facility_name: Bay Regional Juvenile Detention Center

summary: QI Detention - FY24-25

raw_content:
I
STATE OF FLORIDA
DEPARTMENT OF JUVENILE JUSTICE
BUREAU OF MONITORING AND
QUALITY IMPROVEMENT
Annual Compliance Report
Bay Regional Juvenile Detention Facility Re-Review
Department of Juvenile Justice
(State-Operated)
450 East 11th Street
Panama City, Florida 32401
Review Date(s): May 8-9, 2025
Promoting Continuous Improvement and Accountability
in Juvenile Justice Programs and Services
Rating Definitions
Ratings were assigned to each indicator by the review team using the following definitions:
No exceptions to the requirements of the indicator; or limited,
unintentional, and/or non-systemic exceptions which do not result
Satisfactory
in reduced or substandard service delivery; or systemic
Compliance
exceptions with corrective action already applied and
demonstrated.
Systemic exceptions to the requirements of the indicator;
Limited exceptions to the requirements of the indicator which result in the
Compliance interruption of service delivery; and/or typically require oversight
by management to address the issues systemically.
The absence of a component(s) essential to the requirements of
Failed
the indicator which typically requires immediate follow-up and
Compliance
response to remediate the issue and ensure service delivery.
Review Team
The Bureau of Monitoring and Quality Improvement wishes to thank the following review team
members for their participation in this review, and for promoting continuous improvement and
accountability in juvenile justice programs and services in Florida:
Jessica Gibson, Office of Accountability and Program Support, Lead Reviewer (Standard 5)
Kayshala Patterson, Office of Accountability and Program Support, Regional Monitor (Standard
5)
Ken Phillips, Office of Accountability and Program Support, Regional Monitor (Standard 5)
Andre Watson, Office of Accountability and Program Support, Regional Monitor (Standard 5)
BUREAU OF MONITORING AND QUALITY IMPROVEMENT
RE-REVIEW ADDENDUM
Program Name: BRJDC MQI Program Code: 33
Provider Name: State Operated Contract Number: NA
Location: Bay County / Circuit 14 Number of Beds: 30
Review Date(s): 5/8/25-5/9/25 Lead Reviewer Code: 210
This review was conducted in accordance with FDJJ-2000 (Contract Management and Program
Monitoring and Quality Improvement Policy and Procedures), and focused on the areas of (1)
Management Accountability, (2) Youth Management, (3) Mental Health and Substance Abuse
Services, (4) Health Services, and (5) Safety and Security, which are included in the Detention
Standards.
Overall Rating Summary
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 3 of 21 (Revised July 2022)
Lim ited R atings
5.14 E scape D rills
5.15 Fire D rills 5.11 C
Failed R atings
5.03 Ten-M inute C hecks*
onfinem ent U nder Tw enty-Four H ours
Standard 5: Safety and Security
Detention Rating Profile
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 4 of 21 (Revised July 2022)
5 .0 1
5 .0 2
5 .0 3
5 .0 4
5 .0 5
5 .0 6
5 .0 7
5 .0 8
5 .0 9
5 .1 0
5 .1 1
5 .1 2
5 .1 3
5 .1 4
5 .1 5
5 .1 6
* T h e D
b e lo w D
re s u lt in
e p a rtm
e p a rtm
a p ro g
S ta n d a r d 5 - S a fe ty a n d S e c u r ity
A c tiv e S u p e rv is io n o f Y o u th *
B e h a v io r M a n a g e m e n t S y s te m /U n a u th o riz e d U s e o f P u n is h m e n t*
T e n -M in u te C h e c k s *
C e n s u s C o u n ts a n d T ra c k in g
L o g b o o k M a in te n a n c e a n d R e v ie w s
K e y C o n tro l
V e h ic le s a n d M a in te n a n c e
In v e n to ry , M a n a g e m e n t, Y o u th A c c e s s , & U s e o f T o o ls C le a n in g Ite m s *
In v e n to ry o f a n d A c c e s s to a ll F la m m a b le , T o x ic , C a u s tic , a n d P o is o n o u s Ite m s
D is p o s a l o f a ll F la m m a b le , T o x ic , C a u s tic , a n d P o is o n o u s Ite m s
C o n fin e m e n t U n d e r T w e n ty -F o u r H o u rs
C o n fin e m e n t O v e r T w e n ty -F o u r H o u rs
C o n tin u ity o f O p e ra tio n s P la n n in g (C O O P ) D rills
E s c a p e D rills
F ire D rills
S e a rc h a n d C o n tra b a n d P ro c e d u re s
e n t h a s id e n tifie d c e rta in k e y c ritic a l in d ic a to rs . T h e s e in d ic a to rs re p re s e n t c ritic a l a re a s th a t re q u ire im m e d ia te a tte
e n t s ta n d a rd s . A p ro g ra m m u s t th e re fo re a c h ie v e a t le a s t a S a tis fa c to ry C o m p lia n c e ra tin g in e a c h o f th e s e in d ic a to
ra m a le rt fo rm b e in g c o m p le te d a n d d is trib u te d to th e a p p ro p ria te p ro g ra m a re a (d e te n tio n , re s id e n tia l, p ro b a tio n ).
S a tis fa c to ry
S a tis fa c to ry
F a ile d
S a tis fa c to ry
S a tis fa c to ry
S a tis fa c to ry
S a tis fa c to ry
S a tis fa c to ry
S a tis fa c to ry
S a tis fa c to ry
F a ile d
N o n -A p p lic a b
S a tis fa c to ry
L im ite d
L im ite d
S a tis fa c to ry
n tio n if a p ro g ra m o p e ra te
rs . F a ilu re to d o s o w ill
le
s
Standard 5: Safety and Security
5.01 Active Supervision of Youth (Critical)
The program originally received a Satisfactory Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
Observations were made of youth supervision during the annual compliance review week. Staff
accounted for all youth with mandatory line counts and staff remained in proximity for
supervision of the youth. Active supervision was observed during class, dining hall, and line
movement functions. Master control authorized all movement of youth and staff prior to being
moved. Five staff were interviewed about staffing for youth supervision, two staff responded
there are enough staff to provide adequate supervision and three staff felt there were not
enough staff. The three staff who did not feel there were enough staff for proper supervision
reported the following: the center needs more staff and it is hard to stay within the Prison Rape
Elimination Act (PREA) ratio, there are times staff from administration must be pulled in order to
help out on the floor, staffing is fine on certain days, and there are not enough staff to provide
for the safety and security of the youth. During youth movement in the center observations
found youth were in sight of at least one detention officer at all times, with the exception of when
placed in sleeping rooms or in a secure placement. All youth were observed to be accompanied
by staff at all times. Master control authorized all movement of youth prior to the youth being
moved.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
Youth were observed to be actively supervised during the annual compliance re-review. Youth
were observed in line movements, escorted to classes, counseled by staff in the hallway, being
searched when returning from transport, escorted to the dining hall, and during ten-minute
checks through video review. It was observed the staff had positive interactions with the youth.
Observations confirmed youth were in sight of at least one detention officer at all times, with the
exception of when placed in sleeping rooms, or in a secure placement, in which checks were
conducted as required. No youth were observed without staff supervision. It was also observed
staff in master control authorized movement of youth prior to the youth being moved. Five staff
were interviewed. Three staff reported there are not enough staff to provide for the safety and
security of the youth and staff and two staff reported there are enough staff. One staff reported it
depends on the day, a second staff reported people call out, which makes it hard to be in ratio.
A third staff reported the facility is short staffed. The last staff reported the facility is not staffed
eighty percent of the time.
5.02 Behavior Management System/Unauthorized Use of Punishment (Critical)
The program originally received a Satisfactory Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center has a behavior management system (BMS) which specifies appropriate and
inappropriate behaviors, rules, norms, and expectations for youth. The system includes rewards
for positive behavior and consequences for inappropriate behaviors. The center’s BMS
guidelines were observed posted in all living areas and main hallways. Level books were
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Program Accountability Page 5 of 21 (Revised July 2022)
observed in youth living areas. The books were maintained by detention center staff to
document youth points earned and levels according to the center’s BMS. A review of the
documentation confirmed rewards and consequences are given according to the BMS. An
informal interview with the detention administration revealed incentives for youth are typically
given out during the weekend for youth who earn these privileges. No incidents of group
punishment were observed during the annual compliance review. Three of five interviewed
youth rated the center’s BMS as fair. One rated it poor, and one rated it good. All five were able
to summarize the BMS process. Youth gave examples of incentives they were able to receive
such as snacks, candy, level parties, radios, and extra phone calls. None of the five interviewed
youth reported a youth is not allowed to punish another youth in the center. All five youth
reported they have been sent to their room for punishment in the past. Four of five reported this
was due to confinement, one reported this was done at shift change prior to dinner time to be
given time to calm down. All five youth reported consequences they have received have been
fair. Youth gave examples of items which can be taken away as a result of a consequence, to
include points, level, and radios. Youth also reported everything is taken out of their room when
placed in confinement. None of the five youth reported ever witnessing handcuffs or mechanical
restraints being utilized for out of control youth. Five staff were interviewed regarding the BMS.
Each summarized the process and gave examples of rewards youth may earn in the center. All
five reported they felt the BMS was effective. All five reported staff speak with youth to discuss
consequences being imposed and give the youth the opportunity to explain their behaviors,
while discussing with them alternative acceptable behavior to use. All five interviewed staff
reported they are given feedback on their implementation of the BMS through areas such as
shift briefings and one on one discussions. One staff reported nothing is taken from a youth as a
result of a consequence. Four staff gave examples of things which could be taken such as
levels or items which were given to them when reaching a higher level, such as radios. None of
the staff reported seeing a staff taking a youth meal, education, clothing, or medical care. None
of the interviewed staff reported witnessing a staff encourage another staff to beat up a youth.
The detention superintendent was interviewed and was able to summarize the center’s BMS.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
Postings of the behavior management system (BMS) in all living areas which clearly specify
appropriate and inappropriate behaviors, rules, norms, and expectations were observed
throughout the center. The BMS includes rewards for positive behavior and consequences for
inappropriate behavior. The activity schedule was observed and posted throughout the center.
The center maintaines facility operating procedures on the BMS which ensures compliance with
the components outlined procedures. The center maintains point books in the living modules
and by the supervisor. One of five youth in the reviewed sample had a point card in the binder;
however, the point cards were not current and ended in mid-April. The superintendent provided
an Interoffice Memorandum from February 11, 2025. The memorandum included new
procedures for the BMS in centers. A level board is to be used to track the points for each youth
in each living module. The center has not been provided the level boards for the living modules.
The memorandum also specifically instructs the staff to stop using level cards. Due to the center
not being provided the level boards, they were still using the point cards until April. One of the
supervisors began a spreadsheet for the staff to maintain on a regular basis until the center is
provided with the level boards. Five staff were interviewed about the center's BMS. Five staff
reported the center uses a point system and level system. One staff went on to say the BMS is
meant to be fair and consistent and promote good behavior. Another staff reported there are
guidelines to follow. The staff reported the following rewards are provided as part of the BMS:
canteen, phone calls, special visits, radio, video games, level parties, MP3 Player, movies,
pizza party, ice cream party, and carnival. Five youth were interviewed regarding the center's
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 6 of 21 (Revised July 2022)
BMS. Two youth rated the system as fair, one youth rated the system as good, and two rated
the system as very good. The superintendent was interviewed regarding the BMS used in the
center. The superintendent reported on February 11, 2025 the BMS was changed. The center
no longer uses level cards. The Department’s Detention Services now use a level three system
to reward positive behavior.
5.04 Ten Minute Checks (Critical)
(5.03 Ten Minute Checks)
The program originally received a Failed Compliance rating for this indicator during the 2024-
2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
Ten-Minute checks were reviewed for the annual compliance review period. The center had
fifty-six out of sixty cameras operational at the time of the annual compliance review. The video
system stores video recordings for thirty-days. The center was operating on twelve-hour shifts at
the time of the annual compliance review. A review of nine separate dates and times of video
observations across all living modules was made to confirm the fidelity of the ten-minute checks
Nine checks were observed during video review and six checks were completed utilizing wand
report observations for a total of fifteen checks of thirty-minute increments for each shift on each
dorm. All samples reviewed had late checks completed. The center utilizes an electronic wand
system in which staff touch the wand to the door when conducting the checks. The electronic
wand system captures the time and date as to when the check was conducted on each room.
Corresponding wand logs were provided for review. The center was on a corrective action plan
for ten-minutes checks which closed on January 29, 2024. Six days of wand check reports were
reviewed. All six days of checks reviewed had checks completed between one and forty-five
minutes late. A review of the documentation revealed weekly reviews by management were not
completed. Observations of ten-minute checks did not reflect checks were conducted in the
required frequency to ensure the checks are met with fidelity. Five staff were interviewed
regarding how often room checks are completed when a youth is placed in their rooms for
sleeping. All five staff reported the room checks occur every ten minutes during sleeping hours
or if a youth is placed in their rooms, with the exception of suicidal youth. The superintendent
was interviewed regarding ten-minute checks. The superintendent reported any time a youth
placed in a room, a visual observation report (VOR) is placed on the on the door outside of the
youth’s room. The first check entered on the door would be when the ten-minute checks start.
Then, every ten minutes a certified officer will complete a check by looking into the room at the
youth and placing their initial and the time the check was completed.
This indicator was verified following completion of an Outcome Based Corrective Action Plan
(OBCAP) on April 1, 2025 but was unable to be recommended for closure. At the time of the
annual compliance re-review, this deficiency remains open.
During the re-review the program received a Failed Compliance rating for this indicator.
The center has sixty cameras, all of which were operational at the time of the annual
compliance re-review. Wand reports and video for nine dates of ten-minute checks were
reviewed from the last verification date. The review yielded five checks were completed late.
Two checks were conducted two minutes late, one check was completed five minutes late, two
checks were completed twenty minutes late, and one check was completed twenty-two minutes
late. Five staff were interviewed and each staff reported checks are conducted every ten-
minutes.
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 7 of 21 (Revised July 2022)
5.04 Census, Counts, and Tracking
The program originally received a Satisfactory Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center maintains facility operating procedures (FOPs) to address census, counts, and
tracking which require staff to know the exact number and location of all youth under their
supervision at all times. Counts were observed to be conducted by the master control operator
calling for and clearing a daily formal headcount over the radio. Five staff were interviewed
regarding the census and counts. All five staff reported counts are conducted at the beginning
and end of shifts. Three of the five staff reported if a count is incorrect there is a recount, all
youth are secured, and staff conduct a room-to-room search in the building. Two staff reported
the times counts are completed daily. Five staff were interviewed regarding when emergency
counts are conducted. One staff reported when a youth is believed to be missing. One staff
reported when visibility is hindered, such as an electrical outage. Three staff reported an
emergency count is conducted after a major disturbance. Other answers included when drills
are completed, during any codes called, when someone is admitted or released, and randomly.
A sample of logbooks for ten of the twelve months, one full day a month, was reviewed for the
annual compliance review period. All ten months reviewed months included documentation
counts were conducted at the beginning of each shift, following any emergency, emergency
drills, prior to and following routine group movement, anytime a population change occurs,
randomly, at least once on each shift, and head counts. Eleven out of the twelve months had
documentation of counts being conducted during and after youth movements. The remaining
sample was missing youth movement.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
Counts were observed during the annual compliance re-review. Five staff were interviewed
regarding census, counts, and tracking. Five staff reported counts are conducted at the
beginning of shift, four reported before and after school, and four staff reported before and after
meals. One additional comment was counts are conducted after a code or bad weather. One
month from each day of the annual compliance re-review period was reviewed in the logbook to
ensure the census and counts were documented correctly. All reviewed dates included counts
at the beginning of each shift, prior to and following group movement, randomly, at least once
each shift, head counts, and youth movements. Two of the days reviewed had counts
completed following severe weather.
5.05 Logbook Maintenance and Reviews
The program originally received a Satisfactory Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16th, 2024.
The center has facility operating procedures (FOPs) for logbook maintenance. The center has
separate logbooks for master control, each living module, visitors, and vehicles. All but one
logbook was found to be bound with numbered pages. One of the logbooks did not have a cover
but was still bound. Logbooks were observed to not have dates documented at the top of each
page. One logbook was missing December 25, 2023, from the logbook. These pages were not
located. All entries included the times of events in a.m. and p.m. with the name of the youth and
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 8 of 21 (Revised July 2022)
staff involved, a brief description of events, and the initials of the staff making the entries. The
logbooks reviewed did not include all of the incidents which impacted the safety and security of
the center. All errors were struck through with a single line and “void” written after the error
followed by the staff’s initials. Three full days were reviewed each month during the annual
compliance review period. The following elements were observed in the master control logbook:
emergency situations, incidents, documentation of receipt of medical and mental health alerts,
population counts at the beginning and end of each shift, population counts throughout shifts as
counts change, youth counts following emergency situations, youth group movement,
admissions and releases, and the presence of law enforcement. Samples from the master
control logbook and living module logbooks were reviewed for one day each month of the
annual compliance review period for eleven months. The activity schedule provided, and the
logbook documented minimal interference of educational instruction. Some of the fire drills,
names of youth placed in confinement with the beginning and ending times, and the name of
youth on precautionary/secure observation along with the time it was initiated and ended were
not consistently documented in the logbooks reviewed. A review of the logbooks showed
evidence of the superintendent or designee reviewed all logbooks on a weekly basis and
provided recommendations as to the completeness and accuracy of the information recorded. A
review of the logbooks revealed a juvenile justice detention officer supervisor reviewed the
center logbooks maintained in master control when assuming center responsibility, in each
living area daily, and maintained the logbooks in assigned living areas when accepting
responsibility at shift change. There was documentation observed in the logbooks of the
superintendent, assistant superintendent, or staff in charge of center toured the youth living
areas at least once during each shift. The superintendent was interviewed regarding the
management’s role in regard to logbooks. The superintendent reported the superintendent or
designee shall review the logbooks weekly for the last seventy-two hours. Once reviewed,
acknowledgement of the review will be completed in blue ink and signed by the person
completing the review.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
The center has facility operating procedures (FOPs) for logbook maintenance. The center has
separate logbooks for master control, each living module, visitors, and vehicles. One full day
each month was reviewed. In the logbooks reviewed, no pages were missing; however, some
pages had been stapled together. Some of the logbook covers were coming off as well. All
entries included the teims and events in a.m. and p.m., included the names of the staff and
youth involved, a brief description of events, and the initials of the staff making the entries. Any
entries impacting the safety and security of the center, including medical, special needs, and
mental health alerts were highlighted. Any errors were observed to be struck through with a
single line and “void” written after the error followed by the staff’s initials. All reviewed logbooks
included the required information, with the exception of any frisk, electronic, or strip searches.
The days reviewed in the logbooks revealed minimal interference of educational instruction and
classes were being conducted, as scheduled. The only other exception noted was for
confinements. Fifteen confinements were reviewed in the logbooks, three out of the fifteen were
documented in real time. The twelve late confinements were entered and documented as late
entries.
5.06 Key Control
The program originally received a Satisfactory Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 9 of 21 (Revised July 2022)
The center has facility operating procedures (FOPs) describing the center’s process for key
control, issuance of keys to staff, key restrictions, inventory and tracking, storage, missing or
lost keys, and reporting and replacement of damaged keys. The reviewed key inventory
revealed the key rings on the inventory matched the actual keys in use. The key storage area
was observed in master control. The keys are kept in a storage box in master control. The lock
was damaged on the key storage box. There was documentation the keys were signed in and
out by master control staff in a key logbook. The distribution of keys and collection of keys was
observed. The staff asked for the keys needed. Then prior to the staff entering the secured
area, the staff are searched with a wand to ensure no contraband is introduced into the center.
Restricted keys are maintained in master control which is secured with locked doors. All center
keys were observed to be maintained on a tamper-resistant ring. Emergency keys are
maintained in the captain’s office in the administration section of the building. The keys are kept
in two locked boxes. It was reported only administrative staff and maintenance have access to
the keys. Emergency key rings were included as part of the center key inventory. The master
key inventory included the following information: ring number, number of keys on each ring, who
each key ring was issued to, and the capability of each key. The center keys were placed on
key ring hubs and color coded according to function, officer keys were blue, supervisor keys
were yellow, administration keys were black, medical and mental health keys were white, food
service keys were green, education keys were brown, and emergency keys were red. Issuance
of keys were documented in the center logbook. The reviewed documentation included date and
time of issue, name of staff issuing the key ring, name of staff who received the key ring, and
the time the key ring was returned. Staff who were issued keys were observed to carry the keys
on their person at all times and did not allow youth to handle center keys. The key box was
observed to not be easily accessible. There were no incidents regarding keys during the annual
compliance review period reported to the Department’s Central Communications Center (CCC)
or Program Monitoring and Management (PMM) deficiencies related to key control concerns.
Five samples of key rings were observed and compared to the inventory key log with no
discrepancies noted. Three staff were informally interviewed about the number of keys on their
key ring and the function of each key with no discrepancies noted. An observation was
completed with the master control operator regarding key control. The master control operator
recognized the staff and looked at the key tag the staff had in their possession. This information
was then documented in the logbook by the master control operator. Five staff were interviewed
regarding key control. Two staff reported the restricted keys include medical records, one staff
reported youth property area keys, and one staff reported mental health record keys were all
restricted. The staff also included emergency keys, egress keys, red keys, exit keys,
maintenance keys, supervisor keys, and yellow keys. Five staff were interviewed regarding the
center’s key control process and all five were able accurately describe the key control process.
The superintendent was interviewed regarding permanent issued keys. The superintendent
reported permanent issued key rings are defined as key rings assigned to specific personnel at
the discretion of the superintendent which authorizes the individual to remove keys from the
center or the center grounds. The superintendent also reported these keys are maintained by
the maintenance mechanic.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
The center has facility operating procedures (FOPs) on key control. A review of the FOPs
revealed the following elements were included: key assignments and usage, including
restrictions on usage, inventory, daily tracking, and reconciliation of keys, secure storage of
keys not in use, procedures addressing missing or lost keys, and reporting and replacement of
damaged keys. The key inventory was reviewed to ensure the key rings on the inventory
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 10 of 21 (Revised July 2022)
matched the actual key rings in use. The key storage area was observed to be on the wall in
master control. Personnel keys are given to the master control operator and restricted keys are
given to staff and logged. The facility keys were observed to be maintained on a tamper-
resistant ring. The emergency key rings were observed in master control and distributed by a
supervisor and/or administration. Emergency key rings are included as part of the facility key
inventory. The master key inventory included the following information: ring number, number of
keys on each ring, capability of each key, and to whom the key was issued. The facility keys
were observed to be placed on key ring hubs system and color coded as required. The issuance
of keys and key ring numbers were documented on each shift report and included the following
information: date and time of issue, name of staff issuing the key ring, name of staff who
received a key ring, and time the key ring was returned. Observations during the annual
compliance re-review revealed staff who were issued keys did the following: carried their issued
keys on their person at all times, did not allow youth to handle facility keys, and did not remove
the keys from the facility or the facility grounds without authorization from the superintendent.
The key box was not easily accessible while locked. There was one incident involving key
control on December 24, 2024, which was reported to the Department’s Central
Communications Center. A sampling of key rings was observed and compared to the inventory
and key log with no discrepancies. Three staff were informally interviewed about the number of
keys on their key rings and the function of each keys with no issues. An informal interview with
the master control operator revealed staff at master control will provide restricted keys to
designated staff and will document the time issued and to whom it was issued. Five staff were
interviewed regarding the key control process. Four staff reported personal keys are securely
stored. Three staff reported visitor’s personal keys are given to master control upon entry, daily
tracking of keys; key log, program keys are assigned to staff, and inventory of keys. Two staff
reported a chit or token is provided to visitors. The superintendent was interviewed regarding
permanent keys being issued to staff. The superintendent reported permanent keys are issued
to certain staff members and normally tracked through the maintenance mechanic with a signed
letter of notification a key was assigned to a certain staff member.
5.07 Vehicles and Maintenance
The program originally received a Failed Compliance rating for this indicator during the 2024-
2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center has a facility operating procedure (FOP) requiring the center vehicles to be properly
maintained, contain safety and emergency equipment, and be operated in a safe manner. The
center ensures any vehicle used to transport youth is properly maintained and documentation
regarding the use and maintenance of each vehicle is maintained. Each vehicle used for
transporting youth shall pass an annual safety inspection. Each vehicle used to transport youth
is to be equipped with the appropriate number of seat belts, a seat belt cutter, a window punch,
a fire extinguisher, and an approved first-aid kit. At the time of the annual compliance review,
the center had seven operable vans used for transportation of youth. None of the seven vans
had yearly maintenance conducted. There was no documentation of the vans having monthly
visual checks being completed as required. The assistant superintendent advised the
maintenance manager left employment as of May 2024. All seven transportation vans had
safety screens and were equipped with a fully charged fire extinguisher, a window punch, and
the appropriate number of seatbelts for each passenger; however, only six of the seven
transportation vans had a seat belt cutter. The vehicle first-aid kits are stored in center
administration to be checked out each time a vehicle is in use. The center maintains a log which
had documentation of completed vehicle inspections for each transport. The results of the
inspections are documented and stored in the center’s vehicle maintenance log/binder. A review
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 11 of 21 (Revised July 2022)
of the inspections showed all were completed, as required. A check of the center’s
transportation vehicles was conducted during the annual compliance review and each vehicle
was found to be locked. There were no youth transports during the annual compliance review
week, therefore an observation of transport process was unable to be observed. Five youth
were interviewed, and each reported they feel staff drive safely when transporting. None of the
youth had ever seen anyone place contraband in a transport vehicle.
This indicator was verified following completion of an Outcome Based Corrective Action Plan
(OBCAP) on November 19, 2024 and December 4, 2025 at which time the deficiency was
closed.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
The center maintains seven vehicles for youth transport. Provided documentation revealed all
vehicles had an annual inspection timely. The center does not have a maintenance mechanic at
this time. A review of documentation confirmed staff conducted monthly visual checks of all
transport vehicles which included the following: water coolant, lights, oil, emergency equipment,
brakes, horn, interior/exterior, cleanliness, tires, battery, windshield and wipers, windows,
mirrors, and damage. Each inspection was observed to be documented on the mandatory
inspection form and a copy of each form was maintained by the staff. Six out of the seven
vehicles had the appropriate number of seatbelts and seatbelt cutters. One seatbelt had a latch
which was in need of repair. One van was out of service at the time of the review and staff had
removed the seatbelt cutter. All seven vehicles included a window punch, current fire
extinguisher, and a first-aid kit with items approved by the designated health authority. A review
of van logbooks included documentation of acknowledgements the vehicles were checked,
destinations, numbers of youth and staff names, name of the officer riding in the back of the
vans, time transport began and ended. A transport away from the center was unable to be
observed. A transport was observed coming back to the center. Transport staff was observed to
ensure the vehicles were searched for contraband, the vehicles were locked to prevent the
introduction of contraband, youth were properly searched upon return to the center, and
ensured the youth and staff wore seatbelts. All center vehicles were checked to ensure the
vehicles were locked when not in use. Five youth were interviewed regarding staff transporting
youth. Two youth reported they feel safe when riding with staff and three youth reported they
have not been on a transport. All five youth reported they have never seen anyone place
contraband in a transport vehicle.
5.08 Inventory, Management, Youth Access, and Use of Tools and Cleaning Items
(Critical)
The program originally received a Limited Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center maintains a facility operating procedure (FOP) for tool inventory, tool maintenance,
youth access to tools, and use of tools and cleaning items. The level of security for the tool
room and kitchen was observed when tools were not in use. A review of ten tools throughout the
center was conducted. Three tools were not included on the inventory sheet. Additionally, the
center did not maintain a consistent inventory for all mops and brooms in their custodial cabinet
and the inventory for the maintenance tools has not been updated for the previous three
months. Further, the superintendent or designee has not signed off on the kitchen and custodial
inventory for the duration of the annual compliance review period. There was documentation the
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 12 of 21 (Revised July 2022)
kitchen staff conducted inventory of all equipment, including knives and other implements upon
reporting for duty. No tools were lost during the annual compliance review period. The perpetual
inventories for the custodian closet and tools had not been reviewed or updated for
approximately three months. All tools were observed to be secure and had tool markings for
easy identification. Three tools were missing from the perpetual inventory: tin snips, lock cutters,
and a putty knife. According to the assistant superintendent, the previous maintenance manager
bought these tools and did not add them to the inventory. The youth are not permitted to use
tools, including kitchen and medical equipment. The youth are permitted to use cleaning items
such as mops, brooms, and other common household items, under direct staff supervision. An
observation of youth using cleaning tools was unable to be conducted. The administrative staff
informed the review team their maintenance staff left employment in May 2024. The
superintendent was interviewed and reported the maintenance mechanic is the staff who has
access to the center tools. Five staff were interviewed regarding the center’s practice for
damaged or missing tools. The staff reported damaged tools are disposed of outside of the
center. If a tool is lost the youth are secured in the center and staff conduct a search for the lost
item.
This indicator was verified following completion of an Outcome Based Corrective Action Plan
(OBCAP) on December 4, 2024 and January 28, 2024 at which time the deficiency was closed.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
The center’s maintenance and kitchen tool facility operating procedure (FOP) was reviewed and
stated the maintenance mechanic shall have a designated area away from the secure floor for
tools and supply storage. The maintenance man shall have a shadow board of all tools and a
master inventory which reflects what is on the shadow board. Kitchen knives and other
hazardous kitchen sharps shall be stored in a locked sharps/knife cabinet. An inspection of the
tool room and kitchen determined the level of security when tools were not in use. No tools were
listed as missing for the reviewed inventories. Documentation showed the kitchen staff conduct
an itemized inventory of all equipment, including knives and other implements when reporting
for duty. An informal interview with the assistant superintendent confirmed service vendors were
accompanied by designated center staff at all times when in a secure area of the center. The
inventory of tools was reviewed and it documented the issuance and return of all tools. Youth
are allowed to use cleaning items such as mops, brooms, and other common household items
while under the direct supervision of staff. There was an informal interview with the kitchen staff
and assistant superintendent to determine the practice for missing or damaged tools which is to
report it to the superintendent immediately. If there is a broken or defective tool, it shall be
documented in the tool logbook and immediately removed for repair, replacement, or it is to be
immediately disposed. The superintendent was interviewed about who has access to facility
tools and reported the maintenance mechanic normally has access to the tools and certified
staff members. Five staff were interviewed about the youth's use of tools. Three staff reported
the youth use scrub brushes and all five staff reported the youth are allowed to use mops and
brooms. Five youth were interviewed regarding the use of tools. All five staff reported the youth
are allowed to use mops and brooms. Five tools were observed in the kitchen to be secured. All
kitchen tools had a marking for easy identification and the inventory was accurate. The
inventory was signed by the superintendent or designee for each month reviewed. Five tools
were observed in the maintenance manager’s office. All five tools were secured and had
markings for easy identification. The inventory was accurate and was signed by the
superintendent or designee.
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 13 of 21 (Revised July 2022)
5.09 Inventory of and Access to all Flammable, Toxic, Caustic, and Poisonous Items
The program originally received a Failed Compliance rating for this indicator during the 2024-
2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center has an Emergency Care plan which is incorporated into the Continuity of Operations
Plan (COOP). The center has facility operating procedures which prohibits youth from handling
chemicals, toxic items, and cleaning agents. Only authorized personnel are permitted to handle
these items. Five interviewed youth denied directly handling any chemicals at the center. All five
interviewed staff also confirmed only staff handle cleaning agents and chemicals. The center
had a total of five locations which were observed to contain some supplies of chemicals and
poisonous items. Each of these locations were observed to be secured and inaccessible to
youth. A review of five items within each of these separate locations was completed, for a total
of twenty-five items reviewed, and compared with a chemical inventory log. The outdoor tan
storage shed, outdoor blue storage shed, and maintenance office all had a supply of chemicals,
but none of these had an updated inventory of the items present. The inventory reviewed in the
outdoor shed did not include five chemicals. All listed chemicals were observed in the outdoor
shed. The inventory reviewed in the maintenance office did not include four items stored in the
office. All listed chemicals were observed in the maintenance office. The custodial closet had an
updated inventory. The kitchen chemical closet and the custodial closet both had a current
inventory of the items located within those two areas; however, the kitchen inventory noted nine
bottles of one chemical, but only six were discovered in the closet. The dietary staff reported this
was due to a miscount. All items observed had a corresponding Safety Data Sheet (SDS), with
the exception of one item, which was a bottle of lighter fluid located in the outside tan storage
shed. The center maintains a master SDS book in the master control room and the conference
room. Items used within the living module for cleaning are located in the custodial closet in the
courtyard area, which contains the SDS book for those items present.
This indicator was verified following completion of an Outcome Based Corrective Action Plan
(OBCAP) on November 19, 2024 at which time the deficiency was closed.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
The center’s Continuity of Operations Planning (COOP) plan includes the center’s Safety Plan
and Emergency Care Plan. The COOP plan was approved by the regional director on July 31,
2024. A review of documentation during the annual compliance re-review period determined the
center maintained an inventory of flammable, toxic, caustic, and poisonous items. No chemicals
or flammable items were observed to be unsecured or accessible to youth. All staff receive tool
and sensitive item control training as explained by the superintendent. All flammable, toxic,
caustic, and poisonous items are only used by authorized personnel. All flammable, toxic,
caustic, and poisonous materials were observed to be stored in secured areas which were
inaccessible to the youth. Five youth were interviewed and four youth reported they do not use
any type of cleaning agent and one youth reported they do use cleaning agents. One youth
went on to report the staff handles the cleaning items, another reported youth only use mops to
clean. Two youth reported the staff spray and then the youth wipe whatever is needing to be
cleaned. The youth are not allowed to use cleaning items. All five youth reported they do not
have access to flammable, toxic, caustic, and poisonous items. Five staff were interviewed
regarding chemicals. All five staff reported youth are not allowed to clean with substances which
are toxic, flammable, or poisonous. Five items and their corresponding Safety Data Sheet (SDS)
sheets were reviewed. Five chemicals were observed in the kitchen closet. Four of the five
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 14 of 21 (Revised July 2022)
chemicals were located with the SDS sheets. One chemical did have a SDS sheet, but it was
located in the custodial closet while the item was located in the kitchen closet. The inventory for
the items matched the observed chemicals. All locations with chemicals included a current
inventory of items.
5.10 Disposal of all Flammable, Toxic, Caustic, and Poisonous Items (Critical)
The program originally received a Satisfactory Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center has a facility operating procedures which indicates the disposal of all flammables,
toxic, caustic, and poisonous items. A review of the Department’s Central Communications
Center (CCC) revealed the center had no incidents involving chemical spills. The center’s
administration reported any grease is disposed of in a grease vat located outside the facility
building. A contracted company comes quarterly, or as needed, to dispose of any grease.
Dietary and other staff were also interviewed and stated any dirty mop water is disposed of
through pouring into standard drains and mop sinks. The registered nurse was also interviewed
and stated all biohazardous waste is disposed of through and agreement with biohazardous
disposal company, who comes to the center monthly to pick up and discard of any biohazardous
waste. A disposal log for biohazardous waste, including copies of invoices, was also observed
which confirmed the practice. All biohazardous waste is kept secured in the medical office within
marked containers.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
The center’s facility operating procedure (FOP) for the disposal of flammable, toxic, caustic, and
poisonous items was reviewed and included disposal of all flammables, toxic, caustic, and
poisonous items which included a list of how hazardous waste items were to be disposed. The
FOP also included what to do in case of a chemical spill. The FOP included the items are to be
inventoried and secured when not in use at the center and accompanied with the corresponding
Safety Data Sheets. An informal interview with center administration revealed no chemical spills
or disposal occurred during the review period. A review of the Department’s Central
Communications Center revealed there were no reports for chemical spills for the annual
compliance re-review period. The center also does not use grease as reported by the dietary
staff. The center has not had maintenance staff for the entirety of the annual compliance re-
review period. The assistant superintendent reported there have been no incidents where
flammable and caustic items were disposed of during the review period. For any bio-hazard
material, Steri-cycle comes once a month to pick it up.
5.11 Confinement Under Twenty-Four Hours
The program originally received a Limited Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center maintains facility operating procedures (FOPs) ensuring confinements under twenty-
four hours are used as an immediate, short-term response to incidents which effect the physical
safety of youth or others. The center had 140 confinements under twenty-four hours during the
annual compliance review period, ten of which were reviewed. Seven of the ten youth were
applicable for receiving three meals a day plus school and evening snacks. Four of the seven
youth received their meals and snacks. Three of the youth did not receive their required meals
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 15 of 21 (Revised July 2022)
and snacks. Two youth were applicable for access to mental health care. One of the two youth
received documented mental healthcare when requested or needed. Seven youth were
applicable for requiring a daily shower while in confinement. Four of the seven youth received
their shower. The remaining three did not, according to reviewed documentation. Nine of the ten
youth were applicable for receiving a mattress and bedding. One youth did not have a
completed visual observation report (VOR) completed; therefore, it is unknown if the youth
received these items. The youth remained in confinement for twenty hours and forty-five
minutes according to the confinement report. Six youth were applicable for receiving education
materials. Two of the six youth received the required education materials. Documentation
showed nine of the ten youth received a notice of rights to grieve a confinement placement.
Prior to the youth being placed in confinement, a supervisor approved all confinements. Each
youth was placed into a room with no other youth. According to documentation within the
Department’s Facility Management System (FMS), all rooms were searched prior to the youth
being placed in confinement. Reviewed documentation indicated nine of the ten youth were
supervised for the duration of their time in confinement, as required. One youth did not have a
VOR completed. None of the youth sustained physical injury, for which medical care was
needed. Documentation in FMS indicated all ten youth were provided the reason confinement
was necessary. A supervisor conducted an initial confinement review with the youth within one
hour of the youth being placed in confinement. A full report was completed before the end of the
shift according to a review of confinement reports in FMS. A supervisor completed additional
interviews with the youth at a minimum of every three hours, counseled the youth, and was
documented in FMS. Five out of ten confinement reports were reviewed and signed off by the
superintendent or designee within forty-eight hours, excluding weekends and holidays. Five
superintendent reviews were not completed within forty-eight hours. One review was twenty-two
days late, one was seventeen days late, and one was twenty-six days late. Two superintendent
reviews were not completed according to documentation in FMS. The cameras were free from
obstructions and scratches in order for the youth to be visually observed. Some of the living
module windows in the dorms were observed to be heavily scratched. These windows were
observed during the facility tour. The superintendent was interviewed regarding confinement
documentation and reviews. The superintendent reported all confinement reports are reviewed
within forty-eight hours excluding holidays and weekends. Regional detention management
conducts a weekly review of confinements, lockdowns, and restraints. Five staff were
interviewed regarding the processes for placing a youth in confinement. Three staff reported a
confinement report is completed, one staff reported they are to conduct and document ten-
minute checks, and three reported the confinement room is to be searched. Additional
information by the staff was provided, which included: the youth are to be searched and all
items are to be removed from the room until bedtime, provide the youth with their rights and
their right to grieve the incident, the youth are taken to a dorm and placed in their room, the
supervisor starts the confinement paperwork, and the staff are to complete five minute checks
for one hour and then ten-minute checks are to be conducted. Five staff were interviewed
regarding providing the youth education materials. Four staff reported education materials are
provided. One staff reported education materials are not provided. The staff also shared the
teachers bring papers to the youth with no pencils, just the materials for the youth to read.
Verifications were conducted for this deficiency on October 31, 2024 and November 20, 2024 at
which time the deficiency could not be recommended for closure. Due to this, the deficiency was
escalated to a major deficiency. The center did not complete an Outcome Based Corrective
Action Plan; therefore, no verifications on the major deficiency could be completed prior to the
re-review.
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 16 of 21 (Revised July 2022)
During the re-review the program received a Failed rating for this indicator.
The center had 159 confinements during the re-review compliance period. Fifteen youth were
reviewed for confinements under twenty-four hours. Six out of the fifteen youth did not receive
the required meals and/or snacks while in confinement. Seven out of the fifteen reports were not
completed by the end of the staff’s shift. Five of the fifteen reviewed reports were not signed off
on by the superintendent or designee within forty-eight hours. None of the fifteen reports
included documentation the supervisors and/or staff continually counselled the youth in order to
consider removing the youth from confinement as soon as the youth was able to safely rejoin
the population and were no longer a threat to safety. The reason for continued confinement was
not documented. Eleven out of the fifteen youth were applicable to receive a daily shower. Five
out of the eleven did not receive a shower as required. One additional youth did not receive a
shower, but it was documented on the visual observation records (VOR) the youth was
exhibiting aggressive behaviors throughout the time for a shower. Seven out of the fifteen youth
were applicable for receiving education materials while in confinement. Four out of the seven
youth did not receive education materials while in confinement as required. Seven out of the
fifteen youth were applicable for receiving mental health care and all seven youth received the
mental health care when it was requested or needed. Six youth received clean clothing as
required. All youth had a mattress and bedding provided in their rooms. All of the youth were
provided notice of their rights to grieve a confinement placement as indicated on the
confinement reports. Prior to placing a youth in confinement the supervisors approved all
confinements, one youth was placed in a confinement room at a time, and all rooms were
searched prior to each confinement. All fifteen youth were supervised while in confinement
based upon a review of the VORs reviewed. None of the youth were reported to have received
physical injury. All fifteen youth were provided the reason why the confinements were
necessary. All reviewed reports include additional supervisor reviews; however, all the reviews
for all fifteen youth stated the youth is to remain in confinement for the safety and security of the
center. None of the youth placed in confinement were pregnant. The superintendent was
interviewed regarding youth placed in confinement and how the use and appropriate of
confinement tracked. The superintendent reported all incident reports are reviewed by the
superintendent, assistant superintendent, and shift supervisors to ensure all staff involved are
complying to the Right Interactions (RI) rule, if RIis utilized. All staff involved must submit their
reports into the Department’s Facility Management System before exiting the facility. The
superintendent or designee shall review all confinement reports within forty-eight hours,
excluding weekends and holidays and shall determine whether each confinement was
appropriate or inappropriate. The confinements are also reviewed monthly during the supervisor
meetings. Five staff were interviewed regarding placement of youth in confinement. Five staff
reported they would complete a confinement report, four staff reported they would conduct and
document ten-minute checks, and three staff reported they would conduct a room search for the
confinement room. All five staff reported when youth are placed in temporary confinement they
are provided education materials.
5.12 Confinement Over Twenty-Four Hours
The program originally received a Non-Applicable rating for this indicator during the 2024-
2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center did not have confinements over twenty-four hours during the annual compliance
review period; therefore, this indicator is rated not applicable.
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 17 of 21 (Revised July 2022)
During the re-review the program received a Non-Applicable Compliance rating for this
indicator.
The center did not have any confinements over twenty-four hours; therefore, this indicator is
rated as non-applicable.
5.13 Continuity of Operations Planning (COOP) Drills]
The program originally received a Satisfactory Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center maintains facility operating procedures (FOPs) establishing a procedure for
conducting drills to address the Continuity of Operations Plan (COOP). The center conducted
two drills during the annual compliance review period which included severe weather, major
disturbances, hostage situations, chemical spills, flooding, or terrorist threats/acts. The reviewed
drills did not result in a critique or corrective action. All drills reviewed included the type of drill,
date and time, participants, a brief scenario, and findings or recommendations. The
superintendent was interviewed regarding the center’s comprehensive safety/emergency plan.
The superintendent reported the plan describes how to respond to emergency situations
including fire and fire prevention/evacuation, severe weather, major disturbances, pandemics,
bomb threats, taking of hostages, chemical spills, flooding, or terrorism threats or acts.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
The center had not conducted an additional Continuity of Care Plan (COOP) drill since the
annual compliance review. The superintendent was interviewed regarding the COOP plan. The
superintendent reported COOP plan drills shall be conducted and documented at minimum
twice a year, with one drill being completed prior to hurricane season which begins June 1st.
5.14 Escape Drills
The program originally received a Satisfactory Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center maintains an Escape Prevention Plan to include the Department’s policies and
procedures regarding escapes. The center completed quarterly escape drills for the annual
compliance review period. Two out of the five staff reviewed for training did not complete the
annual escape training. The logbooks were reviewed for documentation of escape drills. Three
drills were not documented in the logbook to include the second quarter first shift and third
quarter first and second shift. Five staff were interviewed regarding escape drills. One staff
reported participating in a major disturbance drill, two staff reported participating in an escape
drill, and all five staff reported participating in fire drills. The staff also reported participating in
suicide drills, medical drills, code blue or fight drills, and Continuity of Operations Plan (COOP)
drills.
During the re-review the program received a Limited Compliance rating for this indicator.
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 18 of 21 (Revised July 2022)
The center’s Escape Prevention Plan was reviewed and included the facilities policies and
procedures regarding escapes. The center did not conduct quarterly escape drills during the
annual compliance re-review period. Two drills were missing out of the four quarters. Five staff
training records were reviewed. Three staff completed annual escape drill training and two did
not. The two drills completed were documented in the master control logbook. Five staff were
interviewed regarding drills. One staff reported being involved in weather drills, bomb threat
drills, and flooding drills. All five staff reported participating in a major disturbance drills and fire
drills. Four staff reported participating in escape drills.
5.15 Fire Drills
The program originally received a Limited Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center has a disaster plan, fire prevention plan, and an evacuation plan addressing fire
prevention and safety in the center. Twenty-four fire drills were required for the annual
compliance review period. It should be noted the center changed the amount of shifts
throughout the annual compliance review period. For the months of October 2023 and January
2024 through May 2024 the center was on three shifts. For the months of November 2023,
December 2023, and June 2024 through August 2024 the center ran on two shifts. Twenty-three
out of twenty-eight drills were completed. Two drills were missing for October 2023 and one drill
for December 2023. One drill was missing for January 2024 and one for May 2024Three of the
fire drills reviewed were not in the center’s logbook.
Five staff were interviewed regarding fire drills and all five staff reported the fire drills take place
at least monthly. Five youth were interviewed regarding receiving instruction in case there is
afire and all five youth reported being instructed.
This indicator was verified on November 19, 2024 at which time the minor deficiency was
closed.
During the re-review the program received a Limited Compliance rating for this indicator.
The center provided fire drill documentation for review. A review of the documentation revealed
the center conducted eight drills during the annual compliance re-review period. Two drills were
missing during the review period on the first shift for February 2025 and April 2025. Each of the
completed drills were documented in the master control logbook. Documentation for fire
extinguishers was reviewed and all fire extinguishers were inspected annually as required. Five
staff were interviewed regarding fire drills and all five staff reported they participated in fire drills
at least monthly. Five youth were interviewed regarding fire drills. Four youth reported they have
been instructed on what to do in case of a fire. One youth reported they have not been
instructed on what do in case of a fire.
5.16 Search and Contraband Procedures
The program originally received a Satisfactory Compliance rating for this indicator during the
2024-2025 annual compliance review, conducted August 13, 2024 to August 16, 2024.
The center has facility operating procedures (FOPs) for search and contraband procedures.
Staff shall wear gloves when conducting a frisk or room search. An electronic search consists of
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Office of Accountability and Program Support Page 19 of 21 (Revised July 2022)
the use of an electronic walk-through or hand-held wand device to locate metal objects. This
search shall be conducted during admission and following any transport. Staff and visitor
searches are to be conducted by the juvenile detention officer supervisors (JDOS)Any person
coming into the secure area shall be searched using an electronic wand and their pockets shall
be emptied. Searches shall be conducted in an area under video surveillance. All bags, cases,
jacket pockets, and any other items shall also be searched. Observations of visitors to the
center were conducted throughout the week. The center was observed to follow the facility
operating procedures for searches of visitors. There were no instances of a strip search being
conducted at any other time than admission. Every sleeping room shall be searched for
contraband on each awake shift. In addition, every room is to be searched when a youth is
released, prior to placing a newly admitted youth into a room, and prior to confinement. A room
search was unable to be observed during the annual compliance review. A review of
documented room searches for one day of each month of the annual compliance review period
for each awake shift was completed. Twenty-four room searches were completed. Fourteen out
of twenty-four searches were conducted on the awake shifts Ten required room searches were
not documented as required. There were no instances which may have compromised the safety
or security of the center throughout the annual compliance review period. All searches of all
staff, visitors, and contractors/vendors completed prior to entering the secure area. The center’s
visitor log contains does not contain a contraband attestation statement; however, the center
does have separate visitor contraband attestation forms. A review of the attestation forms and
visitors’ log revealed no discrepancies. Fifteen staff records were reviewed, and all contained a
contraband attestation form. There was no documentation of a strip search being conducted at
any other time than admission. The superintendent was interviewed regarding contraband and
searches at the center. The superintendent reported searches shall take place no more
frequently than necessary to control contraband or to ensure safety. The results of any search
shall be documented in the logbook and electronically. The staff are to utilize gloves and verbal
instructions to put the youth at ease. All contraband must be documented in the master control
logbooks, an incident report must be completed, and the Department’s Central Communications
Center (CCC) notified. If the confiscated item is illegal, law enforcement is to be notified and can
be disposed of at the discretion of the superintendent or designee. At the time of the annual
compliance review period, the center had no CCC’s relating to contraband reported.
During the re-review the program received a Satisfactory Compliance rating for this indicator.
An informal interview was conducted with the superintendent which revealed search
documentation is maintained in Detention Sharepoint and not in the Department’s Facility
Management System. The searches in the Detention Sharepoint are kept for ninety-days. After
ninety-days they are taken out of Sharepoint and kept elsewhere. Staff at the Department’s
headquarters assisted the team and provided all room search documentation needed for the
review period. A youth search was observed and the staff conducting the search was wearing
gloves. No strip searches were conducted at any other time except at admission. Electronic
searches are conducted on all persons who enter the secured area of the center. All bags,
cases, jacket pockets, and other items were searched prior to entering the secured area. A
sample of room searches were reviewed for one day of each month during the annual
compliance re-review period for each awake shift. All room searches were documented as
required with no exceptions. There have been two instances where the safety or security of the
center was compromised by contraband being brought in. One incident was on September 25,
2024 and the other was on February 24, 2025. The instances were reported immediately to the
on-duty supervisor. The facility has each visitor sign a contraband attestation statement which
are kept in master control. The signed attestation forms were observed to be in a binder which
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Office of Accountability and Program Support Page 20 of 21 (Revised July 2022)
is kept in master control. A review of ten newly hired staff records contained signed contraband
attestation forms. The center documented the confiscation of contraband in the master control
logbook. Incident reports were completed which identified findings and disposition of the
contraband. Law enforcement was not contacted for the incident on September 25, 2024, but
law enforcement was called for the incident on February 24, 2025. The confiscated items were
secured by the discovering officer and hand-delivered to the supervisor. The shift supervisor
completed the chain of custody of confiscated items as evidenced by a review of logbooks and
incident reports. The Department’s Central Communications Center (CCC) was notified when
the contraband was confiscated. The documentation also revealed the regional director or
designee was notified of the discovery and confiscation of the contraband. The superintendent
was interviewed regarding search and contraband procedures. The superintendent reported the
center's procedures for searching youth include staff wearing gloves when conducting a frisk or
room search. This search will be conducted during admission and following any transport, and
to cut down on contraband after every movement. Searches shall be conducted in an area
under video surveillance. Every sleeping room shall be searched for contraband on each awake
shift. Contraband searches are conducted on all youth movements. When contraband is found
on a youth or visitor, the CCC must be called, law enforcement, if necessary will be notified,
document in master control logbook, an incident report must be completed.
Florida Department of Juvenile Justice Detention Annual Compliance Report
Office of Accountability and Program Support Page 21 of 21 (Revised July 2022)

report_type: QI Detention

program_name_raw: Bay Regional Juvenile Detention Center Re-Review