge and compliance with this standard.
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:
FDJJ Policy 1919 requires residents identified as being at risk for sexual victimization to be
monitored and to receive ongoing counseling from mental health or other qualified staff.
Residents are provided services consistent with the community of care. There were no
residents identified as being at risk for sexual abuse in the past 12 months, as indicated on a
log maintained by the facility and as revealed in interviews with the Facility Director and
other 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)
Auditor comments:
Orlando Regional Juvenile Detention Center received no allegations of sexual abuse from
other facilities during the past 12 months. Upon receiving an allegation that a resident was
sexually abused while confined at another facility, FDJJ Policy 1919 requires facility
leadership immediately notify the Florida Department of Juvenile Justice Central
Communications Center. The FDJJ will in turn notify the facility and the facility management
overseeing the facility where the alleged abuse occurred.
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)
PREA AUDIT: AUDITOR’S FINAL REPORT 12
Auditor comments:
There were no allegations of sexual abuse during the past 12 months. FDJJ Policy 1919
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
that still allows for the collection of physical evidence; request that 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 physical evidence, if the abuse took place within a time
period that still allows for the collection of physical evidence. Random staff and first
responder interviews validated their technical 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:
Interviews with the Facility Administrator, Assistant Facility Administrator and other
professional staff validated their technical knowledgeable of their duties in response to a
sexual assault. FDJJ Policy 1919 gives technical directions concerning coordinated actions
taken in response to an incident of sexual assault among staff first responders, medical, and
facility leadership.
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:
Orange Regional Juvenile Detention Center is not in a Collective bargaining Agreement.
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)
PREA AUDIT: AUDITOR’S FINAL REPORT 13
Auditor comments:
All Orange Regional Juvenile Detention Center staff are charged with monitoring for possible
retaliation. There were no incidents of retaliation in the past 12 months reported. This was
validated during my interview with the PREA Manager and Facility Administrator. FDJJ Policy
1919 all require the monitoring of residents and staff who have reported sexual abuse or
harassment or who have cooperated in a sexual abuse or harassment investigation. The
monitoring will take place for a period of 90 days or longer, as needed.
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:
Orange Regional Juvenile Detention Center does not have isolation rooms or segregation
housing. The facility uses single occupancy rooms to protect residents who alleged to have
suffered sexual abuse. Random staff interviewed validated resident(s) are monitored
constantly by staff. FDJJ Policy 1919 provides guidelines for the use of room restriction as a
last measure to keep residents who alleged sexual abuse safe only until an alternative
means for keeping the resident safe can be arranged.
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:
There were no reported investigations of alleged resident sexual abuse in the facility in the
past 12 months. FDJJ Policy 1919 establishes investigation guidelines for reporting
allegations of sexual abuse to the Hillsborough County Sheriff’s Office, The Office of The
Inspector General and The Florida Department of Children Services for investigations.
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)
PREA AUDIT: AUDITOR’S FINAL REPORT 14
Auditor comments:
FDJJ Policy 1919 states the outside investigative entities, the Orange County Sheriff’s office
and the Florida Department of Children Services, shall impose a standard of preponderance
of evidence or lower standards of proof 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:
There were no criminal and administrative investigations during the past 12 months. The
FDJJ Policy 1919 establishes processes to notify residents should the need arise and an
allegation proves substantiated, unsubstantiated or unfounded. The agency’s PREA
Coordinator and PREA Compliance Manager validated their technical knowledge of the
process during their interviews.
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:
There were no employees terminated or disciplined in the past 12 months for violation of
the facility’s sexual abuse or harassment policies. The Florida Department of Juvenile Justice
requires staff disciplinary sanctions up to and including termination for violating facility’s
sexual abuse or harassment policies. The policy also mandates that the violation be reported
to law enforcement.
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)
PREA AUDIT: AUDITOR’S FINAL REPORT 15
Auditor comments:
FDJJ Policy 1919 requires volunteers and contractors in violation of the facility’s policies and
procedures regarding sexual abuse and harassment of residents be reported to local law
enforcement and relevant licensing bodies unless the activity was clearly not criminal.
During the interview with the Facility Administrator/PREA Compliance Manager, it was
reported that their have been no volunteers or contractors reported in the past 12 months.
The policy also requires the facility staff to take remedial measures and prohibit future
contact with residents in the case of any violation of the facility’s sexual abuse and
harassment policies by contractors or volunteers.
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:
In the past 12 months, there has been one reported case of resident-on-resident sexual
abuse case that is still an active case. There have been no administrative or criminal findings
or rulings on this case.
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:
FDJJ Policy 1919 requires mental health and medical staff to monitor and provide
counseling on an on-going basis for residents who disclose a history of sexual abuse or who
disclose previously perpetrating sexual abuse.
There were no residents who disclosed prior victimization during their initial screening
process. During the interview with the Health Services Administrator, she validated that
residents are briefed on all services offered with medical and mental health providers.
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)
PREA AUDIT: AUDITOR’S FINAL REPORT 16
Auditor comments:
There have been no reported cases of sexual abuse in the past 12 months. The Health
Services Administrator interview validated through documentation the resident’s access to
medical and mental care of an alleged incident. FDJJ Justice Policy 1919 mandates
residents receive timely, unimpeded care on-site and off-site emergency care and crisis
intervention services.
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:
There have been no alleged sexual assault victims in the past 12 months.
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:
FDJJ Policy 1919 requires an incident review team of every sexual abuse allegation at the
conclusion of the investigation within 30 days. The review team includes the PREA
Compliance Manager, Department program staff, mental and medical health providers and
upper-level management with input from line supervisors. The facility has a specific review
form to capture all aspects of the incident.
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 Policy 1919 Definitions, requires the collection of accurate, uniform data for every
PREA AUDIT: AUDITOR’S FINAL REPORT 17
allegation of sexual assault. The facility’s PREA Coordinators collect all data relating to
PREA.
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:
There has been one alleged sexual abuse allegation within the past 12 months. The case is
still an active case; however, FDJJ Policy 1919 requires the review of data for corrective
action to improve the effectiveness of its prevention, protection and response policies,
practices and training.
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:
FDJJ Policy 1919 directs that data from every allegation of sexual misconduct at its facilities
shall be collected at Central Communications Center. The PREA Coordinator will review
data collected in order to assess and improve the effectiveness of the Department’s sexual
misconduct prevention, detection and response polices, practices and training. The policy
established that aggregated sexual abuse data be reviewed annually and placed on the
facility’s website after all personal identifiers are removed. All data collected will be
maintained for at least 10 years after the date of the initial collection.
AUDITOR CERTIFICATION:
The auditor certifies that the contents of the report are accurate to the best of his/her knowledge and
no conflict of interest exists with respect to his or her ability to conduct an audit of the agency under
review.
Auditor’s Signature Date: December 1, 2014
PREA AUDIT: AUDITOR’S FINAL REPORT 18

source: DJJ

report_type: PREA

program_name_raw: orange regional juvenile detention center